Medication can be custom compounded into individual capsule form to facilitate required alternate strength or to omit potential allergens or irritants. Multiple medications can be combined into a single dosage or made into delayed-release capsules to lessen the number of daily doses taken by the patient.
When a local oral application of a medication is needed, lozenges or troches are a popular dosage form. They can also be used sublingually, allowing the medication to enter the bloodstream quickly and easily. Both of these dosage forms can be enhanced with natural sweeteners or pleasant-tasting flavors. This method of delivery is ideal for geriatric and pediatric patients.
Insufflators are squeeze bulb applicators used to apply an extremely fine dry powder to the nose, throat, ears or other body cavities, or topically for wounds. This dosage form applied at the onset of a problem can minimize adverse reactions by releasing small, accurate dosages to the area needing medication. Insufflators are often used in the treatment of external ear infections.
Patients who cannot take medications orally are prime candidates for compounded suppositories. Suppositories are available, and can be given rectally or vaginally. When the suppository melts or dissolves into the body cavity, the medication passes quickly into the bloodstream. Suppositories can be used for delayed-release medications, hormone replacement therapy, or to treat local conditions such as hemorrhoids, infections, or inflammation.
Through compounding, a pharmacist can make a naturally sweetened, pleasant-tasting oral solution or suspension that can be administered easily and accurately, providing a solution for those patients who have difficulty in swallowing tablets and capsules. Solutions and suspensions can also be used in compounding ear drops, nasal sprays, throat sprays, and topical sprays.
The transdermal method of delivery allows for the absorption of the medicine directly through the skin. Gels, ointments, lotions, creams, sprays, and lip balm stick applicators are easy to use and are very effective in getting medicine into the bloodstream quickly. Transdermal medications are prescribed for use in pain management, inflammation, and infection control as well as help to avoid potential side effects such as nausea/vomiting or drowsiness. Transdermals are most often applied topically, but in some cases they can be applied vaginally or orally.
Unique Oral Delivery Systems
When a patient has difficulty taking medicines, the compounding pharmacist can custom-prepare a number of dosage forms that will make ingestion easier. These dosage forms include flavored lollipops, frozen popsicles, or chewable "gummy" treats. Lollipops and gels are ideal in working with children and for Dentists, helping to solve a number of common needs.
Compounding pharmacists can also provide patients with discontinued drugs, original formulations of new reformulations, and limited over-the-counter products.
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