Compounding
Chronic pain? Put some Reeves-Sain on it.
Ask at the pharmacy counter about prescription compounding or e-mail us.
Discover the benefits of prescription compounding, our custom-formulated pain remedy to make your medication work more effectively.
Some patients need dosages or formulations that are custom tailored to their own physiological make-ups. Others may require medications without dyes, preservatives or other substances found in commercially produced drugs. With prescription compounding, our pharmacists can adjust the strength or simply make it taste better – as we often do for children. Dosage forms include capsules and creams – even lip balms and lollipops.
To learn more about the benefits of prescription compounding, ask at our pharmacy counter or call 896.5731.
Reeves-Sain: Compounding Pharmacy Fills All Needs
How is compounding different than prescription or OTC medications?
A pharmaceutically compounded prescription is one that has been individually prepared to address the needs of a particular patient. Almost any type of medication can be created through compounding. In some cases, the compound is no different chemically than the commercially available drug, though it may be delivered in a different form or dosage. In other cases, such as in bio-identical hormone replacement therapy, the compound is formulated to be molecularly identical to the hormones found in the patient’s own body and therefore, quite different from many commercially available medications.
Applications
Because no two individuals are alike, Reeves-Sain specializes in creating customized medications for each individual. “One-size fits-all” is simply not a treatment option in which we believe.
Below are a number of compounding solutions we often provide:
» Alternate Dosage Forms
» Aseptic Compounding
» Cost-Effective Formulating
» Creams, Ointments, & Lotions
» Dental Preparations
» Dermatological Specialties
» Discontinued Combinations
» Enteric Coating
» Flavor Specialization
» Gels – Topical, Oral
» Geriatric Formulation
» Homeopathic Formulations
» Hospice Consultation
-Pain Formulations
-Nausea Formulations
» Implants
» Individual Dosages
» Inhalation Therapy
-Individual Vials
-Combined Dosages
-Multi-dose Bottles
» Injectables
» Lip Balms
» Medicated Lollipops
» Medicated Lozenges
» Medicated Popsicles
Nasal Sprays & Solutions
» Ophthalmic Specialties
» Oral Suspensions
» Original Formulations
-Now Reformulated
» Otic Insufflations
» Otic Solutions & Suspensions
» Over-the-Counter Formulations
» Pediatric Formulations
» Physical Therapy Consultation
-Phonophoretic Formulations
-Sounding Gels
-Ionizing Solutions
-Iontophoretic Formulations
» Podiatric Formulations
» Polyineric Substrate Bandages
» Preservative-Free Formulations
» Rectal Enemas or Suppositories
» Sublingual Troches
» Sugar-Free Formulations
» Suspensions
» Throat Sprays
» Topical Powders
» Topical Sprays
» Transdermal Paste
» Unit Dose
» Urethral Inserts
» Vaginal Creams
-Tubes with Applicator
-Disposable Applicators
» Vaginal Suppositories
» Veterinary Formulations
Dentistry
Compounding enables dentists and oral surgeons to provide highly personalized treatments in the following areas:
» Analgesics
» Anti-virals
» Antibiotics
» Topical anesthetics
» Sedatives
» Dry socket mixtures
» Root canal paste
» Plaque removal solutions
» Plaque disclosure solutions
» Oral rinses
» Adhesives
» Bleaching gels
» Crown preps
Problem Areas/Disease States:
» Bleaching/whitening agents
» Chronic non-microbial mucositis
» Xerostomia
» Fluoride treatments
» Aphthous ulcers/canker sores/oral lesions
» Stomatodynia
» TMJD
» Angular chelitis/herpes labials
» Fungus, viral, candida
Pre- and post-procedural anxiety syndromes:
» Gum disease (Gingivitis)
» Dosage forms
» Troches/sublinguals
» Capsules
» Lollipops
» Gels, oral, topical
» Mucosal bandages (polyoxyl)
» Mouthwashes and rinses
» Dental ointments and pastes
» Chapstick/lipstick, lip balms
» Oral and topical sprays
» Powder puffer
» Popsicles
» Injectables
» Tablet Triturates
Dermatology
Compounding enables dermatologists to provide highly personalized treatments in the following areas:
» Acne formulations
» Psoriasis
» Eczema
» Sunburn
» Baldness
» Anti-fungals
» Wrinkle creams
» Anti-oxidant aging creams/gels
» Fever blister meds
» Wart meds
» Skin bleaching creams
» Plant irritations
» Viral infections
» Scarring
Pediatric
Compounding is useful for providing unique solutions for pediatric patients, including:
» Analgesics
» Antibiotics/anti-virals
» Diaper rash treatment
» Premature apnea therapy
» Psoriasis/eczema medications
» Resistant head lice treatment
» Stimulant drug trials
» Topical anesthetics
» Pediatric dosing bottle - provides a convenient way to include medication in their drink bottle
» Medicated lollipops and gelatin troches
» Pediatric suppositories
Sports Medicine
In addressing sports injuries, compounding offers a number of solutions for treating a variety of issues, in
Blisters
Solution: Flexible Collodion preparations
Fever Blisters
Solution: Lip balms with or without sunblock
Re-hydration
Solution: Sports Drink formulas
Athlete’s Foot
Solution: Topical anti-fungals
Muscle Aches
Solution: Topical gels
Muscle Cramps
Solution: Speed gels, topicals
Wounds
Solution: Polyox bandages, tissue regenerating gels, protective ointments
Calluses
Solution: Creams
Carpal Tunnel
Solution: Transdermal gels
Dry Skin
Solution: Moisturizing creams, lotions
Nail Fungus
Solution: Anti-fungal
Hemorrhoids
Solution: Rectal Rocket suppositories, ointments
Sprains
Solution: Transdermal gels
Trigger Point
Solution: Transdermal gels
Veterinary
Pharmacists and veterinarians work well together in improving and maximizing the therapeutic success and compliance of large & small pets, wildlife, zoo animals and farm animals (while also reducing the overall cost of animal care).
Current veterinary compounding solutions include:
» Alternate dosage forms
» Sterile injections
» Creams, ointments and lotions
» Ophthalmic preparations
» Discontinued medications
» Flavor specialization
» Sugar-free formulations
» Topical powders
» Transdermals
» Chewable flavored troches
» Otic solutions and non-aqueous suspensions
» Oral suspensions and paste
» Otic Insufflations
» Gels – topical/oral
» Rectal enemas
» Iontophoretic formulations
» Rectal suppositories
» Individualized concentrated doses
» Combination medications
» Medicated biscuits/treats
» Inhalation therapy
Additional compounding opportunities include:
» Flavoring dosage forms that make it easy, even fun, to dose an animal:
-Chocolate/peanut butter suspension for hyper insulin in ferrets
-Stool softener in beef flavored gelatin balls
-Good tasting marshmallow, liver, beef, chicken or fish-flavored suspensions
» Custom strength medications for seizures, diabetes, hyperthyroidism, parasitic infections and appetite
stimulation» Low dose, longer acting insulins
» Inhalation therapy with ultrasonic nebulizers to treat kennel cough for dogs
» Antidotes/treatments for accidental animal poisoning
» Vitamins and tonics
» NSAIDS transdermally to avoid GI tract irritation
» Anti-fungal inhalation for birds
» Discontinued, combination, custom formulated products
» Protective medicated coatings for wounds or stitches (coatings which are difficult to lick off)
» Transdermal, anti-inflammation gel for torn ligaments
» Hard-to-find medication for urinary tract incontinence
» Transdermal anti-motion sickness medicine which can be applied to outer ear surface
» Concentrated solutions for birds & reptiles, matching the dose according to the animal’s size
» Injections and liquids for metal toxicities
» Combination or fortified ophthalmic formulas
» “Hairball” remedy for cats
» Custom shampoo to treat “rain-rot,” a fungal infection in horses
Patient Dosing Challenges
Reeves-Sain Drug Store addresses the patient dosing challenges that commercially available drugs often present. Our compounding pharmacy is able to customize medications to meet specific needs.
Lactose Intolerance: Lactose is often used as a filler or excipient for capsules.
Solution: Compound the required medication using an excipient other than lactose.
Allergic to Dyes or Preservatives
Solution: Compound the prescribed medication dye or preservative free.
Alcohol Free Medication
Solution: Customize the medication without the addition of alcohol.
Discontinued Medication
Solution: When the USP grade chemical and applicable formula is available, it can be compounded.
Medications in Short Supply
Solution: Same as discontinued item.
Required Strength Not Available
Solution: Customize the medication to the required strength.
Required Dosage Form Not Available
Solution: A wide variety of dosage forms are available, and others may possible be created to meet a unique patient need.
Medication Taste
Solution: Many medications can be flavored to enhance palatability.
Side-Effect Intolerance
Solution: Customize the medication to alleviate the side effect(s).
Economic Hardship
Solution: Drug combinations in a single dosage form, e.g., NSAIDS and analgesics or analgesics and anti-nauseates, can be customized. Such combinations can reduce the costs of some medications.
Patient Not Responding to Conventional Drug Therapy ... medication is not working or bringing about the desired therapeutic outcome.
Solution: Compound the required medication based upon a written prescription to improve therapeutic outcome.
Compounding History
The practice of compounding dates back to the origins of pharmacy itself. For centuries, it was the individual pharmacist who compounded each formulation. During the 1950s, though, compounding became less common as commercially available medications became readily available. In recent years, compounding has regained popularity, and is now used in nearly all areas of medicine. Modern technology and new research, combined with a deeper understanding of cellular physiology as well as molecular structure and function, have all led to advances in compounding science. Perhaps the most important reason that compounding has regained popularity is that it allows doctors, patients and pharmacists to work together as a team, customizing medications to fit the needs of each individual patient.
