Targeted relief, applied where it hurts
Custom compounds that are applied directly where you hurt.
Understanding Pain Management
Why take oral pain medications that affect your whole body when you can apply treatment directly where it hurts? Our compounded pain formulations combine multiple medications with less medicine reaching the rest of the body than an oral dose.
Key Benefits
Targeted Relief Strategy
Combining medications for comprehensive pain management.
Ready to Learn More?
Get personalized information about pain management treatments and how they can help you.
Available Treatment Options
Our pharmacists can customize these medications to meet your specific needs. All prescriptions require consultation with your healthcare provider.
Piroxicam, Ketoprofen and Lidocaine Cream
Piroxicam, ketoprofen, and lidocaine cream is a compounded prescription that may be considered for pain in a limited area. It combines two nonsteroidal anti-inflammatory drugs with a local anesthetic. Your prescriber should assess the source of pain and review other pain medicines before use. Research on compounded pain creams is limited, and skin application does not remove the risks associated with the ingredients. The cream belongs in an individual treatment plan with clear instructions about the area to treat and the length of use.
Lidocaine
Lidocaine injection is a local anesthetic used to numb a specific area of the body and help prevent or relieve pain during certain medical procedures. It works quickly by blocking nerve signals in the area where it is given. This product should be used only by a trained healthcare professional.
Diazepam | Gabapentin | Baclofen | Lidocaine Cream
Diazepam | Gabapentin | Baclofen | Lidocaine Cream is a compounded topical preparation used in pain-management regimens when a prescriber wants a customized combination of ingredients in a topical base. Lidocaine is a local anesthetic that can help reduce sensation at the application site, while gabapentin, baclofen, and diazepam are ingredients commonly selected by prescribers for treatment plans involving nerve-related discomfort, muscle tightness, or spasm.
Lidocaine | Tetracaine Spray
Topical anesthetic spray compounded with lidocaine and tetracaine to help numb the skin before certain minor procedures. This product is used on intact skin only and should be used exactly as directed by a licensed healthcare provider. It may help reduce pain from needle sticks, laser procedures, or other office-based skin treatments. This is a compounded preparation and has not been reviewed by the FDA for safety, effectiveness, or quality in the same way as an FDA-approved drug product.
Ketamine Cream
Ketamine compounded cream is a prescription topical medication prepared by a licensed pharmacy. It is used for certain types of ongoing nerve-related pain when your prescriber decides a topical option is appropriate. It is applied to the skin in a thin layer to the affected area. Because this is a compounded medication, the exact formula and strength may be different from person to person based on the prescription.
Gabapentin | Amitriptyline | Lidocaine Cream
Gabapentin, amitriptyline, and lidocaine transdermal cream is a compounded topical medication used for certain types of nerve-related pain on the skin. It is applied to a specific painful area to help reduce burning, tingling, and sensitivity. Because this is a compounded medication, it is made for an individual patient based on a prescriber’s order and is not FDA-approved as a combined product.
Lidocaine | Tetracaine Gel
Topical numbing gel that contains lidocaine and tetracaine. This gel is designed to help reduce pain on the skin before certain office-based skin or scalp procedures. A gel may be easier to apply and remove from hair-bearing areas, such as the scalp, than greasy ointment products. Use only as directed by a licensed healthcare provider and only on the area being treated.
Diltiazem Ointment
Diltiazem topical ointment is a compounded prescription medicine used to help relieve pain and promote healing of anal fissures (small tears near the anus). It may also help reduce anal muscle spasm that can worsen pain during and after bowel movements. This product is made by a compounding pharmacy based on a prescriber’s instructions and is not FDA-approved as a finished, commercially manufactured drug product.
Ketamine Rapid Dissolve Tablets
Compounded rapid-dissolve tablets that contain ketamine hydrochloride. The tablets melt under the tongue for quick absorption. Your healthcare provider may prescribe them to manage certain conditions when other treatments have not worked. Use only under close medical supervision because ketamine is a controlled substance with important safety rules.
Shingles Relief Cream
This compounded cream combines gabapentin, ketoprofen, amitriptyline, lidocaine, and acyclovir to help ease the pain, burning, and itching that often come with shingles (herpes zoster). The blend targets nerve pain, reduces inflammation, numbs the skin, and delivers an antiviral effect right where the rash appears. It is made for topical use only and is not meant to treat shingles systemically. Always use exactly as prescribed by your healthcare provider.
Diltiazem | Lidocaine Ointment
This compounded ointment combines diltiazem 2% and lidocaine 3% to ease pain and help healing in the anal area. Diltiazem relaxes the tight muscle around the anus, which can improve blood flow and reduce pressure on fissures or hemorrhoids. Lidocaine provides fast numbing relief so you feel less burning, itching, or pain while the area heals. Your healthcare provider may prescribe this ointment when over-the-counter treatments have not given enough relief.
Nitroglycerin Ointment
Nitroglycerin 0.2% ointment is a compounded medicine used on the skin around the anus to ease pain from anal fissures and sometimes hemorrhoids. It relaxes the muscle ring inside the anus and boosts blood flow, helping small tears heal faster and making bowel movements less painful.
Ketoprofen | Gabapentin | Baclofen | Lidocaine Cream
A compounded topical cream that combines an anti-inflammatory drug (ketoprofen), two nerve and muscle pain modulators (gabapentin and baclofen), and a local anesthetic (lidocaine) to help relieve localized muscle, joint, and nerve pain without the need for high-dose oral medicines.
Nifedipine | Lidocaine | Hydrocortisone Cream
This compounded rectal cream combines nifedipine, lidocaine, and hydrocortisone to ease pain, itch, and swelling caused by anal fissures or hemorrhoids. Nifedipine relaxes the tight muscles around the anus to improve blood flow and speed healing. Lidocaine numbs the area for quick pain relief. Hydrocortisone lessens redness, swelling, and itching.
Ketamine | Ketoprofen | Gabapentin | Clonidine | Lidocaine Cream
This compounded cream combines five active drugs that work together to help ease nerve and muscle pain when applied to the skin. It is made for patients who have chronic pain that has not improved with single-drug treatments. Because the medicine stays mostly in the skin and tissues where it is applied, it may lower the chance of whole-body side effects seen with oral pain pills.
Hydrocortisone | Lidocaine | Nifedipine Rectal Rocket
This compounded suppository (often called a "rectal rocket") combines hydrocortisone 3%, lidocaine 2%, and nifedipine 0.3% to help ease pain, swelling, and itching caused by hemorrhoids or anal fissures. The special shape lets part of the suppository stay outside the anus while the rest sits inside, giving medicine to both internal and external areas at the same time. Your healthcare provider may choose this product when creams or over-the-counter treatments are not enough.
Important Information
• All medications require a valid prescription from a licensed healthcare provider.
• Compounded medications are not FDA-approved and should only be used when FDA-approved drugs cannot meet medical needs.
• Individual results may vary. Consult with your healthcare provider before starting any new treatment.
• The information provided is for educational purposes only and is not intended as medical advice.
• Kare Pharmacy is a licensed 503A compounding pharmacy operating in compliance with all applicable regulations.
These statements have not been evaluated by the Food and Drug Administration. Compounded products are not intended to diagnose, treat, cure, or prevent any disease.