What is Prescription Compounding ?
Compounded Prescription is a customized medication prepared by a
Pharmacist according to a Doctor's specifications to meet an
individual patient need. As one of the most rapidly growing
areas of Pharmacy, Compounding Pharmacy, yields positive
outcomes with problem-solving techniques such as changing the
flavor of a medication, changing the delivery system of a
medication, or preparing a medication or strength that is
commercially unavailable. At Lakeside Pharmacy, we can make
medications from scratch, like they used to in the old days.
THE HISTORY OF PRESCRIPTION COMPOUNDING
In the 1930s and 1940s more than half of all
medications were compounded. During the 1950s and 1960s more
medications were commercially manufactured and compounding
decreased. Pharmacists began filling prescriptions pre-made from
the manufacturers. It was during this time that the role of the
pharmacist went from that of an apothecary or chemist, preparing
medication from scratch, to that of a dispenser of the
manufactured dosage forms. Today more and more, physicians and
patients are again realizing the benefits of individualized or
unique dosage forms for specific patient needs.
Why Compound a Prescription?
Today, there are limited chemical forms, dosage forms,
strengths, flavors and packaging 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. Compounding pharmacists can compound
suspensions, tinctures, creams, ointments, gels, troches
(lozenges), capsules, triturates (sublingual tablets),
lollipops, injections, suppositories, urethral inserts,
transdermals, lip balms and much more. Common Reasons for using
a growing need for natural products. Pharmacists can help fill
that need by compounding pure, natural products in a variety
of dosage forms. Natural
products are not "patentable" by manufacturers. Patentable
usually suggests "artificial" or not found in nature. A
substance that occurs somewhere in nature cannot be patented.
When manufacturers market
products, they do so in strengths, forms and flavors that
typically appeal to the majority of the population. However
some people don't fit the typical mold. Commercial
preparations may contain flavors, dyes, preservatives, lactose
and other excipients. Compounding pharmacists can prepare
medications that are free of any material to which a patient
is known to be allergic, or in flavors that people like and
mask unpleasant aftertastes. This can increase the therapeutic
options and improve compliance.
Dosage calculations tell us
the best dose for a particular patient. However, commercially
prepared medications are frequently unavailable in the
strength that is most appropriate. Compounding allows the
medication to be prepared in the best dose for the patient.
The patient doesn't have to take too much medicine, which is
wasteful and could cause adverse effects, or too little
medicine, which may be ineffective.
Dosage Form Unavailable:
Medicines often are
available only in tablets or capsules. Yet infants, elderly,
and individuals that have difficulty swallowing may need a
liquid, suppository, troche, lollipop, transdermal preparation
or other dosage form.
Many pediatric and elderly
patients are non-compliant because their medications are
bitter, but become compliant when the medication is flavored
to their liking. Compounding pharmacists can mask unpleasant
tasting medications by adding a variety of flavors.
Commercially Unavailable Product:
companies may discontinue an effective medication due to
decreased utilization; however, there are often patients for
whom that product provided the best remedy. With a physician's
prescription, a pharmacist can often compound commercially
unavailable medications using pharmaceutical-grade chemicals
containing the same active ingredients.
Inconvenient To Use:
A patient may have a
problem that does not respond optimally to a single-ingredient
prescription. Using multiple medications from separate
containers tends to be inconvenient, costly and confusing to
the patient. Compounding pharmacists can combine the needed
concentrations of multiple medications into a single cream,
injection, suspension, etc. for easier administration.
Compounding pharmacists can also help your pets:
Sometimes you just can't fool your pet. People often
hide medications in their pet's food, but this does not always
work. Often the pet will eat right around the medication.
Compounding pharmacists can compound tasty suspensions in
flavors your pets will devour, like tuna, liver, fish, sardines,
beef and more.