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Pain Management Compounding Overview
Living with chronic pain can be a daily struggle for some people. Fortunately, when you have the right pain management compounding regimen, you can keep your pain at bay and live a happy and productive life. As you may know, chronic pain can have a wide range of causes and perpetuating factors, so it’s important to find a solution that is tailored to your specific needs. In some cases, you may need to consider a multidisciplinary approach and customized treatment protocols that will work for you. Read on to learn about the different types of pain management compounding solutions we offer.
Iontophoresis/Phonophoresis
If you’re not familiar, iontophoresis and phonophoresis are innovative technologies that can enhance drug penetration through the skin. Phonophoresis uses ultrasonic waves to transmit molecules of the drug through the patient’s skin. On the other hand, iontophoresis uses a low level electrical current. Both of these methods can be used to treat various inflammatory conditions, including arthritis, tendonitis, bursitis, plantar fasciitis, carpal tunnel syndrome, and more.
Migraine
There are many pain management compounding solutions for dealing with migraines, too. For example, studies have shown that a fixed combination of 25mg of indomethacin, 4mg of prochlorperazine dimaleate, and 75mg of caffeine is significantly more effective than sumatriptan when treating acute migraine attacks.
Neuropathic Pain
Treating neuropathic pain requires a different approach. The numbness, tingling, and pain caused by chemotherapy-induced peripheral neuropathy have been shown to respond well to a topical gel containing 10mg of baclofen, 40mg of amitriptyline HCL, and 20mg of ketamine in a pluronic lecithin organogel (BAK-PLO). A medical study determined that it was well tolerated without evidence of systemic toxicity while also helping improve neuropathic pain symptoms.
NSAID Therapy
One of the most common pain management solutions is NSAID therapy. Our pharmacy can compound topically applied NSAIDs, like ibuprofen and ketoprofen, that have a safety profile superior to oral formulations. You’ll also appreciate that topical NSAID therapy offers the benefit of local, enhanced delivery to painful sites with a reduced risk of adverse effects. Our topical preparations can be customized to contain a combination of medications to meet your specific needs.
Topical Anesthetics
You may also want to consider using topical anesthetics such as xylocaine pump spray, which has been shown to provide a major improvement in posttraumatic peripheral neuropathy. It helps provide pain relief without any systematic side effects.
Another common topical anesthetic is a lidocaine lollipop, which has shown promising results when used in place of intravenous sedation. This option is well tolerated and safe, which can be especially useful in elderly patients as well as those with comorbidities. There are several options when choosing topical anesthetics, so be sure to ask our pharmacy staff for more details.
Topical Opioids
When treating conditions such as malignant and nonmalignant ulcers and oropharyngeal mucositis, you may benefit from topical opioids. Several studies have shown that topical opioids help with pain relief in different situations.
For instance, a study showed that acetaminophen with codeine administered per rectum is an effective alternative for pain management in comparison to oral administration after an adenotonsillectomy. Some other topical opioids to consider include B&O suppositories and morphine gel. Our team can assist you with any other options your doctor may recommend for treating your conditions.
If you have questions about our pain management compounding services in Billings, Montana, be sure to contact us at Juro's Pharmacy Health & Wellness. You can also reach us by phone at 406-869-0123 or stop by and see us. We serve all of Montana, Wyoming, and Minnesota.