Med Care Pharmaceuticals Is a research-based bio pharmaceutical company that discovers, and develops OTC (over the counter) innovative, affordable, and safe medication, medicated creams, and wound care.
We strive to transform and simplify care for people around the world. Our mission is to help physicians, and other healthcare professionals to provide their patients with better OTC (over the counter) medicines, and wound care with less side effects.
When most people think of pain relief, they picture swallowing a pill. However, there also are many topical pain relievers — pain-relieving medications applied to the skin, including creams and gels.
Topical pain relievers are often used by patients who cannot take oral medications, says Biral Patel, MD, an anesthesiologist and pain management specialist at Scott & White Hospital in Temple, Texas.
"Certain patients have difficulty swallowing pills," Dr. Patel says. "Other patients may have had surgeries that impede their ability to absorb drugs through their GI system. That's when topical medications can be used to control pain."
A pain relief cream can also be used when you have pain in a very specific area. "If you have pain in a joint, you can put the medication on the joint, whereas if you take the drug orally, it goes through your whole body," Patel says.
Choices in topical therapy for pain relief:
Consider these three main types of pain medication applied to the skin
- Local anesthetics. These are medications that numb painful areas for short periods of time. They have a variety of uses. Lidocaine patches, for example, can help to relieve the burning, stabbing, chronic ache that may occur after a shingles infection- a condition called post-herpetic neuralgia. Dentists may also use a topical anesthetic on the gums to help ease the pain of an injection. Some topical local anesthetics are also available over the counter in spray and gel form to treat the sting of a sunburn.
- Pain medications. Medications applied to the skin include drugs such as the non-steroidal anti-inflammatory drug diclofenac (Solaraze, Pennsaid), which works by reducing inflammation in a localized area of the body, or aspirin creams, which work by blocking substances in the body that cause pain. Alternatively, these topical medications may contain narcotic pain relievers, such as fentanyl. Though some of these topical pain relievers (Aspercreme, BenGay) are available over the counter, some are dispensed by prescription only.
- Counter-irritants. These are products that contain substances such as menthol, eucalyptus, or oil of wintergreen that irritate nerve endings, producing a "cool" feeling on the skin and distracting the brain from deeper sources of pain. Vicks VapoRub is an example of a counter-irritant.
Why on the skin?
Here’s why: The skin is one of the best organs for administering drugs into the bloodstream, where the drug’s active ingredients are then distributed throughout the body. With oral medications, the active ingredient is metabolized (broken down) in the digestive tract, liver and kidneys, which often leads to side effects. While topical also pass through the liver and kidneys, they don’t go through the digestive tract. Advantages of topical medications…
Lower doses. When you take an oral medication, some of the active ingredient may be destroyed by acids in the digestive tract or reduced when broken down in the liver and kidneys. In fact, with some oral drugs, only about 10% of the active ingredient reaches its intended target—the bloodstream, then a specific organ or system. As a result, you must take a high dose to offset losses. Higher doses mean more complications and side effects.
Fewer side effects. Topical medications are not risk-free. But side effects are typically limited to minor skin irritation. Oral medication side effects are a major cause of hospitalization and sometimes even death.
Example: Topical medications can be helpful for patients who need narcotic painkillers. Oral narcotics often cause constipation and stomach upset. Patches are much less likely to cause these types of side effects.
Steadier dosing. When you take an oral drug, you achieve a high initial blood concentration of the active ingredient. Then, the levels slowly decline until you take the next dose. With a patch, drug levels are more evenly sustained throughout the day—or even for days at a time.
Time-released oral medications can mimic this effect, but they’re unpredictable. Many factors—the acid in your stomach, what you’ve eaten, etc.—can affect how quickly the medication is released. There’s less variability with patches.
More convenient. It’s estimated that 55% of older adults don’t take their medications the way they’re supposed to—because of forgetfulness or limited mobility, for example. Some patches can be applied once a week. It’s easier to remember once-a-week dosing than multiple daily pills.
Downside: The main drawback of topical is the cost. They are more expensive than pills because they’re more complicated to manufacture.
What is a surgical wound?
A surgical wound is a cut or incision in the skin that is usually made by a scalpel during surgery. A surgical wound can also be the result of a drain placed during surgery. Surgical wounds vary greatly in size. They are usually closed with sutures, but are sometimes left open to heal.
What are the types of surgical wounds?
Surgical wounds can be classified into one of four categories. These categories depend on how contaminated or clean the wound is, the risk of infection, and where the wound is located on the body.
Class I: These are considered clean wounds. They show no signs of infection or inflammation. They often involve the eye, skin, or vascular system.
Class II: These wounds are considered clean-contaminated. Although the wound may not show signs of infection, it is at an increased risk of becoming infected because of its location. For example, surgical wounds in the gastrointestinal tract may be at a high risk of becoming infected.
Class III: A surgical wound in which an outside object has come into contact with the skin has a high risk of infection and is considered a contaminated wound. For example, a gunshot wound may contaminate the skin around where the surgical repair occurs.
Class IV: This class of wound is considered dirty-contaminated. These include wounds that have been exposed to fecal material.
What causes surgical wounds?
Surgical wounds are created when a surgeon makes an incision or cut with a surgical instrument called a scalpel. A wide variety of medical circumstances require surgery. The size of a wound depends on the type of procedure and location on the body.
What are the risk factors for surgical wound infections?
Any surgical procedure will create a surgical wound. The likelihood of a wound infection after surgery is between 1 and 3 percent.
Risk factors for developing a surgical wound infection include having other medical issues, such as diabetes or a weakened immune system. Smokers, older adults, and people who are overweight also have an increased risk of infection. Emergency surgeries, abdominal surgeries, and surgeries that last longer than two hours bring a higher risk of infection, too.
What are the symptoms of surgical wound infections?
Surgical wounds are frequently monitored to make sure they are healing properly. Infections may affect only the skin, tissue under the skin, or implants, according to the centers for disease control and prevention. Signs of a surgical wound infection include:
· increased pain and redness around the wound
· delayed healing
· the presence of pus
· a foul smell, or drainage from the wound
In some cases, an infected surgical wound can appear dried out or deeper. Fever may also be a common symptom.
How are surgical wound infections diagnosed?
A physician can diagnose a surgical wound infection by examining the wound, assessing symptoms, or taking a culture of fluid drained from the wound.
How does a surgical wound treated?
Treatment for a surgical wound sometimes depends on where it’s located on the body. Surgical dressings are normally placed over the wound and may need to be changed regularly. The skin around the surgical wound will likely need to be cleaned, often with salt water and soap. The wound may also need to be irrigated with salt water. This involves filling a syringe with salt water and spraying the skin around the wound.
Home care for a surgical wound may involve some of the same procedures, including frequent dressing changes and cleaning. Over-the-counter pain medication can also reduce discomfort. Often, patients are discharged from the hospital before a surgical wound has completely healed. It is essential that patients follow all at-home care instructions. Following directions properly will promote healing and decrease chances of an infection.
What are some complications of surgical wounds?
When surgical wounds cause infection, it typically occurs within 30 days of surgery. Infections may be red, painful, hot to the touch, or drain pus. To treat infections, your physician may prescribe an antibiotic, or they may have to open the wound to clean it.
What is recovery like for surgical wounds?
Recovery varies and can last for weeks to months. Your surgeon should be able to give you specific information on when you can go back to work, exercise again, and return to your daily routine.
What is outlook for surgical wounds?
The outlook for a surgical wound that is properly healing is good. Following infection control recommendations can increase the chances that the wound heals well.