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The art of preparing medications dates back to the origins of pharmacy. At Central Drugs, we still practice the time proven art of compounding using modern variations of the “mortar and pestle” to prepare unique and individualized mediations. Working with your doctor, compounding allows our pharmacists to customize the strength and dosage form of a medication according to individual needs. This may include making lozenges or preparing a drug that is no longer commercially available. Or it may involve changing a medication from a pill form into a penetrating skin cream, or adding flavors, or preparing a dye-free or preservative-free medication. The possibilities are endless. Pharmacist Don Fellows can formulate and prepare just about any kind of medicine specifically designed just for you. Our compounding services can enhance virtually any area of medicine including natural hormone replacement therapy, children’s dosage forms and flavors, capsule and suppository preparations, skin preparations, hospice formulations, lip balms, medicated lozenges, eye and eardrops, and even inhalation therapies. Ask us how compounded medications can help you.
Because every patient is different and has different needs, customized medications are a vital part of quality medical care.
Compounding Defined
The preparation, mixing, assembling, packaging, or labeling
of a drug or device as the result of a practitioner, patient, pharmacist
relationship in the course of professional practice, or for the purpose of or
as an incident to, research, teaching, or chemical analysis and not for sale
or dispensing. Compounding also includes the preparation of drugs or devices
in anticipation of prescription drug orders based on routine, regularly
observed prescribing patterns. A customized medication prepared by a
pharmacist according to a doctor's specifications to meet an individual
patient need. Pharmacists make medications from scratch using raw chemicals,
powders and devices.
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Compounding: The Need
The basis of the profession of pharmacy has always been the "Triad", the patient-physician-pharmacist relationship. Through this relationship, patient needs are determined and decisions are made about treatment regimens that may include a compounded medication, including but not limited to:
Medications that are not commercially available-
Manufacturers must be assured that there will be a return on their
investment when entering the market place with a drug product. Therefore,
there are limited chemical forms, dosage forms, strengths, flavors and
packaging that are available for the physician to prescribe and the pharmacist
to dispense. Compounding allows the physician to prescribe a custom-tailored
medication that is not available commercially.
Medications that are not stable-
Pharmacists prepare small quantities of a prescription more frequently to
ensure stability of the product for its intended use.
Altered commercially available medications-
Physicians prescribe a commercially available medication in a different dosage form to meet a specific patient need and ensure patient compliance. For example, a patient may be allergic to a preservative or dye in a manufactured product that compounding pharmacists can prepare a dye-free or preservative-free dosage form. Some patients have difficulty swallowing a capsule and require a troche or lozenge. Many pediatric patients are non-compliant because their medications are bitter, but become compliant when the medication is flavored to their liking.
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The Right and Responsibility of the Pharmacist to Compound
No other health care professional has studied chemical compatibilities and can prepare dosage forms. Even when modern scientific technologies have produced new chemical entities, the ability of the pharmacist to combine one or more chemicals into a new preparation or process the existing dosage form into one that is better suited to the patient's needs, has remained the domain of the pharmacist. Compounding of medications by pharmacists is a long-standing and traditional part of pharmacy. The right - if not the obligation - to compound exists under the pharmacy laws of each of the fifty states and is pervasively regulated by the fifty states. States require that pharmacy schools must - as part of their core curriculum - instruct students on the compounding of pharmaceuticals.
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We have many formulations that are highly effective in the areas of:
Pain
We can compound topical anti-inflammatory medications to avoid gastric side effects, slow-release narcotic medications free from acetaminophen, to sterile intrathecal injectables.
Hospice medications
We compound transdermal anti-nauseants, pain medications for topical or rectal administration to multiple medication compounds for easier dosing.
Sports medicine
We compound topical anti-inflammatory gels that can include an anesthetic agent or muscle relaxants. All avoiding systemic side effects.
Pediatrics
We flavor those hard to swallow antibiotic liquids. Flavors from bubble gum to green dragon mint are available.
Oncology
From topical anti-nauseants to magic mouthwash, we can help.
Fertility
Progesterone suppositories and injections to specific dosages of fertility medications, tell us what you need.
Natural Hormone Replacement Therapy
Biest, Triest, Estriol, Progesterone, DHEA, Testosterone - we are experts in natural hormone replacement for menopause, PMS, endometriosis and libido.
Andropause
From testosterone replacement to erection injectable, we can help you formulate a compound to meet that very specific need.
Podiatry
From anti-fungal nail solutions to bone spur gels, we have a solution to your problem.
Dermatology
We compound cosmetic quality creams, ointments, gels and solutions. High concentration urea or salicylic acid guaranteed smooth as silk.
Breastfeeding
We compound Dompericlone (Motilium) capsules for increasing a mother's milk supply.
Veterinary
From cats and colts to canaries, we can compound the right dose for each pet. We also carry a large selection of veterinary flavors. From fish for cats to guava for exotic pets, we can make the medicine more appealing to any animal.