Pain Management Compounding Ideas

Smooth Muscle Spasm

• Belladonna Extract mg/Morphine Sulfate 7.5 mg Base MBK Suppository (Blue Mold) (B&O Suppository has been unavailable.)

Multiple Sclerosis

• Naltrexone HCI 0.5 mg Capsules Size #1

Alternate strengths are available. Ask the pharmacist for a copy of the September 2009 PCCA Apothagram “Consultant’s Corner” article to find out more!

Neuropathic Pain

• Amitriptyline HCI 2%/Baclofen 5%/Ketamine HCI 5%/Ketoprofen 10% Topical Lipoderm®
• Amitriptyline HCI 2%/Baclofen 2% Topical Lipoderm®
• Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline HCI 2%/Guaifenesin 2% Topical Lipoderm®
• Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm®
• Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm®
• Gabapentin 10%/Clonidine HCI 0.2%/Baclofen 1% Topical Anhydrous Lipoderm®

Opioid Tolerance

• Dextromethorphan HBr 30 mg SR Capsules Size #1
• Dextromethorphan HBr 60 mg SR Capsules Size #0

Wound Care – Pain

• Morphine Sulfate 1 mg/mL Topical Gel

Radiation Burns

• Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream
• Allantoin 2%/Vitamin D3 1000 IU/Gm/Aloe Vera 0.5% Compound Topical Cream

Bone Pain

• Ibuprofen 800 mg Base MBK Suppository (Large Shell Mold)
• Ibuprofen 800 mg/5 mL Oral Suspension

Allodynia

Sometimes people have pain on the skin upon which they cannot apply cream. Using a spray or foam may make them comfortable enough to apply Lipoderm®.

• Ketamine HCI 2%/Morphine Sulfate 2% Topical Foam
• Ketamine HCI 4%/Morphine Sulfate 4% Topical Spray
• Ketamine HCI 10%/Bupivacaine HCI 0.3% Topical Spray

Amputation Pain

• Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline HCI 2% Topical Lipoderm®
• Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm®
• Ketamine HCI 5%/Gabapentin 10%/Clonidine HCI 0.2%/Baclofen 2% Topical Lipoderm®
• Ketoprofen 5%/Cyclobenzaprine HCI 0.5%/Lidocaine HCI 5%/Bupivacaine HCI 1% Topical Lipoderm®

Inflammatory Pain from Injury

• Diclofenac Sodium 10% in Lipoderm® Transdermal Gel
• Ketoprofen 10% Topical Lipoderm® (Pentylene Glycol)
• Ibuprofen 20% in Lipoderm® Transdermal Gel

Rheumatoid Arthritis / Joint Pain

• Ketoprofen 10% Topical Lipoderm®

Soft tissue Inflammation

• Ibuprofen 20% in Lipoderm® Transdermal Gel
• Ibuprofen 20%/Piroxicam 1% Topical Lipoderm®

Plantar Fasciitis

• Piroxicam 2% Topical Anhydrous Lipoderm®
• Piroxicam 5% in Lipoderm® Transdermal Gel

Muscle Cramps for Athletes

• Guaifenesin (2% & 10%) in Lipoderm® Base

Anesthetics Before Laser Procedure

• Lidocaine 6%/Tetracaine 6%/Benzocaine 4% Topical Gel

Anesthetics Before Needle Sticks

• Benzocaine 20%/Lidocaine 6%/Tetracaine 4% Topical Lipoderm®
• Benzocaine 20%/Lidocaine 6%/Tetracaine 4% Topical Anhydrous Lipoderm®
• Benzocaine 20%/Lidocaine 6%/Tetracaine 4%/Phenylephrine HCI 0.01% Topical PLO

Burning Mouth Syndrome

• Capsaicin 0.25 mg Base A Troche
• Salicylic Acid 0.3% Mouthwash (Also referred to as BMS Mouthwash.)

Other dosage forms as well as drugs are often used for Burning Mouth Syndrome.

Mouth Pain

• Misoprostol 0.0024%/Diphenhydramine HCI 0.1%/Compound Oral Rinse (Also referred to as Radiation Burn Mouth Rinse)
• Morphine Sulfate 1 mg/mL Oral Gel
• Tetracaine HCI 0.5% Sorbitol Lollipop™ Base
• Lidocaine 4% Oral Polyox Bandage

Suspensions

• Morphine Sulfate 50 mg/mL Oral Suspension
• Hydromorphone HCI 20 mg/mL Oral Solution

High Strength Opiate Capsules (SR)

• Hydrocodone Bitartrate 20 mg SR Capsules Size #1 (Hydrocodone without APAP)
• Oxycodone HCI 40 mg SR Capsules Size #1