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Pain management

Topical Pain Management

Pain management often calls for an individualized approach. Compounded topicals are applied directly to the area your provider directs.

In some cases, healthcare providers prescribe compounded topical medications designed to be applied directly to the affected area. Compounding allows pharmacists to adjust medication strengths or combine compatible ingredients when commercial products don't meet a patient's needs.

Providers may choose a topical form for patients who prefer not to take an oral medication or who need application to one area.

Ingredients your provider may combine

Topical pain compounds are built from the prescriber's choice of ingredients and strengths. Common choices include:

  • NSAIDs such as ketoprofen, diclofenac and meloxicam
  • Local anesthetics such as lidocaine
  • Neuropathic agents such as gabapentin and amitriptyline
  • Muscle relaxants such as baclofen and cyclobenzaprine
  • Other agents such as nifedipine, clonidine or menthol

Each ingredient is chosen by your provider and combined in a topical base chosen for the formula.

Customized topical formulations

  • Creams
  • Gels

Areas where providers commonly prescribe topical pain compounds

  • Neuropathic pain
  • Musculoskeletal discomfort
  • Joint pain
  • Localized nerve pain

Compounded medications require a prescription from a licensed healthcare provider and are not FDA approved. This page is educational and is not medical advice.

How it works

Step 1

Send your prescription

Your provider e-prescribes to EpitomeRx, faxes the prescription to 626.631.6151, or calls it in. Already have a prescription elsewhere? We can transfer it.

Step 2

We review and call you

A pharmacist checks the prescription for accuracy and formulation needs, then we call you to confirm details, pricing, timing and delivery. Payment is collected before we compound.

Step 3

We compound it

Your medication is prepared in our Arcadia laboratory to your provider's exact instructions and checked before it is dispensed.

Step 4

Delivered to your door

We ship anywhere in California. Local pickup in Arcadia is available by calling ahead.

Have questions about personalized compounding?

Call our pharmacist to talk through your prescription, pricing and options.