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Healthcare Professional Education

Bio-Identical Hormone Replacement Therapy

Compounding pharmacists are meeting the needs of peri-menopausal and menopausal women and men (Andropause) by use of bio-identical hormones. These hormones are appealing to patients because they help to mend a hormonal imbalance with hormones that are identical to those produced in the human body.

A compounding pharmacist can tailor a hormone regimen, which mimics what a female’s body has been doing for the past 50 years or so. All women are not the same therefore, a compounding pharmacist can add value by preparing the medication to “fit” the patient with the appropriate dosage strength and form. For male patients, supplementation of the basic hormone testosterone has shown to be an effective treatment for most men experiencing Andropause.

The compounding pharmacist, working in triad with the patient and her physician, can start and maintain bio-identical hormone replacement. Hormones can be placed in a variety of dosage forms including: capsules; topical creams, suppositories and sublingual troches or lozenges. As the patient works with her physician and compounding pharmacist, she can choose the dosage route and strength that is most beneficial and pleasing to her.

Compounding for Dentists

Upon a prescription order, we can compound:

lip balms for viral lesions
transdermal (topically applied) muscle relaxants/analgesics
topical anesthetics
non-staining antibacterial rinses
oral sedation in lollipops and freezer pops
lollipops for oral thrush
mouth rinses for aphthous ulcers or chemotherapy-induced stomatitis
mouth rinse to stop oral bleeding during dental procedures for patients who take anticoagulants
dry socket preparations
"mucosal bandages" to cover ulcerated, infected, or tender mucosa
lozenges that help to prevent gagging
and many more unique preparations and novel delivery systems

Medications are manufactured in a limited number of strengths and dosage forms that will satisfy the needs of most patients due to stability concerns, and the cost of stocking and distributing numerous formulations of each drug. Using pharmaceutical grade chemicals and specialized equipment not found in most pharmacies, we can compound medications in doses and dosage forms that are not commercially available. We want to optimize the care of every patient. Just let us know what you need!

Analgesics
Antivirals
Antibiotics
Topical anesthetics
Sedatives
Dry socket mixtures
Root canal paste
Plaque removal solutions
Plaque disclosure solutions
Oral rinses
Adhesives
Bleaching gels
Crown preps

Problem Areas/Disease States

Bleaching/whitening agents
Chronic non-microbial mucositis
Xerostomia Fluoride treatments
Aphthous ulcers/ canker sores/ oral lesions
Stomatodynia
TMJD
Angular chelitis/herpes labials
Fungus, viral candida
Pre and post procedural anxiety syndromes
Gum disease

Dosage forms

Troches/sublinguals
Capsules
Lollipops - Gels, oral, topical
Mucosal bandages (polyoxyl)
Mouthwashes and rinses
Dental ointments and pastes - Chapstick/lipstick, lip balms - Oral and topical sprays - Powder puffer – Popsicles – Injectables - Tablet Triturates

Dermatology Compounding Areas

Psoriasis
Eczema
Sunburn
Radiation burns
Baldness
Antifungals Wrinkle creams
Fever blister meds
Wart meds
Skin bleaching creams Plant irritations
Viral infections
Scarring

Compounding Opportunities in Family Practice Medicine

Bio-Identical Hormone Replacement Therapy

Capsules,topicals,suppositories,sublingual troches or lozenges,and tablet triturates.

Fungal Infections

Antifungal liquids and creams

Migraines

Speed gels, troches, nasal sprays, capsules

Mouth Ulcers

Polyox bandages, gels, oral rinses

PMS

Capsules, troches, topical gels, suppositories

Arthritis

Transdermal gels and creams

Sports Injuries

Transdermal gels, muscle relaxants

Sore Throat

Lollipops, troches, anesthetics, mouth rinses

Bad Breath

Mouth rinses, sprays

Psoriasis

Sprays, gels, creams

Hemorrhoids

Rectal Rocket suppositories, ointments

Anal Fissures

Suppositories, gels

Compounding Opportunities in Hospice Medicine

Nausea & Vomiting

Suppositories, troches, suspensions, transdermal gels, rapid dissolve

Excess Salivation

Oral rinses, capsules, liquids, rapid dissolve

Pain

Transdermal gels, suppositories, extended-release capsules, troches, topical gels, injectables, rapid dissolve

Neuropathic Pain

Transdermal gels

Dyspnea

Inhalations

Seizures

Dry Mouth

Saliva substitute gels and liquids, saliva stimulant troches, sprays, capsules

Thrush

Lollipops, troches, oral rinses, topical bases

Compounding for Pediatric Needs

Analgesics
Antibiotics/antivirals
Diaper rash treatment
Premature apnea therapy
Psoriasis/eczema medications
Resistant head lice treatment
Stimulant drug trials
Topical anesthetics
Baby pacifier medication delivery system –provides a convenient dosage form for pediatric patients
Pediatric dosing bottle – provides a convenient way to include medication in their drink bottle
Medicated lollipops and gelatin troches
Pediatric suppositories
… and many, many more

Compounding for Podiatrists

Topical enhanced antifungal treatments for toenails
Transdermal anti-inflammatory agents
Treating calluses
Transdermal antiviral treatments for wart removal
Skin softeners & moisturizers
Transdermal treatments for neuropathy
Keratinolytic agents
Wound Care
Plantar fasciitis (heel spurs)
Antifungal foot powders
Topical powders to treat excessive foot odor and wetness

Compounding for Vet Needs:

Flavoring dosage forms that make it easy, even fun, to dose an animal:
- Chocolate/peanut butter suspension for hyper insulin in ferrets
- Stool softener in beef flavored gelatin balls
- Good tasting marshmallow, liver, beef, chicken or fish flavored suspensions
Custom strength medications for seizures, diabetes, hyperthyroidism, parasitic infections, appetite stimulation, etc.
Low dose, longer acting insulins
Inhalation therapy with ultrasonic nebulizers to treat kennel cough for dogs
Antidotes/treatments for accidental animal poisoning
Vitamins and tonics
NSAIDS transdermally to avoid GI tract irritation
Anti-fungal inhalation for birds
Commercially unavailable, combination, custom-formulated products
Protective medicated coatings for wounds or stitches (coatings which are difficult to lick off)
Transdermal, anti-inflammation gel for torn ligaments
Hard-to-find medication for urinary tract incontinence
Transdermal anti-motion sickness medicine which can be applied to outer ear surface
Concentrated solutions for birds & reptiles, matching the dose according to the animal’s size
Injections and liquids for metal toxicities
Combination or fortified ophthalmic formulas
“Hairball” remedy for cats

Compounding Opportunities in Sports Medicine

Blisters

Flexible collodion preparations

Fever Blisters

Lip Balms With Or Without Sunblock

Rehydration

Sports Drink Formulas

Athlete’s Foot

Topical Antifungals

Muscle Aches

Topical Gels

Muscle Cramps

Speed Gels, Topicals

Wounds

Polyox Bandages, Tissue Regenerating Gels, Protective Ointments

Callouses

Creams

Carpal Tunnel

Transdermal Gels

Dry Skin

Moisturizing Creams, Lotions

Nail Fungus

Antifungal Solutions

Hemorrhoids

Rectal Rocket Suppositories, Ointments

Sprains

Transdermal Gels

Trigger Point

Transdermal Gels

Customized Veterinary Compounding Needs

Pharmacists & Veterinarians working together to improve and maximize the therapeutic success and compliance of pets, exotics, wildlife, zoo animals, large & small animals, (and reduce the overall cost of animal care).

Veterinary preparations currently compounded:

Alternate dosage forms
Sterile injections
Creams, ointments and lotions
Ophthalmic preparations
Commercially unavailable medications
Flavor specialization
Sugar-free formulations
Topical powders
Transdermals
Chewable flavored troches
Otic solutions and non-aqueous suspensions
Oral suspensions and paste
Otic Insufflations
Gels – topical/oral
Rectal enemas
Iontophoretic formulations
Rectal suppositories
Individualized concentrated doses
Combination medications
Medicated biscuits/treats
Inhalation therapy