Examples of some compounded medications
include:
Topical pain medications with anti-inflammatory
ingredients or neuropathic pain medications; Concentrated
liquids or very dilute liquids for special dosing; Topical
management of nausea using a gel that is rubbed into the wrist;
Lollipops or lozenges for appetite suppression, nausea or
throat pain; Bio-Identical hormone replacement therapy;
Discontinued products such as inexpensive quinine
capsules, topical nail paint with terbinafine (generic for
lamisil) or fluconazole for nail fungus, acyclovir topical spray
or lip balm and much more!
Because each and every
patient is different and has unique needs, customized, quality
compounded medications are a vital part of excellence in medical
care.
The basis of the profession
of pharmacy has always been the "triad," the
patient-physician-pharmacist relationship. Through this
relationship, patient needs are determined by a practitioner or
physician, who chooses a treatment that may include compounded
medications. Physicians often prescribe compounded medications
for reasons that include (but are not limited to) the following
conditions:
-
When treatment requires
specialized dosage strengths for patients with unique needs.
For example, infants or elderly patients.
-
When needed medications
are discontinued by or generally unavailable from
pharmaceutical companies, sometimes due to the fact that the
medications are no longer profitable to manufacture on a
commercial basis.
-
When the patient is
allergic to certain preservatives, dyes or binders in
available commercial medications.
-
When medications require
flavor additives to make them more palatable for some
patients, most often children.
-
When the pharmacist can
combine several medications the patient is taking to improve
compliance.
-
When the patient cannot
tolerate the medication in its commercially available form
and can prepare the medication in cream, liquid or other
form that the patient can take more easily.
-
When the treatment is a
combination of several ingredients in a unique dosage form
that is best suited to the patient, compounding is very
important to the veterinary population, which often requires
more flavors, dosages and potencies than commercially
available medications can supply.
-
And
more….