Compounding

We are dedicated to providing each patient with individualized care

What is Compounding

Compounding is the creation of a particular medication to fit the unique needs of an individual patient. To do this, a compounding pharmacy combines or processes appropriate ingredients in a laboratory environment, customized to specific patient needs. Demand for professional compounding has grown in recent years as both patients and doctors have realized that the strengths and dosage forms of commercially available medications are often unable or unsuited to meet the needs of many patients, and that they may have a better response to customized medications.

If can’t fnd an answer to your compounding question in our FAQ or Therapy & Formulas section, please contact Ray Reyhani and his dedicated team of pharmacy professionals at Lauden Integrative Pharmacy who offer compounding services to the people of Capitola and the wider community in CA .

FAQ About Pharmaceutical Compounding

Here is a list of our most asked questions, if you have a question for us feel free to get in touch or call in.

Contact a Lauden Pharmacy pharmacist today to learn more about the benefits of personalized prescription compounding.

Prescription compounding is a rapidly growing component of many prescribers’ practices. Some, however, may not realize the extent of compounding’s resurgence in recent years. Ask your prescriber about compounding; then get in touch with Lauden Integrative Pharmacy –we are committed to providing high-quality compounded medications in the exact dosage form and strength determined by your prescriber.

Through the triad relationship of patient, prescriber and pharmacist, all three can work together to solve unique medical problems in the most effective and productive way.

Compounding has been part of healthcare since the origins of pharmacy, and is widely used today in all areas of the industry, from hospitals to nuclear medicine. Over the last decade, compounding’s resurgence has largely benefited from advances in technology, quality control and research methodology. The Food and Drug Administration has stated that compounded prescriptions are both ethical and legal as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy. In addition, compounding is regulated by state boards of pharmacy.

Compounding may or may not cost more than conventional medication. Its cost depends on the type of dosage form and equipment required, plus the time spent researching and preparing the medication. Fortunately, compounding pharmacists have access to pure-grade quality chemicals which dramatically lower overall costs and allow them to be very competitive with commercially manufactured products.

Almost every insurance plan allows for the patient to be reimbursed by having them send in claim their forms. While you may be paying a pharmacy directly for a compounded prescription, most insurance plans should cover the final cost, less your co-pay or deductible.

Yes. Children and the elderly are often the types of patients who benefit most from compounding. Because of this, we offer specific pediatric compounding medication solutions. Often, parents have a tough time getting their children to take medicine because of the taste. A compounding pharmacist can work directly with the prescriber and the patient to select a flavoring agent, such as vanilla butternut or tutti frutti, which provides both an appropriate match for the medication’s properties and the patient’s taste preferences.

Compounding pharmacists also have helped patients who are experiencing chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. Working with their prescriber’s prescription, a compounding pharmacist can provide them with a topical preparation with the anti-inflammatory or analgesic their doctor has prescribed for them. Compounded prescriptions often are used for pain management in hospital care.

Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy; yet, compounding’s presence in the pharmacy profession has changed over the years. In the 1930s and 1940s, approximately 60% of all medications were compounded. With the advent of drug manufacturing in the 1950s and 1960s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms.

However, within the last two decades, compounding has experienced resurgence as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs.

There are several reasons why pharmacists compound prescription medications. The most important reason is what the medical community calls “patient non-compliance.” Many patients are allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a prescriber’s consent, a compounding pharmacist can change the strength of a medication, alter its form to make it easier for the patient to ingest, or add flavor to make it more palatable. The pharmacist also can prepare the medication using several unique delivery systems, such as a sublingual troche or lozenge, a lollipop, or a transdermal gel or cream that can be absorbed through the skin. For those patients who are having a hard time swallowing a capsule, a compounding pharmacist can make a liquid suspension instead.

Prescription compounding is a rapidly growing component of many prescribers’ practices. Some, however, may not realize the extent of compounding’s resurgence in recent years. Ask your prescriber about compounding; then get in touch with Lauden Integrative Pharmacy –we are committed to providing high-quality compounded medications in the exact dosage form and strength determined by your prescriber.

Through the triad relationship of patient, prescriber and pharmacist, all three can work together to solve unique medical problems in the most effective and productive way.

Contact Us Today!
Give us a call today at (831) 462-9880 or send us a message via our online form to communicate any other questions, comments or concerns you have for the pharmacists at Lauden Integrative Pharmacy.

Compounded Therapies

The prescription should be started with Compounded Medication. Details in the example below. If you are a physician and would like to talk to a pharmacist about formulations or writing a script, please call Lauden Integrative Pharmacy on 831.462.9880 or email info@laudenpharmacy.com

Allergic reactions are a symptom of the immune system adversely reacting to typically harmless substances. Common symptoms of an allergic reaction may include rashes, red eyes, sneezing, a runny nose, shortness of breath, or swelling.

One of the most beneficial uses of compounded medicines is for patients who suffer from allergic reactions to ingredients found in common commercial drugs. A compounding pharmacy is able to break a medication down into it’s base compounds, recreating it with the same active ingredients either removing/replacing the offending substance or making the medication into something safer and less likely to cause an allergic reaction. For example a compounding pharmacy may also be able to combine anti-allergens, such as antihistamines, into a medication if needed.

Autism Formulas

Topical

  • Glutathione 20%/Emu Oil 10% Topical Lipoderm
  • Naltrexone 100 mg/mL Topical Lipoderm

Suppository

  • Glutathione 500 mg Suppository

Every day, women across the country experience a variety of symptoms associated with menopause and hormone imbalance. These include PMS, hot flashes, anxiety, mood swings, irritability, memory lapses and much more. Thankfully, modern medicines can help to relieve these symptoms.

Bioidentical Hormone Replacement Therapy (BHRT) is a cutting-edge solution to a matter facing women every day. It is an alternative to traditional synthetic hormone replacement (HRT) and uses a natural human-identical hormone. The term bioidentical means that the substance that replaces the traditionally utilized synthetic hormone is biologically identical to one made by your own body. These hormones include estrogens, progesterone, DHEA, testosterone, and pregnenolone. Hormone imbalances will vary from woman to woman and a one-size fits all hormone replacement therapy is not optimal. Unlike traditional hormone replacement therapy, the true value of compounded BHRT is that the hormones can be adapted to suit your individual body and hormone levels.

Bioidentical hormones are more readily absorbed by the body and by optimizing the dosage strength the side effects associated with traditional therapies are minimized. This means the hormones work the same way the ones in your body have all your life. BHRT helps women to avoid the typical symptoms of menopause and hormonal imbalance.

  • PMS
  • Mood swings
  • Hot flashes
  • Night sweats
  • Low libido
  • Heart disease
  • Osteoporosis
  • Weight gain
  • Infertility
  • Endometriosis
  • Painful menstruation
  • Fibrocystic breasts

Lauden Integrative Pharmacy  has helped many women with hormone-related problems and we can help you. We offer private consultations with our specially trained
pharmacists. Private consultations allow you to address concerns or questions about
bioidentical hormone replacement therapy. We will work with you and your physician
to test your hormone levels and to develop a customized hormone replacement plan
that best suits you.

If you are suffering from symptoms of menopause, please contact  Ray Reyhani or a
member of his pharmacy team on 831.462.9880. 

BHRT Formulas

  • DHEA 2.5 mg, 5 mg, 10 mg SR Capsule
  • DHEA 25 mg or 50 mg Vaginal Suppository
  • 7-Keto DHEA 10 mg, 12.5 mg, 25 mg or 50 mg Capsule or Troche
  • Estradiol 1 mg/g, 2 mg/g or 3 mg/g Topical Cream
  • Progesterone 5%, 10%, or 20% Topical Cream
  • Progesterone 12.5mg to 300 mg Oil Capsule (non-peanut oil)
  • Progesterone 25mg to 200 mg Vaginal Suppository
  • Testosterone 0.1% or 0.2% Topical Cream
  • Testosterone 2.5 mg/pump in Accupen for Decreased Libido

Oral infections, pain or conditions such as chronic mucositis, may call for specialized treatments and drug delivery methods which may not be commercially available.

We work together with patients and their dentists to create non-commercially available formulations for dental care to increase treatment options helping to minimize patient anxiety and pain.

Mouthwashes and rinses are the most common dosage forms for dental patients. However, other options such as lollipops, gummy bears, troches, sprays, lip balm, oral gel and pastes can all be compounded.

The following are some examples of the dental solutions that Lauden Integrative Pharmacy can provide:

  • Presurgical sedation
  • Oral pain relief lollipops or lozenges
  • Lip balms for viral lesions
  • Topical anesthetics
  • Crown preparation hydrocortisone gels
  • Non-staining antibacterial rinses
  • Oral sedation lollipops
  • Lollipops for oral thrush
  • Mouth rinses for chemotherapy-induced stomatitis
  • Lozenges that help to suppress gag reflex
  • Difficult to find or commercially unavailable medications.

Dentistry Formulas

Stanford mouthwash (Lauden formula)
  • Tetracycline 1.25%
  • Nystatin 100,000U/mL 30mL (in 240mL total)
  • Diphenhydramine 12.5mg/5 mL QS
  • Dexamethasone 0.01%
Magic (Diphen/Mylan/lido/dexam) mouthwash
  • Diphenhydramine 12.5 mg/5 mL 60mL (in 240mL total)
  • Mylanta 60mL (in 240mL total)
  • Lidocaine 2% viscous solution 60mL (in 240mL total)
  • Dexamethasone 0.5mg/5mL 60mL (in 240mL total)
Magic (Diphen/Mylan/lido) mouthwash
  • Diphenhydramine 12.5 mg/5 mL 80mL (in 240mL total)
  • Mylanta 80mL (in 240mL total)
  • Lidocaine 2% viscous solution 80mL (in 240mL total)
Benadyl/Mylan/Lido/Sucralfate Oral rinse
  • Sucralfate 1.67%
  • Diphenhydramine 12.5 mg/5 mL 30mL (in 240 mL total)
  • Mylanta 60mL (in 240 mL total)
  • Lidocaine 2% viscous solution 100mL (in 240 mL total)
Anti-inflammatory steroid mouthwash
  • Fluocinolone 0.01%
Antiviral mouthwash
  • Tetracycline 1.5%
  • Triamcinolone 0.1%
  • Lidocaine 1.0%
  • Deoxy-D-Glucose 0.2%
  • Tetracycline 1.5%
  • Triacinolonge 0.1%
  • Liocaine 1.0%
  • Deoxy-D-Glucose 0.2%
  • Mylanta 90 mL (in 240 mL)
Radiation mouthwash (10 days shelf life)
  • Misoprostol 0.0024%
  • Diphenhydramine 12.5mg/5 mL 96 mL (in 240 mL total)
  • Lidocaine 2% viscous solution QS
  • Flavor

Dermatology is the branch of medicine that deals with the skin and its diseases. Compounding can help the patient in a variety of ways including topical anesthetics, barrier creams for various applications, and all sorts of skin and wound care formulations that improve results.

If a patient is allergic to a medication then some preservatives, perfumes or emulsifying agents can be specifically removed and/or replaced by other ingredients with a low potential to cause allergies.

Active ingredients such as; dithranol, capsaicin, estradiol benzoate, thiabendazole, menthol, or polidocanol for example are not commonly found in commercial preparations. A customized version of the medication can be compounded to add such active ingredients.

The preparation’s strength can be customized to treat the patient with increasing or decreasing quantities of the active ingredient, which is especially useful in long-term care treatments.

There are many treatments that are improved by dermatological compounding Lauden Integrative Pharmacy.

  • Scar Management
  •  Acne
  •  Psoriasis
  •  Eczema
  •  Plant irritations
  •  Anti-fungal
  •  Warts and molluscum
  •  Rosacea
  •  Anti-Wrinkle creams
  •  Skin bleaching creams
  •  Scarring
  •  Keloids
  •  Herpes virus
  •  Sunburn
  •  Wrinkle creams
  •  Anti-oxidant aging creams/gels
  •  Contact and allergic dermatitis
  •  Fever blister meds
  •  Insect bite
  •  Viral infections
  •  Scarring
  •  Radiation/chemotherapy burns
  •  Skin cancer
  •  Allergies

After the skin has been damaged from a burn, trauma, or surgery, scars form as a normal part of healing.Everyone’s scars are different, and it can take up to a year for scars to heal completely.

To speed scar healing and add additional therapy components like pain relief, Lauden Integrative Pharmacy uses a base (Pracasil from PCCA ) with a high concentration of silicones and compounds it with additional medications, for example pain medication.

This compounded medication simultaneously provides pain relief without the side-effects of an oral medication and speeds up scar healing.

Dermatology Formulas

Acne Skin

  • Erythromycin 4%/Hydrocortison 1%/Tretinoin 0.01% Topical Cream
  • Erythromycin 4%/Hydrocortisone 1% Topical Cream
  • Niacinamide 4% Acne Gel
  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide 4%/Lipoic Acid 0.5%/Biotin 0.1% Acne Gel
  • Nicomide Oral Capsule (NIcotinamide/Zinc/Copper/Quatrefolic)

Anal Fissure

  • Diltiazem 2%Topical Ointment
  • Nifedipine 0.5%/Lidocaine 2% Topical Ointment
  • Nitroglycerine 0.2% Topical Ointment

Anti-Aging Face Cream (Firming Cream)

  • Coenzyme Q-10 1%/DMAE 10% Topical Cream

Blister (Skin/Foot Toughener)

  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture

Dry Lip

  • Mandelic Acid 5% Lip Balm

Eye Cream for Puffiness

  • Caffein 1%/Triamcinolone 0.05%/Retinoic Acid 0.05%/Glycolic Acid 2.5% Topical Cream

Hair Loss

  • Saw Palmetto Shampoo 5% Scalp Solution
  • Saw Palmetto 5%/Minoxidil 3% Scalp Solution
  • Hair Restore Scalp Solution (Azelaic Acid 1.0 mg/Estradiol 0.1 mg/Progesterone 10 mg/Liothyronine 1 mcg/mL) For Women
  • Hair Growth Scalp Solution (Azelaic Acid 1 mg/Progesterone 2.5 mg/Testosterone 2.5 mcg/Liothyronine 3 mcg/mL) For Men

Herpes Simples Virus Treatment

  • Gowey Tincture (Sarrancenia Flava) 20% or 30% Topical Versabase Gel

Pigmentation

  • Hydroquinone 4%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 6%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 4%/Tretinoin 0.025%/Betamethasone Valerate 0.1 % Cream
  • Hydroquinone 5%/Tretinoin 0.1%/Triamcinolone 0.1% Versabase Cream (AccuPen)
  • Hydroquinone 4%, 6% or 8% Topical Cream
  • Monobenzone 20% Topical Cream for Vitiligo
  • Salicylic Acid 50% Topical Cream for Aging Spots

Rosacea

  • Niacinamide 4%/Metronidazole 1% topical cream
  • Metronidazole 0.75%/Ivermectin 1% topical cream
  • Ivermectin1%/Niacinamide 4% topical cream

Scar Therapy

  • Betamethasone Valerate 0.1%/Tranilast 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1%/Tranilast 1% Topical Gel (PracaSil-Plus)

Skin Burn Healing Cream

  • L-Ascorbic Acid 15% Topical Cream
  • Alpha-Tocopherol 1% Topical Cream
  • Ferrulic acid 0.5% Topical Cream

Wart Spot Treatment

  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm

Wrinkle Treatment

  • Tretinoin 0.05%/Glycolic Acid 2.5% Topical Gel

 

Allergic reactions are a symptom of the immune system adversely reacting to typically harmless substances. Common symptoms of an allergic reaction may include rashes, red eyes, sneezing, a runny nose, shortness of breath, or swelling. One of the most beneficial uses of compounded medicines is for patients who suffer from allergic reactions to ingredients found in common commercial drugs. A compounding pharmacy is able to break a medication down into it’s base compounds, recreating it with the same active ingredients either removing/replacing the offending substance or making the medication into something safer and less likely to cause an allergic reaction. For example a compounding pharmacy may also be able to combine anti-allergens, such as antihistamines, into a medication if needed.

Low Dose Naltrexone, also known as LDN, is an increasingly popular treatment option for autoimmune conditions, fibromyalgia, pain control and even cancer.

Naltrexone was developed in 1965 and oral Naltrexone (50mg) was approved to treat alcohol use disorders 1984. Naltrexone reduces both the rewarding effects of alcohol and craving for it. Endorphins are opiate-like molecules produced naturally in the body and are important regulators of cell growth, and therefore the immune system.Naltrexone works by causing the body to increase its production of endorphinsand by making the body’s cells more receptive to the available endorphins.

A low dose of Naltrexone (LDN) takes advantage of Naltrexone’s impact on the body’s endorphins but does so for a short period before being metabolized. This method of autoimmune support boosts the natural defenses of one’s own system by helping to increase endorphin production. The elevated levels of endorphins in turn assist in regulating cell growth and immunity.

LDN is used to treat conditions such as:

  • Autoimmune diseases
  •  Chronic fatigue syndrome
  •  Fibromyalgia
  •  Crohn’s disease
  •  Central nervous system disorders
  •  thyroid-related conditions
  •  Alzheimer’s Disease
  •  Multiple Sclerosis
  •  HIV/AIDS
  •  Cancer

If you have been diagnosed with an autoimmune disease or cancer and are looking for support, many patients with autoimmune conditions report significant improvements in their symptoms. Patients report improvement in fatigue, pain and mood after taking LDN. This is done most commonly by taking a dose before bed, LDN then blocks the production of endorphins for several hours thus prompting your body to increase production and the resulting increase in available endorphins benefits the body’s immune system. LDN is easy to administer and virtually free of side effects. The exact low dose differs by patient and condition. Typically, the dose is in the range of 0.5mg to 3.5mg. Achieving an optimal strength for your body and condition is critical.

At Lauden Integrative Pharmacy, we help you find the correct dose of Naltrexone and are then able to compound the correct dose of LDN to suit you.

Men experience many hormonal changes during their lifetime. As men age, the
amount of testosterone produced by their body can decrease. Testosterone is the hormone responsible for sperm production, red blood cell production, muscle growth, libido, energy levels and male sex characteristics such as a deep voice and body hair.

Lowered levels of testosterone can be characterized by symptoms such as:

  • Depression
  • Erectile dysfunction
  • Loss of libido
  • Lethargy
  • Declining muscle tone
  • Osteoporosis
  • Tiredness
  • Irritability or mood swings

If you have been diagnosed with decreased levels of testosterone, then there are many compounded medications that may help you. In consultation with your doctor and our compounding pharmacist, Lauden Speciality Pharmacy can customize hormone replacement medications. For example, a transdermal gel can be compounded to deliver testosterone which can be absorbed more readily than other dosage forms.

Mens Health Formulas

Hair Loss

  • Saw Palmetto Shampoo 5%
  • Saw Palmetto 5%/Minoxidil 3%
  • Hair Growth (Azelaic Acid 1 mg/Progesterone 2.5 mg/Testosterone 2.5 mcg/Liothyronine 3 mcg/mL)

Restoring Hormone Balance

  • Testosterone 5%, 10% or 20% Topical Cream
  • Testosterone 10%/DHEA 5% Topical Cream
  • Testosterone 10%/Chrysin 5% Topical Cream
  • Testosterone 25 mg, 50 mg, 100 mg or 200 mg Troche
  • HCG 1000 U/mL Injection Solution (commercially available)

BHRT Formulas for Men

  • Anastrozole 0.05 mg, 0.1 mg, 0.25 mg, or 0.5 mg Oral Capsules
  • Testosterone Cypropionate Ethyl Oleate 200 mcg/mL Injection Solution
  • Testosterone 5%, 10% or 20% Topical Cream
  • Testosterone 10%/DHEA 5% Topical Cream
  • Testosterone 10%/Chrysin 5% Topical Cream
  • Testosterone 25 mg, 50 mg, 100 mg or 200 mg Troche
  • HCG 1000 U/mL Injection Solution

Nail Fungus Formulas

  • Fluconazole 2 % in DMSO or Alcohol Topical Solution
  • Itraconazole 1%/Ibuprofen 2% in DMSO Topical Solution
  • Terbinafine 2% or 2.5% in DMSO or Alcohol Topical Solution
  • Terbinafine 2% or 2.5%/Miconazole 2% in DMSO or Alcohol Topical Solution

Pain management is among one of the most essential duties of medicine today. Even if the underlying condition is being treated, uncontrolled pain can severely diminish a patient’s quality of life preventing them from working, or taking part in their usual roles in family and society.

Chronic pain has numerous causes, and therefore can be much more difficult to manage than acute pain from a specific injury or condition, and the customized treatment protocols offered by compounded treatments can meet the specific needs of each patient.

Our compounding specialists offer many unique options for pain management. Regardless of origin, and whether the pain is acute or chronic, our efforts are directed at meeting the specific needs of each patient. We work together with patients and their physicians to reach treatment goals.

Oral Dosage Forms
Oral dosage forms can also be customized to meet the specific needs of each patient. For example, we can combine numerous compatible medications into a single dose to make medication management. Medicated lollipops, gummy bears, solutions, and suspensions can also be compounded with added flavors to suit.

Transdermal Dosage Forms
Transdermal medications are medications that are absorbed through the skin. This is very useful for patients who are unable to take an oral medication or have an aversion to injections. Many types of medication can be compounded into a transdermal gel.

Rectal Dosage Forms
Formulations can be delivered as suppositories, solutions and gels. In addition, there is a specialized delivery system which simultaneously applies the medication internally and externally.

Hospice Formulas

Anal Fissure

  • Diltiazem 2% Topical Ointment
  • Nifedipine 0.5%/Lidocaine 2% Topical Ointment
  • Nitroglycerine 0.2% Topical Ointment

Nausea & Vomiting

  • Lorazepam 1 mg/Diphenhydramine 25 mg/Haloperidol 1 mg/Metoclopramide 10 mg/mL Topical Lipoderm (A.B.H.R) Full Strength
  • Lorazepam 0.5 mg/Diphenhydramine 12.5 mg/Haloperidol 0.5 mg/Metoclopramide 10 mg/mL Topical Lipoderm (A.B.H.R) Half Strength
  • Ondansetron 4 mg/0.1 mL Topical Lipoderm
  • Ondansetron 4 mg Rectal Suppository

Liquid Formulations

  • Morphine Sulfate 20 mg/mL, 40 mg/mL Oral Suspension
  • Omeprazole 10 mg/mL or 20 mg/mL Oral Suspensions
  • Ranitidine 10mg/mL, 15 mg/mL or 20 mg/mL Oral Suspension
  • Oxycodone 5mg/mL, 20 mg/mL or 30 mg/mL HCl Oral Solution

Pain

  • Belladonna Extract16.2 mg/Opium 30mg or 60 mg Rectal Suppository
  • Hydrocodone 2.5 mg, 5 mg, 10 mg or 20 mg Capsule
  • Morphine Sulfate 10 mg/mL, 15 mg/mL, 20 mg/mL or 30 mg/mL Topical Lipoderm

Seizure

  • Levetiracetam 500 mg or 1,000 mg Rectal Suppository* Please consult to obtain information on oral to rectal dosing conversion
  • Diazepam 2 mg, 5 mg, 10 mg or 20 mg Rectal Suppository

Wound Care

Treatment of Wounds Without Infection

  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream

Treatment of Infected Wounds

  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel
  • Gentamicin in 0.9% NS 80 mg to 160 mg/1000 mL Irrigation Solution

Treatment of Wounds with Pain

  • Morphine Sulfate 1mg/mL Topical Gel

 

 

 

Pain management is among one of the most essential duties of medicine today. Even if the underlying condition is being treated, uncontrolled pain can severely diminish a patient’s quality of life preventing them from working, or taking part in their usual roles in family and society.

Chronic pain has numerous causes, and therefore can be much more difficult to manage than acute pain from a specific injury or condition, and the customized treatment protocols offered by compounded treatments can meet the specific needs of each patient.

Our compounding specialists offer many unique options for pain management. Regardless of origin, and whether the pain is acute or chronic, our efforts are directed at meeting the specific needs of each patient. We work together with patients and their physicians to reach treatment goals.

Oral Dosage Forms
Oral dosage forms can also be customized to meet the specific needs of each patient. For example, we can combine numerous compatible medications into a single dose to make medication management. Medicated lollipops, gummy bears, solutions, and suspensions can also be compounded with added flavors to suit.

Transdermal Dosage Forms
Transdermal medications are medications that are absorbed through the skin. This is very useful for patients who are unable to take an oral medication or have an aversion to injections. Many types of medication can be compounded into a transdermal gel.

Rectal Dosage Forms
Formulations can be delivered as suppositories, solutions and gels. In addition, there is a specialized delivery system which simultaneously applies the medication internally and externally.

Pain Management Formulas

Doctors: please use this form to conveniently order your preferred formula(s).

Anesthetics Before Laser Procedure

  • Lidocaine 6%/Tetracaine 6% Topical Gel
  • Benzocaine 20%/Lidocaine 4%/Tetracaine 4% (BLT) Topical Gel

Gout

  • Ketoprofen 10%/Lidocaine 5%/Indomethacin 2%/Triamcinolone 0.1 % Topical Cream

High Strength Opiate

  • Hydrocodone 2.5 mg, 5 mg, 10 mg or 20 mg Bitartrate Capsule
  • Levorphanol 1 mg, 2 mg, 3 mg or 4 mg Capsule
  • Morphine Sulfate 20 mg/mL, 40 mg/mL or 50 mg/mL Oral Suspension
  • Morphine Sulfate 10mg/mL, 15 mg/mL, 20 mg/mL, or 40 mg/mL Transdermal Gel
  • Morphine Sulfate 10 mg, 15 mg or 20 mg Rectal Suppository

Inflammatory Pain

  • Diclofenac 10% Topical Cream
  • Diclofenac 3%/Cyclobenzaprine 0.5% Topical Cream
  • Furbiprofen 10%/Cyclobenzaprine 1%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10%/DMSO 10% Topical Cream
  • Ketoprofen 10%/Baclofen 2%/Cyclobenzaprine 2%/Lidocaine 5% Topical Cream
  • Piroxicam 2% or 5% Topical Cream
  • Tramadol 5%/Lidocaine 5%/Cyclobenzaprine 2%/Diclofenac 5%/Menthol 1%/DMSO 5% Topical Lipoderm

Migraine Headache

  • Lidocaine 4% Nasal Spray

Multiple Sclerosis

  • Low Dose Naltrexone HCl 0.5 mg, 1 mg, 3 mg, and 4.5 mg Capsule

Moderate to Severe Pain Due to Spasm of Urinary Tract (Smooth Muscle Spasm)

  • Belladonna Extract 16.2 mg/Opium 30 or 60 mg Rectal Suppository

Neuropathic Pain

  • Ketoprofen 5%/Amitriptyline 2%/Gabapentin 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketoprofen10%/Gabapentin 10%/Cyclobenzaprine 1%/Lidocaine 5%/Baclofen 2% Topical Cream
  • Ketoprofen 5%/Gabapentin 2%/Amitriptyline 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketamine 2%/Gabapentin 5%/Amitriptyline 2%/Lidocaine 5%/Clonidine 0.6% Topical Cream
  • Ketamine 50 mg or 100 mg/Xylitol 7.5% Oral Troche
  • Ketamine 10%/Lidocaine 5%/Tetracine 0.75% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Flurbiprofen 10%/Amitriptyline 2%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Gabapentin 10%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Shingles

  • Ketoprofen 10 %/Acyclovir 5%/Lidocaine 5% Topical Ointment
  • Acyclovir 5%/Lidocaine 2%/Deoxy-D-Glucose 2%/Amitriptyline 0.5% Topical Ointment

Sunburn

  • Diclofenac Sodium 1% Sunburn Gel
  • Ketoprofen 5%/Lidocaine 0.5% Topical Gel
  • Aloe Vera/Lidocaine 0.2% Lotion

Pediatrics is the specialized branch of medical care for infants, children, and adolescents. This is one of the most popular uses for compounded medications since getting a child to take medication can be problematic and commercial dosages have generally been designed for adults.

Commercial medications can often be bitter or unpleasant, and children may be resistant to receiving these medications.

Lauden Integrative Pharmacy can take a bitter tasting medication and add for example a chocolate flavoring to it. Thereby improving the chance that a child will find the medication more appealing. For oral medications, a large variety of different flavors including:

  • Chocolate
  •  Strawberry
  •  Bubblegum
  •  Marshmallow
  •  Mint
  •  Mixed Fruit
  •  Raspberry

Because there is a lack of suitable pediatric dosage forms, Lauden Integrative Pharmacy can formulate alternative doses and dosage forms for your child, including syrups, lollipops, gummy bears, lozenges, or transdermal creams.

Pediatric Formulas

Acne

  • Niacinamide 4% Acne Gel
  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide4%/Lipoic Acid 0.5%/Biotin 0.1% Acne Gel
  • Niconamide Capsule (Nicotinamide/Zinc/Copper/Quatrefolic)

Antifungal/Antiviral

  • Nytatin 200,000 U/Acyclovir 180 mg Popsicle

Autism

  • Glutathione 20%/Emu Oil 10% Topical Lipoderm

Chicken Pox

  • Diphenhydramine 1%/Calamine 8% Topical Cream
  • Diphenhydramine 2%/Hydrocortisone 0.5% Topical Cream
  • Lidocaine 1%/Tetracaine 1% Topical Cream

Diaper Rash

  • Happy Hiney (Boric acid 5%/Phenol 2%/Starch 15%/Zinc Oxide 15%) Ointment

Fever

  • Ibuprofen 100 mg Suppository
  • Ibuprofen 10% Lipoderm Transdermal Gel
  • Ibuprofen 120 mg/5 mL Oral Suspension (Preservative Free/Dye Free)

GI

  • Omeprazole 2 mg/mL Oral Suspension
  • Lansoprazole 3 mg/mL Oral Suspension
  • Ranitidine 150 mg/5 mL Oral Suspension

Nausea & Vomiting

  • Ondansetron 4 mg/0.1 mL Topical Lipoderm
  • Ondansetron 4 mg Rectal Suppository
  • Promethazine 50 mg/mL Topical Lipoderm
  • A.B.H.R. Topical Gel Full Strength (Ativan 1 mg/Benadryl 25 mg/Haloperidol 1 mg/Reglan 10 mg/mL)
  • A.B.H.R. Topical Gel Half Strength (Ativan0.5 mg/Benadryl 12.5 mg/Haloperidol 0.5 mg/Reglan5 mg/mL )

Prevention of Vitamin K Deficient Bleeding(VKDB) for Neonate

  • Vitamin K 1 mg/0.1 mL or 2 mg/0.1 mL in Prefilled Syringe

Topical Anesthetic

  • Lidocaine 1%/Tetracaine 1% Topical Gel

Podiatric medicine is the branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle, and lower extremities.

Penetrant enhancers can be added to topical medicines to improve absorption and compatible medications can be combined into a single dose.

Compounding can be of great help in the treatment of many podiatric conditions:

  •  Inflammation and Pain
  • Diabetic Neuropathy
  •  Non-Surgical Nail Removal
  •  Warts
  •  Nail fungus (Onychomycosis)
  •  Calluses
  •  Hyperhidrosis
  •  Decubitus ulcers
  •  Transdermal anti-inflammatory agents
  •  Skin softeners & moisturizers
  •  Transdermal treatments for neuropathy
  •  Keratinolytic agents
  •  Wound Care
  •  Plantar fasciitis (Heel Spurs)
  •  Anti-fungal foot powders
  •  Muscle & joint pain

Podiatry Formulas

Blister (Skin/Foot Toughener)
  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture
Burning Foot Syndrome
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitiptyline 2%/Baclofen 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
  • Gabapentin 10%/Clonidine 0.2%/Baclofen 1% Topical Lipoderm
Circulation Problems
  • Nifedipine 4% Topical Lipoderm
  • Nitric Oxide Generating System (No-GS) Sodium Nitrite 5% Gel
  • Nitric Oxide Generating System (No-GS) Ascorbic Acid 5% Gel
Diabetic Neuropathy
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 2% Topical Lipoderm
Diabetic Toes
  • Nifedipine 4% Topical Lipoderm
  • Pentoxifylline 5%, 10% or 15% Lipoderm Transdermal
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
Foot Cramps
  • Ketoprofen/ 10%Cyclobenzaprine 2% Topical Lipoderm
  • MaCl 40%/DMSO 20% Topical Cream
Fungal Skin Infections
  • Ketoconazole 2%/Tea Tree Oil 5%/DMSO 40% Antifungal Solution
Heel Spurs
  • Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen2%/Carbamazepine 2% Topical Lipoderm
  • Ibuprofen 20% Lipoderm Gel
Inflammation From Injury
  • Piroxicam 2% or 5% Transdermal Gel
  • Diclofenac Sodium 10% Transdermal Gel
  • Ketoprofen 10% Topical Lipoderm
Nail Fungus
  • Fluconazole 2% in DMSO Topical Solution
  • Terbinafine 2%/Miconazole 2% in DMSO Topical Solution
Nail Removal (Non-Surgical)
  • Urea 40% Ointment
Plantar Fasciitis
  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline 2%/Guaifenesin 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine 2% Topical Lipoderm
  • Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen 2%/Carbamazepine 2% Topical Lipoderm
Plantar Fibroma
  • Verapamil 15% Topical Cream
Rough/Dry Feet
  • Urea 25% Topical Cream
  • Urea 20%/Lactic Acid 5% Topical Cream
Wart
  • Cantharidin Topical Solution
  • Cantharidin Plus (Cantharidin/Podophyllum/Salicylic Acid/Collodion Flexible)Topical Solution
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
Wound Care
Treatment of Wounds Without Infection:
  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream
Treatment of Infected Wounds
  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Gentamicin in 0.9% NS 80mg to 160 mg/1000 mL Irrigating Solution
For Hemostasis
  • Monsel’s Gel (Ferric Subsulfate)

Drug shortages are unfortunately still common. Shortages can occur for many reasons including quality, production delays, and discontinuations.

The FDA publishes a list of drug shortages on its website. https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages

In order to minimize the impact on physicians and patients, FDA allows compounding pharmacies to compound commercial medications that have been discontinued or are on shortage. If your medication is on the FDA drug shortage list, please call Ray Reyhani at Lauden Integrative Pharmacy on 831.461.9880.

Sports Medicine Formulas

Bruises

  • Diclofenac 4% in Arnica Topical Cream

Blister (Skin/Foot Toughener)

  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture

Heel Spurs

  • Ketopr2% in DMSO Topical Solution
  • ofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen2%/Carbamazepine 2% Topical Lipoderm
  • Ibuprofen 20% Lipoderm Gel

Muscle Spasms/Leg Cramps

  • Magnesium Chloride 40%/DMSO 20% Topical Lipoderm

Nail Fungus

  • Fluconazole Terbinafine 2%/Miconazole 2% in DMSO Topical Solution

Nail Removal (Non-Surgical)

  • Urea 40% Ointment

Nausea

  • Ondansetron 4 mg/0.1mLTopical Lipoderm
  • Ondansetron 8 mg Suppository
  • Promethazine 25 mg/mL Topical Lipoderm

Pain

Inflammatory Pain

  • Diclofenac 10% Topical Cream
  • Diclofenac 3%/Cyclobenzaprine 0.5% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10%/DMSO 10% Topical Cream
  • Ketoprofen 10%/Baclofen 2%/Cyclobenzaprine 2%/Lidocaine 5% Topical Cream
  • Piroxicam 2% or 5% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Neuropathic Pain

  • Ketoprofen 5%/Amitriptyline 2%/Gabapentin 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketoprofen10%/Gabapentin 10%/Cyclobenzaprine 1%/Lidocaine 5%/Baclofen 2% Topical Cream
  • Ketoprofen 5%/Gabapentin 2%/Amitriptyline 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketamine 2%/Gabapentin 5%/Amitriptyline 2%/Lidocaine 5%/Clonidine 0.6% Topical Cream
  • Ketamine 50 mg or 100 mg/Xylitol 7.5% Oral Troche
  • Ketamine 10%/Lidocaine 5%/Tetracine 0.75% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Flurbiprofen 10%/Amitriptyline 2%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Gabapentin 10%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Plantar Fasciitis

  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline 2%/Guaifenesin 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine 2% Topical Lipoderm
  • Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen 2%/Carbamazepine 2% Topical Lipoderm

Sunburn

  • Diclofenac Sodium 1.3% Sunburn Gel
  • Ketoprofen 5%/Lidocaine 1% Topical Gel
  • Aloe Vera/Lidocaine 0.2% Lotion

Warts

  • Cantharidin Topical Solution
  • Cantharidin Plus (Cantharidin/Podophyllum/Salicylic Acid/Collodion Flexible)Topical Solution
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm

Hypothyroidism:
Hypothyroidism is a disorder caused when the body’s thyroid gland does not produce enough thyroid hormone. This can cause a person to feel constantly fatigued, cold, and to gain weight. Hypothyroidism is extremely common, but often goes undetected because standard blood tests miss the majority of low thyroid patients. A number of health conditions are shown to be caused by or associated with low tissue thyroid levels, including:

  • Insulin resistance
  • Depression
  • Chronic fatigue syndrome
  • Fibromyalgia
  • Autoimmune disease
  • Iron deficiency

Hyperthyroidism:
Hyperthyroidism is the opposite of hypothyroidism, and is a disorder caused when the body’s thyroid gland produces too much thyroid hormone. This can cause a person to suffer anxiety, insomnia, sweating, and weight loss among other symptoms that can occur when bodily functions speed up due to excess thyroid hormones. A number of serious health conditions can be caused by or associated with excess thyroid hormones, including:

  • Heart problems
  • Eye problem
  • Brittle bones
  • Red, swollen skin
  • Thyrotoxic crisis

Adrenal Fatigue:
Adrenal fatigue is a term applied to a collection of nonspecific symptoms, such as body aches, fatigue, nervousness, sleep disturbances and digestive problems caused by the body’s adrenal glands not performing well enough due to stress, bacterial/viral infections, or hormonal imbalance. People who suffer from Chronic Fatigue Syndrome, Fibromyalgia, as well as premenopausal and menopausal women are particularly susceptible to this.

Compounded medications are available to help treat and/or alleviate all these conditions, please consult with us on 831.462.9880 and ask for Ray Reyhani or a member of his team today.

Urological Formulas

Men
Peyronie’s Disease

  • Verapamil 8% or 15% Topical Gel

Women
Atrophic Vaginitis

  • Estriol 1 mg/g, 2 mg/g or 3 mg/g Vaginal Cream
  • Bacterial Vaginosis
  • Acetic Acid 0.9%/Hydroxyquinoline 0.025% Vaginal Gel
  • Boric Acid 600 mg Vaginal Capsule
  • Chlorhexidine Gluconate 0.5% Vaginal Cream
  • Metronidazole 125mg/Nystatin25,000 U/mL Vaginal Cream

Female Sexual Dysfunction

  • Orga / Scream Cream (Ergoloid Mesylate 0.05%/Aminophylline 3%/L
  • Arginine 6%/Pentoxifylline 5%/ Glycerin 1%)
  • Oxytocin 40 U/mL Nasal Spray
  • Testosterone 5% Topical PLO Gel
  • Testosterone 2.5 mg/pump or 5 mg/pump Topical Cream in Accupen

Genital Warts (External)

  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Idoxuridine 15%/DMSO Topical Solution
  • Imiquimod 0.5% Vaginal Cream

Lichen Sclerosis

  • Clobetasol 0.05% Topical Ointment
  • Gabapentin 6 % Topical Ointment
  • Testosterone 2% Topical Ointment
  • Tretinoin 0.025%Topical Ointment

Trichomonas

  • Metronidazole 500 mg/Nystatin 100,000 U Suppository
  • Paromomycin 6.25% Vaginal Ointment For Resistant Trichomonas
  • Tinidazole 500 mg Suppository For Resistant Trichomonas

Vulvodynia

  • Amitriptyline 2%/Baclofen 2% Vaginal Cream
  • Atropine Sulfate 2.5 mg/Ketoconazole 100 mg/Biotin 100 mg Suppository
  • Estriol 0.05% Vaginal Cream
  • Gabapentin 6% Vaginal Cream
  • Ketamine HCl 5%/Lidocaine HCl 5%/Diazepam 1% Vaginal Cream

Yeast (Candida) Infections

  • Boric Acid 600 mg Vaginal Capsule
  • Acidophilus Lactobacillus 500 mg Vaginal Capsule

Veterinary compounding is a specialty service that helps veterinarians broaden their prescribing abilities and to offer dosage forms and strengths that can treat pets in a more effective manner.

Our Lauden Integrative Pharmacy can prepare:

  • Flavored medication
  • Medication modified by size, strength and dosage form
  • Unavailable medications
  • Combinations of medications to improve compliance

Flavored medication
Getting animals to accept medication can sometimes be a struggle, but a compounded medication can be flavored which may help a dog to accept a beef-flavored tablet or a cat to eat a liver-flavored chew.

Differing medication strengths
Many animal medications come in a standard size, even though different animals even of the same species can vary enormously. For example, with the average Maltese weighing under 7lbs whereas the average Labrador Retriever weighs 10 times as much. Compounded medications allow the veterinarian to scale the dose to suit a pet’s specific size and weight.

Dosage Forms
Many pets don’t like taking pills, however with veterinary compounding a
veterinarian is able to vary the dosage form depending on the medication.
Chewable treats, eardrops, liquid concentrations and transdermal medications
are available.

Veterinary Formulas

Behavioral Issues

  • Amitiptyline HCl 5 mg/0.1 mL or 10 mg/0.1 mL Topical Lipoderm
  • Buspirone 0.3 mg/mL Oral Suspention
  • Buspirone 2.5 mg/0.1 mL, 5 mg/0.1 mL or 10 mg/mL Topical Lipoderm
  • Clomipramine HCl 5 mg/0.1 mL or 10 mg/0.1 mLTopical Lipoderm
  • Clomipramine HCl 3 mg/mL to 6 mg/mL Oral Suspension
  • Fluoxetine 1.5 mg to 20 mg/mL Oral Suspension

Cardiovascular

  • Amlodipine 0.625 mg/mL or 1.25 mg/mL Oral Suspension
  • Amlodipine 0.625 mg/0.2 mL Topical Lipoderm
  • Atenolol 6.25 mg/0.1 mL Topical Lipoderm
  • Atenolol 1.25 mg/mL to 10 mg/mL Oral Suspension
  • Benazepril 5 mg/mL Oral Suspension
  • Enalapril Maleate 1.25 mg/mL to 10 mg/mL Oral Suspension
  • Pimobendan 0.5 mg/mL to 5 mg/mL Oral Suspension

Feline Herpesvirus Infection

  • Idoxuridine 0.1% Ophthalmic Solution
  • Trifluridine 0.5% Ophthalmic Ointment

GI

  • Cisapride 2.5 mg or 5 mg Capsule or Pate
  • Cisapride 10 mg/mL Oral suspension
  • Famotidine 2.5 mg/0.1 mL Topical Gel
  • Famotidine 2.5 mg/mL Oral Suspension

Hyperthyroidism

  • Methimazole 2.5 mg/0.1 mL or 5 mg/0.1 mL Transdermal Gel
  • Methimazole 2.5 mg/mL 5 mg/mL Oral Suspension
  • Methimazole 2.5 mg or 5 mg Capsule/Pate/Chewy Treat

Keratoconjunctivitis Sicca (Dry Eyes)

  • Cyclosporine 0.5% to 2% Oil Ophthalmic Suspension
  • Cyclosporine 0.2% Ophthalmic Ointment
  • Tacrolimus 0.02% or 0.03% Oil Ophthalmic Suspension
  • Tacrolimus 0.02% or 0.03% Ophthalmic Ointment

Lack of Appetite

  • Cyproheptadine 100 mg/mL Oral Suspension
  • Mirtazepine 0.5 mg to 5 mg Pate/Capsule/Oral Suspension

Poison Control

  • Apomorphine HCl 3 mg Ophtahlmic Nonstrile Capsule
  • Phosphate Binders
  • Aluminum Hydroxide 50 mg/mL to 200 mg/mL Oral Suspension

Seizures

  • Diazepam 2 mg or 5 mg Rectal suppository
  • Phenobarbital 30 mg/mL Oral Suspension
  • Potassium Bromide 200 mg/mL Oral Solution

Squamous Cell Carcinoma Ointment (Equine)

  • Bloodroot 5%/Zinc Chloride 20% Topical Ointment

Transitional Bladder Carcinoma

  • Piroxicam 2 mg/mL Oral Suspension
  • Piroxicam 1 mg, 5 mg, 10 mg or 15 mg Capsule

Urinary Incontinence

  • Diethylstilbestrol(DES) 0.1 mg, 0.2 mg, 0.3 mg, 0.4 mg, 0.5 mg, or 0.6 mg Capsule

Other Suspensions for Vet use

  • Chloramphenicol 250 mg/mLOral Suspension
  • Ciprofloxacin 50 mg/mL Oral Suspension
  • Doxycycline 10 mg/mL Oil Oral Suspension
  • Enrofloxacin 200 mg/mLOral Suspension
  • Gabapentin 50 mg/mL Oral Suspension
  • Itraconazole 150 mg/mL Oral Suspension
  • Metronidazole 125 mg/mL Oral Suspension
  • Sildenafil Citrate 10 mg/mL Oral Suspension
  • Tetracycline 100 mg/mL Oral Suspension
  • Ursodiol 60 mg/mLOral Suspension

Women’s Health Formulas

Anti-Aging Face Cream (Firming Cream)

  • Coenzyme Q-10 1%/DMAE 10% Topical Cream

Atrophic Vaginitis

  • Estriol 1 mg/g, 2 mg/g, or 3 mg/g Vaginal Cream

Bacterial Vaginosis

  • Metronidazole125 mg/mL/Nystatin 25,000 U/mL Vaginal Cream
  • Chlorhexidine Gluconate 0.5% Vaginal Gel
  • Acetic Acid 0.9%/Hydroxyquinoline 0.025% Vaginal Gel
  • Boric Acid 600 mg Vaginal Capsule

Endometriosis

  • Danazole 50 mg Vaginal Suppository
  • Progesterone 100 mg, 200 mg or 300 mg Vaginal Suppository

Face Cream

  • Hydroquinone 4%/Tretinoin0.05%/Fluocinolone 0.01% Cream (For Pigmentation)
  • Hydroquinone 6%/Tretinoin 0.05%/Fluocinolone 0.01% Cream (For Pigmentation)
  • Kojic Acid 6%/Hydroquinone 6%/Hydrocortisone 0.5%/Tretinoin 0.005% Cream (For Pigmentation)
  • Kojic Acid 4%/Arbutin 2% Cream (For Pigmentation)
  • Hydroquinone 10%/Ascorbic Acid 20%/Kojic Acid 5% Cream (For pigmentation)
  • Caffein 1.0%/Triamcinolone 0.05%/Retinoic Acid 0.05% Cream (For Under Eye Puffiness)

Female Sexual Dysfunction

  • Oxytocin 40 U/mL Nasal Spray
  • Testosterone 5% PLO Gel
  • Testosterone 2.5 mg/pump Accupen Cream
  • Orga or Scream Cream (Ergoloid Mesylate 0.05%/Aminophylline 3%/L-Arginine 6%/Pentoxifylline 5%/ Glycerin 1%)

Genital Warts (External)

  • Imiquimod 0.5% Vaginal Cream
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Idoxuridine 15%/DMSO Topical Solution

Hair Loss

  • Saw Palmetto Shampoo 5% Scalp Solution
  • Saw Palmetto 5%/Minoxidil 3% Scalp Solution
  • Hair Restore Scalp Solution (Azelaic Acid 1 mg/Estradiol 0.1 mg/Progesterone 10 mg /Liothyronine 1 mcg/mL)

Lactation

  • Oxytocin 10 U/mL or 20 U/mL Nasal Spray
  • All Purpose Nipple Cream(Mupirocin 1%/Betamethasone 0.5%/Miconazole 2%)
  • Call for more options

Lichen Sclerosis

  • Clobetasol 0.05% Topical Ointment
  • Testosterone 2% Topical Ointment
  • Tretinoin 0.025%Topical Ointment
  • Gabapentin 6 % Topical Ointment

Meniere’s Disease

  • Betahistine Dihydrochloride 8 mg Capsule

Pelvic Pain

  • Diazepam 5 mg Vaginal Suppository
  • Ibuprofen 20% Topical Lipoderm
  • Ketoprofen 10% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine HCl 2% Topical Lipoderm
  • Ibuprofen 600 mg Suppository

Pregnancy

  • 17-alpha-hydroxyprogesterone 250 mg/mL injection (5 mL/Vial)

Pregnancy Nausea/Vomiting

  • Ginger 200 mg Root Lollipop
  • Ondasetron 4 mg/0.1 mL Topical Lipoderm
  • Promethazine HCl 25 mg/g Topical Lipoderm
  • Doxylamine Succinate 10 mg/Pyridoxine HCl 10 mg Suppository

Prevention of Vitamin K Deficient Bleeding(VKDB) for Neonate

  • Vitamin K 1 mg/0.1 mL or 2 mg/0.1 mL in Prefilled Syringe

Raynaud’s Phenomenon

  • Nifedipine 4% Topical Lipoderm
  • Nitric Oxide Generating System (No-GS)(Ascorbic acid/Sodium Nitrite) Gel

Rosacea

  • Metronidazole1%/Niacinamide 4% Topical Gel
  • Nicotinamide Adenine Dinucleotide 1% Topical Ointment
  • Dapsone 5% Topical Cream

Trichomonas

  • Metronidazole 500 mg/Nystatin 100,000 U Suppository
  • Tinidazole 500 mg Suppository For Resistant Trichomonas
  • Paromomycin 6.25% Vaginal Ointment For Resistant Trichomonas

Vulvodynia

  • Amitriptyline 2%/Baclofen 2% Vaginal Cream
  • Gabapentin 6% Vaginal Cream
  • Atropine Sulfate 2.5 mg/Ketoconazole 100 mg/Biotin 100 mg Suppository
  • Estriol 0.05% Vaginal Cream
  • Ketamine HCl 5%/Lidocaine HCl 5%/Diazepam 1% Vaginal Cream

Ovulation Induction

  • HCG (Human Chorionic Gonadotropin) 1,000 U/mL Injection Solution

Yeast (Candida) Infections

  • Boric Acid 600 mg Vaginal Capsule
  • Acidophilus Lctobacillus 500 mg Vaginal Capsule

Wound Care Formulas

For Hemostasis

  • Monsel’s Gel (Ferric Subsulfate)

Treatment of Wounds Without Infection

  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream

Treatment of Infected Wounds

  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel
  • Gentamicin in 0.9% NS 80 mg to 160 mg/1000 mL Irrigation Solution

Treatment of Woulds with Pain

  • Morphine Sulfate 1mg/mL Topical Gel

Our Compounding Formulas

Doctors: please use these formulas to conveniently order your preferred formula(s).

The prescription should be started with Compounded Medication. Details in the example below. If you are a physician and would like to talk to a pharmacist about formulations or writing a script, please call Lauden Integrative Pharmacy on 831.462.9880 or email info@laudenpharmacy.co

Autism Formulas

Topical

  • Glutathione 20%/Emu Oil 10% Topical Lipoderm
  • Naltrexone 100 mg/mL Topical Lipoderm

Suppository

  • Glutathione 500 mg Suppository

BHRT Formulas

  • DHEA 2.5 mg, 5 mg, 10 mg SR Capsule
  • DHEA 25 mg or 50 mg Vaginal Suppository
  • 7-Keto DHEA 10 mg, 12.5 mg, 25 mg or 50 mg Capsule or Troche
  • Estradiol 1 mg/g, 2 mg/g or 3 mg/g Topical Cream
  • Progesterone 5%, 10%, or 20% Topical Cream
  • Progesterone 12.5mg to 300 mg Oil Capsule (non-peanut oil)
  • Progesterone 25mg to 200 mg Vaginal Suppository
  • Testosterone 0.1% or 0.2% Topical Cream
  • Testosterone 2.5 mg/pump in Accupen for Decreased Libido

Dentistry Formulas

Stanford mouthwash (Lauden formula)
  • Tetracycline 1.25%
  • Nystatin 100,000U/mL 30mL (in 240mL total)
  • Diphenhydramine 12.5mg/5 mL QS
  • Dexamethasone 0.01%
Magic (Diphen/Mylan/lido/dexam) mouthwash
  • Diphenhydramine 12.5 mg/5 mL 60mL (in 240mL total)
  • Mylanta 60mL (in 240mL total)
  • Lidocaine 2% viscous solution 60mL (in 240mL total)
  • Dexamethasone 0.5mg/5mL 60mL (in 240mL total)
Magic (Diphen/Mylan/lido) mouthwash
  • Diphenhydramine 12.5 mg/5 mL 80mL (in 240mL total)
  • Mylanta 80mL (in 240mL total)
  • Lidocaine 2% viscous solution 80mL (in 240mL total)
Benadyl/Mylan/Lido/Sucralfate Oral rinse
  • Sucralfate 1.67%
  • Diphenhydramine 12.5 mg/5 mL 30mL (in 240 mL total)
  • Mylanta 60mL (in 240 mL total)
  • Lidocaine 2% viscous solution 100mL (in 240 mL total)
Anti-inflammatory steroid mouthwash
  • Fluocinolone 0.01%
Antiviral mouthwash
  • Tetracycline 1.5%
  • Triamcinolone 0.1%
  • Lidocaine 1.0%
  • Deoxy-D-Glucose 0.2%
  • Tetracycline 1.5%
  • Triacinolonge 0.1%
  • Liocaine 1.0%
  • Deoxy-D-Glucose 0.2%
  • Mylanta 90 mL (in 240 mL)
Radiation mouthwash (10 days shelf life)
  • Misoprostol 0.0024%
  • Diphenhydramine 12.5mg/5 mL 96 mL (in 240 mL total)
  • Lidocaine 2% viscous solution QS
  • Flavor

Dermatology Formulas

Acne Skin

  • Erythromycin 4%/Hydrocortison 1%/Tretinoin 0.01% Topical Cream
  • Erythromycin 4%/Hydrocortisone 1% Topical Cream
  • Niacinamide 4% Acne Gel
  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide 4%/Lipoic Acid 0.5%/Biotin 0.1% Acne Gel
  • Nicomide Oral Capsule (NIcotinamide/Zinc/Copper/Quatrefolic)

Anal Fissure

  • Diltiazem 2%Topical Ointment
  • Nifedipine 0.5%/Lidocaine 2% Topical Ointment
  • Nitroglycerine 0.2% Topical Ointment

Anti-Aging Face Cream (Firming Cream)

  • Coenzyme Q-10 1%/DMAE 10% Topical Cream

Blister (Skin/Foot Toughener)

  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture

Dry Lip

  • Mandelic Acid 5% Lip Balm

Eye Cream for Puffiness

  • Caffein 1%/Triamcinolone 0.05%/Retinoic Acid 0.05%/Glycolic Acid 2.5% Topical Cream

Hair Loss

  • Saw Palmetto Shampoo 5% Scalp Solution
  • Saw Palmetto 5%/Minoxidil 3% Scalp Solution
  • Hair Restore Scalp Solution (Azelaic Acid 1.0 mg/Estradiol 0.1 mg/Progesterone 10 mg/Liothyronine 1 mcg/mL) For Women
  • Hair Growth Scalp Solution (Azelaic Acid 1 mg/Progesterone 2.5 mg/Testosterone 2.5 mcg/Liothyronine 3 mcg/mL) For Men

Herpes Simples Virus Treatment

  • Gowey Tincture (Sarrancenia Flava) 20% or 30% Topical Versabase Gel

Pigmentation

  • Hydroquinone 4%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 6%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 4%/Tretinoin 0.025%/Betamethasone Valerate 0.1 % Cream
  • Hydroquinone 5%/Tretinoin 0.1%/Triamcinolone 0.1% Versabase Cream (AccuPen)
  • Hydroquinone 4%, 6% or 8% Topical Cream
  • Monobenzone 20% Topical Cream for Vitiligo
  • Salicylic Acid 50% Topical Cream for Aging Spots

Rosacea

  • Niacinamide 4%/Metronidazole 1% topical cream
  • Metronidazole 0.75%/Ivermectin 1% topical cream
  • Ivermectin1%/Niacinamide 4% topical cream

Scar Therapy

  • Betamethasone Valerate 0.1%/Tranilast 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1%/Tranilast 1% Topical Gel (PracaSil-Plus)

Skin Burn Healing Cream

  • L-Ascorbic Acid 15% Topical Cream
  • Alpha-Tocopherol 1% Topical Cream
  • Ferrulic acid 0.5% Topical Cream

Wart Spot Treatment

  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm

Wrinkle Treatment

  • Tretinoin 0.05%/Glycolic Acid 2.5% Topical Gel
 

Hospice Formulas

Anal Fissure

  • Diltiazem 2% Topical Ointment
  • Nifedipine 0.5%/Lidocaine 2% Topical Ointment
  • Nitroglycerine 0.2% Topical Ointment

Nausea & Vomiting

  • Lorazepam 1 mg/Diphenhydramine 25 mg/Haloperidol 1 mg/Metoclopramide 10 mg/mL Topical Lipoderm (A.B.H.R) Full Strength
  • Lorazepam 0.5 mg/Diphenhydramine 12.5 mg/Haloperidol 0.5 mg/Metoclopramide 10 mg/mL Topical Lipoderm (A.B.H.R) Half Strength
  • Ondansetron 4 mg/0.1 mL Topical Lipoderm
  • Ondansetron 4 mg Rectal Suppository

Liquid Formulations

  • Morphine Sulfate 20 mg/mL, 40 mg/mL Oral Suspension
  • Omeprazole 10 mg/mL or 20 mg/mL Oral Suspensions
  • Ranitidine 10mg/mL, 15 mg/mL or 20 mg/mL Oral Suspension
  • Oxycodone 5mg/mL, 20 mg/mL or 30 mg/mL HCl Oral Solution

Pain

  • Belladonna Extract16.2 mg/Opium 30mg or 60 mg Rectal Suppository
  • Hydrocodone 2.5 mg, 5 mg, 10 mg or 20 mg Capsule
  • Morphine Sulfate 10 mg/mL, 15 mg/mL, 20 mg/mL or 30 mg/mL Topical Lipoderm

Seizure

  • Levetiracetam 500 mg or 1,000 mg Rectal Suppository* Please consult to obtain information on oral to rectal dosing conversion
  • Diazepam 2 mg, 5 mg, 10 mg or 20 mg Rectal Suppository

Wound Care

Treatment of Wounds Without Infection

  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream

Treatment of Infected Wounds

  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel
  • Gentamicin in 0.9% NS 80 mg to 160 mg/1000 mL Irrigation Solution

Treatment of Wounds with Pain

  • Morphine Sulfate 1mg/mL Topical Gel

Mens Health Formulas

Hair Loss

  • Saw Palmetto Shampoo 5%
  • Saw Palmetto 5%/Minoxidil 3%
  • Hair Growth (Azelaic Acid 1 mg/Progesterone 2.5 mg/Testosterone 2.5 mcg/Liothyronine 3 mcg/mL)

Restoring Hormone Balance

  • Testosterone 5%, 10% or 20% Topical Cream
  • Testosterone 10%/DHEA 5% Topical Cream
  • Testosterone 10%/Chrysin 5% Topical Cream
  • Testosterone 25 mg, 50 mg, 100 mg or 200 mg Troche
  • HCG 1000 U/mL Injection Solution (commercially available)

BHRT Formulas for Men

  • Anastrozole 0.05 mg, 0.1 mg, 0.25 mg, or 0.5 mg Oral Capsules
  • Testosterone Cypropionate Ethyl Oleate 200 mcg/mL Injection Solution
  • Testosterone 5%, 10% or 20% Topical Cream
  • Testosterone 10%/DHEA 5% Topical Cream
  • Testosterone 10%/Chrysin 5% Topical Cream
  • Testosterone 25 mg, 50 mg, 100 mg or 200 mg Troche
  • HCG 1000 U/mL Injection Solution

Nail Fungus Formulas

  • Fluconazole 2 % in DMSO or Alcohol Topical Solution
  • Itraconazole 1%/Ibuprofen 2% in DMSO Topical Solution
  • Terbinafine 2% or 2.5% in DMSO or Alcohol Topical Solution
  • Terbinafine 2% or 2.5%/Miconazole 2% in DMSO or Alcohol Topical Solution

Pain Management Formulas

Doctors: please use this form to conveniently order your preferred formula(s).

Anesthetics Before Laser Procedure

  • Lidocaine 6%/Tetracaine 6% Topical Gel
  • Benzocaine 20%/Lidocaine 4%/Tetracaine 4% (BLT) Topical Gel

Gout

  • Ketoprofen 10%/Lidocaine 5%/Indomethacin 2%/Triamcinolone 0.1 % Topical Cream

High Strength Opiate

  • Hydrocodone 2.5 mg, 5 mg, 10 mg or 20 mg Bitartrate Capsule
  • Levorphanol 1 mg, 2 mg, 3 mg or 4 mg Capsule
  • Morphine Sulfate 20 mg/mL, 40 mg/mL or 50 mg/mL Oral Suspension
  • Morphine Sulfate 10mg/mL, 15 mg/mL, 20 mg/mL, or 40 mg/mL Transdermal Gel
  • Morphine Sulfate 10 mg, 15 mg or 20 mg Rectal Suppository

Inflammatory Pain

  • Diclofenac 10% Topical Cream
  • Diclofenac 3%/Cyclobenzaprine 0.5% Topical Cream
  • Furbiprofen 10%/Cyclobenzaprine 1%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10%/DMSO 10% Topical Cream
  • Ketoprofen 10%/Baclofen 2%/Cyclobenzaprine 2%/Lidocaine 5% Topical Cream
  • Piroxicam 2% or 5% Topical Cream
  • Tramadol 5%/Lidocaine 5%/Cyclobenzaprine 2%/Diclofenac 5%/Menthol 1%/DMSO 5% Topical Lipoderm

Migraine Headache

  • Lidocaine 4% Nasal Spray

Multiple Sclerosis

  • Low Dose Naltrexone HCl 0.5 mg, 1 mg, 3 mg, and 4.5 mg Capsule

Moderate to Severe Pain Due to Spasm of Urinary Tract (Smooth Muscle Spasm)

  • Belladonna Extract 16.2 mg/Opium 30 or 60 mg Rectal Suppository

Neuropathic Pain

  • Ketoprofen 5%/Amitriptyline 2%/Gabapentin 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketoprofen10%/Gabapentin 10%/Cyclobenzaprine 1%/Lidocaine 5%/Baclofen 2% Topical Cream
  • Ketoprofen 5%/Gabapentin 2%/Amitriptyline 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketamine 2%/Gabapentin 5%/Amitriptyline 2%/Lidocaine 5%/Clonidine 0.6% Topical Cream
  • Ketamine 50 mg or 100 mg/Xylitol 7.5% Oral Troche
  • Ketamine 10%/Lidocaine 5%/Tetracine 0.75% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Flurbiprofen 10%/Amitriptyline 2%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Gabapentin 10%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Shingles

  • Ketoprofen 10 %/Acyclovir 5%/Lidocaine 5% Topical Ointment
  • Acyclovir 5%/Lidocaine 2%/Deoxy-D-Glucose 2%/Amitriptyline 0.5% Topical Ointment

Sunburn

  • Diclofenac Sodium 1% Sunburn Gel
  • Ketoprofen 5%/Lidocaine 0.5% Topical Gel
  • Aloe Vera/Lidocaine 0.2% Lotion

Pediatrics is the specialized branch of medical care for infants, children, and adolescents. This is one of the most popular uses for compounded medications since getting a child to take medication can be problematic and commercial dosages have generally been designed for adults.

Commercial medications can often be bitter or unpleasant, and children may be resistant to receiving these medications.

Lauden Integrative Pharmacy can take a bitter tasting medication and add for example a chocolate flavoring to it. Thereby improving the chance that a child will find the medication more appealing. For oral medications, a large variety of different flavors including:

  • Chocolate
  •  Strawberry
  •  Bubblegum
  •  Marshmallow
  •  Mint
  •  Mixed Fruit
  •  Raspberry

Because there is a lack of suitable pediatric dosage forms, Lauden Integrative Pharmacy can formulate alternative doses and dosage forms for your child, including syrups, lollipops, gummy bears, lozenges, or transdermal creams.

Pediatric Formulas

Acne

  • Niacinamide 4% Acne Gel
  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide4%/Lipoic Acid 0.5%/Biotin 0.1% Acne Gel
  • Niconamide Capsule (Nicotinamide/Zinc/Copper/Quatrefolic)

Antifungal/Antiviral

  • Nytatin 200,000 U/Acyclovir 180 mg Popsicle

Autism

  • Glutathione 20%/Emu Oil 10% Topical Lipoderm

Chicken Pox

  • Diphenhydramine 1%/Calamine 8% Topical Cream
  • Diphenhydramine 2%/Hydrocortisone 0.5% Topical Cream
  • Lidocaine 1%/Tetracaine 1% Topical Cream

Diaper Rash

  • Happy Hiney (Boric acid 5%/Phenol 2%/Starch 15%/Zinc Oxide 15%) Ointment

Fever

  • Ibuprofen 100 mg Suppository
  • Ibuprofen 10% Lipoderm Transdermal Gel
  • Ibuprofen 120 mg/5 mL Oral Suspension (Preservative Free/Dye Free)

GI

  • Omeprazole 2 mg/mL Oral Suspension
  • Lansoprazole 3 mg/mL Oral Suspension
  • Ranitidine 150 mg/5 mL Oral Suspension

Nausea & Vomiting

  • Ondansetron 4 mg/0.1 mL Topical Lipoderm
  • Ondansetron 4 mg Rectal Suppository
  • Promethazine 50 mg/mL Topical Lipoderm
  • A.B.H.R. Topical Gel Full Strength (Ativan 1 mg/Benadryl 25 mg/Haloperidol 1 mg/Reglan 10 mg/mL)
  • A.B.H.R. Topical Gel Half Strength (Ativan0.5 mg/Benadryl 12.5 mg/Haloperidol 0.5 mg/Reglan5 mg/mL )

Prevention of Vitamin K Deficient Bleeding(VKDB) for Neonate

  • Vitamin K 1 mg/0.1 mL or 2 mg/0.1 mL in Prefilled Syringe

Topical Anesthetic

  • Lidocaine 1%/Tetracaine 1% Topical Gel

Podiatry Formulas

Blister (Skin/Foot Toughener)
  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture
Burning Foot Syndrome
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitiptyline 2%/Baclofen 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
  • Gabapentin 10%/Clonidine 0.2%/Baclofen 1% Topical Lipoderm
Circulation Problems
  • Nifedipine 4% Topical Lipoderm
  • Nitric Oxide Generating System (No-GS) Sodium Nitrite 5% Gel
  • Nitric Oxide Generating System (No-GS) Ascorbic Acid 5% Gel
Diabetic Neuropathy
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 2% Topical Lipoderm
Diabetic Toes
  • Nifedipine 4% Topical Lipoderm
  • Pentoxifylline 5%, 10% or 15% Lipoderm Transdermal
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical Lipoderm
Foot Cramps
  • Ketoprofen/ 10%Cyclobenzaprine 2% Topical Lipoderm
  • MaCl 40%/DMSO 20% Topical Cream
Fungal Skin Infections
  • Ketoconazole 2%/Tea Tree Oil 5%/DMSO 40% Antifungal Solution
Heel Spurs
  • Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen2%/Carbamazepine 2% Topical Lipoderm
  • Ibuprofen 20% Lipoderm Gel
Inflammation From Injury
  • Piroxicam 2% or 5% Transdermal Gel
  • Diclofenac Sodium 10% Transdermal Gel
  • Ketoprofen 10% Topical Lipoderm
Nail Fungus
  • Fluconazole 2% in DMSO Topical Solution
  • Terbinafine 2%/Miconazole 2% in DMSO Topical Solution
Nail Removal (Non-Surgical)
  • Urea 40% Ointment
Plantar Fasciitis
  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline 2%/Guaifenesin 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine 2% Topical Lipoderm
  • Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen 2%/Carbamazepine 2% Topical Lipoderm
Plantar Fibroma
  • Verapamil 15% Topical Cream
Rough/Dry Feet
  • Urea 25% Topical Cream
  • Urea 20%/Lactic Acid 5% Topical Cream
Wart
  • Cantharidin Topical Solution
  • Cantharidin Plus (Cantharidin/Podophyllum/Salicylic Acid/Collodion Flexible)Topical Solution
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
Wound Care
Treatment of Wounds Without Infection:
  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream
Treatment of Infected Wounds
  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Gentamicin in 0.9% NS 80mg to 160 mg/1000 mL Irrigating Solution
For Hemostasis
  • Monsel’s Gel (Ferric Subsulfate)

 

Sports Medicine Formulas

Bruises

  • Diclofenac 4% in Arnica Topical Cream

Blister (Skin/Foot Toughener)

  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture

Heel Spurs

  • Ketopr2% in DMSO Topical Solution
  • ofen 10% Topical Lipoderm
  • Amitriptyline 2%/Baclofen 5%/Ketamine 5%/Ketoprofen 10% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen2%/Carbamazepine 2% Topical Lipoderm
  • Ibuprofen 20% Lipoderm Gel

Muscle Spasms/Leg Cramps

  • Magnesium Chloride 40%/DMSO 20% Topical Lipoderm

Nail Fungus

  • Fluconazole Terbinafine 2%/Miconazole 2% in DMSO Topical Solution

Nail Removal (Non-Surgical)

  • Urea 40% Ointment

Nausea

  • Ondansetron 4 mg/0.1mLTopical Lipoderm
  • Ondansetron 8 mg Suppository
  • Promethazine 25 mg/mL Topical Lipoderm

Pain

Inflammatory Pain

  • Diclofenac 10% Topical Cream
  • Diclofenac 3%/Cyclobenzaprine 0.5% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10% Topical Cream
  • Ketoprofen 10% or 20%/Lidocaine 5% or 10%/DMSO 10% Topical Cream
  • Ketoprofen 10%/Baclofen 2%/Cyclobenzaprine 2%/Lidocaine 5% Topical Cream
  • Piroxicam 2% or 5% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Neuropathic Pain

  • Ketoprofen 5%/Amitriptyline 2%/Gabapentin 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketoprofen10%/Gabapentin 10%/Cyclobenzaprine 1%/Lidocaine 5%/Baclofen 2% Topical Cream
  • Ketoprofen 5%/Gabapentin 2%/Amitriptyline 2%/Lidocaine 5%/Tetracaine 2% Topical Cream
  • Ketamine 2%/Gabapentin 5%/Amitriptyline 2%/Lidocaine 5%/Clonidine 0.6% Topical Cream
  • Ketamine 50 mg or 100 mg/Xylitol 7.5% Oral Troche
  • Ketamine 10%/Lidocaine 5%/Tetracine 0.75% Topical Cream
  • Flurbiprofen 10%/Cyclobenzaprine 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Flurbiprofen 10%/Amitriptyline 2%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm
  • Gabapentin 10%/Lidocaine 2%/Prilocaine 2% Topical Lipoderm

Plantar Fasciitis

  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline 2%/Guaifenesin 2% Topical Lipoderm
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline 2% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine 2% Topical Lipoderm
  • Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical Lipoderm
  • Amitriptyline 2%/Ketoprofen 2%/Carbamazepine 2% Topical Lipoderm

Sunburn

  • Diclofenac Sodium 1.3% Sunburn Gel
  • Ketoprofen 5%/Lidocaine 1% Topical Gel
  • Aloe Vera/Lidocaine 0.2% Lotion

Warts

  • Cantharidin Topical Solution
  • Cantharidin Plus (Cantharidin/Podophyllum/Salicylic Acid/Collodion Flexible)Topical Solution
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm

Urological Formulas

Men
Peyronie’s Disease

  • Verapamil 8% or 15% Topical Gel

Women
Atrophic Vaginitis

  • Estriol 1 mg/g, 2 mg/g or 3 mg/g Vaginal Cream
  • Bacterial Vaginosis
  • Acetic Acid 0.9%/Hydroxyquinoline 0.025% Vaginal Gel
  • Boric Acid 600 mg Vaginal Capsule
  • Chlorhexidine Gluconate 0.5% Vaginal Cream
  • Metronidazole 125mg/Nystatin25,000 U/mL Vaginal Cream

Female Sexual Dysfunction

  • Orga / Scream Cream (Ergoloid Mesylate 0.05%/Aminophylline 3%/L
  • Arginine 6%/Pentoxifylline 5%/ Glycerin 1%)
  • Oxytocin 40 U/mL Nasal Spray
  • Testosterone 5% Topical PLO Gel
  • Testosterone 2.5 mg/pump or 5 mg/pump Topical Cream in Accupen

Genital Warts (External)

  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Idoxuridine 15%/DMSO Topical Solution
  • Imiquimod 0.5% Vaginal Cream

Lichen Sclerosis

  • Clobetasol 0.05% Topical Ointment
  • Gabapentin 6 % Topical Ointment
  • Testosterone 2% Topical Ointment
  • Tretinoin 0.025%Topical Ointment

Trichomonas

  • Metronidazole 500 mg/Nystatin 100,000 U Suppository
  • Paromomycin 6.25% Vaginal Ointment For Resistant Trichomonas
  • Tinidazole 500 mg Suppository For Resistant Trichomonas

Vulvodynia

  • Amitriptyline 2%/Baclofen 2% Vaginal Cream
  • Atropine Sulfate 2.5 mg/Ketoconazole 100 mg/Biotin 100 mg Suppository
  • Estriol 0.05% Vaginal Cream
  • Gabapentin 6% Vaginal Cream
  • Ketamine HCl 5%/Lidocaine HCl 5%/Diazepam 1% Vaginal Cream

Yeast (Candida) Infections

  • Boric Acid 600 mg Vaginal Capsule
  • Acidophilus Lactobacillus 500 mg Vaginal Capsule

Women’s Health Formulas

Anti-Aging Face Cream (Firming Cream)

  • Coenzyme Q-10 1%/DMAE 10% Topical Cream

Atrophic Vaginitis

  • Estriol 1 mg/g, 2 mg/g, or 3 mg/g Vaginal Cream

Bacterial Vaginosis

  • Metronidazole125 mg/mL/Nystatin 25,000 U/mL Vaginal Cream
  • Chlorhexidine Gluconate 0.5% Vaginal Gel
  • Acetic Acid 0.9%/Hydroxyquinoline 0.025% Vaginal Gel
  • Boric Acid 600 mg Vaginal Capsule

Endometriosis

  • Danazole 50 mg Vaginal Suppository
  • Progesterone 100 mg, 200 mg or 300 mg Vaginal Suppository

Face Cream

  • Hydroquinone 4%/Tretinoin0.05%/Fluocinolone 0.01% Cream (For Pigmentation)
  • Hydroquinone 6%/Tretinoin 0.05%/Fluocinolone 0.01% Cream (For Pigmentation)
  • Kojic Acid 6%/Hydroquinone 6%/Hydrocortisone 0.5%/Tretinoin 0.005% Cream (For Pigmentation)
  • Kojic Acid 4%/Arbutin 2% Cream (For Pigmentation)
  • Hydroquinone 10%/Ascorbic Acid 20%/Kojic Acid 5% Cream (For pigmentation)
  • Caffein 1.0%/Triamcinolone 0.05%/Retinoic Acid 0.05% Cream (For Under Eye Puffiness)

Female Sexual Dysfunction

  • Oxytocin 40 U/mL Nasal Spray
  • Testosterone 5% PLO Gel
  • Testosterone 2.5 mg/pump Accupen Cream
  • Orga or Scream Cream (Ergoloid Mesylate 0.05%/Aminophylline 3%/L-Arginine 6%/Pentoxifylline 5%/ Glycerin 1%)

Genital Warts (External)

  • Imiquimod 0.5% Vaginal Cream
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Idoxuridine 15%/DMSO Topical Solution

Hair Loss

  • Saw Palmetto Shampoo 5% Scalp Solution
  • Saw Palmetto 5%/Minoxidil 3% Scalp Solution
  • Hair Restore Scalp Solution (Azelaic Acid 1 mg/Estradiol 0.1 mg/Progesterone 10 mg /Liothyronine 1 mcg/mL)

Lactation

  • Oxytocin 10 U/mL or 20 U/mL Nasal Spray
  • All Purpose Nipple Cream(Mupirocin 1%/Betamethasone 0.5%/Miconazole 2%)
  • Call for more options

Lichen Sclerosis

  • Clobetasol 0.05% Topical Ointment
  • Testosterone 2% Topical Ointment
  • Tretinoin 0.025%Topical Ointment
  • Gabapentin 6 % Topical Ointment

Meniere’s Disease

  • Betahistine Dihydrochloride 8 mg Capsule

Pelvic Pain

  • Diazepam 5 mg Vaginal Suppository
  • Ibuprofen 20% Topical Lipoderm
  • Ketoprofen 10% Topical Lipoderm
  • Ketoprofen 10%/Cyclobenzaprine HCl 2% Topical Lipoderm
  • Ibuprofen 600 mg Suppository

Pregnancy

  • 17-alpha-hydroxyprogesterone 250 mg/mL injection (5 mL/Vial)

Pregnancy Nausea/Vomiting

  • Ginger 200 mg Root Lollipop
  • Ondasetron 4 mg/0.1 mL Topical Lipoderm
  • Promethazine HCl 25 mg/g Topical Lipoderm
  • Doxylamine Succinate 10 mg/Pyridoxine HCl 10 mg Suppository

Prevention of Vitamin K Deficient Bleeding(VKDB) for Neonate

  • Vitamin K 1 mg/0.1 mL or 2 mg/0.1 mL in Prefilled Syringe

Raynaud’s Phenomenon

  • Nifedipine 4% Topical Lipoderm
  • Nitric Oxide Generating System (No-GS)(Ascorbic acid/Sodium Nitrite) Gel

Rosacea

  • Metronidazole1%/Niacinamide 4% Topical Gel
  • Nicotinamide Adenine Dinucleotide 1% Topical Ointment
  • Dapsone 5% Topical Cream

Trichomonas

  • Metronidazole 500 mg/Nystatin 100,000 U Suppository
  • Tinidazole 500 mg Suppository For Resistant Trichomonas
  • Paromomycin 6.25% Vaginal Ointment For Resistant Trichomonas

Vulvodynia

  • Amitriptyline 2%/Baclofen 2% Vaginal Cream
  • Gabapentin 6% Vaginal Cream
  • Atropine Sulfate 2.5 mg/Ketoconazole 100 mg/Biotin 100 mg Suppository
  • Estriol 0.05% Vaginal Cream
  • Ketamine HCl 5%/Lidocaine HCl 5%/Diazepam 1% Vaginal Cream

Ovulation Induction

  • HCG (Human Chorionic Gonadotropin) 1,000 U/mL Injection Solution

Yeast (Candida) Infections

  • Boric Acid 600 mg Vaginal Capsule
  • Acidophilus Lctobacillus 500 mg Vaginal Capsule

Wound Care Formulas

For Hemostasis

  • Monsel’s Gel (Ferric Subsulfate)

Treatment of Wounds Without Infection

  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream

Treatment of Infected Wounds

  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel
  • Gentamicin in 0.9% NS 80 mg to 160 mg/1000 mL Irrigation Solution

Treatment of Woulds with Pain

  • Morphine Sulfate 1mg/mL Topical Gel

RICHIE THIS ONE- What is Compounding

Compounding is the creation of a particular medication to fit the unique needs of an individual patient. To do this, a compounding pharmacy combines or processes appropriate ingredients in a laboratory environment, customized to specific patient needs. Demand for professional compounding has grown in recent years as both patients and doctors have realized that the strengths and dosage forms of commercially available medications are often unable or unsuited to meet the needs of many patients, and that they may have a better response to customized medications.

How can compounded medications benefit me?
There are several reasons why patients opt for traditional compounding. Many patients are allergic to ingredients in certain medications such as dyes or casein, are sensitive to standard drug strengths, or may have difficulty swallowing the pills or tablets that their medication comes in as standard. A compounding pharmacist can work with a patient in order to change the strength of a prescribed medication, alter the dosage form to make it easier to take, or even to add a flavor that makes it taste better. Medications can be prepared to use several unique delivery systems such as:

  • Sublingual troches or lozenges
  • Lollipops
  • Suppositories
  • Sprays
  • Suspensions
  • Oral rinses
  • Transdermal gels

Is prescription compounding safe?
Yes, compounding has been a part of pharmacy healthcare since its origins and is still used widely today. A compounding pharmacy must abide by state regulations, as well as section 503A of the Federal Food, Drug, and Cosmetic Act and is overseen by the state board of pharmacy.

Every day, women across the country experience a variety of symptoms associated with menopause and hormone imbalance. These include PMS, hot flashes, anxiety, mood swings, irritability, memory lapses and much more. Thankfully, modern medicines can help to relieve these symptoms.

Bioidentical Hormone Replacement Therapy (BHRT) is a cutting-edge solution to a matter facing women every day. It is an alternative to traditional synthetic hormone replacement (HRT) and uses a natural human-identical hormone. The term bioidentical means that the substance that replaces the traditionally utilized synthetic hormone is biologically identical to one made by your own body. These hormones include estrogens, progesterone, DHEA, testosterone, and pregnenolone. Hormone imbalances will vary from woman to woman and a one-size fits all hormone replacement therapy is not optimal. Unlike traditional hormone replacement therapy, the true value of compounded BHRT is that the hormones can be adapted to suit your individual body and hormone levels.

Bioidentical hormones are more readily absorbed by the body and by optimizing the dosage strength the side effects associated with traditional therapies are minimized. This means the hormones work the same way the ones in your body have all your life. BHRT helps women to avoid the typical symptoms of menopause and hormonal imbalance.

  • PMS
  • Mood swings
  • Hot flashes
  • Night sweats
  • Low libido
  • Heart disease
  • Osteoporosis
  • Weight gain
  • Infertility
  • Endometriosis
  • Painful menstruation
  • Fibrocystic breasts

Our compounding pharmacy  has helped many women with hormone-related problems and we can help you. We offer private consultations with our specially trained pharmacists. Private consultations allow you to address concerns or questions about bioidentical hormone replacement therapy. We will work with you and your physician to test your hormone levels and to develop a customized hormone replacement plan that best suits you.


Oral infections, pain or conditions such as chronic mucositis, may call for specialized treatments and drug delivery methods which may not be commercially available.

We work together with patients and their dentists to create non-commercially available formulations for dental care to increase treatment options helping to minimize patient anxiety and pain.

Mouthwashes and rinses are the most common dosage forms for dental patients. However, other options such as lollipops, gummy bears, troches, sprays, lip balm, oral gel and pastes can all be compounded.The following are some examples of the dental solutions that we can provide:

  • Presurgical sedation
  • Oral pain relief lollipops or lozenges
  • Lip balms for viral lesions
  • Topical anesthetics
  • Crown preparation hydrocortisone gels
  • Non-staining antibacterial rinses
  • Oral sedation lollipops
  • Lollipops for oral thrush
  • Mouth rinses for chemotherapy-induced stomatitis
  • Lozenges that help to suppress gag reflex
  • Difficult to find or commercially unavailable medications.

Dermatology is the branch of medicine that deals with the skin and its diseases. Compounding can help the patient in a variety of ways including topical anesthetics, barrier creams for various applications, and all sorts of skin and wound care formulations that improve results.

If a patient is allergic to a medication then some preservatives, perfumes or emulsifying agents can be specifically removed and/or replaced by other ingredients with a low potential to cause allergies.

Active ingredients such as; dithranol, capsaicin, estradiol benzoate, thiabendazole, menthol, or polidocanol for example are not commonly found in commercial preparations. A customized version of the medication can be compounded to add such active ingredients.

The preparation’s strength can be customized to treat the patient with increasing or decreasing quantities of the active ingredient, which is especially useful in long-term care treatments. There are many treatments that can be improved by compounding including:

  • Scar Management
  •  Acne
  •  Psoriasis
  •  Eczema
  •  Plant irritations
  •  Anti-fungal
  •  Warts and molluscum
  •  Rosacea
  •  Anti-Wrinkle creams
  •  Skin bleaching creams
  •  Scarring
  •  Keloids
  •  Herpes virus
  •  Sunburn
  •  Wrinkle creams
  •  Anti-oxidant aging creams/gels
  •  Contact and allergic dermatitis
  •  Fever blister meds
  •  Insect bite
  •  Viral infections
  •  Scarring
  •  Radiation/chemotherapy burns
  •  Skin cancer
  •  Allergies

After the skin has been damaged from a burn, trauma, or surgery, scars form as a normal part of healing.Everyone’s scars are different, and it can take up to a year for scars to heal completely. To speed scar healing and add additional therapy components like pain relief, we use a base (Pracasil from PCCA ) with a high concentration of silicones and compound it with additional medications, for example pain medication. This compounded medication simultaneously provides pain relief without the side-effects of an oral medication and speeds up scar healing.

Dermatology Formulas

Acne Skin

  • Erythromycin 4%/Hydrocortison 1%/Tretinoin 0.01% Topical Cream
  • Erythromycin 4%/Hydrocortisone 1% Topical Cream
  • Niacinamide 4% Acne Gel
  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide 4%/Lipoic Acid 0.5%/Biotin 0.1% Acne Gel
  • Nicomide Oral Capsule (NIcotinamide/Zinc/Copper/Quatrefolic)

Anal Fissure

  • Diltiazem 2%Topical Ointment
  • Nifedipine 0.5%/Lidocaine 2% Topical Ointment
  • Nitroglycerine 0.2% Topical Ointment

Anti-Aging Face Cream (Firming Cream)

  • Coenzyme Q-10 1%/DMAE 10% Topical Cream

Blister (Skin/Foot Toughener)

  • Salicylic Acid 2%/Tannic Acid 5%/Rosin 5% in Benzoin Tincture

Dry Lip

  • Mandelic Acid 5% Lip Balm

Eye Cream for Puffiness

  • Caffein 1%/Triamcinolone 0.05%/Retinoic Acid 0.05%/Glycolic Acid 2.5% Topical Cream

Hair Loss

  • Saw Palmetto Shampoo 5% Scalp Solution
  • Saw Palmetto 5%/Minoxidil 3% Scalp Solution
  • Hair Restore Scalp Solution (Azelaic Acid 1.0 mg/Estradiol 0.1 mg/Progesterone 10 mg/Liothyronine 1 mcg/mL) For Women
  • Hair Growth Scalp Solution (Azelaic Acid 1 mg/Progesterone 2.5 mg/Testosterone 2.5 mcg/Liothyronine 3 mcg/mL) For Men

Herpes Simples Virus Treatment

  • Gowey Tincture (Sarrancenia Flava) 20% or 30% Topical Versabase Gel

Pigmentation

  • Hydroquinone 4%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 6%/Tretinoin 0.05%/Fluocinolone 0.01% Cream
  • Hydroquinone 4%/Tretinoin 0.025%/Betamethasone Valerate 0.1 % Cream
  • Hydroquinone 5%/Tretinoin 0.1%/Triamcinolone 0.1% Versabase Cream (AccuPen)
  • Hydroquinone 4%, 6% or 8% Topical Cream
  • Monobenzone 20% Topical Cream for Vitiligo
  • Salicylic Acid 50% Topical Cream for Aging Spots

Rosacea

  • Niacinamide 4%/Metronidazole 1% topical cream
  • Metronidazole 0.75%/Ivermectin 1% topical cream
  • Ivermectin1%/Niacinamide 4% topical cream

Scar Therapy

  • Betamethasone Valerate 0.1%/Tranilast 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1% Topical Gel (PracaSil-Plus)
  • Pentoxifylline 0.3%/Caffeine 1%/Tranilast 1% Topical Gel (PracaSil-Plus)

Skin Burn Healing Cream

  • L-Ascorbic Acid 15% Topical Cream
  • Alpha-Tocopherol 1% Topical Cream
  • Ferrulic acid 0.5% Topical Cream

Wart Spot Treatment

  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical Lipoderm
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical Lipoderm

Wrinkle Treatment

  • Tretinoin 0.05%/Glycolic Acid 2.5% Topical Gel

Pediatrics is the specialized branch of medical care for infants, children, and adolescents. This is one of the most popular uses for compounded medications since getting a child to take medication can be problematic and commercial dosages have generally been designed for adults.

Commercial medications can often be bitter or unpleasant, and children may be resistant to receiving these medications.

With compounding, you can add a chocolate flavoring to a bitter tasting medication. Thereby improving the chance that a child will find the medication more appealing. For oral medications, a large variety of different flavors including:

  • Chocolate
  •  Strawberry
  •  Bubblegum
  •  Marshmallow
  •  Mint
  •  Mixed Fruit
  •  Raspberry

Because there is a lack of suitable pediatric dosage forms, our compounding pharmacy can formulate alternative doses and dosage forms for your child, including syrups, lollipops, gummy bears, lozenges, or transdermal creams.

Allergic reactions are a symptom of the immune system adversely reacting to typically harmless substances. Common symptoms of an allergic reaction may include rashes, red eyes, sneezing, a runny nose, shortness of breath, or swelling.

One of the most beneficial uses of compounded medicines is for patients who suffer from allergic reactions to ingredients found in common commercial drugs. A compounding pharmacy is able to break a medication down into it’s base compounds, recreating it with the same active ingredients either removing/replacing the offending substance or making the medication into something safer and less likely to cause an allergic reaction. For example a compounding pharmacy may also be able to combine anti-allergens, such as antihistamines, into a medication if needed.

Pain management is among one of the most essential duties of medicine today. Even if the underlying condition is being treated, uncontrolled pain can severely diminish a patient’s quality of life preventing them from working, or taking part in their usual roles in family and society.

Chronic pain has numerous causes, and therefore can be much more difficult to manage than acute pain from a specific injury or condition, and the customized treatment protocols offered by compounded treatments can meet the specific needs of each patient.

Our compounding specialists offer many unique options for pain management. Regardless of origin, and whether the pain is acute or chronic, our efforts are directed at meeting the specific needs of each patient. We work together with patients and their physicians to reach treatment goals.

Oral Dosage Forms Oral dosage forms can also be customized to meet the specific needs of each patient. For example, we can combine numerous compatible medications into a single dose to make medication management. Medicated lollipops, gummy bears, solutions, and suspensions can also be compounded with added flavors to suit.

Transdermal Dosage Forms Transdermal medications are medications that are absorbed through the skin. This is very useful for patients who are unable to take an oral medication or have an aversion to injections. Many types of medication can be compounded into a transdermal gel.

Rectal Dosage Forms Formulations can be delivered as suppositories, solutions and gels. In addition, there is a specialized delivery system which simultaneously applies the medication internally and externally.

Podiatric medicine is the branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle, and lower extremities.

Penetrant enhancers can be added to topical medicines to improve absorption and compatible medications can be combined into a single dose.

Compounding can be of great help in the treatment of many podiatric conditions:

  •  Inflammation and Pain
  • Diabetic Neuropathy
  •  Non-Surgical Nail Removal
  •  Warts
  •  Nail fungus (Onychomycosis)
  •  Calluses
  •  Hyperhidrosis
  •  Decubitus ulcers
  •  Transdermal anti-inflammatory agents
  •  Skin softeners & moisturizers
  •  Transdermal treatments for neuropathy
  •  Keratinolytic agents
  •  Wound Care
  •  Plantar fasciitis (Heel Spurs)
  •  Anti-fungal foot powders
  •  Muscle & joint pain

Palliative care is the treatment of patients whose disease or condition is non-responsive to curative treatment. It focuses mainly on providing relief from symptoms, pain, and mental stress.

Because palliative care is so unique to each individual patient, it benefits enormously from compounded medicines that can address the patient’s specific needs and care plans while allowing the caregiver to do their job more efficiently.

While every individual is unique, common symptoms and problems include:

  • Pain Management
  • Nausea and Vomiting
  • Severe Constipation
  • Diarrhea
  • Decubitus Ulcers
  • Shortness of Breath
  • Anxiety

Our compounding specialists can compound medications which can help with all the above problems, and in a range of forms tailored to suit the patient such as:

  • Transdermal
  • Extended-release capsules
  • Troches
  • Gummy bears
  • Suppositories
  • Lollipops

Hypothyroidism: Hypothyroidism is a disorder caused when the body’s thyroid gland does not produce enough thyroid hormone. This can cause a person to feel constantly fatigued, cold, and to gain weight. Hypothyroidism is extremely common, but often goes undetected because standard blood tests miss the majority of low thyroid patients. A number of health conditions are shown to be caused by or associated with low tissue thyroid levels, including:
  • Insulin resistance
  • Depression
  • Chronic fatigue syndrome
  • Fibromyalgia
  • Autoimmune disease
  • Iron deficiency
Hyperthyroidism: Hyperthyroidism is the opposite of hypothyroidism, and is a disorder caused when the body’s thyroid gland produces too much thyroid hormone. This can cause a person to suffer anxiety, insomnia, sweating, and weight loss among other symptoms that can occur when bodily functions speed up due to excess thyroid hormones. A number of serious health conditions can be caused by or associated with excess thyroid hormones, including:
  • Heart problems
  • Eye problem
  • Brittle bones
  • Red, swollen skin
  • Thyrotoxic crisis
Adrenal Fatigue: Adrenal fatigue is a term applied to a collection of nonspecific symptoms, such as body aches, fatigue, nervousness, sleep disturbances and digestive problems caused by the body’s adrenal glands not performing well enough due to stress, bacterial/viral infections, or hormonal imbalance. People who suffer from Chronic Fatigue Syndrome, Fibromyalgia, as well as premenopausal and menopausal women are particularly susceptible to this. Compounded medications are available to help treat and/or alleviate all these conditions.

Veterinary compounding is a specialty service that helps veterinarians broaden their prescribing abilities and to offer dosage forms and strengths that can treat pets in a more effective manner.

Our pharmacist can prepare:

  • Flavored medication
  • Medication modified by size, strength and dosage form
  • Unavailable medications
  • Combinations of medications to improve compliance

Flavored medication
Getting animals to accept medication can sometimes be a struggle, but a compounded medication can be flavored which may help a dog to accept a beef-flavored tablet or a cat to eat a liver-flavored chew.

Differing medication strengths
Many animal medications come in a standard size, even though different animals even of the same species can vary enormously. For example, with the average Maltese weighing under 7lbs whereas the average Labrador Retriever weighs 10 times as much. Compounded medications allow the veterinarian to scale the dose to suit a pet’s specific size and weight.

Dosage Forms
Many pets don’t like taking pills, however with veterinary compounding a
veterinarian is able to vary the dosage form depending on the medication.
Chewable treats, eardrops, liquid concentrations and transdermal medications
are available.

Men experience many hormonal changes during their lifetime. As men age, the
amount of testosterone produced by their body can decrease. Testosterone is the hormone responsible for sperm production, red blood cell production, muscle growth, libido, energy levels and male sex characteristics such as a deep voice and body hair.

Lowered levels of testosterone can be characterized by symptoms such as:

  • Depression
  • Erectile dysfunction
  • Loss of libido
  • Lethargy
  • Declining muscle tone
  • Osteoporosis
  • Tiredness
  • Irritability or mood swings

If you have been diagnosed with decreased levels of testosterone, then there are many compounded medications that may help you. In consultation with your doctor and our compounding pharmacist, we can customize hormone replacement medications. For example, a transdermal gel can be compounded to deliver testosterone which can be absorbed more readily than other dosage forms.

Low Dose Naltrexone, also known as LDN, is an increasingly popular treatment option for autoimmune conditions, fibromyalgia, pain control and even cancer.

Naltrexone was developed in 1965 and oral Naltrexone (50mg) was approved to treat alcohol use disorders 1984. Naltrexone reduces both the rewarding effects of alcohol and craving for it. Endorphins are opiate-like molecules produced naturally in the body and are important regulators of cell growth, and therefore the immune system. Naltrexone works by causing the body to increase its production of endorphins and by making the body’s cells more receptive to the available endorphins.

A low dose of Naltrexone (LDN) takes advantage of Naltrexone’s impact on the
body’s endorphins but does so for a short period before being metabolized. This method of autoimmune support boosts the natural defenses of one’s own system by helping to increase endorphin production. The elevated levels of endorphins in turn assist in regulating cell growth and immunity.

LDN is used to treat conditions such as:

  • Autoimmune diseases
  •  Chronic fatigue syndrome
  •  Fibromyalgia
  •  Crohn’s disease
  •  Central nervous system disorders
  •  thyroid-related conditions
  •  Alzheimer’s Disease
  •  Multiple Sclerosis
  •  HIV/AIDS
  •  Cancer

If you have been diagnosed with an autoimmune disease or cancer and are looking for support, many patients with autoimmune conditions report significant improvements in their symptoms. Patients report improvement in fatigue, pain and mood after taking LDN.

This is done most commonly by taking a dose before bed, LDN then blocks the
production of endorphins for several hours thus prompting your body to
increase production and the resulting increase in available endorphins benefits the body’s immune system.

LDN is easy to administer and virtually free of side effects. The exact low dose differs by patient and condition. Typically, the dose is in the range of 0.5mg to 3.5mg. Achieving an optimal strength for your body and condition is critical.

Allergic reactions are a symptom of the immune system adversely reacting to
typically harmless substances. Common symptoms of an allergic reaction may
include rashes, red eyes, sneezing, a runny nose, shortness of breath, or swelling.One of the most beneficial uses of compounded medicines is for patients who suffer from allergic reactions to ingredients found in common commercial drugs.

A compounding pharmacy is able to break a medication down into it’s base compounds, recreating it with the same active ingredients either removing/replacing the offending substance or making the medication into something safer and less likely to cause an allergic reaction. For example a compounding pharmacy may also be able to combine anti-allergens, such as antihistamines, into a medication if needed.

Drug shortages are unfortunately still common. Shortages can occur for many
reasons including quality, production delays, and discontinuations.

The FDA publishes a list of drug shortages on its website.
https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages

In order to minimize the impact on physicians and patients, FDA allows
compounding pharmacies to compound commercial medications that have been discontinued or are on shortage. If your medication is on the FDA drug shortage list, please call us.

The prescription should be started with Compounded Medication. Details in the example below. If you are a physician and would like to talk to a pharmacist about formulations or writing a script, please call or email us.