Pharmacy compounding is a long-established tradition that offers customized care to meet the specific needs of individual patients.
Have you ever wished your child’s medicine tasted better so they would accept it without a fuss? Or struggled to cut a prescription tablet in half because the pill wasn’t manufactured in the strength you required?
Perhaps an ill loved one could have benefited from having multiple medications combined into a single dose. Compounding pharmacists provide solutions to all these problems, and more.
Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy, although compounding’s presence in the pharmacy profession has changed over the years. In the 1930s and 1940s, the majority of prescriptions were compounded. With the advent of mass drug manufacturing in the 1950s and ‘60s, compounding declined as the pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms. However, this “one-size-fits-all” approach to medication meant that some patients’ needs were not being met.
Within the last few decades, however, compounding has experienced a renaissance, as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet a patient’s unique needs.
How does compounding benefit me?
There are several reasons why prescribers and pharmacists provide compounded medications for patients. The primary reason for compounding is to avoid patient non-compliance, which means the patient is either unable or unwilling to use the medication as directed. Many patients are allergic to preservatives or dyes, or require a dosage that is different from the standard drug strengths.
With a physician’s consent, a compounding pharmacist can:
· Adjust the strength of a medication
· Avoid unwanted ingredients, such as dyes, preservative,
lactose, gluten, or sugar.
· Add flavor to make the medication more palatable
· Prepare medications using unique delivery systems. For patients who
find it difficult to swallow a capsule, a compounding pharmacist may
prepare the drug as a flavored liquid suspension instead.
Other medication forms include topical gels or creams that can be
absorbed through the skin, suppositories, sublingual troches, or even
Yes! Children and the elderly are often the types of patients who benefit most from compounding. It is common for parents to have a tough time getting their children to take medicine because of the taste. A compounding pharmacist can work directly with the physician and the patient to
select a flavoring agent, such as bubblegum, grape, tutti frutti, or vanilla
butternut, which provides both an appropriate match for the medication’s
properties and the patient’s taste preferences. Just think – no more wasting
medicine when a cranky patient spits it out! (This applies to veterinary
Compounding pharmacists also can help patients who experience chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. With a healthcare practitioner’s prescription, a compounding pharmacist may be able to provide these patients’ anti-inflammatory or pain-relieving medications with topical
preparations that can be absorbed through the skin. Compounded prescriptions frequently are used to ease pain, nausea, and other symptoms for hospice patients as well.
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 few decades, compounding’s resurgence has benefited largely 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.
Most insurances cover a variety of compounds.
Compounding may or may not cost more than conventional medications. Its cost depends on factors such as the type of ingredients and equipment required, plus the time the pharmacist spends 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.
More often than not, out-of-pocket pricing is very affordable and always competitive.
Almost any kind! Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices.
Compounding applications can include:
· Otic (for the ear)
· Wound therapy
Does my prescriber know about compounding?
Prescription compounding is a rapidly growing component of many physicians’ practices, but some may not realize the extent of compounding’s resurgence in recent years due to today’s climate of aggressive marketing by drug manufacturers. Ask your healthcare practitioner about compounding, or get in touch with us. Through the triad relationship of patient, prescriber, and pharmacist, all three can work together to solve unique medical problems.
Is custom compounding right for you? Ask your healthcare practitioner, or call us today, and ask about the benefits of personalized prescription