Oral Syringes- improve dosing accuracy
Capsules- extended-release formulations
Troches- “lozenges” that dissolve in the mouth
Popsicles- great alternative, especially during summer
Gummy Gels- chewable forms are great with kids
Lollipops- convenient dosage form for extended delivery and local effect
Transdermal Gel, Cream and Stick- great alternative to oral forms
Emollient Cream- helpful for dermatological conditions
Dauber Bottle- ideal for liquid preparations
Lip Balm Applicators- super for “spot” application
Ophthalmic Preparations
Otic Medications
Injectables
Suppositories
Tablet Triturates
Effervescent Powders
Foam Base

Flavors: Making Medicine Taste Better

Ask your local Collier Drug pharmacist about adding flavor to your medicine. We offer a variety of over 20 flavors. We can also special order any flavors we do not stock.

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Bio-Identical Hormone Replacement Therapy

Compounding pharmacists are meeting the needs of peri-menopausal and menopausal women and men (andropause) by use of bio-identical hormones. These hormones are appealing to patients because they help to mend a hormonal imbalance with hormones that are identical to those produced in the human body.
A compounding pharmacist can tailor a hormone regimen, which mimics what a female’s body has been doing for the past 50 years or so. All women are not the same; therefore, a compounding pharmacist can add value by preparing the medications to “fit” the patient with the appropriate dosage strength and form. For male patients, supplementation of the basic hormone testosterone has shown to be an effective treatment for most men experiencing andropause.
The compounding pharmacist, working in triad with the patient and her physician, can start and maintain bio-identical hormone replacement. Hormones can be placed in a variety of dosage forms including: capsules, topical creams, suppositories and sublingual troches or lozenges. As the patient works with her physician and compounding pharmacist, she can choose the dosage route and strength that is most beneficial and pleasing to her.

Compounding for Dentists

Analgesics
Antivirals
Antibiotics
Topical anesthetics
Sedatives
Dry socket mixtures
Root canal paste
Plaque removal solutions
Plaque disclosure solutions
Oral rinses
Adhesives
Bleaching gels
Crown preps

Problem Areas/Disease States

Bleaching/whitening agents
Mucositis
Xerostomia
Fluoride treatments
Aphthous ulcers/canker sores/oral lesions
Stomatodynia
TMJD
Angular chelitis/herpes labialis
Fungus, candida
Pre and post procedural anxiety syndromes
Gum disease (Gingivitis)

Dosage Forms

Troches/sublinguals
Capsules
Lollipops
Gels, oral, topical
Mucosal bandages (polyoxyl)
Mouthwashes and rinses
Dental ointments and pastes
Chapstick/lipstick, lip balms
Oral and topical sprays
Powder puffer
Popsicles
Injectables
Tablet triturates

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Potential Dermatology Compounding Areas

Acne formulations
Psoriasis
Eczema
Sunburn
Radiation burns
Baldness
Antifungals
Wrinkle creams
Fever blister meds
Wart meds
Skin bleaching creams
Plant irritations
Viral infections
Scarring

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Compounding Opportunities in Family Practice Medicine

Bio-Identical Hormone Replacement Therapy
Capsules, topicals, suppositories, sublingual troches or lozenges, and tablet triturates
Fungal Infections
Antifungal liquids, creams and foam base
Migraines
Speed gels, troches, nasal sprays, capsules
Mouth Ulcers
Polyox bandages, gels, oral rinses
PMS
Capsules, troches, topical gels, suppositories
Arthritis
Transdermal gels and creams
Sports Injuries
Transdermal gels, muscle relaxants
Sore Throat
Lollipops, troches, anesthetics, mouth rinses
Bad Breath
Mouth rinses, sprays
Psoriasis
Sprays, gels, creams
Hemorrhoids
Rectal Rocket suppositories, ointments
Anal Fissures
Suppositories, gels

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Compounding Opportunities in Hospice Medicine

Nausea & Vomiting - Suppositories, troches, suspensions, transdermal gels, rapid dissolve
Excess Salivation - Oral rinses, capsules, liquids, rapid dissolve
Pain - Transdermal gels, suppositories, extended-release capsules, troches, topical gels, injectables, rapid dissolve
Neuropathic Pain - Transdermal gels
Dyspnea - Inhalations
Seizures - Suppositories, rectal gels, transdermal gels
Dry Mouth - Saliva substitute gels and liquids, saliva stimulant troches, sprays, capsules
Thrush - Lollipops, troches, oral rinses, topical bases

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Potential Pediatric Needs

Analgesics
Antibiotics/antivirals
Diaper rash treatment
Premature apnea therapy
Psoriasis/eczema medications
Resistant head lice treatment
Stimulant drug trials
Topical anesthetics
Baby pacifier medication delivery system- provides a convenient dosage form for pediatric patients
Pediatric dosing bottle- provides a convenient way to include medication in a child’s drink bottle
Medicated lollipops and gelatin troches
Pediatric suppositories
…and many, many more

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Medicated Lollipops

Local effects
Anesthetic
Antifungal
Antiviral
Anti-inflammatory
Saliva stimulant
Healing Agents
Systemic effects
Anti-anxiety
Antipyretic
Analgesic
Narcotic
Non-narcotic
Combination effects
Smoking deterrent
Cold preparations
Cough suppressant
Decongestant/antihistamine
Sore throat

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Compounding for Podiatrists

Topical enhanced antifungal treatments for toenails
Transdermal anti-inflammatory agents
Treating calluses
Transdermal antiviral treatments for wart removal
Skin softeners and moisturizers
Transdermal treatments for neuropathy
Keratolytic agents
Wound care
Plantar fasciitis (heel spurs)
Antifungal foot powders
Topical powders to treat excessive foot odor and wetness

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Compounding Opportunities in Sports Medicine

Blisters- Flexible collodion preparations
Fever Blisters- Lip balms with or without sunblock
Rehydration- Sports drink formulas
Athlete’s Foot- Topical antifungals
Muscle Aches- Topical gels
Muscle Cramps- Speed gels, topicals
Wounds- Polyox bandages, tissue regenerating gels, protective ointments
Mineral & Vitamin Replacement- Effervescent formulas
Calluses- Creams
Carpal Tunnel- Transdermal gels
Dry Skin- Moisturizing creams, lotions
Nail Fungus- Antifungal solutions
Hemorrhoids- Rectal Rocket suppositories, ointments
Sprains- Transdermal gels, creams and sticks
Trigger Point- Transdermal gels, creams and sticks

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Potential Veterinary Needs

Flavoring dosage forms that make it easy, even fun, to dose an animal:

Chocolate/peanut butter suspension for hyper insulin in ferrets
Stool softener in beef flavored gelatin balls
Good tasting marshmallow, liver, beef, chicken or fish flavored suspensions

Custom strength medications for seizures, diabetes, hyperthyroidism, parasitic infections, appetite stimulation, etc.
Low dose, longer acting insulins
Inhalation therapy with ultrasonic nebulizers to treat kennel cough for dogs
Antidotes/treatments for accidental animal poisoning
Vitamins and tonics
NSAIDs transdermally to avoid GI tract irritation
Antifungal inhalation for birds
Commercially unavailable, combination, custom-formulated products
Protective medicated coatings for wounds or stitches (coatings which are difficult to lick off)
Transdermal anti-inflammation gel for torn ligaments
Hard-to-find medication for urinary tract incontinence
Transdermal anti-motion sickness medicine that can be applied to outer ear surface
Concentrated solutions for birds & reptiles, matching the dose according to the animal’s size
Injections and liquids for metal toxicities
Combination or fortified ophthalmic formulas
“Hairball” remedy for cats
Custom shampoo to treat “rain-rot”, a fungal infection in horses

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Customized Veterinary Compounding Needs

Pharmacists and veterinarians can work together to improve and maximize the therapeutic success and compliance of pets, exotics, wildlife, zoo animals, large and small animals (and reduce the overall cost of animal care).

Veterinary preparations currently compounded:

Alternate dosage forms
Sterile injections
Creams, ointments and lotions
Ophthalmic preparations
Commercially unavailable medications
Flavor specialization
Sugar-free formulations
Topical powders
Transdermals
Chewable flavored troches
Otic solutions and non-aqueous suspensions
Oral suspensions and paste
Otic insufflations
Gels- topical/oral
Rectal enemas
Iontophoretic formulations
Rectal suppositories
Individualized concentrated doses
Combination medications
Medicated biscuits/treats

Compounding Solutions

Compounding for Life’s Problems

Commonly Compounded Items- Case Examples

Dosage Form Examples