At custom made medicine we require you to fill out an assessment questionaire so that we can be specific and target your pain pathway to improve your pain management.

We use a variety of topical agents in combination achieving a multi modal approach that can bring about additive or synergistic effects. Often patients can decrease or eliminate severity of oral medications side effect profiles.

We look at the pathophysiology of the pain, the contributing factors, we link the ingredients in the preparation to the mechanism of action and we look at the particular site to be applied onto to achieve the best outcome.

By targetting individuals’  pain we can categorise it into neuropathic, nociceptor or idiopathic pain.

Neuropathic is a shooting, stabbing, burning, tingling or numbness feeling. Eg diabetic neuropathy, post herpetic neuralgia, fibromyalgia. It is a often a difficult pain to isolate. Patients are usually non respondant to non-opiate analgesics like non steroidal anti inflammatories.

Nociceptor pain is due to chemical, mechanical or thermal injury. It can be due to inflammation of tissues like skin, muscles or viscera. It is ususally dull and aching pain .

Idiopathic pain is a non specific pain of unknown origin. Stress, anxiety and depression can influence this type of pain. It is usually located in the head, neck, shoulders and abdomen.   

Our topical formulas can either relax muscles and inhibit spasms, inhibit nerve pathways via serotonin or noradrenaline neurotransmitters or prevent depolarisation of the nerve , can act as local anaesthetics, can be anti inflammatory or can act like an oral opioid analgesic.