Compounding

Pain Management

A topical puts the active ingredient into the tissue that hurts instead of sending it through the whole body first. For localized pain that often means a useful effect with far less systemic exposure, and it lets several actives be combined into one application.

Sample preparation for pain management
Dosage forms

What we prepare.

Transdermal cream
In a penetrating base, dispensed with a metered pump or a dosing syringe.
Gels and ointments
For sites where a cream will not stay put.
Sticks
Hands-free application for larger areas.
Custom oral forms
Capsules and liquids when a manufactured strength does not fit.
Using it

How to take it.

  • Measure the dose. These creams are dispensed with a pump or a syringe because "a fingertip" is not a dose.
  • Rub it in until it is gone, then wash your hands unless the pain is in your hands.
  • Never apply to broken skin, an open wound, or a fresh surgical site unless your prescriber told you to.
  • Keep it off other people. Combination pain creams can affect anyone who touches them.
Storing it

How to keep it.

  • Room temperature.
  • Keep the cap on and the pump upright.
  • Note the beyond use date on the label. Compounded preparations do not carry a manufactured shelf life.

This page describes the preparations we make and how they are handled. It is not medical advice and it does not replace the label on your prescription or the instructions your prescriber gave you. Call us at 910-748-0243 with any question about your own medicine.

For prescribers

What to put on the prescription.

  • Each active with its percentage strength.
  • The base you want, or tell us the site and we will suggest one.
  • Total grams, and the sig with the amount per application.
  • Whether the patient needs a pump, a syringe, or a jar.

The order form has all of it.

Every field above is already on the pain management order form. Fill it in, fax it to 910-748-0245, and there is nothing for us to call you back about.

Or e-prescribe to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305, with the formula in the free text field.

Send a prescription

Send it and we will read it back to you.

Prescriber, patient, or facility. Tell us what you need and a pharmacist will call you back.

Phone910-748-0243
Fax910-748-0245
EmailTwoRiversRx@gmail.com RefillsRefill a prescription online TransferMove your prescriptions to us Visit101 Broadfoot Ave, Fayetteville, NC 28305
E-RxSend to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305
HoursMonday to Friday, 9:00am to 5:30pm. Closed Saturday and Sunday.

This opens your own email app with the message ready to send. Please do not include a full medical history here.

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