The compounded cream is ordered by my neurologist, but must be filled at a special compounding pharmacy. This type of prescription may not be covered by insurance.

Here is the break down : Capsaicin .25 Lidocaine 5 % and Gabapentin 6%

Not sure exactly what this means. But I have found experienced Compounding pharmacists are very knowledgable. It comes in a single pump container. The pharmacist adds a cream that helps the medicine get absorbed into your skin (can't recall what that is called at the moment). I use it several times a day. It varies a little.

I was a little nauseas the first few days of using the cream. And it didn't seem to work at first. Then, relatively quickly, it began to really help.

As I mentioned, I also take some other meds by mouth, but they tend to be low dosage.

I do have weird moments of bad pain. I'm learning what my triggers are. But this cream has helped a LOT.

I'm a little sensitive to meds, plus some didn't work...it was very difficult. The cream has been wonderful and I'm grateful to have it.