2000 South Springfield Ave.
Bolivar, Missouri 65613
Phone/Fax: 417-777-7455
Pain Management
The management of pain often presents a major challenge to the patient, physician and pharmacist.   Whether trying to manage an acute pain episode such as a sports injury, or struggling through chronic episodes of pain such as fibromyalgia, compounding can often offer different and effective avenues of pain relief.

Medication Delivery Forms

One of the most effective ways to deliver pain relief is in the form of a topical gel or cream.  Several medications can be combined into a single topical gel to be applied directly to affected areas.  Transdermal drug delivery has been proven to provide high therapeutic drug concentrations, while reducing or eliminating the adverse effects of systemic administration.  Medications are highly effective and can be formulated to allow for ‘trigger point’ application (for example, neuropathic pain) or for systemic absorption.  Usual topical dosage is applied 2-3 times a day, massaged in well. Disease states that can be treated with topical formulations are arthritis, trigeminal neuralgia, fibromyalgia, peripheral neuropathy, shingles, migraines, anal fissure, carpal tunnel syndrome, tendonitis, and generalized tissue pain.

Other compounded medication forms that can be used as an alternative to topical administration for pain relief are:

– Lozenges
– Nasal Sprays
– Chewable Gels or Gummy Treats
– Suppositories
– Lollipops
– Capsules (medications can be combined into one capsule for ease of administration)

Compounding can also be used when providing palliative care (hospice) by helping to provide relief of symptoms.  Medication can be compounded for providing symptom control of nausea and vomiting, wound care and other states that require ‘creative medicine.’

The Custom Compounding Center will work closely with your prescriber to solve problems by customizing medications that will meet your specific needs. We will find the right dosage form, strength, and medication combination that will be most appropriate for you.  All compounded medications require a prescription.