What is Compounding?
Compounding is fundamental to the pharmacy profession. Our compounding professionals can formulate medicine that meet the unique needs of each individual. Compounding is about finding alternatives where limitations would otherwise exist.
Our compounding laboratory contains state-of-the-art equipment that is not found in most pharmacies. We use the highest grade of ingredients to formulate each medication. This results in a high quality product that specifically meets the patients individual requirements. The demand for professional compounding has increased as healthcare professionals and patients look for solutions to medication problems.
The limited number of strengths and dosage forms that are commercially available do not meet the needs of many patients, and that these patients often have a better response to a customised dosage form that is “just what the doctor ordered”.
Our compounding professionals can prepare
- Unique dosage forms containing the best dose of medication for each individual, such as transdermal gels, troches, medication sticks, lollipops, gummies, ‘chewies’ for pets
- Medications free of problem-causing excipients such as dyes, sugar, lactose, or alcohol.
- Medications which meet specific dietary requirements e.g. lactose free, gluten free, free from animal products, halal or kosher
- Combinations of various compatible medications into a single dosage form for easier administration and improved compliance.
- Medications that are not commercially available.
Our compounding laboratory is located in Auburn, Sydney.
We offer free delivery Australia-wide for all orders over $50
Our compounding pharmacy can formulate suitable medications as sublingual drops, oral and nasal sprays, lollipops, rectal solutions and suppositories, and other customized dosage forms.
The efficacy of any formulation is directly related to its preparation, which is why the selection of your compounding pharmacy is critical. Ongoing training for compounding pharmacists and technicians, state-of-the-art equipment, and high quality chemicals are essential. Experience and ingenuity are important factors as well. When tweaking a formula or developing a unique preparation, the compounding pharmacist must consider physical and chemical properties of both the active ingredient and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures should be in place, stability studies should be considered when compounding, and appropriate potency and sterility testing should be performed.
What Do We Compound?
Melatonin suspension, Omeprazole suspension also referred to as “Losec” suspension, Propranolol, Lisinopril, Folic acid, Ferrous gluconate, Dexamaphetamine (also referred to as “Ritalin”) suspension, supplements prescribed for Autism, ADHD and Asperger’s Syndrome.
Specialists often prescribe Tacrolimus cream and Tacrolimus ointment, skin whitening and skin peeling creams such as Hydroquinone, Kojic Acid, Fluocinolone, Tretinoin, Glycolic acid and Trichloroacetic acid. The pathophysiology of acne may require treatment for bacteria proliferation, comedogensis, increased sebum production and inflammatory pustules. A combination of ingredients such as clindamycin, erythromycin, tretinoin, salicylic acid and glycolic acid may be required to treat the 4 different factors contributing to acne. There are also compounding solutions for psoriasis of the body, psoriasis of the scalp, atopic dermatitis, chronic eczema, chronic hand eczema, xerosis, ichthyosis vulgaris, tinea versicolor, milia, hidradenitis suppurativa, perioral (periorificial) dermatitis, melasma, lentigines, post-inflammatory hyperpigmentation, pruritus, rosacea and seborrheic dermatitis.
H.pylori (helicobacter) Compounding
Gastroenterologists may prescribe a combination of medications including one or more of the following drugs that require compounding: Tetracycline, Bismuth, Levofloxacin, Furozolidone, Metronidazole.
Pain Creams/Pain Gels
Diclofenac, Ketoprofen, Indomethacin, Amitriptyline, Gabapentin, Dextromethorphan, Lidocaine, Tetracaine, Clonidine, Baclofen, Cyclobenzaprine, Acyclovir, Tramadol, Nifedipine and Verapamil can be combined in topical pain gels or topical pain creams by your pain specialist or rheumatologist. Topical pain gels or creams can be used alongside with oral analgesics or as monotherapy. The main advantage of topical pain gels or creams are:
- Systemic absorption may be much less than that of the oral drug. This is important in patients with kidney, liver, stomach or heart problems.
- There may be less risk of systemic side effects
- There may be less risk of drug interactions
- May have higher drug concentration at the site of pain compared to the oral drug.
- Can combine more than one drug in the topical pain gel or cream and in doing so the pain gel or cream may reduce pain via a number of different pathways. This may lead to a more complete pain relief.
The types of pain that may be treated by a topical pain gel or cream are:
- Acute pain – inflammatory pain, musculoskeletal pain, sport’s injuries, sudden sore back, back and neck spasm, muscle cramps,
- Chronic pain – neuropathic pain, sensitised joint pain such as knee pain, arthritis pain, chronic back pain, neck pain, CRPS (chronic regional pain syndrome), tendonitis, plantar fasciitis, MPS (myofasical pain sydnrome) Fibromyalgia, PHN (post herpetic neuralgia), PDN (peripheral diabetic neuropathy), shingles rash.
Natural Hormone Restoration
Also referred to as “Bio-Identical Hormone Replacement”. A blood test or saliva test may be recommended to determine hormone levels of estriol (oestriol), estrogen (oestrogen), estrone (oestrone), progesterone, testosterone and DHEA.
These hormones can compounded as topical creams, troches, vaginal creams or vaginal pessaries.
Hair Loss Solutions
Minoxidil may be combined with topical finasteride, a DHT blocker, to be applied topically to the scalp. A GP or specialist may prefer a topical solution to an oral drug as it may have less risk of sexual side effects in a man compared with taking the oral form of Finasteride. The lotion may be prescribed for use twice daily for a minimum of 6-12 months. It may take up to 12 months for benefit to be seen.
Boric acid pessaries may be prescribed for treatment of resistant vaginal thrush (candidiasis, candida albicans, candida glabrata). Vulvodynia can be difficult to treat. One treatment that may be prescribed is vaginal Gabapentin or Lidocaine. Vaginal DHEA is often considered for use in vaginal atrophy and poor libidio.
Vitamins and Supplements
In winter, a common complaint is vitamin D deficiency. Vitamin D can be compounded as vitamin D3 capsules or vitamin D3 oral liquid. There are number of different doses that may be prescribed: Vitamin D3 50,000IU, vitamin D3 37,500IU, vitamin D3 20,000IU, vitamin D3, 10,000IU and vitamin d3 5000IU. It has been suggested that 50 x 1000IU capsules be taken in one go instead of one x 50,000IU capsule. This, however, may require a significant amount of water and possibly a choking risk.
Other supplements that may be prescribed are glutamine, glutathione, carnitine, arginine, N-acetyl-cysteine, zinc picolinate, zinc citrate, manganese gluconate, calcium citrate, calcium carbonate, vitamin A, beta carotene, molybdenum, selenium (selenomethione), vitamin D3, taurine, serine, iron as ferrous gluconate, magnesium citrate, magnesium oxide, thiamine (vitamin B1), riboflavin (vitamin B2), riboflavin-5-phosphate (vitamin B2), magnesium glycinate, cyanocobalamin (vitamin B12), methylcobalamin (vitamin B12), Vitamin B5, folic acid (vitamin B9), folinic acid (vitamin B9), nicotinamide (vitamin B3), chromium picolinate, biotin (vitamin B7), sodium ascorbate, ascorbic acid (vitamin C), pyridoxine vitamin B6, pyridoxal-5-phosphate (p5p) methionine, D-alpha tocopheryl succinate (vitamin E), mixed tocopherols,
A prescription from a podiatrist may still require a GP to re-write the prescription. Common formulas that can be recommended by podiatrists include Upton’s paste, topical fluconazole used in a compounded nail liquid for the treatment of onychomycosis, compounded cream for athlete’s foot and compounding creams, ointments or pastes with salicylic acid, trichloroacetic acid and or podophyllum used for plantar warts.
Glycerol trinitrate rectal ointment (such as Rectogesic) can commonly cause headaches and have a higher rate of relapse. A GP, colorectal surgeon or proctologist may instead prescribe topical nifedipine rectal ointment, cream or gel, diltiazem rectal ointment, cream or gel and or lidocaine rectal ointment, cream or gel.
Our compounding chemist services:
All surrounding suburbs – Lidcombe, Granville, Silverwater, Homebush, Parramatta, Berala, Merrylands, Newington, Ryde, Fairfield, Guildford, Cabramatta, Carramar, Bankstown, Greenacre, Punchbowl, Lakemba, Belmore, Eastwood and Yenora.
Inner West suburbs – Burwood, Ashfield, Five Dock and Strathfield
Hills Districts – Castle Hill, Baulkham Hills, Kellyville, Northmead, North Rocks, Pennant Hills, Cherrybrook, Rouse Hill
North Shore – Lane Cove, Epping, Chatswood, St Ives