Safe and Effective Topical Pain Management

Effective Topical Anti-Inflammatory and Pain Reliever Without All The Side Effects.


Through compounding a physician and pharmacist can customize a medication to the exact amount needed by the patient. Development of transdermal gels capable of supporting multiple classes of drugs while enhancing penetration and subsequent delivery of drug entities across the skin barrier allow for a noninvasive, convenient, and relatively adverse-event free mechanism for accomplishing this tailored care.


Call us at 201.869.5990 to discuss topical pain management.

General Pain and Inflammation

  • #1 Ketoprofen 15%/Lidocaine 5%/Baclofen 2%/Cyclobenzaprine 2%
  • #2 Ketoprofen 20%/Baclofen 5%/Lidocaine 5%/Diclofenac 10%/Lidocaine 5%/Ketamine 3%/Gapapen 10%/Dexameth.0.1%

Arthritic Pain

  • #3 Diclofenac 10%/Cyclobenzaprine 2%
  • #4 Indomethacin 10%/Lidocaine 5%
  • #5 Ketoprofen 20%/Gabapentin 6%/Lidocaine 5%

Neuropathic Pain

  • #6 Ketoprofen 20%/Baclofen 5%/Amitriptyline 2%
  • #7 Diclofenac 5%/Gabapentin 6%/Amitriptyline 2%/Lidocaine 5%/Clonidine 0.2%
  • #8 Diclofenac 5%/Gabapentin 8%/Baclofen 5%/Cylcobenzaprine 2%/Lidocaine 5%/Tetracaine 2.5%

Herpetic Neuralgia

  • #9 Ketoprofen10%/Gabapentin10%/Lidocaine 5%/Amitriptyline 2%/Acyclovir 5%
  • #10 Ketamine 5%/Lidocaine 5%/Gabapentin 10%/Acyclovir 5%

Shingle Pain

Shingles cause one of the most intense localized forms of pain that can be effectively treated with local application of the following compound:

  • Lidocaine 5%/Ketoprofen 20%/Ketamine 2%/Carbamezapine 5%/0.2% 2 Deoxy-D-Glucose/Acyclovir 3% 60gm apply 3 times a day

Intraoral lesions
· Apthous ulcers
· Primary herpetic stomatitis
· Radiation necrosis
· Acute necrotizing ulcerative gingivitis

Aphthous ulcers: Benign autoimmune condition canker sores (Aphthous ulcers) are very common. Typically, they are a shallow ulcer with a white or whitish/yellow base surrounded by a reddish border. Canker sores (aphthous ulcers) are a common form of mouth ulcer.

  • Magic mouthwash- Nystatin/Diphenhydramine/Lidocaine/Maalox
  • Stanford’s Mouthwash- Tetracycline/Nystatin/Chlorpheniramine/2 Deoxy-D-Glucose

Iontophoresis & Phonophoresis

Iontophoresis facilitates delivery of medications into the tissues beneath the skin by electronic transport of ionized drugs in solution. Acetic acid iontophoresis is effective in the treatment of heel pain. Iontophoresis of dexamethasone for plantar fasciitis should be considered when more immediate results are needed. Iontophoresis has also been used to successfully treat plantar hyperhidrosis.

Phonophoresis is a technique that combines topical drug therapy with ultrasound to achieve therapeutic drug concentrations in muscle and other tissues beneath the skin. Ultrasound gels can be formulated to contain medications such as anti-inflammatory and/or anesthetics.