The safety and effectiveness of each active pharmaceutical ingredient (API) in a compounded topical pain cream depends on two factors. First, the API should have a mechanism of action to treat pain, and second, the topical formulation must deliver the API to the site of action in an amount that is sufficient to achieve an effect but is also appropriate to be safe. In theory, topical APIs Limitations: Generalizability is limited by heterogeneity among pain conditions and formulations of the study interventions. Randomized follow-up was only 1 month. Conclusion: Compounded pain creams were not better than placebo creams, and their higher costs compared with approved compounds should curtail routine use. Gabapentin 40 mg/g Topical Cream is a semisolid preparation formulated for the treatment of neuropathic pain and localized pain syndromes. It is dispensed in a pump mechanism, ensuring convenient and controlled application on the skin. This cream combines the actions of gabapentin, an anticonvulsant that is also used to relieve neuropathic pain; ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain; and lidocaine, a local anesthetic that numbs the treated area. Neuropathic pain (pain due to nerve injury): The active treatment was 10% ketamine, 6% gabapentin, 0.2% clonidine, and 2% lidocaine. Mixed pain: The active treatment was 10% ketamine, 6% gabapentin, 3% diclofenac, 2% baclofen, 2% cyclobenzaprine, and 2% lidocaine. Creams were compounded in a typical pharmacy compounding base (carrier). The neuropathic pain group used cream containing ketamine, gabapentin, clonidine and lidocaine. The cream used by the nociceptive pain group contained ketoprofen, baclofen, cyclobenzaprine and lidocaine. Lidocaine, along with other topical creams, can help treat nerve pain near the skin’s surface, a condition called peripheral neuropathy. Gabapentin isn't a narcotic, but it is a controlled This new study showed that putting the Neurontin (Gabapentin) in a topical cream decreased pain by an average of 2/3, and decreased pain by over 50% in 80% of the women. The topical cream should be one that is not irritating when used vaginally. Ask the compounding pharmacist to also add Elavil to the cream for vulvodynia. Gabapentin topical creams and gels have been shown to be effective for treating chronic neuropathic pain. Neuropathic pain is pain coming from damaged nerves. It differs from pain messages carried along healthy nerves from damaged tissue that can come from a burn or a cut. Gabapentin is used with other medications to prevent and control seizures. It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. The Gabapentin 10% Topical Gel is a semisolid formulation designed for targeted treatment of neuropathic pain. This gel is dispensed through a pump mechanism, which allows for easy and precise application directly on the skin. Gabapentin is used with other medications to prevent and control seizures. It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. When administered orally (dosage range of 2400-3600mg/day), Gabapentin has shown results in managing pain caused by diabetic neuropathy and postherpetic neuralgia. Topically, the concentrations used are around 5-6%. • There is limited evidence to support the use of compounded topical pain creams to treat pain conditions in the general adult population. The few APIs that show potential effectiveness in compounded topical pain creams (doxepin (tricyclic antidepressant), lidocaine (local anesthetic), and naproxen (nonsteroidal)) Neuropathic Pain Cream P2 Gabapentin 5%, Amitriptyline 3%, Clonidine 0.2%, Lidocaine 5% in Salt Stable LS Advanced Cream Designed to calm over-excited nerves and block the pain signal. Common uses: Diabetic neuropathy, idiopathic neuropathy, chemo-induced neuropathy Anti-Inflammatory Pain Cream P3 Diclofenac 3%, Baclofen 2%, Lidocaine 5% in A RCT compared topical ketamine 5% cream (three times daily) to placebo in the treatment of painful diabetic neuropathy. 22 After one month, ketamine reduced some aspects of pain but change in pain intensity was no different than with placebo. 22 In patients with complex regional pain syndrome, a double-blind, placebo-controlled crossover trial An anti-NeP topical cream with ketamine 10%, gabapentin 10%, imipramine 3%, and bupivacaine 5% was shown to resolve NeP symptoms for several hours; it was also successful in reducing flare-ups in a patient with cervicalgia and TGN, refractory to several treatments. 10 Ketamine and gabapentin are more effective together as they mitigate The objective of this study was to investigate the effect of Lipoderm Cream, VersaBase Gel, and Emollient Cream on the release and permeation of gabapentin formulated for neuropathic pain. Gabapentin of different strengths (1%, 5%, and 10%) was compounded with the bases, diffusion of the drug from t Topical administration of medications for pain management has become increasingly more common. Compounded creams are an good safe alternative to oral medications in some cases. A randomised controlled trial investigating use of compounded cream of ketamine, gabapentin, clonidine and lidocaine in neuropathic pain showed reduced pain after 1 month, however there was no significant difference compared to placebo . This study included patients with many types of neuropathic pain so it remains possible specific aetiologies
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | |
![]() | ![]() |
![]() | ![]() |