Compounding for patients

In every field of medicine, there are some patients who don’t respond to traditional methods of treatment. Sometimes they need medicine at strengths that are not manufactured by drug companies, or perhaps they simply need a different method of ingesting a medication. Pharmaceutical compounding meets these needs.

It provides a way for doctors and compounding pharmacists to customize an individualised prescription for the specific need of their patient. From combining multiple medications into a single convenient dosage for hospice patients to delivering children’s cough medicine through a flavoured medication, compounding provides solutions not easily met by commercial products.

Recent compounded items include:

  • Acetic acid topical solutions
  • Aciclovir suspension *
  • Amino acid capsules (various ingredients)
  • Anaesthetic cream/gel
  • Aqueous cream (no added colours, flavours, etc.)
  • Bio-identical hormones *
  • Boric acid pessaries *
  • Burow's solution
  • Cafergot capsules/suppositories *
  • Chlorhexidine cream
  • Chloroquine capsules *
  • Cholesterol capsules (natural)
  • Cimetidine syrup *
  • Clioquinol/hydrocortisone ear drops (while Locacorten unavailable) *
  • Coconut compound ointment
  • D-chiro inositol capsules
  • DHEA capsules/troche *
  • Diltiazem cream *
  • Doan's Ointment
  • E-juice flavours (vape juice)
  • Gluten free products
  • Hydrochlorothiazide suspension *
  • Hydroquinone cream *
  • Inositol capsules
  • Ketamine cream *
  • Lactose free products
  • Lip balm (individualised)
  • Lugol's solution
  • Magnesium capsules (like Colocaps)
  • Melatonin capsules/drops/troche *
  • Metronidazole dental gel *
  • Mosapride capsules *
  • Mupirocin nasal ointment (while Bactroban unavailable) *
  • Naltrexone capsules *
  • Nitrofurantoin suspension *
  • Oestrogen pessaries *
  • Omeprazole suspension *
  • Palmitoylethanolamide capsules (see PEA)
  • PEA capsules (300mg and more)
  • Progesterone pessaries *
  • Propranolol suspension *
  • Salicylic acid cream/gel/ointment
  • Sertraline suspension *
  • Sorbolene cream / Sorbolene Glycerine cream
  • Sunscreen lip balm
  • Sun spot cream *
  • Thymol Co Mouth wash
  • Thyroid (natural) capsules *
  • Tonic (like BCM tonic)
  • Triamcinolone mouthwash *
  • Tri-iodothyronine capsules *
  • Upton's paste (wart treatment)
  • Vape juice flavours (pharmaceutical grade)
  • Vitamin B cream
  • Vitamin capsules
  • Vitamin D3 capsules/oral syringe *
  • Zinc capsules (gluten free)

* = Requires a prescription from your doctor


Compounding Request Form

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 per cent of all medications were compounded. With the advent of drug manufacturing in the 1950s and ‘60s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms.

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

There are several reasons why pharmacists compound prescription medications. The most important one 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 doctor’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 flavour to make it more palatable. We 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. If you are having a hard time swallowing a capsule, we can make a liquid suspension instead.

As compounding pharmacists, we have the opportunity to work with a variety of practice specialties, such as hospice, pediatrics, and pain management, which in turn broadens the scope of our practices and creates other opportunities to provide other pharmacist care services. As we are a compounding pharmacy we are committed to providing high-quality compounded medications in the dosage form and strength prescribed by your doctor. This triad relationship between you (the patient), your doctor, and us (the pharmacist) is vital to the process of compounding so all three can work together to solve unique medical problems.

Yes. Children and the elderly are often the types of patients who benefit most from compounding. Often, parents have a tough time getting their children to take medicine because of the taste. We can work directly with the doctor and the patient to select a flavouring agent, such as vanilla, banana, grape, or tutti frutti, which provides both an appropriate match for the medication’s properties and the patient’s taste preferences.

At Usher Pharmacy we have also helped patients who are experiencing chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. Working with their doctor’s prescription, we 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 hospice care.

Many compounded prescriptions are able to be claimed through private health insurance. In each case, you should check directly with your health fund. If you have any difficulties we may be able to assist you.

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.

Your doctor should be aware of compounding, but a friendly reminder every now and again never hurts. If there is a formulation you would like compounded but you forgot to ask your doctor, let us know and we may be able to help.

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