Compounding
Preparing drugs so they perform better.

Oakdell is a compounding pharmacy in San Antonio, Texas. We have a long history in the San Antonio pharmacy market, and have always focused on our customers, one at a time.

Manufactured Medicine & and "the Void"

Most medications can treat most of the people most of the time, but not all the people all of the time! 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!

What 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.

Who can use Compounding
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.

What is a Common Reason to Compound
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 to

Customized Medications Offer Therapeutic Alternatives and Improve Compliance

Route of Administration
A medication may only be commercially available as an oral or injectable product but we can simplify home administration by compounding using an alternate form such as a gummy drops, transdermal gel, suspensions, or lollipop.

Combining Medications
Yes, often it is possible to combine several medications into a single oral dosage form such as a capsule, troche, transdermal gel, or suppository.

Flavors
We can flavor each medication to suit the individual's palate, and eliminate aftertastes. Physicians can prescribe compounded medications to change the flavor to make it more palatable. Some of the best selling flavors available are: Apple, Tutti Frutti, Marshmallow, Raspberry, Tangerine, Grape, even Crème de Menthe.

Dosage Modification
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.

 Full Service Sterile Compounding Facility
Several of our locations are equipped with USP<797> compliant sterile labs. This enables us to custom compound items such as preservative free eye drops, injectables, and many others as well. Many area hospitals and clinics rely on us and our expertise in taking care of patient needs.

Here are some other delivery systems…
Capsules, Suspensions, Transdermal Patches, Pediatric dosing bottle, Creams, Ointments, Oral Syringes, Troches (lozenges that dissolve in the mouth), Gummy Animals, Popsicles, Lollipops, Rapid dissolve tabs, Inhalation devices, Drops, Lip Balms, Suppositories

Ways to administer medications to the body

There are several ways to get the medication to the body and to improve patient compliance.

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.

Oakdell Pharmacy Commonly Prescribed Compounds

Injectables
Hyaluronidase, Glutathione, Chelation, Corticotropin, Clonidine, Baclofen, Bupivacaine, Progestrone in Sesame Oil (instead of Corn Oil).
Pain Medication Tolerance
Low-Dose Naltrexone 0.05mg to 0.1mg Capsules
Iontophoresis Solutions
Dexamthasone, Acetic Acid, etc.
Phonophoresis
Hydrocortisone 10% in Aquasonic Gel
Erectile Dysfunction
Triple "P" Penile Injection
      Papaverine/Phentolamine/Prostaglandin E1
Double "P" Penile Injection
      Papaverine/Phentolamine
Single "P" Penile Injection
      Prostaglandin E1 (up to 100mcg/ml)
Anal Fissures
Nitroglycerin 0.2% in Lidamantle HC
Diltiazem 2%/Hydrocortisone 1%/Lidocaine 2% Cream
Hemorrhoids
Cohen's Rectal Ointment
       Hydrocortisone, Benzocaine, Ichthamal, Phenol, Menthol, Lassar's Paste, Petrolatum
Rectal Rockets
        Peruvium Balsum, Hydroxychloroquine, Benzocaine, Nifedipine, Hydrocortisone
Shingles
Ibuprofen 2%/Gabapentin 6%/Clonidine 0.1%
Ketoprofen 10%/Lidocaine 2%/DDG 0.2%
Neuropathy
Baclofen, Amitriptyline, Ketoprofen, Capsaicin, Ketamine, Gabapentin, Clonidine, Guaifenesin, Piroxiacam, Ibuprofen, etc.. in Transdermal PLO gel
Nausea
Promethazine Topical Gel (PLO) 50mg/ml
Bendec Capsules (Doxylamine 10mg, Pyridoxine 10mg)
Topical Anesthetics
LAT Gel, Tetracaine Lollipops, Lidocaine Popsicles, Tattoo Gel
Aphthous Ulcers
Negatol (PhenolSulfonic Acid)
Betamethasone 0.025% rinse
Radiation Burns
TLC Cream
       Phenytoin 2%/Misoprostol 0.0024%/Lidocaine 2%
       Aloe 0.2% in an emollient cream base
Radiation Dermatitis
Hydrocortisone 1%/Lidocaine 10%/Tetracaine 10%
        Benzocaine 5%/Misoprostol 0.002%
        Pentioxifylline 10%
Dermatitis
Clobetasol 0.5%/Zinc Pyrithione 2% Topical Spray
Warts
Triple Acid
     Salicylic Acid 10%/Lactic Acid 10%/Acetic Acid 10%
      2-Deoxy-D-Glucose 0.2%/Cimetidine 4%/Ibuprofen 2%
Decubitus Wound Care
Ketoprofen, Misoprostol, Lidocaine, Phenytoin
Migraines
Lidocaine 4% Nasal Spray
Ketoprofen 5%/Gabapentin 4%PLO
Motion Sickness and/or Vertigo
Diphenidol
Scopolamine Nasal Spray 2mg/ml
Diaper Rash Combinations
Cholestyramine, Resinol, Nystatin, Stomahesive Paste
Smoking Cessation
Nicotine Lollipops
Ophthalmics (Some Preservative Free)
Antibiotics (Vancomycin, Cefazolin, Ceftriaxone, etc.)
Antifungals (Fluconazole, Itraconazole, etc.)
Antivirals (Vidarabine Ointment
Others (Mitomycin, Neomycin, PHMB, Chlorhexadine, Acetylcysteine, Glutathione, Timolol, Pilocarpine, etc.)
Natural Compounded Hormone Replacement
Tri-Est (80% Estriol, 10% Estradiol, 10%Estrone)
Progesterone
Testosterone
DHEA
Embryo Implantation
Sildenafil Vaginal Suppositories
Pregnancy Support
Progesterone Suppositories
Progesterone Chocolate Troches
Progesterone in Sesame Oil (up to 100mg/ml)
Hydroxyprogesterone Caproate
Proton Pump Inhibitor Suspensions
Omeprazole Suspension
Lansoprazole Suspension