Annie's Apothecary - Specialty Pharmacy

Pain Management
Topical medications can be prepared that include anti-inflammatory agents, muscle relaxants, and other pain relieving agents for neuropathic pain.  These preparations can be strategically rubbed in to relieve the pain with minimal to no systemic adverse reations such as stomach ulcers, sedation, and stomach upset.

Customized medication strengths can also be prepared that are not commercially available. Liquid medications and suppositories can be prepared for hospice patients that are no longer able to swallow their pain medicine.


Some examples of topical pain gels that can be made include:

  • Arthritis Gel (ketoprofen, lidocaine)
  • Shingles Gel (gabapentin, clonidine,lidocaine,acyclovir)
  • Post Herpetic Neuralgia Gel (gabapentin,clonidine,amitriptyline,lidocaine)
  • Fibromyalgia Gel (ketamine,gabapentin,MgCl,baclofen,indomethacin)
  • Muscle Pain/Spasm Gel (ketoprofen,lidocaine,cyclobenzaprine)
  • Diabetic Neuropathy Gel (ketamine,gabapentin,clonidine,nifedipine,amit)

Please ask your doctor or compounding pharmacist if a topical pain gel would work for your chronic pain.


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