Compounding - Prescribers

What types of Compounding do we do?

Compounds are only limited by your imagination and our imagination. There was once a compounding pharmacist working for a zoo (no it wasn’t us). The zoo had a gorilla with an eye infection. Usually to treat an eye infection a gorilla has to be tranquilized and kept sedated for days. That is very expensive and hard on the gorilla. One day a pharmacist who worked with the zoo was walking home his kids squirted him with a super soaker. This gave the pharmacist an idea. The pharmacist lined up Dixie cups on a picnic table the same distance away as the gorilla would be in the back of his cage. Then the pharmacist figured out how many shots it took him to fill the Dixie cup. A little math and a little compounding later the zoo had a super soaker eye drop delivery device. Working with the zoo’s Vet, the pharmacist enabled the gorilla to be treated without sedation and the expense and danger that went with it.

Common compounded dosage forms include:

  • Topical medication that go through the skin (creams, ointments, gels, lotions)
  • Oral liquids like suspensions and solutions
  • Suppositories
  • Troches that dissolve under the tongue and lozenges
  • Gummy bears
  • Eye/ear drops
  • Injections
  • Capsules
  • Powder papers
  • Nasal sprays
  • Lollipops
  • And many more

While not as spectacular as the gorilla story, at the Dauphin Clinic Pharmacy we helped some nursing home patients. Sometimes in nursing home patients with dementia go into delirium. They can scream and kick and be a real hazard to themselves and others. There are medications that can be given to calm the patients. One of these medications comes in pill form. The problem is when a nurse tries to give a pill to an agitated patient, the nurse can get bitten. So the other option is an injection. Not surprisingly seeing a nurse with a needle didn’t calm the agitated patient either. So with the nursing home’s doctor we put the calming medication into a topical cream. Then the nurse could sit with the agitated patient and rub the cream into their wrist. The act of sitting with a patient and rubbing their wrist was an inherently calming action and the patient got the medication the patient needed.

Let our imagination help you. Bring us your most difficult medication problems and let us work come up with a solution for you!

What kinds of facilities do we have?

We have:

  • Particle containment hood, sterile/chemo hood
  • Ointment mill and electo-mortar and pestle
  • Capsule machines, suppository molds, ovens, tube sealers, and much, much more

All in a dedicated lab. If you are in the area, drop by for a tour.

How are compounds packaged?

It depends on the compound. Capsules go into regular prescription vials. Lollipops are sealed in a plastic sleeve and dispensed with child proof containers. Suppositories are sealed in plastic moulds. If you feel your patient needs specific packaging, let us know and we will accommodate them.

How do I order a compound for my patient?

Just write a prescription like you would for any other medication. If you aren’t sure which compound would help your patient, or you aren’t sure what we can make for your patient, call us at 204-638-4602. We would love to help out.

How long does it take to make a compound?

It depends on how complicated the compound is. In general, we tell patients a custom compound will take 24 hours to prepare. If there is an urgent need, we will make every effort to get it made faster.

How does the compound get to my patient?

Just tell us what you want. After it is made it is just like any other prescription. The patient can pick it up in store or at the drive-thru. We deliver in Dauphin 7 days a week and we courier to many nearby communities Tuesday through Saturday. Or if all those won’t reach your patient, we can pop the compound in the mail.

What is the price?

Again it depends on the compound. However, custom compounds are not inexpensive and used for things that aren’t commercially available. We could compound an amoxicillin capsule, but it would be more expensive than the commercially available one, so we would just use the commercially available amoxicillin. If, however, you wanted an amoxicillin/diclofenac/fluconazole capsule, we would compound it. We do charge for the time it takes us to make a compound, so the triple capsule wouldn’t be inexpensive. But if you believed this combo capsule would be the best thing for your patient, we could create it.