Compounded Dosage Forms

Compounded Dosage Forms

Horst Pharmacy can compound medications in a wide variety of dosage forms, including:

Oral capsules and liquids

Transdermals

Lollipops and popsicles

Troches, tablet triturates and sublingual drops

Suppositories, enemas and rectal rockets

Nasal and otic preperations

Topical creams, ointments, gels, powders and sprays

Oral adhesives, mouthwashes and rinses

Sterile products, including inhalation solutions, injections, ophthalmics, TPNs

Compounded Capsules
Compounded Capsules

Medications formulated in capsules enable the patient to get the exact dosage needed, while avoiding unwanted dyes and fillers.

Customized Flavors
Customized Flavors for People and Pets

Compounding pharmacists can provide more than 100 human and pet flavors to satisfy patients.  See our flavor listing here.

Medicated Powders
Medicated Powders

Try a combination of an antifungal, antibiotic, antiviral, steroid and an anesthetic with an oral adhesive for canker sores or other oral lesions.

Topical Sticks and Tubes
Topical Sticks and Tubes

Try a combination of an antifungal, antibiotic, antiviral, steroid and an anesthetic with an oral adhesive for canker sores or other oral lesions.

Topical Formulations
Topical Formulations

Compounded Topical Formulations include creams (water-in-oil emulsions), ointments (anhydrous vehicles), gels (carbomer, HEC, HPC, HPMC), sprays, specialty deodorant stick or lipstick forms, and penetration agents to enhance effects.

Tablet Triturates
Tablet Triturates

Tablet triturates provide a rapid onset for Migraine headaches, Emesis (canine use), and Erectile disfunction.  This dosage form can be used for sublingual absorption, with benefits including no first-pass effect and no stomach acid degradation.  Tablet triturates are cost effective and convenient.

Compounded Sterile Products
Compounded Sterile Products

Compounded Sterile Products include Injections (aqueous and oil vehicles), Ophthalmics (solutions, suspensions, sprays, and ointments), TPNs and IV admixtures, Inhalation solutions (we can combine multiple ingredients to improve compliance), and Irrigating solutions.

Inhalation Solutions
Compounded Inhalation Solutions

We can create combination therapies for improved compliance, formulations that are not commercially available, and veterinary applications.

Medicated Lollipops
Medicated Lollipops
 

Medicated lollipops have local effects for Anesthetic, Antifungal, Antiviral, Anti-inflammatory, Saliva stimulant, and Healing agents.  They have systemic effects for Anti-anxiety, Antipyretic, and Analgesic (nargotic and non-narcotic).  They have combination effects for Smoking Deterrent, Cold Preparations (including cough suppressant, decongestant, antihistamine, and sore throat), Antibiotic, and Antihistamine.

Compounded Oral Liquids
Compounded Oral Liquids
 

Preparing medications in a liquid form allows the patient who can't swallow pills to get the appropriate medicine in a vast range of flavors, such as tutti-frutti or vanilla butternut. View out complete list of flavors here. This option is particularly valuable for infants, children, geriatrics, and hospice patients.  Oral liquids can increase patient compliance by providing more palatable preparations with a choice of multiple sweeteners and flavors.  Another reason to compound medications into oral liquids is to avoid unwanted ingredients (free of alcohols, dyes, preservatives and sugars).  And finally, anhydrous formulations may be used if aqueous stability is a concern.

Transdermal Gels
Transdermal Gels
 

Transdermal gels are a specially prepared emulsion that penetrates the skin and gets medications into the bloodstream quickly.  This is an effective dosage form for the patient who can't swallow.  This dosage form may be used for systemic or local effects.  Drug classes used in transdermals include:  Analgesics (Narcotics and Non-narcotics, Atypical analgesics:  Sympatholytic agent, NMDA-Calcium channel blocker, AMPA-Sodium channel blocker, Alpha agonist, Gaba agonist, Mu agonist, Substance P blocker); NSAIDs; Muscle relaxants; Anti-nausea agents; Antiviral agents; Anti-inflammatory agents; Anesthetics; Anti-anxiety agents; Anti-diabetic agents; Antidepressant / Anti-psychotic agents; Anti-hypertensive agents; Thyroid medication; Antihistamines; Anti-infective agents.  In addition, transdermals can be compounded with agents used for Autism, Erectile dysfunction, Psoriasis, Arthritis, Migrane headaches, Cancer, and Veterinarian use.

Troches
Compounded Troches
 

Soft gelatin-flavored troches, like gummy bears or chewable troches, provide medication in an easy-to-take and pleasant tasting form.  Troches provide local effects for better therapeutic outcomes, including Antiviral, Antifungal, Anesthetic, Saliva stimulant, Anti-inflammatory, and Healing agents.  In addition, troches are used for sublingual or buccal absorption.  This provides more convenience for the patient; a faster onset of action; there is no "first-pass" effect; and no stomach acid degradation.

Suppositories
Compounded Suppositories & Enemas
 

Putting medicine into suppositories allows the patient who can't swallow to receive the required drug.  This is particularly helpful for the patient who has symptoms of nausea and vomiting.  This dosage form is also a good alternative for injections that can cause pain and anxiety.  Suppositories and Enemas can be used for rectal or vaginal use.  They have a rapid local affect for Hemorrhoids, Irritable Bowel Syndrome (Crohn's disease), Anesthetic, Anti-inflammatory, and Steroid agents.  This dosage form has a good absorption route for many drugs because it prevents two-thirds of first-pass effect.

The rectal rocket is designed to get the drug to the sight of action.  It holds the drug at the sight of action for an extended period of time (air vent included).  With this dosage form, we can combine anesthetic and anti-inflammatory drugs, or use it for healing.

Polyox Bandage
Polyox Bandage
 

The Polyox Bandage is designed for oral use.  It is a superior oral bandage because it stays in place for hours even if it's "rubbed."  It can be used for any desired drug therapy included antihistamine, anesthetic, antiviral, antifugal, anti-inflammatory, etc, or combinations of drugs.  The Polyox Bandage can also be used for wound care.  It is particularly desirable for this application because there is no touching of the wound for application; there is no need for removal of new tissue growth; and it is advantageous in oozing the wound.

Nasal & Otic Preperations
Nasal & Otic Preperations
 

A Nasal Preparation is an advantageous dosage form because it provides a rapid absorption of the drug.  And studies have shown a good absorption route.  In addition, it is administered with a pump metered spray bottle, which delivers an accurate does of the drug.

Otic Preparations can be compounded for anhydrous vehicles including, PEG, Sweet Oil, Propylene Glycol, and Glycerin.  In addition, Otic Preparations can be compounded in order to combine multiple medications, including anesthetic, anti-inflammatory, antibiotic, antifungal, antiviral, steroid, etc.

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