Pain Management

The highest-quality compounding for your patients in pain

Ketamine • Low Dose Naltrexone (LDN) • Intrathecal pump refills • Topical Pain Management

Our accreditations place us in the top 1% of compounding pharmacies

Personalized pain relief

Medications are not one-size-fits-all, and at Town & Country Compounding, we formulate medication specific to the individual. 

Pain can be triggered differently between people, depending on the injury or condition, and thus must be addressed with medications that best suit the situation. For example:

  • Rheumatoid arthritis
  • Osteoarthritis
  • Fibromyalgia
  • Cancer
  • Multiple sclerosis
  • Stomach ulcers
  • AIDS
  • Gallbladder disease
  • Multiple sclerosis
  • Parkinson’s disease
  • Chronic pain
  • Ordinary aging of the spine
  • Traumatic injury
  • A congenital condition such as curvature of the spine
  • Being overweight, which puts excess strain on the back and knees
  • Nerve damage

"Town & Country Compounding makes customized medication at the highest level.

Their high-tech labs, expertise, and rigorous compounding protocols give me confidence that my patients are getting the best quality compounds.”

Dr. Phillip S. Kim, MD

President, Pennsylvania Pain Society Center for Interventional Pain & Spine

Patients often try various therapies for pain that may not be successful for various reasons.

Challenges with Over-the-Counter Medications

  • Medication options are limited
  • Patients do not know all the options to choose from or how to combine solutions (they are not given specific instructions as they are with a prescription)
  • Efficacy is limited
  • Doses are low
  • Certain types of pain do not respond well to OTC meds

Challenges with Prescription Medications

  • Addiction, abuse
  • Drowsiness, dizziness
  • Nausea
  • May not relieve the patient’s pain
  • Hard to swallow multiple pills or capsules
  • Side effects that inhibit ability to function “normally”
  • Various types of pain meds are often required, multiple times per day — can be too overwhelming for the patient
  • Serious gastrointestinal side effects have been associated with long-term NSAID (ibuprofen,etc.) use
  • They have been associated with ulcer rates of 10 to 30%. An estimated 100,000 patients are hospitalized annually in the US as a result of NSAID-related GI complications.

Sending prescriptions to
Town & Country Compounding

It’s easy for licensed practitioners to prescribe medications for patients using Town & Country Compounding. 

Recommended Rx Order Forms

Rx order forms from Town & Country Compounding are exclusive to licensed prescribers in the states we serve.

Low Dose Naltrexone (LDN)

Experts globally have been recommending the utilization of Low Dose Naltrexone (LDN) for addressing Chronic Pain and Autoimmune Disorders. Town & Country Compounding’s LDN Experts are experienced and always up-to-date in the most advanced formulation of this non-opioid solution. They work with you and your provider to help find exactly what you need.


Ketamine is a drug that has many uses, including pain management. 

Ketamine is only commercially available in limited forms.

Compounded Ketamine is available in variety of forms and concentrations including nasal spray, troches, rapid dissolve tablets, sublingual liquid, capsules, and more.

Topical Pain & Inflammation Management

Topical pain management has become a popular approach to addressing localized pain. Whether the pain is due to arthritis, muscle trauma, neuropathic issues, or a host of other possible causes, the topical pain approach may be very beneficial.


Anti-Pain/Anti-Inflammation Application

Vasceptor® 8.5% topical/transdermal curcumin gel was developed with the intent to deliver the well-known anti-pain/inflammation benefits of curcumin. Active ingredient – curcumin 8.5%. Inactive ingredients: Myristic Acid; PEG.

Unlike traditional curcumin topicals, Vasceptor’s® patented formulation enables >100X more curcumin solubility. This facilitates substantially greater and sustained penetration deep into the skin versus conventional gel, cream or ointment technology.

Unlike curcumin orals, Vasceptor’s® curcumin accesses capillaries, our smallest blood vessels. Once there, Vasceptor® loads onto and into blood cells as well as into the plasma. These blood cells can then broadly distribute the beneficial curcumin which creates enhanced efficacy.

Vasceptor® is available only by doctor’s prescription. Contact our pharmacy for more information.

Sterile Medications for Intrathecal Pumps

We are an accredited pharmacy and can make sterile customized compounded medications for intrathecal pumps.

We can make the medication for the patient whether the patient is getting a refill in the doctor’s office or at their home through a home care service.

Recommended nutritional supplementation for pain

Pain from sports injury or overuse may be greatly improved with the usage of a nutritional product. Neuropathic pain is always challenging to address. 

Compounded Topical Pain Creams and Gels - Journal articles

A review article published in the The Journal of General Practice by Branvold and Carvalho (2014), researches compounded transdermal pain medications versus oral. Their research supports the superior advantages of transdermal.

A review article published in The Journal of Opioid Management. Since the number of prescriptions for opioid medications have continued to rise, there have been questions about the safety of using opioids in pain management. This review clarifies the current state of opioid use and discusses alternative transdermal analgesic therapies in pain management.

Call or Text: 201-447-2020