Pain Management

Uncontrolled pain prevents patients from working productively or taking pleasure in their usual roles in the family and society so pain management is essential for life. Chronic pain may have perpetuating factors therefore can be much more difficult to manage than acute pain. We offer a multidisciplinary approach and customized treatment protocols to meet the specific needs of each patient. Optimal treatment may involve the use of medications that possess pain-relieving properties. We can customize a compound medication that can block pain transmission in dorsal horn spinal neurons, reduce nociception, and decrease tolerance to and the need for opioid analgesics. By combining various agents which utilize different mechanisms to alter the sensation of pain, physicians have found that smaller concentrations of each medication can be used.

Orange Express Pharmacy specializes in combining different medications with versatile mechanism of action to give the best pain relief while minimizing the overall side effects (ulcers…etc)

Sometimes people have pain on the skin upon which they cannot even apply cream. Using a spray or foam may make them comfortable enough throughout the day

Different formulation to meet your preference : cream , gel , Suppository, Lollipop or even a Spray

Topical cream

• Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2%
• Morphine Sulfate 5%
• Oxycodone Hydrochloride 30 mg

Suppository

• Morphine Sulfate 50 mg
• Hydrocodone/APAP
• Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg

Lollipop

• Tetracaine HCl 0.5% Sorbitol Base

Nasal Spray

• Fentanyl 50 mcg/mL
• Lidocaine HCl 4% Isotonic Nasal Spray

Neuropathic Pain
A topical ketamine 0.5% (5 mg/ml) gel, applied as a thin film two to three times daily over the skin where pain was severe can reduce pain for patients with postherpetic neuralgia with no systemic side effects ideally.

Migraine
We offer varies medication for migraines for example a fixed combination of indomethacin 25 mg, prochlorperazine dimaleate 4 mg, and caffeine 75 mg is significantly more effective than sumatriptan in the acute treatment of migraine attacks versus sumatriptan 25 mg, both rectal suppositories.

NSAID (Non-steroidal anti-inflammatory drugs) Therapy
Our pharmacy can compound topically applied NSAIDs such as ibuprofen and ketoprofen that can avoid the risks of COX-2 inhibitors. Topical NSAIDs have a safety profile which is superior to oral formulations. Topical NSAID administration offers the advantage of local, enhanced delivery to painful sites with a reduced incidence of systemic adverse effects. Every topical preparation can be customized to contain a combination of medications to meet the specific needs of each patient.