Pain Management Compounding

Compounded pain medications provide a personalized approach to managing both acute and chronic pain. Each formulation can be tailored to the patient’s specific needs and may include one or more pain-relieving ingredients.
We prepare individualized compounded formulations according to the active pharmaceutical ingredients (APIs), strengths, dosage forms, and delivery vehicles.

Pain management compounds can include:

Local Anesthetic Agents

Ingredients used to produce a localized numbing effect at the site of application. (update verbiage)

Lidocaine
0.5%-23%*
Benzocaine
10%-20%*
Prilocaine
1%-15%*
Ketamine HCl
5%, 10%*

Neuromodulating Agents

Ingredients that act on nerve signaling pathways when formulated per prescription.

Gabapentin
3%-10%*
Amitriptyline
1%-10%
Naltrexone (1%)
0.1%-1%
Clonidine
0.2%*

Anti-Inflammatory Agents

Ingredients formulated to be delivered topically at the site of application. (update verbiage)

Ketoprofen
6%-20%*
Diclofenac
1%-10%*
Ibuprofen
2%*

Muscle Relaxants

Ingredients considered for inclusion in compounds targeting musculoskeletal formulations.

Balcofen
2%, 10mg, 12mg*
Cyclobenzaprine
1%-5%, 10%*

*these are some commonly used strengths for topical compounds.

Dosage Forms

Topical formulations allow medication to be applied directly to the affected area, providing targeted relief while potentially reducing the need for oral medications.

Topical

Creams, lotions, gels, ointments, PLO formulations.

Oral Capsules

Customized capsule strengths, single or multiple ingredients

Oral Suspensions

Liquid formulations

Oromucosal

Troches, sublingual tablets, repid-disolve preparations, medicated lollipops

Suppositories

Rectal and vaginal preparations

Once a dosage form has been selected, an appropriate base or delivery vehicle can be selected based on factors such as ingredient compatibility, formulation stability, route of administration, and patient-specific preferences.

Commonly Used Compounding Bases

Compounded preparations may incorporate a variety of specialized bases and delivery vehicles depending on the active ingredients, dosage form, intended route of administration, and formulation goals. Different bases offer unique characteristics that can influence factors such as texture, absorption, stability, and patient experience.

Why Is Base Selection Important?

The base of a compounded preparation does more than hold the active ingredients. It can influence:

  • Ease of application
  • Patient comfort and cosmetic feel
  • Absorption and penetration characteristics
  • Stability and compatibility of ingredients
  • Adherence to the prescribed treatment plante

Valor Pharmacy is currently the only pharmacy in North America offering compounded preparations utilizing DicloGel®.

Connect With Our Compounding Team

Most inquiries receive a response within one business day.

Frequently Asked Questions

Can a formulation be customized?

Yes, formulations may be customized according to a provider's prescription and clinical judgment. Available customization options may include active pharmaceutical ingredients (APIs), strengths, dosage forms, flavoring, and other formulation considerations, subject to ingredient availability and pharmacy capabilities.

Which active pharmaceutical ingredients (APIs) are available for compounding?

A wide range of active pharmaceutical ingredients (APIs) may be available for inclusion in compounded preparations. Available ingredients, strength ranges, and dosage forms vary based on pharmacy capabilities, ingredient sourcing, and provider requirements. Contact our team for information about specific APIs or formulation options.

What information should I provide when requesting a formula consultation?

Providing the desired ingredients, dosage form, strength preferences, and any compounding requirements can help our team review available options and compounding capabilities.

Page structure for all pages (based on this page)

Hero/Introduction

Clinical USe Cases (Why might a provider use compounded medications in this area?)

Dosage Form Selection

Base Selection

Formulation Considerations

Resources/Downloads (if applicable)

Contact/consultation CTA

FAQ