Pain Management Compounding

Providing customized pain medications in various formulations for patients and healthcare providers.

Chronic and acute pain affects millions of Americans, and effective treatment often requires personalized approaches. When standard commercial medications don't adequately address a patient's pain management needs, compounding offers the flexibility to create customized solutions.

Why Does Pain Management Compounding Matter?

Pain management compounding prepares custom medications designed to address pain with unique approaches not possible with commercially available products:

  • Target Specific Areas: Topical applications deliver medication directly to painful areas
  • Combination Therapies: Target various pain pathways at once by blending multiple active pharmaceutical ingredients into a single customized topical cream, gel, oral liquid, etc.
  • Custom Dosage Forms: Various formulations, such as topical creams, gels, troches, lozenges, tablets, etc., to suit specific patient needs
  • Adjust Strengths: Precise dosing for individual requirements
  • Avoid Systemic Effects: Localized delivery may reduce how much medication reaches the bloodstream compared with an oral dose, which is one reason prescribers choose a topical

Topical Pain Formulations

Transdermal Creams

Designed to penetrate the skin and deliver medication to underlying tissues.

Gels

Clear, easily absorbed, and non-greasy formulations.

Ointments

Occlusive, forming a water-repelling barrier to keep moisture; can enhance penetration for various conditions.

PLO Gel

Specialized topical and transdermal base to enhance absorption through the skin.

Conditions Addressed

Arthritis & Joint Pain
Back & Neck Pain
Neuropathic Pain
Sports Injuries
Post-Surgical Pain
Fibromyalgia
Muscle Strains
Tendinitis & Bursitis
Chronic Pain

Commonly Compounded Pain Medications

  • Anti-Inflammatory Medications: NSAIDs, applied to the skin to treat localized joint and muscle pain, as well as other compounds in topical formulations
  • Local Anesthetics: Lidocaine, pramoxine, prilocaine, etc., for surface numbing and pain relief
  • Muscle Relaxants: Topical muscle relaxants for muscle spasms, tension, and other musculoskeletal pain needs
  • Neuropathic Pain Agents: Topical preparations prescribed for nerve-related pain, using the active ingredients your prescriber selects
  • Combination Preparations: Multi-ingredient formulations addressing multiple pain mechanisms by combining various active ingredients into a single topical cream, gel, etc.

Related Compounding Services

We compound much more than just topical medications. LDN compounding (patient-specific low dose naltrexone in capsules, tablets, oral liquid, etc.) follows a similar prescriber-directed process. Learn more about what we prepare in our compounding services.

Our pain medications are compounded at our Lake Mary pharmacy for patients across Central Florida, but we also ship and deliver everywhere throughout Florida. For more information, read areas we serve from Lake Mary.

Frequently Asked Questions

Local prescription delivery is free.

Yes, all compounded prescription pain medications require a valid prescription from a licensed healthcare provider.

Response times vary depending on the medication, formulation, and individual patient. Some preparations provide relatively quick relief, while others may need regular use over time.

Contact your healthcare provider. They may need to adjust the formulation, change the strength, try different active ingredients, or consider alternative approaches.

It depends on the ingredients, the condition, and the patient, and the evidence differs considerably between them. The general idea is to deliver medication to the painful area with less exposure elsewhere in the body than an oral dose gives. Compounded preparations are not FDA-approved, and whether one is likely to help you is a judgment for your prescriber.

Neither is universally better; they do different things. A topical is applied where it hurts and generally results in lower drug levels through the rest of the body, which some patients and prescribers prefer. An oral medication reaches everywhere. Your prescriber weighs which suits your pain, your other medications, and your history.

Whatever your prescriber writes. Components commonly prescribed include local anesthetics, anti-inflammatories, muscle relaxants, and medications used for nerve pain, combined for the individual patient. The pharmacy prepares the formulation; it does not choose it. Prescribers are welcome to call (407) 610-9090 to talk a formulation through before writing it.

Prescribers do write compounded topical preparations for nerve pain, and the components used tend to differ from those used for muscle or joint pain. Whether one will help your particular nerve pain is not something a pharmacy can predict. Ask the provider treating you; if they want to discuss a formulation, our pharmacists take those calls.

Topical preparations are commonly prescribed for pain in accessible joints such as hands and knees, precisely because the medication can be applied over the joint that hurts. Whether one suits your arthritis, and what goes into it, is your prescriber's decision. Send us the prescription and we will prepare it and price it first.

Follow the directions on your label. The amount and the frequency are set by your prescriber for your specific preparation and they vary a great deal between formulations, so there is no general answer to give here. Do not apply more, or more often, than directed. If the label is unclear, call (407) 610-9090 before using it.

Yes, there can be. Skin reactions at the application site are the most common, and because the medication is absorbed, effects elsewhere in the body are possible depending on what is in it and how much you use. Report anything unexpected to your prescriber, follow the label, and wash your hands after applying unless told otherwise.

Ask your prescriber, and tell them everything you take including over-the-counter products. A topical preparation is absorbed, which means it is a medication and it can interact. This is not a case where being a cream makes it exempt. Bring your full medication list to that conversation, or call us and we will go through it with you.

Usually not. Medicare Part D generally does not cover compounded preparations, because payment runs from a list of manufactured products on which a custom preparation has no entry. Most patients pay cash. We will quote the price before we prepare anything and can give you an itemized receipt to submit yourself.

We quote each prescription individually, because cost depends on which actives, at what strengths, in which base, and how large a quantity your prescriber ordered. Call (407) 610-9090 with those details and we will price it before compounding. If cost is a concern, say so. Your prescriber can sometimes adjust the quantity.

Any licensed prescriber in Florida can write for a compounded topical preparation; it does not require a pain specialist. Some primary care providers write them routinely and others prefer to refer. If yours would like to discuss a formulation before writing it, our pharmacists are happy to take the call on (407) 610-9090.

Contact Pharmique Pharmacy

Questions about pain management compounding?

(407) 610-9090
1210 S International Pkwy, Suite 166
Lake Mary, FL 32746
Mon-Fri: 9:00 AM - 5:00 PM
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Important Information

About Compounded Medications: Compounded pain medications are prepared by our licensed pharmacy pursuant to a prescription from a licensed healthcare provider. Compounded medications are NOT FDA-approved.

Not for All Pain Conditions: Topical pain preparations are not appropriate for all types of pain or all patients. Your healthcare provider will determine if compounded pain medication is suitable for your specific situation.