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Compounding for Pain and Palliative Care

Routes and strengths for patients who need another option.

Pain and palliative patients often need a route other than swallowing, or a strength that is not made. Cambria prepares nonsterile topicals, troches, suppositories and liquids on your prescription, including low-dose naltrexone.

Common reasons to compound

  • A patient who cannot swallow or keep oral doses down
  • A low strength that is not made commercially
  • A rectal, buccal or topical route
  • A single preparation in place of several products

For: Pain specialists, palliative and hospice teams, physiatrists, primary care

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For Pain and Palliative Care

Examples we prepare.

Examples, not a full list. Every prescription is reviewed by the compounding pharmacist, and the formula, beyond-use date and price are confirmed before anything is made.

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    Low-dose naltrexone

    Capsules or oral liquid in low strengths that are not made commercially. Please note the strength on each prescription.

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    Topical gels and creams

    Applied to a specific area. Evidence for many topical pain combinations is limited, so our pharmacist reviews each request.

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    Troches

    For buccal or sublingual use when the drug is suitable.

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    Suppositories

    When oral dosing is not possible or not tolerated.

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    Oral liquids

    For patients who cannot swallow tablets.

Naltrexone blocks opioid pain relief and can precipitate withdrawal in patients taking opioids. Do not prescribe low-dose naltrexone with opioids. We check every profile before dispensing.
Please send controlled-substance prescriptions by certified electronic prescribing (EPCS), or call first to confirm another legally permitted way to send them.
Low-dose naltrexone use is off-label. We prepare what you prescribe and make no claim that it treats any condition.
Compounded preparations are not FDA-approved. The FDA does not review them for safety, effectiveness or quality before they are dispensed. Cambria prepares nonsterile preparations only, for identified patients on valid prescriptions under Section 503A.

How to send

Four ways to reach us.

Include drug, strength, dosage form, quantity, directions, any excipients to exclude, and the patient-specific reason for compounding.

E-prescribing
Search for Cambria Pharmacy, 2860 N 5th St, Philadelphia. Preferred for controlled substances (EPCS).
Fax
(215) 227-0114. Fax a signed prescription. For a controlled substance, call before you send it.
Phone
(215) 225-2886. Talk to the compounding pharmacist before you prescribe.
Prescriber portal
Launching. Request access and we will set up your practice.

Not listed?

Can you make this? Ask us.

Not everything Cambria can prepare is listed. If a drug, strength or dosage form is not shown here, tell the compounding pharmacist the drug, strength, dosage form and quantity. You will get an answer, a formula option or a straight no.

  1. 1

    Call the pharmacist

    Fastest for a quick yes or no, or to talk through a formula.

    (215) 225-2886
  2. 2

    Fax the request

    Fax the signed prescription when you are ready to send it.

    Fax (215) 227-0114

  3. 3

    Send an inquiry

    For general questions about what we make. No patient details on web forms.

    Prescriber inquiry

Resumen en español · En lanzamiento

Preparaciones para el dolor

Preparamos cremas, geles, supositorios y líquidos con la receta de su médico. Si toma medicamentos opioides, avísenos siempre.

Llame al (215) 225-2886

Local prescribers

Bring us the prescription nothing else fits.

Cambria’s compounding pharmacist will talk through strength, base, stability, flavor and alternatives before you write. We also come to your practice for a short lunch-and-learn.

Pain and Palliative Compounding: Topicals, Troches, LDN | Cambria Pharmacy