COMPOUNDING MEDICATION FOR PAIN
Pain management is imperative for a patient to enjoy working productively and participate in recreational activities, even as the underlying cause of pain is under control via medications. Uncontrolled chronic pain prevents active participation in work and family recreational activities and may have numerous underlying causes. It is difficult to manage chronic pain effectively as it requires a multidisciplinary approach and treatment regimens that needs to be customized for each patient.
Optimal treatment may involve the use of compounding pain medications that combine pain-relieving properties and antidepressants, anticonvulsants, antiarrhythmics, anesthetics, antiviral agents, and NMDA (N-methyl-D-aspartate) antagonists. NMDA-receptor antagonists, such as dextromethorphan and ketamine block pain transmission in dorsal horn spinal neurons, reduce nociception and decrease the tolerance to and the need for opioid analgesics. Using a combination of agents that target different mechanisms to diminish the perception of pain, the concentration of each medication used can be decreased.
Compounded prescription pain creams and gels can be formulated to provide high local concentrations at the site of application (e.g., NSAIDs for joint pain), for trigger point application (e.g., combinations of medications for neuropathic pain), or in a base that will allow systemic absorption. Side effects associated with oral administration can often be avoided when medications are used topically. Studies suggest that most drug types can be incorporated into a properly compounded transdermal gel. Transdermal compounded pain medications are not absorbed through the gastrointestinal system and therefore increase the locally available drug concentration. Treatment modality for pain management depends on the kind of injury and when it comes to sports therapy. Sports medicine compounding helps pharmacist to analyze the player’s body and prepare medicine according to the individual need.
Compounding pharmacist to discuss the dosage form, strength, and medication or combination that is most appropriate for your patient. The solutions include a range of issues including:
- Ankle Pain
- Back Pain
- Burning Foot Syndrome
- Carpal Tunnel Syndrome
- CRPS (Chronic Regional Pain Syndrome)
- Diabetic Neuropathy
- Foot Pain
- Head, Neck, and Facial Pain
- Knee Pain
- Neuropathic Pain
- Shoulder Pain
- Tennis Elbow
- TMJ/TMD (Temporomandibular Disorders)
How does compounding work?
Compounding pharmacies can produce unique dosage forms based on patient preferences and/or restrictions. Examples include dye-free, preservative-free, alcohol-free, and/or sugar-free forms of medications.
Many compounds are specialized medication combinations or liquid or cream forms of products that are not otherwise commercially available.
Frequently Asked Questions
What is Compounding?
In general, compounding is a practice in which a licensed pharmacist, upon a physicians’ prescription order, combines, mixes, or alters ingredients of a drug to create a medication tailored to the needs of an individual patient.
A health care provider will prescribe a compounded drug when commercially available products do not meet your needs. Preparing a paste or suspension from crushed tablets is one example of compounding. Likewise, adding flavoring to medication is also compounding.
Is a prescription required?
Yes, a prescription order from a physician is required for the pharmacist to compound your medication to meet your specific needs.
Are compounded prescriptions covered by insurance?
Some health insurance plans cover compounded medications. Check with your insurance company to see if you have coverage. Many pharmacies are able to bill insurance companies directly for compounded medications. If unable to bill your insurance company, you may submit a claim form to your insurance company to reimburse you directly. Depending on the nature of the product, these medications may be just as affordable as your conventional prescriptions.
How does my medical provider play a role in compounding?
Many medical providers are aware of the practice of compounding, and they may work with your local compounding pharmacy to provide the right medication for you. Talk to your pharmacist or doctor today if you feel that a compounded prescription may be a better way to manage a health condition for you or your family member.
Does a compounding pharmacist have special training?
All pharmacists are taught in pharmacy school how to properly compound medications, and many compounding pharmacists have advanced training after pharmacy school graduation. Compounding pharmacists utilize their unique pharmacy skills, knowledge, and creativity to work with you and your prescriber to prepare medication in a dosage form that has been customized to your particular needs.
|Monday – Friday||09:30 AM - 05:30 PM|
|Saturday & Sunday||Closed|