Arezou Petrie, RPh
Compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy.
With the advent of drug manufacturing in the 1950’s and 60’s compounding rapidly declined and almost disappeared. The pharmacist role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms.
Within the last two decades compounding has experienced resurgence as modern technology and research have allowed more pharmacists to customize medications to meet very specific needs not met by major manufacturers. Today, an estimated one percent of all prescriptions are compounded daily by pharmacists working closely with physicians and their patients.Many patients today have special needs that are not handled by the limited doses and delivery forms offered by commercial drug manufacturing. Patients may be allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a physicians order, compounding pharmacists can change the strength of a medication, alter its form to make it easier to ingest or add flavor to make it more palatable. Pharmacists can also prepare the medication using several unique delivery systems, such as sublingual, rapid dissolve tablets or transdermal creams.
The FDA has designated 503A compounding pharmacies as those that compound according to prescriptions specific to particular patients and are required by state boards of pharmacy to comply with USP and other guidelines.
We dispense only for home use and do not compound large batches.
Almost any kind of prescription can be compounded so long as it is not under patent by a pharmaceutical company. For many patients requiring unique dosages and/or delivery devices which can take the form of solutions, suppositories, sprays, rinses or lollipops these alternatives often save lives.
Compounded applications include: hormone replacement, veterinary, hospice, pediatric, dental and dermatology, chronic pain management, sports medicine, infertility, wound therapy and so much more.
Compounding has been part of healthcare since the origins of pharmacy and is used widely today in all areas of the industry from hospitals to nuclear medicine. Over the last decade, compounding resurgence has largely benefited from advances in technology, quality control and research methodology. We believe in the value of the triad relationship between the prescriber, patient with the goal of delivering best care and great outcomes.
A prime advantage of compounding is the ability to customize medication. What’s the easiest way to customize? Flavor! Compounding pharmacists have access to many flavors and flavor combinations which can enhance the taste and color of a medication to make it easier to swallow or dissolve. Take for example our Progesterone Triturates, one of our signature compounded items is a vanilla orange butternut flavor that helps to hide the bitterness of the progesterone.
A child who has difficulty taking a prescription because of the taste is a prime candidate. Kids, for sure won’t mind taking medication that tastes like bubblegum, watermelon, or even chocolate. Working closely with a physician, our compounding pharmacists can even change the dosage form. For example if a child’s medicine came in the form of a lollipop, gummy bear or even frozen popsicle wouldn’t they be more likely to take it?
Many adults also benefit from flavored medication. As people age or battle chronic illness, taste preferences can change. Often sweet flavors no longer taste good and bitter flavors may cause nausea. In these instances, compounding pharmacists can alter or mask certain flavors to make the medicine more palatable – without of course changing the medicine itself.