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What is compounding?

Compounding is the art of formulating a medication or dosage form by a Pharmacist using approved techniques and ingredients for a particular patient upon the order of a prescription.

Compounding is achieved through an essential triad relationship of the patient, the physician, and the pharmacist. First the physician prescribes the medication, then the pharmacist takes the prescribed ingredients, puts them in a device or dosage form suitable for the ingredients and after a consultation, dispense the medicine to the patient. This enables patients to utilize the pharmacist's professional knowledge and receive the type of personalized care they deserve.

History of Compounding

At the start of the twentieth century most prescriptions were prepared and formulated in the pharmacy where they were sold. With the growth of pharmaceutical manufacturing companies, more and more of the prescriptions sold in the U.S. were commercially manufactured drugs. As mass produced medications expanded, the role of the pharmacist was reduced to little more than counting and pouring.

Many drugs we take for granted now were not even thought of 50 years ago. The large drug companies have produced many wonderful and miraculous medicines with their research and development departments. But with the standardization and mass production of medications something was lost. Since no two people are exactly alike, how can one dosage form and strength be right for every patient?

At Spence Pharmacy we are giving our physiciands more choices to initiate customized therapies for you. We are exercising the traditional right of the pharmacy profession and practicing the basic art of compounding that has been neglected by some for many years.

What are some of the dosage forms you use?
  • Cost Effective Formulation
  • Flavor Specialization
  • Medicated Lozenges
  • Medicated Popsicles
  • Sublingual Troches
  • Hospice Consultation
         Pain Formulations
         Nausea Formulations
  • Inhalation Therapy
         Individual Vials
         Combined Dosages
         Multidose Bottles
  • Ophthalmic Specialties
  • Dermatological Specialties
  • Podiatric Formulations
  • Discontinued Formulations
  • Original Formulations
         (New Reformulated)
  • Over the Counter Formulations
  • Rectal Suppositories
  • Rectal Enemas
  • Vaginal Suppositories
  • Topical Sprays
  • Creams, Ointments & Lotions
  • Topical Powders Otic Insufflations
  • Otic Solutions & Suspensions
  • Dental Preparations
  • Throat Sprays
  • Lip Balms
  • Transdermal Patches
  • Homeopathic Formulations
  • Individual Dosages
  • Alternate Dosage Forms
  • Urethral Inserts
  • Veterinary Formulations
  • Suspensions
  • Sugar Free Formulations
  • Preservative Free Formulations
  • Pediatric Formulations
  • Geriatric Formulations
  • Nasel Spray and Solutions
  • Physical Therapy Consultation
         Sounding Gels
         Ionizing Solution
         Iontophoretic Formulations
  • Vaginal Creams
         Tubes with applicator
         Disposable applicators
         Gels-Topicals

Transdermal medication delivery systems can be executed through a variety of methods including gels, creams, suppositories and buccal troches.

Water and alcohol based gels, which can easily penetrate the skin surface, can be administered in unit dosages and can even be covered with a adhesive patch if desired.

Creams and ointments provide many paths for suspended medications. Having pain management compounded in the form of a cream or ointment can provide direct relief for a patient without many of the unwanted side effects of an oral dosage.

Lozenges and lollipops help with pediatric dosages. They can be placed between tongue and cheek where it then can deliver the active medical ingredient with a pleasant taste. The lozenge (cough drop) is directly absorbed through the oral mucosa, or side wall of the cheek.

Suppositories, otherwise known as the comical nickname "rectal rockets", are actually popular dosage forms for patients who need to treat internal and external conditions. Many times multiple medications can be compounded into one dosage to decrease the number of medications needed.

Encapsulation medication through fill capsules provide traditional delivery, however, color coded pill capsules may aid the patient with multiple, "look-alike" medications.

Spence Pharmacy can also provide sugar-free medication for diabetic patients, dye-free for allergic patients, and alcohol and preservative free medications for sensitive patients.

We have the ability to compound endless variations of formulas which meet the needs of both physician and patient. Here is a partial summary of our compounded dosage forms:

  • Alternative Suspension Forms
  • Aseptic Compounding
  • Cost Effective Formulations
  • Commercially unavailable
  • Creams, Ointments, & Lotions
  • Dental Preparations
  • Dermatological Compounds
  • Disposable applicators
  • Enteric Coating
  • Geriatric Formulations
  • Homeopathic Formulations
  • Hospice
  • Pain Formulations
  • Nausea Formulations
  • Implants
  • Individual Dosages
  • Inhalation Therapy
  • Individual Vials
  • Combined Dosages
  • Multi dose Bottles
  • Injectables
  • Iontophoretic Formulations
  • Lip Balms
  • Medicated Lollipops
  • Medicated Lozenges
  • Medicated Popsicles
  • Nasal Sprays & Solutions
  • Ophthalmic Specialties
  • Oral Suspensions
  • Original Formulations, Now Reformulated
  • Otic Insufflations
  • Otic Solutions & Suspensions
  • Over the Counter Formulations
  • Pediatric Formulations
  • Phonophoretic Formulations
  • Podiatric Formulas
  • Polymeric Substrate Bandages
  • Preservative-Free Formulations & Injectables Ionizing Solutions
  • Rectal Enemas
  • Rectal Suppositories
  • Sublingual Troches
  • Suspensions
  • Throat Sprays
  • Topical Powders
  • Topical Sprays
  • Tubes with applicator
  • Transdermal Paste
  • Unit Dose
  • Urethral Creams
  • Ultra sound gels
  • Vaginal Creams
  • Vaginal Suppositories

In order for us to compound a medication for you it is very important that we receive a valid prescription, in writing or by phone, from your physician or medical practitioner

When medication problems have you stumped call the professionals at Spence Pharmacy.

(817) 626-3744
or
800-209-7364