Originally Posted by phenythylamine
As part of a cream, gel, or liquid for topical application for nerve pain—the most common mixture is 10% ketoprofen, 5% Lidocaine, and 10% ketamine. Other ingredients found useful by pain specialists and their patients as well as the compounding pharmacists who make the topical mixtures include amitryptiline, cyclobenzaprine, clonidine, tramadol, and mepivicaine and other longer-acting local anaesthetics.
no but it does contain some interesting compounds that us more edumacated folkes can possibly extract.
ketamine and tramadol in one convienient topical cream.
Hee hee! While I can see the potential in such a product, I did want to call attention to the fact that the ketamine creams that have the "extra" ingredients are made up specially by a compounding pharmacist
(a type of pharmacist at a specific style of pharmacy that makes up tablets/capsules/other medications on premises, instead of just purchasing pre-made medications in bulk from wholesalers); compounding pharmacies aren't that easy to come by these days (at least in the USA, I don't know how common they are in relation to "typical" pharmacies in other areas) and the medication would need to be written up by a doctor. These interesting combination creams aren't just available "off the shelf"!
What's also interesting to me is that one can
get tablets/capsules of JUST hydrocodone
(the active ingredient in Vicodin/Norcos/Lortab), no APAP
, in the USA - but one has to have a prescription for it AND it has to be taken to a compounding pharmacy, since no company manufactures these. IIRC, the hydrocodone-only medications are then considered Schedule II, instead of Schedule III. (hopefully this will all soon be moot point anyway, since there's strong recommendation to remove the APAP and/or aspirin from opioid
-based pain medications in the US anyway
Compounding pharmacies are very interesting, I only learned about them fairly recently. I think it's awesome that your doctor CAN prescribe a combination of medications in one tablet/capsule/whatever and that it can be filled for you! Although I question how well topical use of, say, cyclobenzaprine (Flexeril), amitryptaline or tramdol works on pain vs the more traditional methods of using these medications!