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Pain Management

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are the most commonly prescribed medications for pain. They relieve pain in the majority of patients, but do have side effects that often limit their use. Stomach upset, gastritis, and even ulcers are possible with long term oral NSAID use. There is, however, a therapeutic alternative to oral NSAIDs.

University Compounding Pharmacy (UCP) pharmacists have developed a variety of NSAID creams. These creams require a prescription specifically written for a patient and each product is individually prepared for the patient. For a personal consultation with a Pharmacist regarding these creams, please contact us.

The following are answers to some of UCP's most commonly asked questions.

Should I be concerned about stomach upset with NSAID creams?

No. Since less than 1% of the drug is absorbed by the body, there is less potential for side effects like stomach upset and gastritis.

How often are these creams applied and how much should be used?

The usual amount needed to treat pain and inflammation is about 1/4 teaspoonful - or enough to cover the affected area. Generally, three times daily is sufficient to relieve pain and reduce inflammation.

What NSAIDs are available in a transdermal cream?

Practically all. The most popularly prescribed NSAID creams that UCP makes are Ketoprofen, Naproxen, Ibuprofen, Piroxicam, Indomethacin, and Diclofenac.

Can other drugs be added to the NSAID cream?

Yes. For example, muscle relaxers for muscle strain; neuroleptics for nerve pain; other analgesics for increased pain relief; and local anesthetic agents.

How much do these transdermal creams cost?

The average cost is less than $2.00 per day.

Are these transdermal NSAID creams covered by my health insurance?

In many cases, yes. Many insurance companies, HMO's, etc., cover these creams. Workman's Compensation Insurance will pay the entire cost as well.

If transdermal NSAIDs are so great, why aren't they commercially available from drug companies?

Because these drugs are off patent. No drug manufacturer is motivated to invest millions of dollars to develo product without patent and profit protection.

How to order:

NSAID transdermal creams require a prescription from a U.S. licensed doctor.

Methods of payment:

UCP accepts Visa, MasterCard, Discover, and personal checks (checks, however, are subject to a 10 day hold.) The price varies according to quantity.