had script for etodolac, for bursitis.....did a job on my lower GI....since i have most of the script left,,,is there any way to make a topical out of it, like voltaren?

Hi everyone -- i am scheduled for a spine shot on monday --
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i have heard and read so much about them not working well or increasing pain --
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i am frightened --
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i would appreciate feedback from real people going throug everyday life with real pain --
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did you do this -- are you sorry -
did it help ? Did it hurt ?
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also need to know tips for days following shot --
need to know if my grandaughter will need alternative day care --
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i also am scared because i can not be cleared for anesthesia -- so all i will have is 20mg of valium --
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on a bad spasming night i already take 15mg --- how could that be enough ?
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ok -- all ansers - good or bad will be much appreciated -
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may you be as well as possible -
shalom from dvora

Do you have a compounding pharmacy/ist in your area? They would be able to tell you, and if need be, make the topical safely.

Doc

Hi, I am back. (finally)

This drug is not typically used topically. Ketorolac and dicofenac are the most commonly used in compounded topicals.

The form you have orally is a sustained release form, and I am not sure how that would be topically.

I cannot find a link to topical etodolac anywhere right now. The others are very lipophilic and do well with transdermal vehicles.

Another problem you would face is dosing. Doing a topical removes first pass from the liver, so topical forms would have to be LESS potent than oral ones.

I really think you should not do this, yourself. The ingredients in the sustained release oral form you have may bind the drug and change the passage thru the skin. You don't know how much to use either. Or have a good transdermal base to put it in.

In essence... I wouldn't try it.

You could use the OTC liquigel Aleve orally... one of these is very quickly absorbed and often better than RX NSAIDs... You can use less to get a better response. But if you are already having NSAID GI problems...that would be risky.

Another venue would be Alka Seltzer orig formula with aspirin. This soluble aspirin is less risky than regular tablets. But if you have bleeding tendencies this is risky also.

Once someone has problems with GI intolerance to NSAIDs, it is best to avoid other oral forms too.

Other options? Salonpas patches are very nice. Also the magnesium CVS Epsom lotion is working well in this house, and for some on PN forum. You might want to try it.

For Joint pain... also...is Biofreeze, and RX Lidoderm. If you have knee pain.. Lidoderm has matched Celebrex in trials.
If muscle stiffness, or strains, the Magnesium lotion is very good...some of us on PN are using it. And my husband had great success with a back strain this summer moving heavy things ...he is very happy with it.