Compounding can play a vital role in reducing pain and improving quality of life in those suffering from either acute, or chronic pain because it can be personalised for the specific patient and can reduce side effects that may cause patients to stop taking their medicines.
Pain is a significant problem in Australia with 3.24 million suffering with chronic pain in 2018 and this number is expected to increase every year. 70% of Australian’s report as having suffered acute pain in the last 4 weeks. While there are many medicines available, they may not be appropriate for many different reasons;
- Allergy to one or more ingredient
- Incompatibility with other medications or medical conditions
- Troublesome side effects such as nausea or drowsiness
- Poor response
- Limitations with available options or trouble taking them especially in children and pets
When we are asked to investigate options for a patient we start with the specific type of pain being experienced. Because each type of pain is very different from another we must consider each as requiring its own specific tool to effectively treat. We also find out what other medical treatments have been used and how each was tolerated and if they were effective. We find out what type of administration might be most easily used and fits with the patient’s capabilities and preferences. Lastly, we consider the goals of the patient and how our recommendations might help to achieve those goals.
Some common preparations we make are creams or ointments to apply to the skin that use the same ingredients usually taken as a tablet, but might cause side effects when given that way. Natural medicines with clinical evidence not available commercially. Medications no longer available that were previously effective. Combinations of ingredients not currently available to improve compliance.
Some examples of pain we help to treat include
- Gynecological pain
- Nerve pain – such as Trigeminal neuralgia, shingles & Sciatica
- Regional pain syndromes such as CRPS and fibromyalgia
- Muscle & joint pain – such as arthritis, gout, muscle spasm and inflammation
- Dental pain – such as teething, ulcers and denture pain
- Complicated eczema and nappy rash
- Throat pain – such as tonsillitis, post chemotherapy, tonsillectomy
At the very core compounding addresses the idea that no one’s experience of pain is exactly the same as another’s and therefore deserves treatment options that are personalised.