Compounding is the branch of medicine in which a pharmacist formulates and makes a medication for his/her patient.
A compounding pharmacist is a specialized healthcare professional who has received special education and training in the art of pharmaceutics and medication production.
Pharmaceutics is the science of medication delivery forms. Capsules or injections are examples of a medication delivery form.
A delivery form is a method or device by which a patient receives a medication.
Compounding is a branch of medicine in which a pharmacist formulates and makes a medication for his/her patient. A compounding pharmacist is a specialized healthcare professional who has received special education and training in the art of pharmaceutics. Pharmaceutics is the science of medication delivery forms. Capsules or injections are examples of a medication delivery form.
Compounding and Healthcare
Compounding allows a patient to receive the correct drug amount in a delivery system tailored to an individual to aid in the treatment, amelioration or prevention of a medical condition. Under the current healthcare system medication are manufactured to accommodate the majority of potential patients without regard for individual variability. Most medications come in only a small variety of strengths and dosage forms so a patient that requires a strength or dosage form that in unavailable is forced to accept the second-best option that is commercially available. Compounding provides the individual a way to receive a tailored drug regimen that is outside of the scope of the commercial pharmaceutical company's domain.
Compounding also allows a patient to receive a medication that is not available such as an investigation drug or a discontinued drug. A compounding pharmacist can purchase lab tested bulk chemicals and formulate a medication in such a case.
A compounding pharmacy is a specialized pharmacy that has professional staff proficient in the art of compounding.
A compounding pharmacist is a healthcare provider, who is specialized in the branch of medicine, involved in the production of individualized medications. A compounding pharmacist has typically taken several hours of specialized training in the art of compounding. Additionally, a compounding pharmacist usually devotes a great deal of his/her practice of pharmacy to the art of compounding.
Compounding innovation is the central feature of a compounding practice. Often a request is made that causes a compounding pharmacist to research and formulate a specific compound. The innovations made in the field of compounding are usually shared with colleagues thus expanding the potential impact compounding has upon the lives of pharmacy patients.
A compound formulation is the recipe that is created to direct the compounding pharmacist in the production of the specific medication.
Compounding economics is the positive financial impact that is made upon the healthcare system through reduction of costs generated by improving patient outcomes.
Compounding education involves the study of pharmaceutics, pharmacy calculations, pharmacokinetics, continuing education and compounding seminars to improve the efficacy of the compounding pharmacist.
Compounding resources include many pharmacy publications such as Martindales, Remingtons, the USP, the International Journal of Compounding Pharmacy and collaborative exchanges between pharmacists specialized in the practice of compounding. Additional compounding resources include the International Academy of Compounding Pharmacists, PubMed, PCCA and various Internet sites devoted to the transferal of compounding information.
Compounding equipment encompasses any device that aids in the production of a compounded medication. Compounding equipment includes something as simple as an electronic balance to something as complicated as an automated capsule-filling machine.
Compounding supplies are items that are indirectly necessary for the production of a compounded medication. Examples of such item include weight boats, spatulas and mortar and pestles.
Compounding calculations are mathematical computations that are performed each time a medication is compounded to ensure accuracy of the prescribed compound. Compounding calculations include weight to weight, volume to volume and weight to volume ratios. Additionally, compounding calculations often involve calculating proper dosing, expected yields and expected losses.
Aseptic compounding is the subset of pharmacy compounding that involves sterile preparations of medications that will be injected or used in an ophthalmic preparation.
Compounding Dosage Forms
Compounding dosage forms are the types of delivery methods used to dose a patient. Examples of a compounding dosage form include capsules, tablets, transdermal vehicles, gels, creams, ointments, injections, drops, inhalants, suppositories, troches, powders, decoctions, concoctions, suspensions, solutions, nasal sprays, shampoos, sublingual and buccal delivery methods. Additionally a compounding dosage form includes a devise such as a dropper bottle, an applicator, a syringe, etc.
Compounding technique is the procedure and methodology that is employed by the compounding pharmacist to produce a compounded medication. Compounding technique includes experiential judgement as to the amount of liquid needed to produce cohesion while avoiding encrustation of a tablet triturate and various other learned methods necessary to produce a suitable compound.
The compounding triad is the three-part relationship between the patient, physician and pharmacist. The physician prescribes the medication; the pharmacist compounds and dispenses the medication to the patient after a consultation. The patient receives the type of personalized care they deserve and allows compounding pharmacists to provide exceptional, patient-oriented service.
Compounding referrals are guidance from a medical professional directing a patient toward an individualized therapy via compounding. Compounding referrals are also made through education and publications.
Compounding law involves the regulations that govern the practice of pharmacy. Many government agencies such as the FDA often get involved or intervene in the practice of compounding when they believe the compounding pharmacy or pharmacist is acting outside their realm of practice.
Compounding and the Patient
Compounding owes its entire existence to the satisfaction of the patient. Patients have become educated through various ways as to the health benefits of compounding. Spokes people like Suzanne Summers have explained publicly the benefits of natural hormone replacement therapy. The increased awareness among patients and physicians regarding the positive affects of compounding has created a desire for personalized medications. The reality is that patients are driving the compounding industry by demanding individualized therapies.
Compounding and the Physician
Many physicians have become well aquatinted with the advantages of compounding and regularly prescribe compounded prescriptions for their patients. In today's consumer driven healthcare system a patient desiring to be prescribed a compounded prescription can often call a compounding pharmacy for a referral to a physician versed in compounding benefits.
Compounding pharmaceutics is the science of medication delivery forms; excipients and devices used in the practice of compounding to produce an efficacious compounded medication.