My daughter was prescribed a cream that has a mix of 10%ketoprofen,5% ketamine, 5% gabepentin (Neurontin generic), 5% lidocaine, in a lipophylic base. I remembered a thread a while back that people had responded to about creams and how important bases were so when I had the pharmacist create this, I had him make the smallest dose for the prescription and then we could tweak it as necessary. We applied it after warming the foot--usually moist heat and massaged it in for up to four minutes, moistening it as it became tacky. The pharmacists said this was the best way to ensure its absorption. She felt some relief with the cream for breakthrough pain. We also got the socks for lotion as it was a bit greasy. She applied this four times a day.

I searched for a previous thread on this-- it was on page 19--not sure how to hook a link here, sorry. It also referenced an earlier thread to it.

Hope this helps-