Exploring the Possible Benefits of Pain Management Compounding

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Pain Management as the name implies is about managing pain that affects a person long term. There is no one-size-fits-all kind of pain management as therapy should be calibrated on a case by case basis, and the best way to calibrate is by compounding.

Compounding may help address what regular pain medication couldn’t such as allergens, side effects, substance dependency, and potentially more useful dosages than commercially available pharmaceuticals. 

Compounding pharmacists can reformulate prescription medications that contain any allergens so that patient health is not compromised. Reformulation can also be done to avoid or minimize side effects that may overly adversely affect the patient by calibrating the strength of the dose or using other drugs or combinations to address the issues.

Managing Pain by Compounding

Pain Management Compounding is about customizing pain management to the patient’s particular situation. Compounded medication is customizable in a variety of ways.

Pain medication can be customized in different dosage forms or formulations:

  • Topical creams
  • Gels
  • Oral liquids
  • Capsules
  • Suppositories
  • lotions
  • And more

Commonly Compounded Pain Medications

Here are some commonly used drug products inside pain medications, including the formulations they are delivered in as well as their approved uses and off-label uses.
Drug ProductFormulationFDA Approved Pain IndicationsOff-label Uses for Pain
GabapentinOral, topicalPostherpetic neuralgiaFibromyalgia, Diabetic peripheral neuropathy
KetamineIV, IMNoneAcute Pain
LidocaineRectal, topicalLocal anestheticDiabetic neuropathy, acute pain
NaproxenOralRheumatoid arthritis, osteoarthritisNone
OrphenadrineInjection, oralMusculoskeletal painNone

Source: NIH

Source: NIH

Acute vs Chronic Pain

Compounded Pain Medications can be formulated to specifically address different kinds of pain such as acute and chronic pain. But what’s the difference?

Simply put, acute pain accompanies an injury or specific disease and is limited to when an injury or disease is present, or in other words, it is short term. On the other hand, chronic pain is, by itself, considered a disease state. It’s the kind of pain that outlasts the normal time of healing. Chronic pain has no discernible end-point, or simply, it is long term pain.

The management methods of acute and chronic pain are different. The aim in the former is to address the underlying cause and interrupt the pain signals. While the latter needs a multidisciplinary approach and should have more than one therapeutic modality.

Source: NIH

Conditions that commonly get help from Compounding

Here is a non-exhaustive list of conditions where pain may be addressed by compounding.

  • Arthritis
  • Ankle Pain
  • Back Pain
  • Burning Foot Syndrome
  • Carpal Tunnel Syndrome
  • CRPS (Chronic Regional Pain Syndrome)
  • Diabetic Neuropathy
  • Fibromyalgia
  • Foot Pain
  • Gout
  • Head, Neck, and Facial Pain
  • Knee Pain
  • Migraines
  • Muscle Spasms
  • Myofascial pain
  • Neuropathic Pain
  • Post Herpetic Neuralgia
  • Shingles
  • Shoulder Pain
  • Tennis Elbow
  • TMJ/TMD (Temporomandibular Disorders)

Low Dose Naltrexone

Pain practitioners have noted Low Dose Naltrexone (LDN) as a novel anti-inflammatory agent for addressing chronic pain. It’s notable in how it doesn’t seem to cause substance dependency.

LDN has gained positive reviews from practitioners and patients who had few choices in the market for dealing with and managing pain as well as with difficulty to target pain.

Off-label uses of LDN have become more accepted as an alternative option for these conditions:

  • Multiple Sclerosis
  • Complex Regional Pain Syndrome
  • Fibromyalgia
  • Crohn’s Disease
  • Gastrointestinal Disorders
  • Cancer
  • Skin Conditions
  • Autism
  • Inflammatory Bowel Disease
  • …and more.

Consultations with New Hampshire’s Premier Compounding Pharmacy

Pain Management Compounding fills a gap that commercially available medications could not. And with the need for more effective pain management, pain practitioners turn to compounding for their patients.

Eastern States Compounding Pharmacy provides the best experience for both patients and physicians because of high standards with in-lab processing and testing. Eastern States is also accredited for compounding both sterile compounding and non-sterile compounding.

Eastern States Compounding Pharmacy’s friendly staff ensures that consultations with us provide the best information and assistance to make the process as comfortable and convenient as possible. Our consultations can help better inform your provider with the kind of medications to avoid side effects or the allergens to watch out for.

Get in touch with us, and let us help you manage your pain with compounding solutions.

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