Compounded topical pain pelievers in absorbable gels and creams offer medical practitioners the option to lower the dose of more potent narcotics. Also, because of the dosage form, one is able to decrease the number of potential, harmful side-effects associated with most pain relieving medications. I have worked very closely with one of Long Island's pain management physician, Doctor William Schlesinger of Great Neck & Lynbrook, in this area and being impressed with the results, has taken this concept one step further and prescribes these gels as primary therapy. The results have been good to excellent.
Some examples of compounded gels that have helped our clients at S&P; Prescriptions here in Long Island are as follows:
Ketoprofen 10% or 20% :
Ketoprofen is a non-steroidal anti-inflammatory agent (NSAID) whose use is best indicated for pain involving torn muscles and like injuries.
KETOPROFEN 10% PLO
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Ketamine 50 mg/mL :
Ketamine, typically used for reflex sympathetic dystrophy, is for nerve pain that may not be responsive to other medications. This topical application allows practitioners to reduce the dose of more potent narcotic painkillers.
Ketamine/Ketoprofen 50 mg/mL / 10% :
Ketamine has been shown to be very effective in treating nerve pain. Ketoprofen is a non-steroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties.
Cyclobenzaprine/ Lidocaine/ Ketoprofen 2% / 5% / 10% :
Cyclobenzaprine is a muscle relaxant and anti-spastic agent that works without affecting muscle function. Lidocaine is a local anesthetic that, used topically, is able to numb the area. Ketoprofen is a non-steroidal anti-inflammatory drug (NSAID) with analgesic and anti-pyretic properties.
Guaifenesin Speed Gel 10% :
Guaifenesin has been shown in several veterinary studies to be an effective muscle relaxant. Its mechanism of action is unclear.
Guaifenesin Speed Gel with Ketoprofen (20%) & Lidocaine (5%) :
Guaifenesin is a muscle relaxant. Ketoprofen is an non-steroidal anti-inflammatory agent (NSAID). Lidocaine is applied topically to numb the area.
Guaifenesin Speed Gel with Cyclobenzaprine (2%) & Diclofenac (2%) :
Both the Guaifenesin and the Cyclobenzaprine in this formulation act as muscle relaxants. Diclofenac is a non-steroidal anti-inflammatory drug (NSAID).
Amitriptyline 5% :
Amitriptyline has been shown to reduce nerve pain when used topically. Its mechanism of action is unknown.
Amitriptyline 5% / Capsaicin 0.04% :
Amitriptylline is for nerve pain. Capsaicin is effective for relieving neurologic, neuropathic, and arthritic pain.
Amitriptyline 5% / Lidocaine 5% :
Amitriptyline is a good treatment for neurological pain. Lidocaine, used topically, is able to numb the area in question.
Baclofen 2% :
Baclofen is a very effective muscle relaxant and anti-spastic agent. It possibly works by decreasing excitatory neurotransmitter release.
Baclofen 2% / Cyclobenzaprine 2% :
Baclofen is used for muscle relaxation and to decrease muscle spasms. Cyclobenzaprine is also an effective muscle relaxant and anti-spastic that works without affecting muscle function.
Carbamazepine 2% :
Carbamazepine is effective for treating trigeminal neuralgia. It decreases polysynaptic responses and blocks post-tetanic potentiation. This topical formulation is good for relieving nerve pain.
Carbamazepine 2% / Cyclobenzaprine 2% :
Carbamazepine is an effective treatment for nerve pain. Cyclobenzaprine is an anti-spastic and muscle relaxant that works without affecting muscle functon.
Cyclobenzaprine 5% :
Cyclobenzaprine influences both gamma and alpha motor systems and reduces tonic somatic motor activity. It is a muscle relaxant and anti-spasmic that is able effectively do its job without affecting muscle function.
Gabapentin 2% / Carbamazepine 2% :
Gabapentin has been shown to be effective in relieving nerve pain. Gabapentin acts by mimicing GABA, an inhibitory neurotransmitter. Carbamazepine is also a good treatment for nerve pain.
Gabapentin 2% / Clonidine 0.3% :
Both Gabapentin and Clonidine are effective treatments for nerve pain. Gabapentin acts by mimicing GABA, an inhibitory neurotransmitter. Clonidine stimulates alpha-adrenoreceptors in the brain, resulting in reduced sympathetic outflow from the central nervous system.
Shingles Formula :
This product combines the anti-inflammatory effects of Ketoprofen and the pain-relieving properties of Lidocaine with the anti-viral medication Deoxy-D-Glucose. It is a great formulation for both the treatment of shingles and post-herpetic pain.
Shingles Formula with Dexamethasone :
Combining Ketoprofen, Lidocaine, and Deoxy-D-Glucose (the ingredients in Shingles Formula) together with the glucocorticoid activity of Dexamethasone, this formulation is excellent for the treatment of shingles, herpes, and related dermatoses.
If any of our readers want to find out more about these topical gels, visit our Website at :
S&P; Prescription Compounding Services of New York
or call us at 516-644-2470 for info on how to obtain these gels.
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