Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy; yet, compounding’s presence in the pharmacy profession has changed over the years. In the substantial and 1940s, approximately 60 percent of all medications were compounded. With the advent of drug manufacturing in the 1950s and ‘60s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms.
Within the last two decades, though, compounding has experienced a resurgence as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs.
There are several reasons why pharmacists compound prescription medications. The most important one is what the medical community calls “patient non-compliance.” Many patients are allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a physician’s consent, a compounding pharmacist can change the strength of a medication, alter its form to make it easier for the patient to ingest, or add flavor to make it more palatable. The pharmacist also can prepare the medication using several unique delivery systems, such as a sublingual troche or lozenge, a lollipop, or a transdermal gel or cream that can be absorbed through the skin. For those patients who are having a hard time swallowing a capsule, a compounding pharmacist can make a liquid suspension instead.
Compounding pharmacists have the opportunity to work with a variety of practice specialties, such as hospice, pediatrics, pain management, and OB/GYN, which in turn broadens the scope of their practices and creates other opportunities to provide other pharmacist care services.
What kinds of prescriptions can be compounded?
Almost any kind. Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices, which can take the form of solutions, suppositories, sprays, oral rinses, lollipops and even as transdermal sticks.
Compounding applications can include:
Bio-identical Hormone Replacement Therapy
Veterinary, Hospice, Pediatric, Ophthalmic,
Dental, Otic (for the ear), Dermatology, Medication
Flavoring, Chronic Pain Management, Neuropathies, Sports
Medicine, Infertility, Wound Therapy, Podiatry,
Gastroenterology AND MANY MORE!!!
Is compounding safe and legal?
Compounding has been part of healthcare since the origins of pharmacy, and is widely used today in all areas of the industry, from hospitals to nuclear medicine. Over the last decade, compounding’s resurgence has largely benefited from advances in technology, quality control and research methodology. The Food and Drug Administration has stated that compounded prescriptions are both ethical and legal as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy. In addition, compounding is regulated by state boards of pharmacy.
Will my insurance cover compounded medication?
Because compounded medications are exempt by law from having the National Drug Code ID numbers that manufactured products carry, some insurance companies will not directly reimburse the compounding pharmacy. However, almost every insurance plan allows for the patient to be reimbursed by sending in claims forms. While you may be paying a pharmacy directly for a compounded prescription, most insurance plans should cover the final cost.
Does my doctor know about compounding and do I need a prescription?
Prescription compounding is a rapidly growing component of many physicians’ practices. But in today’s world of aggressive marketing by drug manufacturers, some may not realize the extent of compounding’s resurgence in recent years. Ask your physician about compounding.
Yes, most compounded medication require a presciption from a physician, nurse practitioner or a physican‘s assistant. Reagan's Rx Compounding Pharmacy is committed to providing high-quality compounded medications in the dosage form and strength prescribed by the physician.
This triad relationship between the patient, the physician, and the pharmacist is vital to the process of compounding so all three can work together to solve unique medical problems.
What are some of Reagan's Rx Compounding Pharmacy's specialites?
We can formulate a topical pain gel called Ketoprofen 10% Pain Gel. If you are an avid sports fanatic or just a hard-worker who needs something to help with those aches and pains, we can help. This gel can be applied directly to "tennis elbow" or other affected area to remove pain and inflammation without gastric upset or addictive properties. Your practitioner can call (318) 382-7948 or fax a prescription to (318) 382-4924. If you prefer we will contact your practitioner directly.
The prescription should read:
Ketoprofen 10% Pain Gel
30 or 60 Grams
Apply to affected area and rub in well every 6 hours as needed
Other Examples of Compounded Prescriptions:
*Guaifenesin 20% Speed Gel relieves muscle tightness within seconds. It can be combined with vitamins B5, B6 and ketoprofen to treat deep bruises.
* Ketoprofen 10%, 15% or 20% in PLO or rapid gel to treat sprains, strains and inflammation. A pea-sized amount of the gel is rubbed with a moist fingertip into the skin three to four times daily. An aqueous solution of that drug can also be administered by iontophoresis, or the medication can be prepared as an ultrasound gel for use in phonophoresis.
* Dexamethasone 0.4% in an aqueous solution for iontophoresis to treat sprains, strains and inflammation. That concentration of dexamethasone can also be prepared in PLO for application immediately after a sports-related injury to minimize inflammation.
* Acetic acid 2% or 4% in an aqueous solution administered by iontophoresis to reduce scar tissue.
* A combination of baclofen 5%, lidocaine 10% and guaifenesin 10% or 20% in PLO to prevent muscle cramps.
* Lidocaine 4%, epinephrine (adrenalin) 0.05% and tetracaine 0.5% (LAT) in a spray or hydroxyethylcellulose gel to treat cuts and abrasions. This preparation is applied immediately after injury.
* Muscle relaxants such as guaifenesin (usually 10% or 20%) in PLO or cyclobenzaprine 0.5%, 1% or 2% in PLO. Cyclobenzaprine is administered topically or by ultrasound, and guaifenesin in PLO is applied topically three to four times daily until relief is notedd
Electrolyte-balancing preparations that contain a combination of potassium chloride, sodium chloride, magnesium and calcium carbonate. It can be formulated in capsules or as a powder that must be mixed with a liquid.
Magnesium glycinate- reduces postgame stiffness and soreness and promotes restful sleep.
Phenytoin promotes granulation in a healing wound, decreases exudates, alleviates pain, has antimicrtobial properties and counteracts inflammation. Proven effective in treatment of decubitus ulcers, traumatic wounds, diabetic and burn ulcers. Applied topically twice daily in concentrations of 1% to 10%.
Nifedipine increases vascularization of treated area. Used topically at 5 to 20% concentration and combined in any formula.
Misoprostol aids in the acceleration of wound healing. Used topically at 0.0024% concentrations.
Pentoxifylline increases blood flow and oxygen delivery to the wound site. Used topically at concentrations of 5% (for adjunct therapy) to 15% (to enhance circulation).
Erectile Dysfunction / Sexual Health
Sildenafil (Viagra®) Troches
Vardenafil (Levitra®) Troches
Tadalafil (Cialis®) Troches
L-Arginine 333 mg Capsules (Premature Ejaculation)
B.L.T. Gel (Premature Ejaculation or anesthetic)
Urethral and Bladder
The following hormones are available for customized replacement, and may be compounded individually or combined in any desired dosage form.
(atrophic changes, lubrication, pain, chronic UTI's, chronic bladder infections, incontinence, chronic yeast)
Post Leep Cervical Healing Therapy