www.RaminSafakish.com
  • Home
  • FAQ
    • video consult
    • Narcotic prescription
    • What kind of pain can be seen in this clinic?
    • Covered by OHIP?
    • Phone consult
    • How to get an appointment?
    • Who I will talk to?
    • Who performs the interventions?
    • Next injection appointment?
  • Video
  • Handouts
  • Services
    • consultation
    • Epidural
    • Facet Joint injection
    • Radiofrequency treatment
    • Stellate Ganglion Block
    • IV Lidocaine infusion
    • Failed back surgery syndrome (FBSS)
    • Lumbar sympathetic Block
    • DGR
  • Contact Us
  • Doctor's corner
    • interesting topics >
      • Diabetic Peripheral Neuropathy
      • Facet generated pain
      • Failed back surgery syndrome (FBSS)
      • TranexAmic Acid in non-Cardiac Surgery
      • increase the duration of nerve block
    • formula of topical cream for pain
  • A. Blog
  • Farsi lecture about End Of Life event
  • contant office - off line
  • Your chance of dying
  • VolunteerNeeded
  • lidocaine study
  • stem cell study
  • new_technique_published
  • testHTML
  • videocall
  • Allevio Research
Here is the formula for magical topical pain medication! The idea is by decreasing the sensory input into spinal cord, we may prevent or reverse "central sensitization". By using PLO gel as vehicle, we are able to transfer medication through an intact skin.

You need a compound pharmacist to make this stuff for your patient. We've been lucky to have one of them around our city and a very good one!  In this page, you could find the recipe for the two common combination that I use for Neuropathic pain. If you have any question regarding a particular pain syndrome, contact me by email. I am listed in hospital email addresses.

Remember amitriptyline has NMDA blocking properties and could be a better option. However it tends to make the compound "non-homogeneous". If the compound is not in the form of cream, it needs to be mixed before use. The appearance and texture is different based on who is mixing the medication.

Patients need to use a plastic glove to prevent the absorption from their finger! It need to be applied on the location of pain and be rubbed in circular fashion for 5 minutes, 3 times/day for the 1st week and 2 times/day after.

Dr. R. Safakish, MD, FRCPC

Picture
  • Lidocaine 8 to 10 %
  • Gabapentin 5 to 8%
  • Ketoprofen 7.5
in PLO gel. Usually 100 grams.

  • Lidocaine 8 to 10 %
  • Amitriptyline 5 to 7.5%
  • Ketoprofen 7.5
in PLO gel. Usually 100 grams.

This is an independent educational website, belongs to Dr. Ramin Safakish, MD.   Copyright & DISCLAIMER

Home

Contact by message

Services

Contact info

  • Home
  • FAQ
    • video consult
    • Narcotic prescription
    • What kind of pain can be seen in this clinic?
    • Covered by OHIP?
    • Phone consult
    • How to get an appointment?
    • Who I will talk to?
    • Who performs the interventions?
    • Next injection appointment?
  • Video
  • Handouts
  • Services
    • consultation
    • Epidural
    • Facet Joint injection
    • Radiofrequency treatment
    • Stellate Ganglion Block
    • IV Lidocaine infusion
    • Failed back surgery syndrome (FBSS)
    • Lumbar sympathetic Block
    • DGR
  • Contact Us
  • Doctor's corner
    • interesting topics >
      • Diabetic Peripheral Neuropathy
      • Facet generated pain
      • Failed back surgery syndrome (FBSS)
      • TranexAmic Acid in non-Cardiac Surgery
      • increase the duration of nerve block
    • formula of topical cream for pain
  • A. Blog
  • Farsi lecture about End Of Life event
  • contant office - off line
  • Your chance of dying
  • VolunteerNeeded
  • lidocaine study
  • stem cell study
  • new_technique_published
  • testHTML
  • videocall
  • Allevio Research