Oakdell Pharmacy - Medical Center is San Antonio’s first and only fully PCAB accredited compounding pharmacy.
Compounding is the ancient art of pharmacy. Prior to the 1850’s, all prescriptions in the United States had to be made from scratch or compounded by the apothecary (or now known as the pharmacist). Once manufactured medications became widely available, pharmacists stopped compounding until recently. Why, you might ask?
Many wonderful medicines are available, but because of the fierce competition in our market and the standardization of mass produced medications, there is a void… Most mass produced medicines have limited strengths and dosage forms, which do not quite fit the needs of many patients. Other good medications are discontinued simply because of lack of profit to the manufacturer. Many physicians seek customized and unique formulations for their patients in vain.
Pharmaceutical medications can treat most of the people. However, some patients, including children, may require custom tailored medication for various reasons such as medication strength & allergies. Until now, the physician who wanted to customize therapy for a particular patient ended up frustrated because it was too difficult and often impossible to find support from the manufacturer or pharmacist. Now physicians have the opportunity to initiate customized therapy for their patients when desired....The solution is compounding!
Compounding is the art and science of preparing customized medications for patients to improve care. Compounding allows a practitioner to prescribe, and a pharmacist to prepare, a customized medication that is not available commercially, or to place an available medication in a different dosage form to meet a specific patient need (such as allergies or sensitivities) and improve compliance.
Compounding can be used for the entire family! Children benefit from having flavors added to make their medications easier to swallow. Adults can use compounding to help alleviate unwanted side affects. Even the family pet can benefit from compounding to make their medications and vitamins easier to take.
One of the most important reasons to use a compounded medication is patient non-tolerance of a manufactured product. Many patients are allergic to preservatives or dyes, or are sensitive to standard drug therapies. Physicians also prescribe compounded medications to change the strength, alter its form to make it easier for the patient to ingest, and/or change the route of administration based on an individual patient's needs.
We can compound a medication that contains the most appropriate strength of medication to proved therapeutic benefit but avoid adverse effects. The pharmacist can also prepare the medication using several unique delivery systems, such as a sublingual lozenge, a lollipop, or transdermal gel. Thus, compounding can substantially improve patient compliance by allowing the physician to prescribe a custom- tailored medication to meet the patient’s need.
As mentioned, dosage forms, also called delivery systems, can be altered to meet the patient’s need. Suppose it is most desirable to continue oral administration but the patient has difficulty swallowing. With consideration give to particle size, solubility, and stability, we can properly compound a solution or suspension. How about a freeze-pop or lollipop?
These are particularly useful when it is desirable to prolong medication contact with the oral cavity.
There are several ways to get the medication to the body and to improve patient
By Mouth – flavoring, suspensions, gelative lozenges, capsules, gummy drops/shapes, candy, lollipop, freezer-pops.
Eyes, Ears, Nose – drops & sprays in virtually any strength and concentration.
Skin – the drug can be delivered to the local problem area without incurring systemic side effects and without involving the liver or kidneys. Some medicines that may be irritating to the stomach are excellently tolerated through the skin. We make creams, ointments, transdermal gels & sprays.
Rectal, vaginal and urethral suppositories may be the best method of drug administration in some patients. We use various shapes and sizes of suppository casts and molds to produce medications that are delivered in this manner.
Injectable medications usually a last alternative for most patients, are highly effective in directly and instantaneously administering drugs into the body. Sterility is paramount. Our compounding laboratory is equipped with a laminar flow hood that enables us to maintain the highest standards of quality in producing sterile injectable drugs.
Hyaluronidase, Glutathione, Chelation, Corticotropin, Clonidine, Baclofen, Bupivacaine, Progestrone in Sesame Oil (instead of Corn Oil).
Low-Dose Naltrexone 0.05mg to 0.1mg Capsules
Dexamthasone, Acetic Acid, etc.
Hydrocortisone 10% in Aquasonic Ge
Nitroglycerin 0.2% in Lidamantle HC Diltiazem 2%/Hydrocortisone 1%/Lidocaine 2% Cream
Cohen’s Rectal OintmentHydrocortisone, Benzocaine, Ichthamal, Phenol, Menthol, Lassar’s Paste, Petrolatum, Peruvium Balsum, Hydroxychloroquine, Benzocaine, Nifedipine, Hydrocortisone
Baclofen, Amitriptyline, Ketoprofen, Capsaicin, Ketamine, Gabapentin, Clonidine, Guaifenesin, Piroxiacam, Ibuprofen, etc.. in Transdermal PLO gel. Lipoderm Cream
LAT Gel, Tetracaine Lollipops, Lidocaine Popsicles, Tattoo Gel
Clobetasol 0.5%/Zinc Pyrithione 2% Topical Spray
Sildenafil Vaginal Suppositories