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Pain management is an issue many people face daily. Whether your pain is the result of a sports-related injury or caused by a condition such as diabetic neuropathy or shingles, customized compounded therapies can help.  

Opioids, also known as narcotics, are a common treatment option for chronic pain. However, due to their dosage strength, dosage format or other factors, they can lead to unwanted side effects such as drowsiness, dizziness, stomach irritation, gastritis, ulcers, and addiction. Additionally, many people have difficulty swallowing pills or tablets, presenting further obstacles to pain treatment.

Belle Mead specializes in offering custom compounded transdermal pain creams. Transdermal Therapy is the absorption of medication through the skin and provides a unique alternative to traditional methods of drug delivery and pain management. We can compound pain cream medications for patients with both acute and chronic pain including:


  • Diabetic Peripheral Neuropathy

  • Neuroma Pain

  • Post-herpetic Neuralgia

  • Chemotherapy-induced Neuropathy

  • Phantom Limb Pain

  • Trigeminal Neuropathy

  • Post-surgical neuropathy

  • Thoracic outlet syndrome, etc.


  • Fibromyalgia

  • Osteoarthritis

  • TMJ Syndrome

  • Degenerative Joint Disease

  • Rheumatoid Arthritis

  • Chronic Post Operative Pain

  • Plantar Fasciitis

  • Acute & Chronic Tendon/Ligament Injuries

  • Myofascial Pain Syndrome

  • Lateral & Medial Epicondylitis

  • Tension & Occipital Neuralgia Headache


Failed Back Syndrome/Neck Surgery Syndrome

  • Spinal Stenosis

  • Degenerative Disc Disease

  • Herniated/Bulging Disc

The most common varieties of Transdermal Therapy are creams or gels that you rub onto the skin over your painful joints. Some types come in the form of a spray or a patch that sticks to the skin. Since the ingredients are absorbed through the skin, topical medications are best used on joints that are close to the skin’s surface, such as joints in your hands or knees. Transdermal topical pain management formulations offer many advantages:

  • Rapid onset of relief

  • Targeted to the site of pain

  • High local concentrations

  • Non-Narcotic

  • Non-Addictive

  • Minimal Systemic Absorption

  • Minimal Drug Interaction Risk

  • Odorless

  • Non-Sedating

  • Precise, customized formulations & dosages

  • Most Insurance Accepted


Most of the mass-produced topical treatments on the market utilize a single ingredient approach, typically an anti-inflammatory, in hopes that decreasing inflammation will decrease pain. Compounded pain creams use a multi-ingredient approach, incorporating two to six different ingredients. Each of these ingredients has a different mechanism of action, all working together synergistically to offer the possibility of a stronger therapeutic outcome for our patients.

Here are the common ingredients we use in our compounded pain cream medications:

  • NSAIDS (Non-steroidal Anti-inflammatory Drugs): Ketoprofen, Diclofenac, Ibuprofen, Piroxicam, Mefenamic Acid

  • Muscle Relaxants: Cyclobenzaprine, Baclofen, Guaifenasin

  • Anesthetics: Lidocaine, Tetracaine, Prilocaine

  • Pain & Nerve Channel Blockers: Ketamine, Amantadine

  • Nerve Agents: Amitriptyline, Gabapentin

  • Calcium Channel Blocker: Verapamil, Nifedipine

  • Other Pain Medications: Menthol, Capsaicin, Clonidine, PEA

Belle Mead Pharmacy will work with your physician to design a custom compound using all FDA approved ingredients to fit your specific needs. Contact us today so we can help you!


American Pain Society 

The American Pain Society is a multidisciplinary educational and scientific organization dedicated to serving people in pain


The best way to contact us is to call at 631-444-0784.

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