Sports Medicine

A sports-minded compounding pharmacist is sure to be an invaluable member of the healthcare team assigned to treating sports injured patients and restoring their movement and function in a pain free manner. The vast majority of athletes will sustain an injury of some type. There are basically two types of athletic or sports injuries: acute and cumulative. Examples of acute injuries are sprains, strains, bruises and breaks. Sports where cumulative injuries occur include those to the runner, swimmer, aerobic dancer, and racquet sports player. The cumulative injury is repetitive trauma.

Drugs commonly used to treat both acute and repetitive/chronic sports injuries include analgesics, nonsteroidal anti-inflammatory agents, anti-inflammatory agents (corticosteroids), rubefacients, counterirritants, anesthetics, muscle relaxants, emollients, sunblockers, anti-infectives (antibiotics, antifungals), and others. Virtually all dosage forms can be used in sports medicine, but two that are probably used more in sports medicine than in the general population include phonophoresis (ultrasound) and iontophoresis (electrical energy). Phonophoresis is best accomplished by incorporating the active drug into gels. Iontophoresis uses simple aqueous solutions.

Examples of Common Sports Medicine Compounds

Sports Rubs / Creams:

  • Sports Rub Cream: methyl salicylate, menthol, eucalyptus oil, hydrophilic ointment qs
  • Wintergreen Compound Emollient Rub: methyl salicylate, menthol, lanolin, white wax, petrolatum
  • Analgesic Sports Rubbing Oil: methyl salicylate, menthol, camphor, eucalyptus oil, mineral oil, light

Inflammation, Pain, Recovery:

  • Dexamethasone 4 mg / cc & Lidocaine HCl 40 mg / cc for iontophonesis
  • Dexamethasone (base) 1% & Lidocaine HCl 4% Ultrasound Gel
  • Dexamethasone 1% & Piroxicam 0.1% Gel
  • Ketoprofen 10% & Menthol 3% in G-Gel
  • Ketoprofen 5% & Capsaicin 0.075% topical Gel
  • Ketoprofen 10%, Lidocaine 5%, Sarapin 10%
  • Ketoprofen 10%, Gabapentin 6%
  • Ketoprofen 10%, Baclofen 5% in G-Gel
  • Ketamine 10%, Gabapentin 6%, Clondine 0.2%, Nifedipine 2% in G-Gel
  • Ketamine 4%, Ketoprofen 10%, Cyclobenzaprine 0.5% in Transdermal Gel
  • d-Ribose 500 mg Capsules (recovery)
  • Magnesium Glycinate 400 mg Capsules (leg pain)

Additional Specialties

  • Blisters
  • Rehydration
  • Athlete’s Foot
  • Muscle Ache
  • Muscle Cramp
  • Carpal Tunnel
  • Sprains
  • Trigger Point
Division: 
Human Compounding
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