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Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy. Compounding’s presence, however, in the pharmacy profession has changed over the years. In the 1930s and 1940s, approximately 60% of all medications were compounded. With the advent of drug manufacturing in the 1950s and 1960s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms.

Within the last two decades, compounding has experienced a resurgence as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs.

Learn about the benefits of compounding

Reams Pharmacy offers the following Pharmaceutical Compounding products:

Compounding Capsules

Capsules

At Reams Pharmacy we strive to assist physicians in providing their patients with medications tailored specifically to their needs. We custom compound capsules unavailable commercially in order to help meet the individual needs of our diverse patients.

Ask your doctor if custom compounded capsules might help you get optimum results from your medication!

Compounding Cream Creams

Reams Pharmacy compounds creams unavailable commercially in order to help meet the individual needs of our diverse patients. Ask your doctor if custom compounded creams might help you get optimum results from your medication. Here are just a few of the many ingredients doctors often prescribe in custom-made creams:

  • Hormone Replacement
  • Pain (Lido/benzocaine)
  • Capsaicin
  • Clotrimazole
  • Clindamycin
  • Desonide
  • Ketoprofen
  • Dexamethasone
  • Gabapentin
  • Miconazole
  • Metronidazole
  • Tolnaftate
Compounding Suppositories Suppositories

Suppositories are solid dosage forms that melt, soften, or dissolve in a body cavity. Although not often the first choice for a dosage form by the patient, there is no disputing that suppositories are very useful for administering drugs to infants and children, severely debilitated patients, and for those whom an avoidance of oral or injectable products is desired. Here are just a few of the many ingredients doctors often prescribe in custom-made suppositories:

  • Clotrimazole
  • Clindamycin
  • Miconazole
  • Promethazine
  • Prochlorperazine
Compounding Liquids Oral Liquids

For patients who have difficulty swallowing tablets and capsules, or who have no tolerance for the taste of a commercially available liquid, a compounding pharmacist can make a pleasant-tasting, custom-flavored oral solution or suspension which can be administered easily and accurately. Here are just a few of the many ingredients doctors often prescribe in custom-made oral liquids:

  • Chlorhexidine
  • Enalapril
  • Guaifedamine
  • Ibuprofen
  • Lansoprazole
  • Nitrofurantoin
  • Omeprazole
  • Terpin Hydrate
  • Vaporizer/Inhilation Sln.
Compounding Topical Liquids and Protectants Topical Liquids and Protectants

At Reams Pharmacy, we custom compound topical products unavailable commercially in order to help meet the individual needs of our diverse patients. Ask your doctor if custom compounding might help you get optimum results from your medication. Here are just a few of the many ingredients doctors often prescribe in custom-made topical products:

  • Clotrimazole
  • Cholestyramine
    (Diaper Rash Ointment)
  • Medicated
    Lip Balm Sticks
  • Miconazole
  • Tolnaftate
How Does Compounding Benefit Me? Back to Top

Many patients are allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a physician's consent, a compounding pharmacist can change the strength of a medication, alter its form to make it easier for the patient to ingest, or add flavor to make it more palatable.

Examples of this include lollipops, creams, lozenges, or a gel. A suspension (a mixture of water and a non-dissolved medication) can also be made for those patients who may have a difficult time swallowing large capsules or tablets.

Compounding costs depend on the type of dosage form and equipment required, plus the time spent researching and preparing the medication. Fortunately, compounding pharmacists have access to pure-grade quality chemicals which dramatically lower overall costs.

Compounding has been part of healthcare since the origins of pharmacy, and is widely used today in all areas of the industry, from hospitals to nuclear medicine. Over the last decade, compounding’s resurgence has largely benefited from advances in technology, quality control and research methodology. The Food and Drug Administration has stated that compounded prescriptions are both ethical and legal as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy.

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Richard Perry, Pharmacist
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