Compounding is a working partnership between the physician, pharmacist and patient to solve a patient’s unique medical problem

Physician
Pharmaceutical compounding can enhance any physician’s practice. You can improve upon patient compliance and outcome by taking the time to understand your patient’s needs, and combining your skills with those of our compounding pharmacist to develop products for the specific needs of your patients. Each patient is an individual, so why should one drug fit all? Each individual’s reaction to a particular medicinal substance is different difficult-to-predict factors include fast-versus-slow metabolism, bio-availability, side effects. This biochemical individuality can pose difficult barriers to appropriate prescribing. Compounding allows you to tailor the medication to each person’s uniqueness in an individualized way. No longer are you limited to “cookie cutter” medicine. Your choices now include new routes of administration, dosage strengths, pharmaceutical combinations and the ability to develop new, potentially helpful compounds. Medicine can be as large as your knowledge and imagination will allow.

Patient
“Caring for you like family” is our goal. Our pharmacist has the training in bio-identical hormone replacement, men’s health, pain management, wound care and endocrinology to answers patient’s questions, make physician referrals, and work with the physician to create a unique formulation to solve the patient’s problem. One drug will not meet every patient’s need. Patients’ are allergic to dyes, have lactose intolerance, and are allergic to preservatives, adhesives in patches, to certain ingredients in vaginal creams. These are just a few of the problems that can be solved by a compounding pharmacist. We care enough to listen and solve your problem.

Pharmacist
Pharmaceutical compounding requires a higher level of expertise and dedication to pharmacy than just the act of mixing. Partners In Care has a reference library on drugs, their actions, their routes of administration, their compatibilities and incompatibilities. Chuck Fulmer, RPh, FIACP has the compounding experience to discuss a potential formula with you immediately. However, sometimes it is necessary to review the specific medication, dosage forms applicable to a certain condition. The ability to create an effective new formula is truly the art of compounding. High tech compounding equipment, proper maintenance, written protocols and a written log of each compounded preparation assures that only products meeting the highest standards are prepared and dispensed at Partners In Care. Quality control is a way of life at Partners In Care. There is a certificate of analysis (C of A) on hand for each lot of each chemical that is use in any product. To ensure that each active ingredient is accurately measure and recorded. The pharmacy’s electronic balance is connected to the computer and the scale weight and percent off is recorded in the log of each product. A lot number is assigned to each log sheet of each product prepared in the pharmacy. See an example of such a log also note that the lot number of each chemical used is also recorded.

Sterile compounding is an area which Partners In Care excels. Partners in Care’s clean room meet USP standards and the airflow is certified. All work is done in a class 100-work environment. There are logs of the cleaning schedules of the clean room and the proper rotation of the cleaning agents to prevent bacterial and fungal resistance. Air particle test and surface test are done on a regular basis. Sharlaine Fulmer, CPT was certified in Sterile Compounding with 40 hours of sterile compounding training in October 2003. Gowning requirements are fully met in a separate ante room i.e. Hair covers, Shoe covers, Disposable jump suits, Face mask and Sanitized gloves.

Every lot of sterile products that are prepared in bulk e.g. Hyaluronidase, Betamethasone 6mg Solu-Repository, Dexamethasone etc are end stage tested by an outside laboratory for sterility, pyrogenicity and potency. All sterile injectables that are suspensions are also tested for fungal contamination. Partners in Care has done end stage testing since 2001.

Overview of Chapter <797> "Pharmaceutical Compounding - Sterile Preparations": The Potential Impact for Compounding Pharmacists
Author(s):Cutter, Rahe, Hank
The author discusses the new regulations, enforceable at both the state and federal levels, from the US Pharmacopeial Convention (Chapter <797>) regarding the compounding of sterile preparations. The scope, major implications, preparations, general description of regulation contents and acceptable environments are covered. The main focus of the discussion centers on microbial contamination risk levels; responsibilities of compounding personnel; facilities and equipment; cleanrooms; barrier isolators; verification of compounding accuracy and sterilization; sterilization methods; personnel training and evaluation in aseptic manipulation skills; maintenance of product quality and control after the compounded sterile preparation leaves the pharmacy; packaging, handling and transportation; use and storage; redispensed compounded sterile products; patient monitoring and adverse events reporting and suggested standard operating procedures.
IJPC Vol. 8 No. 2 March April 2004 - Click here to request a printed copy of this article

Compounded Dosage Forms Prepared by Partners In Care

Capsules
Creams
Dye Free Formulations
Gels
Inhalations
Injectables
Lip Balms
Lactose Free Formulations
Medicated Lollipops, Lozenges, Popsicles
Nasal Sprays & Solutions
Ophthalmics
Oral Suspensions
Otic Insufflations
Otic Solutions & Suspensions
Preservative-Free Formulations
Rapid Dissolve Tablets
Rectal Enemas
Rectal Suppositories
Solutions
Sublingual Tablets
Suspensions
Sugar Free Formulations
Throat Sprays
Topical Powders
Transdermal Gels
Troches
Vaginal Creams
Vaginal Suppositories
Veterinary Preparation

© Partners in Care - http://www.picrx.com