Pain Management
Managing pain has become increasingly complex, posing challenges for prescribers, pharmacists, and patients. Issues such as tolerance, dependence, severe side effects, and potential interactions among drug combinations consistently arise. Additionally, multiple co-morbid conditions in chronic pain patients complicate treatment strategies.
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Traditionally, systemic or parenteral therapies have been the focus of pain management. However, the introduction of commercial transdermal patches and gels offers an alternative route of administration. Supported by clinical research, prescribers and pharmacists can now provide customised topical and transdermal pain creams tailored to individual patient needs.
Advantages of compounding topical and transdermal pain preparations include:
• Direct application to affected site
• Reduction in systemic side effects
• Reduction in drug concentration in blood
• Reduction in first pass metabolism
• Painless administration
• Ability to combine multiple drugs into one preparation
• Ability to choose desired base
• Increased patient compliance
• Ability to continually customise and modify based on patients’ changing needs
• Avoidance of opioid or narcotic dependency
Most common ailments benefiting from compounded topical/transdermal pain creams include, but are not limited to:
• Arthritis
• Osteoarthritis
• Rheumatoid
• Neuralgia
• Diabetic neuropathy
• Shingles
• Phantom limb
• Fibromyalgia
• Multiple Sclerosis
• Sports Injury
• Burns
• Headaches
• Anal Fissures
• Gout
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