Pain Management

Pain Management

How can a person who cannot orally use NSAIDs (drugs like ibuprofen and naproxen) control inflammation?
What can a person do when other pain treatments have been tried and failed?


The management of pain often presents a major challenge to the patient, physician and pharmacist.

Utilizing drug compounding techniques, patient pain management often can be improved.

Pain medications can be compounded into forms other than pills and capsules. This allows for ease of administration.

Prescription analgesic nasal sprays, chewable gels, suppositories, lollipops and lozenges can be easily compounded.

Pain relievers can be incorporated into a variety of transdermal gels, including pleuronic lecithin organogel (PLO), that allow for the absorption of the drug through the skin. (For a complete listing of our presently compounded transdermal medications, please search "transdermal.”

Various oral analgesic drug combinations can be combined into a single format, thus eliminating a potential over-dose situation.

Broadway Apothecary can compound a variety of prescription analgesic drugs in a wide array of user-friendly forms.

Management of Chronic Pain Utilizing Transdermal Therapy


A number of medical conditions frequently are associated with chronic pain. Management of that pain with drugs is often difficult and, at times, can cause serious side effects.

In recent years, a unique approach to relieving chronic pain has emerged on the therapeutic horizon, namely transdermal therapy.

Transdermal therapy consists of incorporating a variety of pain relieving and/or anti-inflammatory drugs into one of a number of transdermal bases including pluronic lecithin organogel (PLO).

The transdermal base allows the active ingredient(s) in the compounded medication to be absorbed through the skin.

While the compounded medication can be applied directly to the pain site, at times more effective relief may be obtained by application of the medication to a specific pain “trigger point” on the surface of the skin.

With the utilization of transdermal bases, local concentrations of the active medications can be achieved that are higher than those obtained using oral or injectable routes.

Transdermal therapy for chronic pain relief reduces drug side effects because the patient’s kidneys and/or liver exposure to the active ingredients is eliminated or greatly reduced. Further, gastrointestinal difficulties, often seen with the oral administration of pain relieving and anti-inflammatory drugs, are eliminated.

A number of medical conditions, often associated with chronic pain, that may be treated by utilizing a transdermal delivery of active medications include, among others:
* Bursitis – inflammation of sacs of synovial fluid (bursae) in the body
* Neuralgia - neuropathic pain or nerve pain without stimulus
* Diabetic neuropathy – nerve pain resulting from diabetic injury of small blood vessels supplying nerves
* Epicondylitis – also known as tennis elbow
* Gout – painful build up of uric acid crystals in joints
* Nausea and vomiting
* Psoriasis – auto-immune disease of skin and joints
* Reflex Sympathetic Dystrophy Syndrome (RSDS, RSD) + Complex Regional Pain Syndrome – severe pain swelling and changes in the skin
* Sport injuries
* Tendonitis – inflammation of tendons
* TMJ
* Trauma to wrists, ankles, fingers and toes
* Vascular diseases

Medications that can be administered transdermally include, among others:

ANALGESICS - Capsaicin, Dextromethorphan, Guiafenesin

ANTI-INFLAMMATORY MEDICATIONS - Amitriptyline, Carbamazepine, Cyclobenzaprine, Diclofenac, Flurbiprofen, Hydrocortisone, Ibuprofen, Indomethacin, Ketoprofen, Naproxen, Nortriptyline, Piroxicam

ANTI-NAUSEA MEDICATIONS - Metoclopramide, Ondansetron, Promethazine, Scopolamine

LOCAL ANESTHETICS - Bupivacaine, Lidocaine, Prilocaine, Tetracaine

MEMBRANE STABILIZING MEDICATIONS for PERIPHERAL NEUROPATHY - Baclofen, Carbamazepine, Dilantin, Gabapentin, Phenytoin

MUSCLE RELAXANTS - Baclofen, Cyclobenzaprine

NMDA (n-methyl-d-aspartate) AGONISTS - Dexamethasone, Guiafenesin, Ketamine

VASODILATORY MEDICATIONS - Clonidine, Guanethidine, Nifedipine, Nitroglycerine, Pentoxphylline

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I’ve been going to Broadway Apothecary for only a couple of months and everyone has made me feel very welcome. The pharmacists have taken a personal interest in my needs and deliver complete personable service. - Brenda
Disclaimer: Any health related information is for educational purposes only. None of the information provided here is to be construed as medical advice. Before applying any therapy or use of herbs, you may want to seek advice from your health care professional. The information on our website should not be a substitute for physician evaluation or treatment by a health care professional and is not intended to provide or confirm a diagnosis.