Speciality Compounding

Compounding

We specialize in compounding pharmacy. Compounding is the art and science of preparing customized medications for the patients specific needs. Prior to the 1950’s compounding medications constituted the primary function of every pharmacist and was considered a standard of practice. With the introduction of mass manufacturing by pharmaceutical companies, compounding pharmaceuticals declined in pharmacy practice. However, this "one size fits all" approach did not always meet individual patient specific needs. In the last few decades, specialty compounding has regained its’ state of art practice to full fill this specific needs.


Compounded Medications


Bio-Identical Hormones

Bio-identical hormones have been used over 20 years to meet the needs of women (in pre menopause, menopause and post menopause) and men (in andropause). Bio-identical hormone treatment helps both women and men restore hormonal imbalances and help reduce or treat symptoms caused by this imbalance.

Symptoms of hormonal imbalances in women include: depression, mood alterations, sleep disturbances, hot flashes, hair loss, fatigue, weight problems, bone loss (osteoporosis), and decreased sex drive.

Symptoms of hormonal imbalances in men include: decreased energy, sleep disturbance, mood alterations, depression, muscle weakness, erectile dysfunction, and decreased sex drive.

Bio-identical hormones include Estrone (E1), Estradiol (E2), Estriol (E3), Progesterone, Testosterone, Dehydroepiandrosterone (DHEA), and Pregnenolone. Our pharmacists work together with patients and prescribers to provide customized bio-identical hormone replacement therapy that provides the needed hormones in the most appropriate strength and dosage form to meet each individual’s specific needs. Hormone replacement therapy should be initiated carefully after an initial medical checkup and after the family history has been reviewed. Every individual is unique and will respond to therapy in their own way. Close monitoring and medication adjustments are essential.

Dentistry Compounding Ideas
  • Chlorhexidine 0.12% Oral Gel
  • Carbamide Peroxide 22% Potassium Nitrate 5% Sodium Fluoride 2%
  • Dental Gel (Teeth Bleaching)
  • Doxycycline 20mg Capsules ( for Periostat)
  • Magic Mothwash (Diphenhydramine, Nystatin Susp, Tetracyline, Dexamethasone)
  • Metronidazole benzoate 3% Dental Gel
  • Nystatin 100,000u to 200,000u Oral Troches
  • Pilocarpine 10 mg/ml Oral Spray (Dry Mouth formulation)
  • Pilocarpine HCl 2 mg Base A Troche (Dry mouth formulation)
  • Saline/Glycerin Oral Suspension (Saliva Substitute)
  • Tetracyline 2.4% Periodental Gel

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Dermatology Compounding Ideas
Hair Growth
  • Minoxidil 5% Topical Solution

Fungal Skin Infections
  • Clotrimazole 2% Ibuprofen 2% Tea Tree Oil 1% Topical Cream
  • Ketoconazole /Tea Tree Oil/ DMSO Anti fungal Solution
  • Tea Tree Oil 5.4% Lavender Oil 1% Clotrimazole 1% Undecylenic Acid 5%
  • Urea 5% Topical Cream

Nail Fungus
  • Fluconazole 1%/DMSO Topical Solution
  • Itraconazole 1%/Ibuprofen 2% in DMSO Nail Polish

Resistant Staphylococcus aureus (MRSA) Infections
  • Clindamycin 3%/Doxycycline 1% Topical Ointment
  • Ketoconazole 2%/Ibuprofen 2% Topical Powder
Bleaching/ Skin Lightening
  • Hydroquinone 4% Tretinoin 0.05% Urea 10% in Hydrocortisone 2.5% Topical Cream
  • Hydroquinone 4% Ascorbic acid 2% Salicyclic Acid 5% in Bethamethasone 0.1% Cream
  • Hydroquinone 5% Tretinoin 0.1% Triamcinolone 0.1% Topical Gel or Cream
  • Hydroquinone 5% Kojic acid 5% Hydrocortisone 1% in Tretinoin Cr
  • Hydroquinone 7% Kojic acid 5% in Clobetasol Cream
  • Hydroquinone 8% Glycolic Acid 8% Tretinoin 0.05% in Hydrocortisone 0.5% Topical Cream
  • Hydroquinone 10% Tretinoin 0.05% Triamcinolone 0.1% Topical Cream

Skin Renewal (Applied 2 to 3 times per week for Skin Exfoliation)

  • Lactic Acid 7% (W/V)/Glycolic Acid 5.6% (W/V) Topical Solution

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Diabetes Compounding Ideas
Circulation Problems
  • Nifedipine 4% Topical Lipoderm®
  • Pentoxifylline (5%, 10% & 15%) Lipoderm® Transdermal

Diabetic Neuropathy
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% in Topical Versapro Base
  • Amitriptyline HCl 2%/Baclofen 5%/Ketamine HCl 5%/Ketoprofen 10% in Topical Versapro Base
  • Amitriptyline HCl 2%/Baclofen 2% in Topical Versapro Base
  • Amitriptyline HCl 2%/Ketoprofen 2%/Carbamazepine 2% in Topical Versapro Base

  • Diabetic Toes
    • Nifedipine 4% in Topical Versapro Base
    • Pentoxifylline (5%, 10% & 15%) in Topical Versapro Base
    • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/ Nifedipine 2% in Topical Versapro Base

    Rough/Dry Feet
    • Urea 25% Topical Cream or Foam
    • Urea 20%/Lactic Acid 5% Topical Cream

    Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Discontinued Medications
Discontinued & Other Oral Capsules:
  • Disulfiram 250mg Capsules (Alcohol Abuse)
  • Doxycycline 20mg Capsules ( for Periostat)
  • Meclizine HCl 25mg Capsules (Diziness)
  • Magnesium Glycinate 250mg or 600mg (Essential Mineral – a high absorbable form of Mg)
  • Potassium Iodide (KI) ( Radiation Emergencies)
  • Red Yeast Rice 300mg (Cholesterol Supplementation)
  • Thyroid Capsules (Various Strengths)

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Men's Health Compounding Ideas
  • Testosterone Topical Gels or Creams (Various strengths)
  • Testosterone 5, 10 or 25 mg Base A Troche (Restoring Hormone Balance)
  • Progesterone 30 mg/mL Topical Cream (VersaBase)
  • Sildenafil 20 mg T.T. (200 mg mold) Polyglycol Troche™ Base (Erectile dysfunction)
  • Diltiazem 2 to 5 % Ointment (Anal fissures)
  • Diltiazem 5%, Lidocaine 5% Ointment (Anal Fissures)
  • Nifedipine 0.2% Ointment (Anal Fissures)
  • Nifedipine 0.2%, Lidocaine 1.5% Ointment (Anal Fissures)

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Podiatry Compounding Ideas
Nail Fungus
  • Itraconazole 1%/Ibuprofen 2% in DMSO Nail Polish
  • Fluconazole 1%/DMSO Topical Solution

Fungal Skin Infections
  • Clotrimazole 2%/Ibuprofen 2%/Tea Tree Oil 1% Topical Cream
  • Ketoconazole/Tea Tree Oil/DMSO Antifungal Solution

Circulation Problems
  • Nifedipine 4% in Topical Versapro Base
  • Pentoxifylline (5%, 10% & 15%) in Topical Versapro Base

Warts & Corns
  • Salicylic Acid 40% Ointment
  • Salicylic Acid 20% Lactic Acid 20% Trichloroacetic Acid in Flexible Collodion
  • Salicylic Acid 10% Podophyllum 10% Trichloroacetic Acid 10% Topical Solution
  • Salicylic Acid/Menthol Cream

Rough/Dry Feet
  • Urea 25% Topical Cream or Foam
  • Urea 20%/Lactic Acid 5% Topical Cream

Hyperhidrosis of the Feet (Sweaty Feet)
  • Glycopyrrolate 1% Topical Cream
  • Glycopyrrolate 0.5% Topical Solution (Roll – on Bottle)
  • Glycopyrrolate 1% Topical Lotion
Sports Medicine Compounding Ideas
Athlete’s Foot
  • Tea tree Oil 5,4% Lavender Oil 1% Clotrimazole 1% Undecylenic Acid 5%
  • Urea 5% Topical Cream

Excessive Perspiration
  • Glycopirrolate 0.5% Topical Solution
  • Methenamine 5% Deodorant Stick

Heel Spurs
  • Ketoprofen 10% Topical Versapro Base
  • Amitriptyline HCl 2% Baclofen 5% Ketamine HCl 5% Ketoprofen 10% Topical Versapro Base
  • Ibuprofen 20% in Lipoderm Transdermal Gel
  • Iontophoresis Solutions & Phonophoresis Gels (Ultrasound)

  • Guaifenesin (2% & 10%) in Topical Versapro Base
  • Magnesium Chloride USP 10% Topical Versapro Base

Nail Fungus
  • Itraconazole 1% Ibuprofen 2% in DMSO Nail Polish

Pain
  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline HCl 2%/Guaifenesin 2% Topical Versapro Base
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/ Amitriptyline HCl 2% Topical Versapro Base
  • Ketoprofen 10%/Cyclobenzaprine HCl 2% in Topical Versapro Base
  • Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% in Topical Versapro Base
  • Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% in Topical Versapro Base
  • Ketoprofen 5%/Cyclobenzaprine HCl 0.5%/Lidocaine HCl 5% in Topical Versapro Base

Tired/Aching Feet
  • Essential Oil Foot Cream
  • Relaxing Foot Effervescent

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Veterinary Compounding Ideas

Compounding allows veterinarians to broaden their prescribing abilities and to offer dosage forms that are patient-specific in strength and formulation. The compounding pharmacist can solve a lot of problems for both the doctor and the owner – certain medications maybe available only in human dosage forms or exist only as bulk chemicals; specific products may no longer be available; the dosage strength of commercially available product may be too big for the small animal or too little for the horse; the taste or flavour may be too disagreeable for the animal. Compounders also work on problems of many exotic animals.


Some of most popular veterinary formulas are:

  • Aluminium Hydroxide Oral Suspension
  • Amino Caproic Acid 16.7% Oral Syrup
  • Amitriptyline 10 mg/0.5ml Oral Suspension
  • Azithromycin 50 mg Chewable Treat
  • Calcitriol 4 nanograms/0.25 ml Oral Oil Solution
  • Calcium Glubionate Oral Syrup
  • Camphor Liniment for Veterinary Use
  • Captopril 5 mg/ml Oral Solution
  • Diethylstylbestrol Oral Capsule
  • DMSO Cream 50% and 70%
  • Furosemide 10 mg/0.1 ml Pluronic Lecitin Organogel
  • Genital Violet 0.5% Stain Solution
  • Traconazole Suspension 100 mg/ml
  • Ivermectin/Pyrantel Capsules 65 mcg/57 mg
  • Kanamycin Compound Oral Antidiarrhea Mixture
  • Ketamine HCl 10 mg Base A Troche
  • Metronidazole Benzoate 125 mg/ml Oral Suspension in Oil
  • Omeprazole Flavoured Suspension
  • Potassium Bromide 250 mg/ml Oral Solution
  • Povidone-Iodine Shampoo for Vet Use
  • Phenobarbital 200 mg Chewable Treat
  • Tetracycline 100 mg/ml Oral Suspension

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Women's Health Compounding Ideas
Libido
  • Sildenafil Citrate 1% Testosterone 0.1% Topical Cream (VersaBase®)
  • Sildenafil Citrate 2% Aminophylline 3%/Arginine HCl 6% Topical Cream (VersaBase®)
  • Sildenafil Citrate 1% Arginine HCl 11.7%
  • Sildenafil Citrate 1% Topical Cream
  • DHEA (Dehydroepiandrosterone) 15 mg/0.25 ml Topical Cream (VersaBase®)
  • Testosterone 1% Topical Cream

Vaginal Dryness
  • Estriol 0.05% Vaginal Cream
  • Vitamin E 200 u/mL Vaginal Cream
  • Vitamin E 200 IU Base MBK Vaginal Suppository

Note for Doctors: Please do not hesitate to prescribe your own percentages or formulations

Maternity Compounding Ideas
  • All Purpose Nipple Ointment (Miconazole 2% +Betamethasone 0.1% ointment +Mupirocin 2% ointment (in equal parts))
  • Candida Regimen Nipple Ointment (Betamethasone 0.1% ointment +Mupirocin 2% ointment +Clotrimazole 10% cream+ Nystatin 100,000u/g ointment (in equal parts))
Pediatric Liquid Compounds
  • Dexamethasone Phosphate 1mg/mL Oral Syrup
  • Domperidone 5mg/mL Oral Suspension
  • Lansoprazole 3 mg/mL Suspension for oral or G-tube use
  • Metronidazole 15 mg/mL Oral Suspension
  • Metoprolol 10 mg/mL Oral Suspension
  • Nitrofurantoin 10 mg/mL Oral Suspension
  • Omeprazole 2 mg/mL Suspension for oral or G-tube use
  • Oseltamivir 15 mg/mL Oral Suspension
  • Prednisone 5 mg/mL Oral Suspension
  • Sodium Bicarbonate 8.4% Oral Solution (Na+ 1mmol/mL)
  • Spironolactone 5mg/mL Oral Suspension
  • Trimethoprim 10 mg/mL Oral Suspension
  • Ursodiol 50 mg/mL Oral Suspension
  • Diphenhydramine HCl 1% Calamine 8% Topical Cream (for chicken pox)
  • Zinc Oxide 40 % in Hydrocortisone 1% Cream and Nystatin Cream (1:2)- Diaper Rash Bum Cream
  • ** These are just a few examples of compounding ideas that we can make for children. Other liquid compounds can also be made as per doctor's request. Please do not hesitate to call regarding any questions or concerns.

Pain Management
Allodynia/Phantom Limb Pain / CRPS Pain
  • Gabapentin 10% + Ketamine 10%
  • Clonidine 0.2% + Gabapentin 6% + Ketamine 10%
  • Gabapentin 10% + Ketamine 5%

Joint pain / Arthritis Pain
  • Ketoprofen 10% + Ketamine 10%
  • Ketoprofen 15% + Ketamine 15% + Baclofen 5%
  • Diclofenac 10% + Ketamine 10% + Baclofen 5%
  • Amitriptyline 5% + Cyclobenzaprine 5% + Ketoprofen 10% + Ketamine 10% + Diclofenac 5%
  • Diclofenac 5% + Cyclobenzaprine 6% + Lidocaine 5%

Muscle spasm
  • Cyclobenzaprine 1% + Ketoprofen 10%
  • Cyclobenzaprine 2% + Ketoprofen 20%
  • Baclofen 2% + Ketoprofen 20%

Neuropathy pain
  • Amitriptyline 2% + Baclofen 2%
  • Gabapentin 6% + Ketamine 10% + Lidocaine 5%
  • Gabapentin 6% + Baclofen 2% + Clonidine 0.1%
  • Diclofenac 5% + Cyclobenzaprine 6% + Lidocaine 5%

Please choose one of the following bases: VERSAPRO / MEDIDERM / PLO GEL / PLO TRANSDERMAL CREAM.