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Combination Topical Pain Creams

Combination Topical Pain Creams in Winnpeg

Topical Pain Creams are available from our compounding pharmacy lab.  If you are looking for combination topical pain creams in Winnipeg then Tache Pharmacy can help.

To learn more call the pharmacy at (204) 233-3469 to speak to our compounding department, email us at tache@mts.net or visit our contact us page for more contact information.

Do you have a prescription for a topical pain cream?  Feel free to use our online prescription order form to submit your prescription to us.

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If you are a physician looking to prescribe a combination topical pain cream for your patient please visit our physician portal for more resources.  These resources include information sheets on Popular Transdermal Preparations and fax templates for Pain Prescription Ideas. The Pain Prescription Ideas template shows some of our more popular combinations in a prescription format.

What are combination topical pain creams used for?

Combination transdermal topical creams can be used for various reasons.  Most commonly these creams are used for the following conditions:

  • Diabetic neuropathy
  • Trigeminal neuralgia
  • Post-herpetic neuralgia
  • Neuropathic (nerve) pain
  • Fibromyalgia
  • Arthritic pain
  • Allodynia
  • And more

What are some ingredients that are used in combination topical pain creams?

Active ingredients commonly found in topical pain creams include:

  • Diclofenac
  • Ketoprofen
  • Gabapentin
  • Lidocaine
  • Baclofen
  • Pentoxifylline
  • Sildenafil
  • Loperamide
  • Nifedipine
  • Cyclobenzaprine
  • Guaifenesin
  • Amitriptyline
  • Nortriptyline
  • Desipramine
  • Cetyl Myristoleate
  • Dimethylsulfoxide

And for stronger pain control (these ingredients require a triplicate prescription):

  • Morphine
  • Methadone
  • Ketamine

These last three ingredients are usually used as a “last resort” if the other topical ingredients are not providing adequate pain relief.

Feel free to download and print our Topical Pain Creams Prescription Template and provide it to your physician.

Download Our Pain Cream Prescription Template!

What are some of the more common combination topical pain creams?

We tend to regularly compound, and have stock of, the following combinations:

  • Diclofenac 10% with dimethylsulfoxide (DMSO) 10% in Lipoderm ®
  • Diclofenac 12% with DMSO 20% in Lipoderm ®
  • Diclofenac 10%, DMSO 10% and Tetracaine 5% in Lipoderm ®
  • Diclofenac 4%, Gabapentin 4% and Lidocaine 2% in Lipoderm ®
  • Diclofenac 12%, DMSO 10% and Lidocaine 5% in Lipoderm ®
  • Baclofen 2%, Diclofenac 10%, DMSO 10% and Tetracaine 5% in Lipoderm ®

A common formula used in the treatment of temporomandibular joint pain is Ketoprofen 10%/Lidocaine 5%/Cyclobenzaprine HCl 2%/ Baclofen 2% in Lipoderm ®.

How do I get a topical pain cream?

These topical pain creams require a prescription from your doctor.  You need to talk to your doctor about your pain.  If your physician is unfamiliar with using a topical pain cream in the treatment of pain please have them call us and speak to our compounding pharmacists at (204) 233-3469 or they can visit our physician portal to find out more information about the various creams available.

Your doctor can then either call one of our pharmacists and provide us with a verbal prescription or they can fax in a prescription to 204-231-1739.

We can then compound the pain cream for you according to your doctor’s instructions.

How do I use my combination topical pain cream?

Topical pain creams are for EXTERNAL USE ONLY.

  • Be sure to wash your hands before applying the product (some people prefer to wear a rubber/vinyl/latex glove to put the cream on)
  • Remove the cap from the pump (or take the lid off of the jar)
  • Pump out (or scoop out) the prescribed volume onto the affected area or onto hand
  • Rub the cream into the affected area gently until the cream is no longer visible.  Continue to rub gently for an additional 60 seconds as this will allow the drug to penetrate deeper into the area.
  • Do NOT apply a lot of pressure as this can increase pain in the area.
  • Replace the cap/lid.
  • Wash hands very well after applying.
  • Avoid getting the application site wet for at least 1 hour after application.
  • You do NOT need to apply an occlusive dressing/bandage over the applied area.

Download our Topical Pain Cream Patient Information Sheet.

How do I store this medication?

  • Keep the medication at room temperature.
  • Do NOT expose the medication to any extreme hot or cold temperatures.
  • Keep away from bright light and excessive moisture.
  • If you notice any discoloration or seperation of the product, contact the pharmacy.
  • Be aware of the expiry date on the label.

Where can I find more information?

An excellent resource for understanding these topical pain creams and their ingredients can be found here www.wrha.mb.ca › osd › files › NeuropathicPainScottGroen

This is a presentation created by our Pharmacy Manager and compounding pharmacist, Scott Groen.

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