Better Alternatives
Here are some examples of the kinds of compounds that Acology Prescription Compounding makes.
OB/GYN Compounds:
Chronic Yeast Infections
Estriol Vaginal Cream- lowers pH, increases secretions, increases tone and strength of vaginal lining
Boric Acid 600 (or any strength) vaginal suppositories
Acidophilus Vaginal Applicators
PMS Cyclical Headaches
Progesterone 200mg lozenges
Postpartum Depression
Progesterone cream or capsules
Hormone replacement therapy: Bio-Identical (human-identical)
Pain Management:
Migraines
Indomethacin Suppositories. Used to be make by a major pharmaceutical manufacturer but discontinued for unpublished reasons. We can make them for patients that can benefit from the strong non-narcotic pain relieving effects of indomethacin but that cannot tolerate oral dosing due to stomach consequences.
Neuorpathic Pain
Combinations of: Ketamine, Ketoprofen, Gabapentin, Clonidine etc for topical application.
Muscle/Joint Pain
Topical nonsteroidal anti-inflammatory drugs (NSAID) have been available in Europe* for years. However, here in America various forms of aspirin are the only topical NSAIDS available. In America, only a compounding pharmacy can provide truly useful topical NSAIDs.
Therapeutic NSAID concentrations can be achieved in tissues subjacent to site of application while maintaining low serum levels. This results in fewer GI effects, less incidence of drug-drug interactions, less sedation, and less affect on bleeding time.
We have prepared the following NSAIDs in topical form:
Diclofenac, ibuprofen, ketoprofen, naproxen, and indomethacin so far. Our most popular formulation is a combination of ketoprofen 10% + cyclobenzaprine 1% + lidocaine 5% in an absorption enhancing gel.
Nocturnal Leg Spasms (including tight muscle cramps)
Ketamine plus Cyclobenzaprine (plus Lorazepam in severe cases)
Shingles
Combination of Ketoprofen, Gabapentin, Lidocaine and Deoxy-D-Glucose
Nausea Control:
Promethazine Transdermal topical gel or Suppository
Diphenhydramine (or Promethazine) plus Metoclopramide plus Dexamethasone -transdermal gel or transmucosal lozenge or rectal suppository
Metoclopramide Nasal Spray
Droperidol Transdermal topical gel
Chronic Hiccups:
Lidocaine by nebulization
Gastro-Intestinal:
Anal Fissures
Nifedipine with or without Hydrocortisone ointment
Diltiazem plus Bethanechol cream
Ostomy Wound Care
Cholestyramine ointment
Hemmohroids
Rectal Rockets made with Hydrocotisone, Lidocaine and Zinc Oxide
Dental/Oral
Soreness in mouth/throat
Tetracaine or Lidocaine Lollipops
Oxytracycline for packing dental procedures
Thyroid Hormone Replacement Therapy
Triiodothyronine Slow Release Capsules (T-3)
Triiodothyronine plus Levothyroxin Slow Release Capsules (T-3/T-4)
Note: Slow Release Capsules are usually chosen for T-3 therapy to minumize nervousness and palpitations.
Erectile Dysfunction:
Sildenafil Lozenges made from Viagra. Faster acting with lower dosage requirement.
* Notes:
The following NSAIDs are available in topical form in Europe:
Benzydamine, bufexamac, diclofenac, etofenamate, felbinac, flurbiprofen, ibuprofen, indomethacin, ketoprofen, naproxen, niflumic acid, oxyphenbutazone, piroxicam, suprofen and tolmetin.