What is drug compounding?

Drug compounding (extemporal medicines) is a term accepted in pharmaceutical practice to refer to dosage forms manufactured directly in a pharmacy by a doctor’s prescription for a particular patient.

What is the history of compounding drugs?

Extemporal medicines were most widely used in medieval Europe. The healers studied the properties of plants, minerals, products of animal origin and wrote out prescriptions. With the development of alchemy in Europe, the rate of accumulation of knowledge in the field of chemistry, botany and mineralogy increased, many pharmacists were engaged in alchemy and at the same time studied the properties of the products used.

Currently, the world has a dual relationship with the extemporal formulation. In some countries (Israel, Portugal) it is banned, in others (USA, Germany, France) it is widespread enough, but in any case, the need for the extemporaneous formulation is obvious.

What are the reasons for compounding drugs?

A situation where the necessary drug is not available in pharmacies is not uncommon. But drug compounding will help not only in this case but also in other situations:

  • when the available preparations do not contain the desired dosage of active ingredients;
  • when a patient has an allergic reaction to substances contained in the necessary product;
  • when you need the safest medicine for a small child or pregnant woman;
  • when you need a drug for the elderly with special reactions to certain drugs;
  • when you need to take into account all the individual differences of the body or to ensure the use of a non-standard drug.

Are compounded drugs safe?

All extemporal medicines undergo strict control. The raw materials used in the preparation of drugs are carefully checked. To ensure that the products are of the highest quality, pharmacies prepare them in accordance with the current licensing conditions. The preparations are made by experienced pharmacists. Medicines do not contain preservatives, dyes, stabilizers, which are present in finished medicines.

Are compounded drugs covered by insurance?

Some insurance plans cover compounded medications, but there are still restrictions that patients face.

What are the advantages of drug compounding?

The main advantage of an extemporal medicine is the ability to choose a dosage for each specific patient and at the same time take ALL his features into account (allergies, problems with the kidneys, liver, heart, etc.) Medicines sold at pharmacies are not suitable for all patients.

What drugs can be compounded?

It’s possible to prepare drops, ointments, powders, paste, dusting powder, potions, solutions, suspensions, suppositories, emulsions, antibiotics and drugs for newborns, homeopathic medicines, and electrophoresis solutions.