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Topical Pain Creams

Every individual feel pain in their lives; with compounding medication, we can comfort patients’ pain using opioid free pain relief, and topical pain creams.

To receive a custom compounded medicine, we require a prescription to be faxed via
734-667-4400.

General Pain Cream

Diclofenac3%/Gabapentin 6%/Lidocaine 2.5%/Prilocaine2.5%

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing pain and inflammation. This medication is used to help with mild to moderate pain, or osteoarthritis or rheumatoid arthritis.

Gabapentin is an anti-epileptic that topically has been shown to be effective for treating chronic neuropathic pain. Neuropathic pain is pain coming from damaged nerves.

Lidocaine and Prilocaine are medications used to numb tissue in a specific area.

Muscle Pain Cream

Diclofenac3%/Baclofen2%/Orphenadrine 5%/Tetracaine 2% /Cyclobenzaprine 2%/Menthol 5%

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing pain and inflammation. This medication is used to help with mild to moderate pain, or osteoarthritis or rheumatoid arthritis.

Cyclobenzaprine and Orphenadrine and Baclofen are muscle relaxers that work by blocking pain sensations between the nerves and the brain. It can be combined with other ingredients like diclofenac and tetracaine to effectively treat pain that does not respond to traditional pain medication.

Neuropathic Pain/ Fibromyalgia Cream

Diclofenac3%/Gabapentin 6%/Lidocaine 5%/Baclofen2%/Amitryptylline 2% Cyclobenzaprine 2%/ Ketamine 10%

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing pain and inflammation. This medication is used to help with mild to moderate pain, or osteoarthritis or rheumatoid arthritis.

Gabapentin is an anti-epileptic that topically has been shown to be effective for treating chronic neuropathic pain. Neuropathic pain is pain coming from damaged nerves. Lidocaine is used to numb tissue in a specific area.

Cyclobenzaprine and Baclofen are muscle relaxers that work by blocking pain sensations between the nerves and the brain.

Amitrypylline is a tricyclic antidepressant that has been showed to relieve neuropathic pain when in conjunction with topical ketamine.

Local, Spinal Post Surgical Pain Cream

Ketamine 10%

Ketamine topical is in the literature for multiple treatments of various kinds of pain (neuropathic, local, surgical, spinal, etc.). There is a plethora of information about how ketamine is a viable option for all types of pain. There are also increasing evidences that support the efficacy of topical preparations in blocking nociceptive and neuropathic pain. Topical administration reduces the pill burden and increases patient compliance and adherence to medications. Ketamine is a noncompetitive NMDA receptor antagonist with opioid activity. Its analgesic effects rely on glutamate receptor activity, voltage-sensitive calcium channel blockage, interference with opioid receptors, and cholinergic and monoaminergic functions. Ketamine hydrochloride is Food and Drug Administration (FDA) approved for intravenous and intramuscular use and comes in three forms of liquid, powder, and tablet.

Shingles: Post Herpetic Neuralgia Cream

Ketamine 10%/Acyclovir 5%/Lidocaine 2%/Carbamazepine 2%/ Amitryptyline2%

Ketamine is a noncompetitive NMDA receptor antagonist with opioid activity. Its analgesic effects rely on glutamate receptor activity, voltage-sensitive calcium channel blockage, interference with opioid receptors, and cholinergic and monoaminergic functions.

Acyclovir has potent activity against herpes simplex viruses type 1 and 2 (HSV-1, HSV-2) and much less activity against varicella-zoster virus (VZV). Clinically, the drug is indicated to treat the following infections: herpes labialis, herpes genitalis, herpes simplex encephalitis, herpes simplex keratitis, neonatal herpes infection, chickenpox (varicella).

Carbamazepine is an anti-epileptic that topically has been shown to be effective for treating chronic neuropathic pain. Neuropathic pain is pain coming from damaged nerves.

Amitrypylline is a tricyclic antidepressant that has been showed to relieve neuropathic pain when in conjunction with topical ketamine.

Lidocaine is used to numb tissue in a specific area.

Ketamine Nasal Spray

Intranasal ketamine has been used to treat Depression. A randomized, double-blind, crossover placebo-controlled trial enrolled 20 patients with major depression. The treatment group received 50 mg of intranasal ketamine once a week. This study concluded that intranasal ketamine is safe and effective for rapid recovery from depression in patients that have failed at least one antidepressant trial. The antidepressant effect from ketamine was detectable 40 minutes after the dose was given.

Lidoacine 4% spray Lidocaine is an anesthetic medicine that is most often used to numb an area of the body before a minor surgical procedure. Lidocaine spray is used to stop migraine and cluster headaches within minutes after they occur. The onset of pain relief is fast and relieves the headache pain quickly after administration.

The medicine is sprayed into the nostril on the same side as the headache. It can be repeated 15 minutes later, if needed but should not be used more than one to two sprays per day. Side effects can include a burning sensation or numbness in the nose.

Besides migraines, lidocaine nasal spray has been studied for treating various kinds of facial pain including trigeminal neuralgia and TMJ.