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WHAT IS COMPOUNDING?
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Prescription compounding is the art and science of creating the specific
compounds that meet the requirements of the patient as established by
his/her physician.
The compounding pharmacists at Black Oak Pharmacy have mastered the ancient science of gathering, mixing, stirring, grinding,
and measuring pharmaceuticals in the right dosage and form to meet the special
needs of the individual patient. With a doctor's prescription, our compounding pharmacists can tailor-make medications in a variety of dosage
forms, strengths, and flavors. We can produce lactose-free or preservative-free
medications or even meet the special prescription needs of the family pet.
If there is an allergy to a certain drug, we can frequently compound
alternatives. Even the flavor of the medication can be changed. Reasons
may
vary for needing compounding services, but we can help make it simple.
Allergy-sensitive people often have problems with fillers, dyes, sugars, and
other additives, or with side effects, such as stomach discomfort. These problems can be avoided by having a customized medication.
By being able to titrate a dose or reformulate a medication, we can enhance
the quality of health care.
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HISTORY OF
COMPOUNDING
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The practice of preparing medications dates
back to the origins of pharmacy; yet compounding's presence
throughout the pharmacy profession has changed over the
years. In the 1930s and 40s, approximately 60 percent of
all medications were compounded. During the 1950s and 60s,
with the advent of manufacturing, compounding declined. The pharmacist's
role as a preparer of medications quickly changed to that of a dispenser
of manufactured dosage forms.
In the 1980's, and especially in the 90's, physicians and patients
came to realize, once again, the
benefits of preparing customized medications to meet specific patient needs.
Today an estimated 43,000 prescriptions are compounded daily, or one percent of total prescriptions dispensed.
Compounding requires much time, expertise, equipment and chemicals which are
not available in all pharmacies. Black Oak Pharmacy is proud to offer you
this very specialized service.
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CUSTOMIZED
DOSAGE/FORMS
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With the physician, pharmacist and patient working closely together,
compounding can give the patient significant advantages. The ability to meet
special needs or conditions to medication is one of the largest advantages of
compounding.
Compounded drug therapy can utilize other dosage
forms, such as vaginal, urethral, topical gel, creams, ointments, suppositories, drops, inhalation, ophthalmic, nasal sprays, transdermal
medications and medicated lollipops. In some cases they can be produced in chewable form instead of a liquid, or sugar-free for diabetic patients.
The Black Oak Pharmacy compounding pharmacist can meet these special
needs.
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PEDIATRICS
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Parents
often have a difficult time getting their children to take their medicine because of the taste. A compounding pharmacist can work directly with the physician and the patient to select a flavoring agent, such as cherry, grape or tutti-frutti that provides both an appropriate match for the medication's properties and the patient's taste preferences.
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VETERINARY
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Compounding for the family pet is also available at Black Oak Pharmacy.
Depending on size and breed of the pet, the specialized dosage form could make a difficult but needed treatment
a lot easier. Whether it is fruit flavors for birds, tuna for cats or beef or chicken for dogs, we can help. If you have
other breeds of animals with special needs, solutions may
be available.
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HORMONE
REPLACEMENT THERAPY
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Compounding pharmacies are meeting
the needs of pre-menopausal to post-menopausal women by use of
plant-derived, bio-identical hormones. The natural hormones are
more appealing to these patients because they mend a hormonal imbalance with
hormones that are identical to those produced in the human body.
The Black Oak Pharmacy compounding pharmacist can tailor a
hormone regimen that mimics what a female's body has been doing for the
past 50 years. Since all women are not the same, the pharmacist
can add value by preparing the medication to "e;fit"e; the
patient.
By using a combination of hormones, the
compounding pharmacist can assist the physician in treating the
patient's menopausal symptoms, such as hot flashes, as well as maintaining
low cholesterol levels and improving heart function. Our compounding pharmacist, working in triad
with the patient and her physician, can start and maintain natural
hormone replacement. Natural hormones can be placed in capsules,
creams or sublingual troches. As the patient works with her
physician and compounding pharmacist, she can choose the route that is
most beneficial and pleasing to her.
Hormone therapy is also available for men during the time of andropause (a condition of hormonal imbalance). Our compounding pharmacist will work closely with the patient and physician to restore hormonal balance to the patient.
We provide testosterone in a variety of dosage forms, such as sublingual drops, tablets and creams.
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OTHER REASONS
FOR COMPOUNDING
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The most
important reason for compounding is patient non-compliance. Many patients are allergic to preservatives or dyes, or are sensitive to standard
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, and add flavor to it to make it more palatable. The
pharmacist also can prepare the medication using several unique delivery systems, such as a sublingual troche or
lozenge, or a transdermal gel. Or, for those patients who are having a difficult time swallowing a capsule, a compounding pharmacist can make a suspension instead.
Compounding pharmacists also help patients who are experiencing chronic
pain, such as arthritic patients who cannot take certain medications due to gastro intestinal side effects. Working with their physician, a compounding pharmacist can provide
a topical preparation with the anti-inflammatory or analgesic their doctor prescribed for them.
Compounders focus on meeting special needs.
These may involve compounding an eye drop in a sterile compounding lab, to preparing medications
for veterinarians in a variety of dosage forms and flavors, providing natural alternatives in hormone replacement therapy, or assisting physicians in treating hospice patients.
The ultimate goal in preparing any of these customized medications is to help the physician and patient achieve a more positive therapeutic outcome. |
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