Pain Management
Targeted pain relief without the systemic side effects.
Topical pain compounds put medication where it hurts (a knee, a shoulder, a nerve line) with far less of it circulating through the rest of you.
Clinical review pending
This page provides general educational information and does not replace advice from your prescriber or pharmacist. Ask your care team before changing treatment.
For localized pain, your provider can prescribe a compounded topical that combines agents (anti-inflammatories, nerve agents, muscle relaxants) into one cream or gel applied at the site. Patients who can't tolerate oral NSAIDs, or who want to reduce systemic medication load, are often the best candidates.
We also compound numbing gels for procedures and shingles-related nerve pain formulations.
What we compound
- Multi-agent topical pain creams and gels
- Procedure numbing gels
- Neuropathy and shingles nerve-pain topicals
Direct-to-patient pricing
Pain Management price guide
Pain creams start at $80 per 60 grams.
Joint pain
Ketoprofen 10% / Lidocaine 5% in Lipoderm cream
from $80/60 g
Neuropathic pain
Gabapentin 6% / Lidocaine 2% / Prilocaine 2%
from $80/60 g
Gabapentin 6% / Amitriptyline 2% / Clonidine 0.1% / Lidocaine 5%
from $80/60 g
General & muscle
Ketoprofen combinations with cyclobenzaprine, baclofen, gabapentin, or DMSO
four standing formulas in Lipoderm cream
from $80/60 g
Shingles nerve pain
Viral-stage formula
gabapentin, ketoprofen, amitriptyline, tetracaine · 60 g
$80
Post-viral formula
gabapentin 10%, tizanidine, baclofen, tetracaine · 60 g
$80
Pricing from our 2026 catalog, valid as of 5/1/2026 and subject to change without notice. Compounded prescriptions require a provider's order. Call for a current quote.
Common questions
Pain Management, straight answers
Do topical pain compounds actually work?
For localized pain, evidence and patient experience support many formulations, and your provider will match agents to your pain type. They're not a fit for every kind of pain, and we'll say so when they're not.
Are these opioids?
No. Typical ingredients are anti-inflammatories, local anesthetics, and nerve agents like gabapentin, in topical form.
How fast can you make one?
Preparation time varies by prescription and formulation. The pharmacy will confirm an estimated timeline and available pickup or local delivery options after review.