Dosage Forms

Medications can be compounded into dosage forms that are most appropriate to treat each patient. Desired active ingredient(s) can be compounded into many delivery systems to deliver medication directly to the site of action thereby minimizing the risk of systemic side effects.

Our Pharmacy is Capable of Producing the Following Types of Dosage forms and Delivery Systems:

Transdermals

• One of the most widely used compounded delivery systems, transdermal therapy, allows drugs to be introduced through intact skin to achieve systemic or local tissue effect. Transdermal therapies are often employed to eliminate gastrointestinal side effects and to enhance therapy at lower doses by avoiding first pass effect. Transdermals may be prepared as creams, gels, drops, or sprays, although the workhorse is a liposomal delivery system called a PLO gel (pluronic lecithin organogel). A transdermal PLO gel might be used to deliver:
  • Ketoprofen to an inflamed joint in osteoarthritis or injury
  • Ketoprofen/cyclobenzaprine for lower back pain
  • Promethazine to a child's wrist in lieu of a suppository
  • A multi drug regimen to peripheral site in neuropathic pain
  • Bio-identical hormone replacement therapy for systemic effect
  • Nutritional therapy for an autistic child
  • A proprietary therapy for multiple sclerosis
  • A multi drug therapy to control nausea of chemotherapy
  • And many other options

Nasal Sprays

• Nasal Sprays can be prepared to deliver drugs for their effect in the nasopharyngeal tissues or for systemic effect as in treating migraine or chronic pain.

Rectals

• Rectal suppositories, creams, gels, enemas and suspensions can be used for systemic effect or for local effect in the lower colon.

Oil-Filled Capsules

• May be used to enhance absorption of oil soluble drugs.

Chewables

• Chewable forms may be appropriate for children or older adults who have difficulty swallowing tablets or capsules. Chewable does are prepared in many bases including: lollipops, gummy bears, peanut butter, dried fruit, etc.

Nail Treatments

• Fungal nails can be effectively treated without systemic drug exposure using local drug delivery with dimethyl sulfoxide USP, a solvent to carry your choice of antifungal into and through the nail.

Oral Suspensions, Syrups, & Solutions

• Flavored oral suspensions may be prepared for almost any oral use medication when your patient is unable to swallow tablets or capsules. We can prepare hundreds of different flavor combinations to match a specific patient's taste choices.

Topicals

• Topical creams, ointments, gels, sprays, or solutions may be prepared for dermatological therapies or for wound care.

Capsules

• Oral capsules may be used to combine multiple medications into one dose. For specific products or product strengths no longer commercially available, compounding is the answer.

Sublingual Drops

• This form of medication is quickly absorbed under the tongue. As above, variable dose may be accomplished by altering the number of drops per dose.

Vaginals

• Vaginal delivery via suppositories, creams, or gels is primarily used for effect on vaginal mucosa or for delivery of bio-identical hormones.

Sustained Release Capsules

• SR caps may be used to prolong release of active agents to reduce dosing frequency and improve compliance.

Troches/Lozenges

• Provide slower release of drugs for transmucosal delivery. Troches may be gelatin based (soft) or fatty acid based (hard).

Lollipops

• Primarily use to deliver pain medication to specific sites in the mouth and allows the patient to determine how much pain relief they need.

Powders & Powder insufflators

• Treat earaches and wounds with powder for an effective topical use.