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What is a Compounding Pharmacy? Why Use a Compounding Pharmacy?

Compounding pharmacy is the process of mixing drugs by a trained, experienced compounding pharmacist to fit the unique needs of a patient.

The prescription for the drug or drugs is written by a qualified prescriber such as a Medical Doctor, Naturopathic Doctor, Nurse Practitioner, Physicians Assistant, Doctor of Osteopathy, Doctor of Veterinary Medicine, or any other medical professional who is licensed to write prescriptions. (This varies according to state licensing practices).

Compounding is done for medically necessary reasons, such as to change the form of the medication from a solid pill to a liquid, to avoid a non-essential ingredient that the patient is allergic to, or to obtain the exact dose needed. It may also be done for voluntary reasons, such as adding favorite flavors to a medication.

Before mass production of medications became the norm, compounding was a routine activity among pharmacists. Community pharmacists who have experience with compounding techniques are now less common.

Prescribers may write for an individually compounded medication for a patient with an unusual health need. This allows the prescriber to tailor a prescription to each individual. Compounding preparations are especially helpful for:

        » Patients requiring LDN. We mix Low Dose Naltrexone from the pure
             chemical and use Avicel (microcrystalline cellulose) as the filler

      » Patients requiring limited dosage strengths, such as a very small dose
             for infants

        » Patients requiring a different dosage form, such as turning a pill into a liquid
             or transdermal cream for people who can't swallow pills due to disability
             or due to preference

        » Patients requiring an allergen-free medication, such as one without gluten
             or colored dyes

        » Patients who need drugs that have been discontinued by pharmaceutical
             manufacturers because of low profitability

        » Patients who are taking bioidentical hormone replacement therapy

        » Children who want flavored additives in liquid drugs, usually so that
             the medication has the appropriate dosage and tastes sweeter when possible

        » Veterinary medicine, usually for a change in dose or flavor

Compounding pharmacies are licensed and inspected like all other pharmacies.

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