Table of Contents
Compound Prescription Order
Meloxicam 0.18% / Topiramate 2.5% / Lidocaine 2.5% / Prilocaine 2.5% Cream
Apply 1-2 pumps (1-2gm) 4 times daily, Rub in for 2 minutes. Dispense 60 gm OR 120 gm. ___ Refills
Ketoprofen Cream 10% or 20%
Apply 2 to 3 times daily, rub in for 2 mins. Dispense 60 gm OR 120 gm. ___ Refills
Ketoprofen / Lidocaine / DMSO 10/5/5% Lipoderm cream
Apply 1 to 2 grams three times daily. Dispense 60 gm. ___ Refills
Ketoprofen / Lidocaine / DMSO 20/10/10% Lipoderm cream.
Apply 1 to 2 grams three times daily. Dispense 60 gm. ___ Refills
Ketoprofen/Gabapentin/Amitriptyline/Baclofen 10/10/2/2 % Lipoderm cream.
Apply 1 to 2 grams three times daily. Dispense 60 gm. ___ Refills
Nutritional Support
MIC/ B Complex/ B12 Injection. Inject 1cc IM/SQ weekly. 10ml OR 30ml. _____Refills
Glutathione 200mg/gm Lipoderm cream. Apply 1 gram twice a day to inner thigh. 60gm. ______Refills.
L-5MTHF 1mg Capsule. Take one capsule once daily. 120 capsules.
Adrenal Support: Male
DHEA SR Capsule 25mg OR 50 mg. Take 1 capsule daily. #90 ______Refills
Testosterone LD Cream 10% OR 20%. Apply 1 pump (1gm) daily. 90gm. _____Refills.
Adrenal Support: Female
DHEA SR Capsule 5mg OR 10mg. Take 1 capsule daily. #90 _____Refills
Testosterone cream. 0.5%VB OR 1%VC OR 2%VC. Apply 1 click (0.5gm) daily. 60gm____Refills.