Atlantic Coast Compounding

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Pain Formulations

Compounded pain medications are available by prescription in many different dosage forms: transdermal gels, creams, suppositories, suspensions, and capsules.

Arthritis Pain
  • Diclofenac 1.5% in DMSO Lotion
  • Flurbiprofen transdermal
  • Glucosamine Sulfate 150mg, Bromelain 15mg, Turmeric 375mg Capsules
  • Ibuprofen 20%, Piroxicam 1% transdermal
  • Ketoprofen Plus Capsules OTC (Ketoprofen 25mg, Riboflavin 100mg, Caffeine Citrated 65mg per capsule)
  • Ketoprofen 3%, 5%, 10%, 20% transdermal
  • Naproxen transdermal
General or Other Pain
  • Dextromethorphan 60mg Capsules, SR
  • Ergotamine 2mg troche
  • Hydrocodone Capsules
  • Hydromorphone Capsules
  • Hydromorphone 10% Metered Nasal Spray
  • Ibuprofen 20%, Urea 10% transdermal
  • Indomethacin 2%, 5% transdermal
  • Indomethacin topical spray
  • Lidocaine 5%, 10%, 20% transdermal
  • Morphine Capsules, IR or SR
  • Morphine 10mg/ml transdermal
  • Morphine 50mg/ml Injection
  • Oxycodone 20mg/ml Suspension
Neuropathic Pain
  • Amitriptyline 0.5%, Baclofen 0.5% transdermal
  • Amitriptyline 1%, Baclofen 1% transdermal
  • Amitriptyline 2%, Baclofen 2% transdermal
  • Amitriptyline 2%, Carbamazepine 2% in 70% DMSO Lotion
  • Amitriptyline 2%, Carbamazepine 2% transdermal
  • Bupivicaine 1%, DMSO 10%, Lidocaine 5%, Phenytoin 10% PLO apply tid
  • Carbamazepine, Cyclobenzaprine 5%, Ketoprofen 10% in “toothpaste pump” apply tid
  • Carbamazepine, Cyclobenzaprine, Ketoprofen, Lidocaine, Tetracaine transdermal
  • Clonidine 0.2%, Gabapentin 6%, Ketamine 10% transdermal
  • Clonidine 0.2%, Ketamine 15% transdermal
  • Guanethidine 1% transdermal
  • Ketamine 10% Nasal Spray 1 spray in each nostril q3hrs
  • Ketamine 10% Topical Spray (with Chlorhexidine)
  • Ketamine 5%, 10%, 20% transdermal
  • Ketoprofen 10%, Lidocaine 5% transdermal
  • Ketoprofen 20%, Lidocaine 10% transdermal
  • Lipoic Acid 2% orally
  • Phenytoin 20% transdermal
  • Propanolol 4% transdermal
Diabetic Neuropathy Pain
  • Nifedipine 8% transdermal
  • Pentoxifylline 15% Kris Gel, apply 3-4 times daily for 2 days—immediate response
Post-herpetic Neuralgia (shingles)
  • Alpha lipoic acid 100mg p.o. tid x 4 months (#4188)
  • Amitriptyline 2%, Ketoprofen 10% PLO for face
  • Aspirin in Chloroform 650mg/15ml for body
  • Aspirin 5%, Ketoprofen 5% in Ether (less burning & irritation than Chloroform); may add Pregnenolone 10% (to re-myelinate the nerves); caution smoking
  • Aspirin 5%, Lidocaine 5% in Chloroform for scalp
click here For a faxable prescription pain formulation sheet.

International Academy of Compounding Pharmacist





Professional Compounding Centers of America



North Carolina Association of Pharmacists