Compounded Topical Pain Creams Review of Select Ingredients for Safety, Effectiveness, and Use (2020) / Chapter Skim
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2 Role of Topical Pain Creams in Pain Management
2 Role of Topical Pain Creams in Pain Management
Pages 31-44
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This chapter examines the complexities inherent in both the individual experience of pain and in its effective management. It also situates topical pain creams within the spectrum of integrative approaches to treating pain, with particular attention paid to special populations that may benefit from alternatives to FDA-approved pain treatments.
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. 3 Peripheral neuropathic pain conditions include painful diabetic peripheral neuropathy and complex regional pain syndrome; central neuropathic pain conditions include pain resulting from spinal injury or stroke (Nicholson, 2006)
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. Importantly, people living with chronic pain may experincee overlapping pain conditions such as fibromyalgia, low back pain, headache, neck ache, and complex regional pain syndrome (Peppin et al., 2015)
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For many years, topical pain creams have augmented pain management. In theory, topical pain creams provide clinicians with the ability to treat pain through multiple mechanisms of action and offer a level of versatility potentially greater than that of oral dosage forms.
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. The complexity of pain management and the many proposed advantages of topical pain creams have fueled increased interest in personalized pain treatment options, including compounded topical preparations created to address a patient's specific needs.
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Conclusion 2-2 FDA-approved topical pain creams are available to help manage painful conditions. COMPLEXITY OF PAIN MANAGEMENT General consensus across research efforts and medical professional guidelines holds that optimal pain management plans require early access to high-quality patient-centered care involving clinicians from multiple disciplines (e.g., dentistry, medicine, nursing, occupational therapy, physical therapy, psychology, social work)
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. In certain situations, prescribing clinicians may consider including compounded topical pain creams in the treatment plans of patients whose needs cannot be fully addressed by FDA-approved topical pain products.
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See Chapter 6 for an additional discussion on the dearth of information available on the safety and effectiveness of ingredients commonly used in compounded topical pain creams containing multiple active pharmaceutical ingredients, and see Chapter 7 for additional discussion on risk of potential drug–drug interactions to patients.
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11 Physicians report lesser goals for treating chronic pain and less satisfaction with their care when compared to other conditions, including acute and cancer pain, but they report greater goals for pain management in the palliative care arena (Green et al., 2003)
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. As a result, there is much to learn regarding the potential clinical usefulness of topical pain creams and other alternative modalities such as compounded topical pain creams to address the complexities of pain management in these special populations.
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2019. Pain Management Best Prac tices Inter-Agency Task Force report: Updates, gaps, inconsistencies, and recommenda tions.
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2008. Pain management: Expanding the pharmacological options.
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2018. Evidence-based nonpharmacologic strategies for comprehensive pain care: The Consortium Pain Task Force white paper.
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