Compounding

Main Source Pharmacy specializes in compounding.

Pain Management

We understand the importance of achieving optimal pain control  as well as the multidisciplinary approach and customized treatment protocols that it entails. By collaborating closely with both physician and patient  we are able to target specific patient needs and assure that each individual is treated uniquely.

There are several pain management compound options available and results variety drastically on case by case bases. Typically these compounds contain the following ingredients:

  • NSAIDs – such as ibuprofen, ketoprofen , diclofenac
  • Nerve Pain Modifiers – such as gabapentin, amitriptyline , clonidine
  • Muscle Relaxants – such as cyclobenzaprine or baclofen
  • Topical Anesthetics – such as lidocaine, benzocaine , tetracaine
  • Corticosteroids – such as hydrocortisone, dexamethasone,  triamcinolone, f

There are various ways such preparations can be compounded. The type of formula and  formulation that will produce the best results need to be discussed with the prescriber and selected based on individual needs.  Below are formulations that are available at MainSource Pharmacy :

  • Topical creams, gels and ointments
  • Dissolving sublingual troches
  • Suppositories
  • Capsules

At MainSource Pharmacy we are continuously researching and developing formulations and delivery systems to effectively target and treat each patient at the source of their pain.  All formulations are customized per prescription to meet the unique needs of each individual. Please contact us for a free consultation to determine which preparation may best work for you or your patient.

Dermatology

Our compounding professionals can prepare individualized therapies for a myriad of dermatologic problems. Compounding pharmacists continue to improve both the aesthetic and therapeutic aspects of customized medications, offering alternatives and advantages for dermatology. We can compound medications cosmetically appealing bases, and options that are non-comedogenic, hypoallergenic, oil-free, paraben-free and petrolatum-free. Other options include topical sprays and powders, as well as customized oral dosage forms (such as flavored troches or lozenges) and various preparations for other routes of administration. Compatible drugs can be combined into a single dosage form to simplify a medication administration schedule and improve compliance. USP approved chemicals can be utilized to enhance the absorption of topically applied medications. We commonly prepare unique formulations that physicians develop to meet specific needs of their patient population, or “tried and true” formulas acquired during medical training.

Our Specialties:

Acne | Alopecia | Athlete’s Foot | Chemical Peels | Diaper Rash/Incontinence | Head Lice and Scabies | Molluscum Contagiosum | Nail Infection/Removal | Pigmentation Abnormalities | Plantar Warts/Warts | Rosacea | Scarring and Keloids | Topical Anesthetics | Sun Protection/Photoaged Skin/Wrinkles | Pruritus | Psoriasis | Examples of Compounded Medications

Hormone Replacement

Compounding Services

Our bodies hormones control most of our basic functions. They serves as an internal communication system between cells throughout the body and coordinate everything from digestion and growth to appetite , mood , immune function and libido. Hormonal fluctuation and decline is a normal part of aging in men and women . Such alterations cause significant changes in the body, including changes in menstrual cycle, hot flashes and/or night sweats ,difficulty sleeping ,vaginal dryness ,loss of libido, mood swings , weight gain, increased body fat of the upper and mid-section, fatigue  and decreased muscle mass. To alleviate this discomfort and restore hormonal balance hormone replacement therapy is initiated either through the use of synthetic  or bioidentical hormones.

The commonly prescribed synthetic hormones are lab made hormones typically derived from the urine of pregnant horses. These hormones are foreign to the human body and can cause a wide array of side effects. On the contrary, bioidentical hormones are chemically identical in structure to those that the  human body produces and as a result mimics natural hormones allowing the body to recognize as its own and not react with side effects.

Our bodies are sensitive to the slightest changes in hormones  and since no two people are alike custom compounding is required to achieve optimal levels. The pharmacists at   MainSource Pharmacy work closely with both physician and patients to provide customized hormone therapy based on specific patient needs.

Every person is unique and will respond to therapy differently. Upon initial consultation with a physician and the start of therapy close monitoring is essential to ensure that optimal serum levels are achieved.

Benefits of Compounding:

  • Patient allergies or failure to respond to commercial products
  • Adverse reactions to commercial preparations. For example, if a patient has a reaction to an adhesive on a patch, we can compound the needed medication as a transdermal cream.
  • Need for a dose or dosage form that is not commercially available. For example, transdermal and vaginal creams may offer potential advantages because non-oral administration bypasses first-pass hepatic metabolism.
Podiatry

We commonly prepare unique formulations that prescribers develop to meet specific needs of their patient population, or “tried and true” formulas acquired during professional training. Penetrant enhancers can be added to improve the extent of absorption of topically applied medications. Numerous compatible medications can be combined into a single dosage form for ease of administration. Also, a synergistic effect can be achieved when certain medications are used concomitantly.

Anti-Fungal Therapy |Arthritis/Inflammation | Athlete’s Foot | Diabetic Neuropathy | Molluscum Contagiosum | Nail Infection/Removal | Plantar Warts/Warts | Wound Care | Iontophoresis & Phonophoresis | Examples of Compounded Medications

Pediatrics

We work together with practitioners, children, and their families to customize medications and meet specific needs.

Children pose many challenges when it comes to medication: they may resist having to take a medication, dislike the taste or texture, have difficulty swallowing solid dosage forms, and are fearful of injections.

The limited pediatric market for most drugs may be the leading reason for the lack of investment in drug development for this population by the pharmaceutical industry. Most medications are not labeled for pediatric populations, and when a medication is not approved for use in infants and children, it usually is not available in a suitable pediatric dosage form. Fortunately, our compounding pharmacy is able to help. We can compound oral medications into pleasantly flavored suspensions, solutions, concentrates, freezerpops, “gummy bears” or lozenges, in colors that entice the child to take the medication. A palatable formulation is more likely to improve compliance and minimize spillage or waste during administration. Lollipops are an ideal alternative to “swish and swallow” medications that need to be retained in the mouth for a prolonged period of time. Most drugs can be compounded into transdermal gels that can easily be applied to an appropriate site, such as the child’s wrist, for absorption through the skin.

Professional compounding is not just diluting existing medications, or mixing powders with bases. We must consider physical and chemical properties of each active and inactive ingredient in order to prepare an effective and safe customized medication with the desired taste, color, fragrance, viscosity, uniformity, texture, and stability. The efficacy of any compounded medication is influenced by the technique and equipment used in preparing the formulation, the purity and quality of the ingredients, choice of vehicle (base), and proper use of additives such as penetration enhancers.

Geriatrics

The concerns we have for dosing medication in children are often shared for medication dosage for the elderly. The older we get, conditions such as dry mouth make it very hard to swallow tablets and capsules. Also, many elderly patients need to take several medications in dosages that are lower than what is normally required for the average-age adult. Compounding offers a solution to address some of these issues by combining multiple drugs into one preparation, which may not only make it easier to administer but also more convenient for the patient. Geriatric compounding solutions come in many different vehicles such as oral liquids, creams, ointments, gels, rapid dissolving tables, injections, suppositories and more.

Surgery

Benzocaine-Lidocaine-Tetracaine (BLT Cream)

BLT cream is a topical anesthetic commonly used during minor cosmetic procedures, laser therapies, as a pre-injection topical, and a wide variety of other applications.

Veterinary

Most medications are manufactured with intended use in humans rather than animals. While the drug itself might still treat your furry friend, it is the other ingredients, the inactive ingredients, which can sometimes be toxic to your pet. Compounding allows for the most appropriate medication therapy by taking into account the unique habits and taste preferences of your pet. When dealing with veterinary compounding, the most popular compounding solutions are oral pastes, creams, ointments, gels, oral liquids, chewable treats, capsules and powders.