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What is Compounding?

Prescription compounding is the age-old practice of producing prescriptions "from scratch", using the latest knowledge and state-of-the-art technology. It was not long ago all prescriptions were individually prepared by the neighborhood pharmacist, but the advent of manufactured medications introduced a "one size fits all" philosophy that transformed the way in which prescriptions were provided. The pharmacist's role has shifted to that of a dispenser, resulting in a vast disconnect between what a patient needs and available medicinal options. Most medications are streamlined and mass produced. However the industry is shifting, and the practice of compounding is advancing as a solution for patients and prescribers who are demanding custom solutions for their health care.

Compounded prescriptions are formulated to provide personalized solutions that address a variety of health and lifestyle needs. The most advanced pharmaceutical knowledge combined with state-of-the-art technology allows the pharmacy staff to produce a customized medicine.

Benefits of Prescription Compounding

Compounded prescriptions are formulated to provide personalized solutions that address a variety of health care needs. We work with our patients’ providers to tailor medications to meet specific needs.

Unique delivery

Customized prescriptions are compounded in a dosage form that best meets the individual patients’ needs, assisting both the patient and physician in reaching desired health goals. This unique delivery absolves challenges met when using commercially produced medications, offering customized options with desirable outcome. Medication compliance is improved because prescriptions can be formulated using specific dosage forms, such as topical creams, suppositories, or liquid drops.

Prescription strength can be tailored according to how much, or how little a patient needs.

Manufactured medications are typically only available in limited doses. Compounding pharmacies can formulate prescription medications into the exact dose needed by the patient. Having the appropriate dose improves outcomes and reduces side effects especially in special populations such as young children, elderly, or pets.

Accommodating to sensitive patients

Medications can be formulated to accommodate patients who are allergic or intolerant to certain agents in mass-produced medications. Common sensitivities are those to preservatives, dyes, lactose, or gluten.

Types of Preparations

We work with practitioners and patients to create medications that meet the patient’s unique individual needs. We do not manufacture pre-formulated medications, but we custom compound preparations for patient. Below are some examples of different dosage forms available for prescription medications.

  • Nasal sprays - Nasal sprays come in a variety of forms. Although delivery methods vary, most nasal sprays function by instilling a fine mist into the nostril by action of a hand-operated pump mechanism.
  • Vaginal douches - A vaginal douche is a process of rinsing or cleaning the vagina by forcing water or another solution into the vaginal cavity to flush away vaginal discharge or other contents. Medicated douches offer a stream of liquid containing medicinal properties to fight bacteria and bring relief to itchy sensitive vaginal areas.
  • Medicated pacifiers - Pacifiers have a chamber where the medication is stored with juice or formula and is slowly released for the baby’s ingestion.
  • Animal treats - crunchy or chewy – Medicated treats can be produced to mask the drug or herb with flavors of with chicken, liver, or fish. Formulated for canine, feline, and avian animals.
  • Capsules - by definition a capsule is a very small container that is filled with medicine and swallowed whole. Capsules can be produced to contain multiple medications, reducing the number of pills required for ingestion. Further, this can include pre-made medications compounded into a smaller dose.
  • Flavorings - We can add flavor to some manufactured medications as well as compounded preparations. Ask about available flavors and how we can help your medications taste better.
  • Alternative Oral Dosage Forms Gummies, Lollipops, Lozenges Troches – Compounded medications provide endless options. Call our consultation department and we will be glad to discuss the options for you or your patient to help improve medication compliance.
  • Suppositories and Rectal Rockets - When oral route is difficult, painful or not possible, a suppository can be inserted through the rectum or vagina. The medication can reach the body without need of oral consumption. The "rectal rocket" is a special suppository design for hemorrhoids that rivals traditional suppositories in three ways:
    • It does not get lost in the rectum, but remains at the point of insertion.
    • It treats internal and external hemorrhoids simultaneously.
    • The patient can expel gas without losing the suppository.
  • Mouth Washes - Oral rinse produced containing one or more of the following agents: antibiotics, antifungals, anesthetics, antihistamines, antacids, or coating agents.
  • Transdermal creams/lotions/gels - Our compounded topical creams are formulated to deliver relief without unpleasant side effects which may be found in oral medications. Transdermal creams and gels are formulated to provide high concentrations directly at the site of pain for trigger point application, or in a base that will allow for systemic absorption. Stomach discomfort, drug dependency, and unwanted side effects such as fatigue, dizziness, and discomfort often accompany traditional manufactured pain medications.


Contact one of our pharmacy staff members to discuss your specific prescription needs.

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Professional Affiliations

PCAB UCM PCCA IACP ACA Epic Mpha