Transdermal Pain Creams

Transcript

1. Transdermal  Pain  Creams  in   Private  Prac1ce   The  purpose  of  this  presenta/on  is  to   educate  physicians  on  best  uses   through  prac/cal  applica/on  of   Transdermal  Pain  Creams.      
2. Important  Defini1ons  &  Concepts     •  Compounding  –  Custom  Formulas  designed  to   meet  physicians’  and  pa/ents’  needs   •  Pain  Creams-­‐  A  misnomer.  These  creams  are   much  more  than  analgesic  cream.     Contact  Us:  (855)  463-­‐8378  
3. Compounding  Con1nued   •  All  transdermal  pain  creams  are  compounded    on  a  pa/ent-­‐ by-­‐pa/ent  basis   •  Our  compounding  pharmacies  offer  proven  exper/se,   significant  experience  and  high  quality  control  standards   •  Each  formula/on  is  specific  to  the  recipient,  tailored  to   doctors’  specifica/ons  based  on  individual  needs,  and  may   include  a  range  of  medica/ons   •  Our  formulas  have  been  created  by  a  team  of   microbiologists,  biochemists  and  pharmacists;  working   closely  with  our  physicians  to  provide  the  widest  range  of   care  for  the  many  condi/ons  your  pa/ents  are  suffering   with.     Contact  Us:  (855)  463-­‐8378  
4. Pain  Creams  Are  Designed  For:     •  Neuropathic  (Diabe/c,  Post-­‐herpe/c  and   Chemotherapy),     •  Musculoskeletal    (Joint,  Ligamentous,   Car/laginous  and  Musculoskeletal)     •  Arthri/c  Condi/ons  (Osteoarthri/s,   Rheumatoid  and  Gouty)     Contact  Us:  (855)  463-­‐8378  
5.   Why  These  Creams  Make  Sense  And   Are  Here  To  Last-­‐  ADDICTION     •  They  actually  work   •  An  alterna/ve  choice  to  prescribing  addic/ve   oral  and  injectable  pain  medica/on  (C-­‐2’s)     •  Obama  Care  Mandates     Contact  Us:  (855)  463-­‐8378  
6. About  Our  Pharmacy  Team   •  Our  pharmacies  are  considered  innovators  in  the  field  of   Compounded  Medica/ons.     •  Our  goal  is  to  con/nually  search  for  the  most  cuUng  edge   formula/ons  designed  at  improving  overall  health  and   quality  of  life  for  the  people  in  their  community.     •  We  con/nually  survey  our  physician  and  pa/ent  base,   seeking  input  and  feedback  so  that  the  team  pharmacists   and  biochemists  can  meet  all  those  needs  individually  and   collec/vely.     •  Our  formulary  consists  only  of  FDA  approved  ingredients   and  the  highest  standards  of  compounding  effec/veness.     Contact  Us:  (855)  463-­‐8378  
7.   Our  Pharmacists  Use  Different   Ingredients  &  Address  EVERY  Aspect   Of  Pa1ent’s  Condi1on:     •  NSAIDS  (Non-­‐Steroidal  An/-­‐Inflammatories)   •  Beta  Blockers  to  relax  smooth  muscle   contrac/ons   •  Gabapen/n  for  neuropathies  and  myopathies     •  Analgesics  and  Anesthe/cs  specifically  for  pain   modula/on   •   ….but  we  DO  NOT  USE  ANY  C2  narco/cs   Contact  Us:  (855)  463-­‐8378  
8. We  have  formulated  pain  creams  to  address  NOT  ONLY  the   pain  (symptom)  but  also  the  cause  of  the  condi1on…  The   CAUSE  and  addressing  it  as  such  makes  for  beZer  medicine     •  The  typical  acute  response  addressed  differently…   –  Inflamma/on-­‐    The  Histamine  Response  which  is  the   Inflammatory  response  in  the  body…this  is  why  we   have  concentrated  amounts  of  NSAIDS  in  each  cream   –  Spasm  –  The  next  reac/on  is  typically  the   Musculoskeletal  Spasm  as  a  defense  mechanism…which   is  why  we  include  An/-­‐spasmodic  meds  like     Cyclobenzaprine  and  Nephedipine  (smooth  muscle  beta   blockers)     –  Pain  -­‐  analgesics  and  anesthe/cs  to  numb  the  pain   fibers   Contact  Us:  (855)  463-­‐8378  
9. Available  Medica1ons   •  Amitriptyline  –  A  tricyclic-­‐an/depressant  that  inhibits  the  membrane   pump  mechanism  responsible  for  uptake  of  norepinephrine  and   serotonin.  Pharmacologically  this  ac/on  may  poten/ate  or  prolong   neuronal  ac/vity,  since  uptake  of  these  biogenic  amines  is  important   physiologically  in  termina/ng  transmiUng  ac/vity   •  Baclofen  –  A  muscle  relaxer  and  an  an/spasmodic  agent,  used  to  treat   muscle  symptoms  caused  by  mul/ple  sclerosis,  including  spasm,  pain,  and   s/ffness.   •  Bupivacaine  –  A  local  anesthe/c  with  double  the  dura/on  of  lidocaine.  It   works  by  ac/ng  as  a  sodium  channel  blocker,  working  to  prevent  ectopic   neuropathic  impulses.  It  also  has  an/-­‐inflammatory  proper/es.   •  Camphor  –  Used  topically  to  increase  blood  flow  and  as  a  counterirritant,   which  reduces  pain,  itching  and  swelling  by  caused  by  irrita/on.       Contact  Us:  (855)  463-­‐8378  
10. Available  Medica1ons  Con1nued   •  Capsaicin  –  Used  for  temporary  relief  of  muscle  or  joint  pain  caused   by  strains,  sprains,  arthri/s,  bruising  or  backaches.  Also  used   topically  to  treat  nerve  pain  in  people  who  have  had  shingles   •  Clonidine  –  Typically  used  to  lower  blood  pressure,  Clonidine  has   been  shown  to  produce  a  minor  degree  of  nerve  blockage  at  high   concentra/ons.     •  Cyclobenzaprine  –  A  muscle  relaxant  that  works  by  blocking  nerve   impulses  (or  pain  sensa/ons)  that  are  sent  to  the  brain.   Cyclobenzaprine  is  used  together  with  rest  and  physical  therapy  to   treat  skeletal  muscle  condi/ons  such  as  pain  or  injury.   •  Flurbiprofen  –  A  non-­‐steroidal  an/-­‐  inflammatory  drug  (NSAID),   Flurbiprofen  has  analgesic,  an/-­‐inflammatory,  and  an/pyre/c   ac/on.  It  acts  by  inhibi/ng  Prostaglandin  (PGs)  synthesis  and  their   release  at  the  site  of  injury.   Contact  Us:  (855)  463-­‐8378  
11. Available  Medica1ons  Con1nued     •  Gabapen1n  –  An  an/-­‐epilep/c  medica/on  (an/convulsant).  May  be  used   with  other  medica/ons  to  treat  par/al  seizures  in  children  3  to  12  and   used  in  adults  to  treat  nerve  pain  caused  by  the  herpes  virus  or  herpes   zoster  (shingles),  and  to  treat  restless  legs  syndrome  (RLS).   •  Imipramine  –  Imipramine  is  in  a  group  of  drugs  called  tricyclic   an/depressants.  Imipramine  affects  chemicals  in  the  brain  that  may   become  unbalanced.  It  is  used  to  treat  symptoms  of  depression  and  can   also  assist  in  nerve  relaxa/on.     •  Ketamine  –  Ketamine  is  an  anesthe/c  medica/on.  It  is  used  as  a  general   anesthe/c  to  prevent  pain  and  discomfort  during  certain  medical  tests  or   procedures  or  acer  minor  surgery.   •  Lidocaine  –  A  local  anesthe/c,  Lidocaine  topical  is  used  to  reduce  pain  or   discomfort  caused  by  skin  irrita/ons  such  as  sunburn,  insect  bites,  poison   ivy,  poison  oak,  poison  sumac,  and  minor  cuts,  scratches,  hemorrhoids   and  burns.   Contact  Us:  (855)  463-­‐8378  
12. Available  Medica1ons  Con1nued     •  Menthol  –  Used  topically,  it  causes  coolness  due  to  s/mula/on  of   cold-­‐sensi/ve  TRPM8  receptors.  It  may  also  yield  analgesic   proper/es  via  kappa-­‐opioid  receptor  agonist   •  Nifedipine  –  A  calcium  channel  blocker  that  works  by  relaxing  the   muscles  of  the  heart  and  blood  vessels.  It  is  used  to   treat  hypertension  (high  blood  pressure)  and  angina  (chest  pain).   •  Pentoxifylline  –  As  with  other  xanthine  deriva/ves,  it  relaxes   certain  smooth  muscles  including  those  of  the  peripheral  vessels,   thus  causing  vasodilata/on,  preven/ng  spasms.     •  Tramadol  –  A  mild  opioid  agonist,  norepinephrine  and  serotonin   reuptake  inhibitor,  as  analgesic  proposed  for  the  treatment  of   moderate  to  severe  pain  and  acute  musculoskeletal  pain.    It  may   also  be  used  in  conjunc/on  with  NSAID  therapy  for  pa/ents  with   osteoarthri/s.   Contact  Us:  (855)  463-­‐8378  
13. Iden1fying  Pa1ent  Candidates     Using  Applicable  Formulas   Contact  Us:  (855)  463-­‐8378  
14. www.schedulemorepa1ents.com   info@schedulemorepa1ents.com       Phone  (855)-­‐463-­‐8378   Fax  (855)  771-­‐9109     Fill  Out  Form  And  Human  Resources  Will  Contact  You   hZp://www.schedulemorepa1ents.com/employment.html