Optimal treatment may involve the use of medications that possess pain-relieving properties, including some antidepressants, anticonvulsants, antiarrhythmics, anesthetics, antiviral agents, and NMDA (N-methyl-D-aspartate) antagonists. NMDA-receptor antagonists, such as dextromethorphan and ketamine, can block pain transmission in dorsal horn spinal neurons, reduce nociception, and decrease tolerance to and the need for opioid analgesics. We work with prescribers to compound many formulations including the following:
- Diclofenac Sodium 10%/Gabapentin 5%/ Lidocaine 5% Amitriptyline 2%
- KETOPROFEN 10% / CYCLOBENZAPRINE 2%
- CYCLOBENZAPRINE 2% / KETOPROFEN 10% / LIDOCAINE 5%
- Nasal Ketamin spray