Pain is a disease state that can be very hard to treat with every treatment being unique. Therefore, we encourage patients to try a customized compounded medication that your physician can formulate for your pain.
A big advantage of topical preparations are that you bypass the metabolism of oral medication, you also avoid common side effects of oral medications such as stomach pain, and you can apply the cream directly to the affected area for a faster onset of action.
Compounding is a method of creating personalized medicine. This can be done for many reasons including a child who is unable to swallow pills, a patient with an allergy, or simply, if mass-produced medications are not working for a patient. Compounding provide a solution to these problems.
As a compounding pharmacy, we will work with your prescriber to create a customized solution for your specific needs. Compounding enables pharmacists to overcome some of health care’s top challenges.
At Doctors Rx, we compound many medications for our patients on a daily basis. Our compounds are made with compliance to the rigorous USP 795 and USP 800 guidelines regulated by the FDA.
Topical pain medications have a much lower risk of side effects due to low absorption into the blood stream. These compounds can be directly applied to an area of injury to get the localized relief without systemic effects.
Some of the ingredients we use in our topical pain compounds are: Diclofenac, Amitriptyline, Cyclobenzaprine, Guaifenesin, Lidocaine, Ibuprofen, Tetracaine, Piroxicam, Benzocaine, Menthol, Capsaicin, CBD and many more.
Most common reasons for patients to request topical pain compounds are: Knee, shoulder & back pain, pain due to arthritis, sports injuries, carpal tunnel syndrome, tennis elbow, diabetic neuropathy and other chronic neurological pain.
Anti-inflammatory creams are very beneficial to lower the inflammation and pain at the local site. Oral NSAIDs used to subdue inflammation usually causes GI side effects such as stomach upset, nausea and even ulcers if used for long term. Topical creams can still be used for localized relief on top of the oral NSAIDs just because there is minimal to no systemic absorption of the cream, which helps patients take a higher dose of medication. Inflammation can be caused due to many reasons such as arthritis, gout, and injury. The only way to subside the related pain is to reduce the inflammation.
Cyclobenzaprine is a common muscle relaxant prescribed by doctors. It works by blocking nerve impulses and pain sensations, keeping them from making it to the brain. Oral cyclobenzaprine is always followed by some side effects such as drowsiness, dizziness, and GI upset. That is why this medication is effective as cream because it gives the user more freedom to be selective with their application area with minimal to no side effects. Patients may be able to treat particular injury or pain sites more efficiently this way.
Additionally, we can combine the Cyclobenzaprine with other NSAIDs such as Ibuprofen to make a combination topical to relieve inflammation and muscle spasms.
Our Nipple Ointment includes mupirocin, betamethasone, and miconazole as active ingredients. Mupirocin is an antibiotic that kills bacteria that form in cracked, irritated nipples. Betamethasone decreases inflammation that is the main cause of pain and soreness. Miconazole is kills Candida albicans – a fungus that can cause infections in the nipples of breastfeeding mothers.
These three active ingredients come in an easy-to-apply and gentle ointment with a lanolin base. Together they form a soothing nipple ointment that provides relief from painful, inflamed nipples for nursing mothers.
We compound BLT numbing cream, which combines the power of benzocaine, lidocaine, and tetracaine in a single cream. The standard strengths used in the compound are benzocaine 20%, lidocaine 6%, and tetracaine 4%, which is used for minimally invasive skin procedures such as microblading, micro needling, and laser resurfacing. In the recent times, physicians and patients prefer topical compounded creams as an anesthetic prior to procedures due to less risk, greater patient comfort and less side effects.
Promethazine is a generally used medication to treat nausea and vomiting. Currently, only tablets and suppositories are commercially available forms, which makes it tough option for children. Our pharmacy can compound Promethazine topical cream, which can be put on child’s skin, and a small amount of the medicine is absorbed through the skin. That makes it a perfect dosage form since children are not exposed to higher strengths resulting in minimal to no side effects.
We compound magic mouthwash for mouth sores and mucositis, which is a commonly prescribed solution by doctors. Magic mouthwash goes by a variety of names: miracle mouthwash, mixed medicated mouthwash, Mary’s magic mouthwash, and Duke’s magic mouthwash. Magic mouthwash contains an antibiotic, an antihistamine, an antifungal, a corticosteroid, and an antacid, which helps relieve the symptoms of mouth sores immediately after couple of applications.
Additional to above compounds, we also offer:
- Acne Medicine
- Cold Sore Lip Balm
- Anti-itch and Rash Cream
- Diaper Rash Ointment
- Pediatric GERD
- Other Customized Compounds Prescribed by Physicians and Veterinarians
It is a metered dose dispenser that helps reach maximum medication compliance. Every click is already measured by its required dose. It is accurate, reliable and easy to use. No more need to wash your hands after applying a cream. It is also convenient for you to carry around. We use TopiClick to dispense our customized compounds in at no additional charge. Please see the video below that shows the advantages of using TopiClick:
Compounding is an integral part of a pharmacy, and this technique has been used since the beginning of the profession. One of the primary reasons to compound medications is because of unavailability of a specific dosage form or strength. Thus, compounding helps provide a tailored medication as needed by the patient. To ensure the quality of the medication and safety of the patient, all the pharmacies making compounds have to follow the rigorous rules and regulations of FDA. Moreover, compounding is regulated by state boards of pharmacy.
Patient safety is and always will be our first priority, and our pharmacy always ensures we follow all the regulations and safe practices for our compounds.
Most of the prescriptions needing a unique dosage or strengths can be compounded. Primary goal of compounding is to tailor the medication as per patient’s needs to ensure the ease of use and optimum adherence. We can compound topicals, solutions, lozenges (troches), suppositories, and oral rinses. Additionally, compounding applications can include pain management, dermatology, pediatrics, veterinary and many more. Contact our pharmacist today to know more!
Compounding cost depends on the type of dosage form and equipment required, plus the time spent researching and preparing the medication. Fortunately, we have access to pure-grade quality chemicals which help lower overall costs and allow us to be very competitive with commercially manufactured products. Please see the next question to understand if your compounds can be covered by insurance to lower your cost to minimum!
Most of the insurance plans allow for the patient to be reimbursed by sending in claims forms. While you may be paying a pharmacy directly for a compounded prescription, most insurance plans should cover the final cost. You can click below and obtain a patient universal claim form to submit it to your insurance for coverage.