Frequently Asked Questions Questions and Answers

What is a compounded topical pain cream and what medications are in them?

A compounded topical pain cream is a special prescription only, custom formula that is chosen by your physician to meet your specific needs.  It is created in a compounding pharmacy lab under the supervision of a licensed pharmacist.  The advantages are that your physician can choose which medications are best for your treatment plan.

All medications in the cream are FDA approved.  The types of medications included are Non-steroidal Anti-inflammatories (NSAIDS), muscle relaxants, local anesthetics, neuropathis pain blockers and other medications commonly used to treat pain.

What is a compounding pharmacy? Compounding combines an ageless art with the latest medical knowledge and state-of-the-art technology, allowing specially trained professionals to prepare customized medications to meet each patient's specific needs. Compounding is fundamental to the profession of pharmacy and was a standard means of providing prescription medications before drugs began to be produced in mass quantities by pharmaceutical manufacturers. The demand for professional compounding has increased as healthcare professionals and patients realize that the limited number of strengths and dosage forms that are commercially available do not meet the needs of many patients, and that these patients often have a better response to a customized dosage form that is "just what the doctor ordered".

Why use a pain cream instead of a pain pill?Topical pain and anti-inflammatory creams reduce inflammation, pain, swelling and discomfort in localized areas without the typical side effects associated with non-steroidal or narcotic therapy when taken by mouth. Topical medications may be preferred to minimize side effects or problems like stomach upset, constipation, and drug interactions often associated with oral medications.

How much and how often should I apply the cream? Follow the instructions given by your physician.  Typical application instructions are 1-2 pumps, 3-4 times a day as needed.  Your cream will come in as easy to use pump.  Each depression of the pump will dose 1.5 grams of cream.  A common routine of 4 applications a day might be after morning shower, before lunch, mid afternoon, and late evening. 

How should I apply the cream? The preferred application technique is to massage the topical cream into the affected area thoroughly up to 2 minutes.  The base of the cream is engineered to allow the medication to penetrate into the affected area.  Adequate massaging may enhance the absorption of the medication. Do not wash area where cream was applied for at least (1) hour to allow time for maximum absorption into affected area. You may experience a tingly sensation when applied which is normal.

Is it okay for me to skip doses? It is not the most effective way to handle your pain. Your pain is best controlled by applying the cream as your doctor recommends. Every case is different. However, consistent use should result in consistent results.  Always confer with your physician before making modifications to your treatment plan. 

Are there any special precautions? Do not cover place an occlusive bandage over the application site.  Wash hands before and after application.  Be careful not to touch eyes or mouth until you wash your hands as this may cause irritation.  If someone else is helping you apply the cream, it is suggested that person wears a finger cot or a glove.

How should I store the cream? The cream should be kept at room temperature and does not require refrigeration.  Exposure to heat or direct sunlight may cause the medication in the cream to separate.

How do I receive my refill?Refills can be obtained three ways. You can simply pick up the phone and call customer service directly.You may wish to send us an email or drop our refill card in the mail.

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