4270 C Design Center Dr.
Palm Beach Gardens, FL 33410

Veterinary compounding

As a pet owner, you want your pet to receive the highest-quality veterinary care. 
Your pets are special. Why not give them customized care?
Why should you consider compounding as a solution for your pet’s medical problems?
That can be answered with another question: how hard is it to get your cat to swallow a pill?

The practice of pharmacy compounding is becoming a popular solution to veterinary problems. Compounding is the art and science of preparing customized medications for patients. Its resurgence in recent years extends valuable benefits to today’s pet owners. Animals often have variations of the same diseases humans can have, including skin rashes, eye and ear infections, heart conditions, cancer, and diabetes. Medicating pets presents unique problems that often are best dealt with through compounding.
The Compounding Solution
Any pet owner is well aware, animals can be extremely difficult to treat with medications. Cats are notorious for refusing to swallow pills, and usually will eat right around one disguised in food. Dosages can be very tricky with dogs – a dose of medication that works for an 80-pound Golden Retriever may be far too much for a six-pound Yorkie to handle. Large and exotic pets pose many unique medication challenges. A compounding pharmacist is equipped to help them all!
  • Cats
  • Dogs
  • Horses
  • Rabbits
  • Birds
  • Ferrets
  • Reptiles
  • Even animals in zoos and aquariums!
Flavored Medicine
The pet who refuses to take medication because of the taste is a prime opportunity for compounding. Cats don’t like pills, but they do like tuna. Dogs don’t appreciate a traditional solution of medication being squirted into their mouth, but they’ll take it gladly when it’s flavored with meat or part of a tasty biscuit or treat. Birds cannot take large volumes of liquid medication, but they will accept a small dose of a tasty, fruit-flavored, concentrated solution. By working closely with your veterinarian, a compounding pharmacist can prepare medicines in easy-to-give flavored dosage forms that animals happily devour, whether your pet is a cat, dog, bird, ferret, or snake.
Solving Dosage Problems
Just like their owners, animals are individual and unique. They come in different shapes and sizes, and may be sensitive to ingredients like lactose. As a result, not all commercially available medicines are appropriate for every pet. That’s where compounding is especially helpful. In this situation, your veterinarian can prescribe a flavored liquid, treat, or other dosage form with the amount of medication that is exactly right for your pet’s size and condition.
Commercially Unavailable Medicine
From time to time, a manufacturer may discontinue a veterinary medication. Often this is because it is not needed in the vast quantities necessary to make mass production cost-effective, but that doesn’t mean there aren’t still some pets that need it. When that medication has worked well for animals, a compounding pharmacist can prepare a prescription for the discontinued product – and tailor the strength, dosage form, and flavor to that pet’s specific needs.
A caring veterinarian working closely with a compounding pharmacist can improve the health and happiness of your pet. Ask your veterinarian or pharmacist about compounded medications today.
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Compounding
Q & A:

What is compounding?

Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy, although compounding’s presence in the pharmacy profession has changed over the years.

In the 1930s and 1940s, the majority of prescriptions were compounded. With the advent of mass drug manufacturing in the 1950s and ’60s, compounding declined as the pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms. However, this “one-size–fits–all” approach to medication meant that some patients’ needs were not being met.

Within the las few decades, however, compounding has experienced a renaissance as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet a patient’s unique needs.

Can my child or my elderly parent take compounded medicine?

Yes! Children and the elderly are often the types of patients who benefit most from compounding.

It is common for parents to have a tough time getting their children to take medicine because of the taste. A compounding pharmacist can work directly with the physician and the patient to select a flavoring agent, such as bubble gum, grape, tutti frutti, or vanilla butternut, which provides both an appropriate match for the medication’s properties and the patient’s taste preferences.

Just think – no more wasting medicine when a cranky patient spits it out!

Compounding pharmacists also can help patients who experience chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. Working with a physician’s prescription, a compounding pharmacist can provide these patients’ anti-inflammatory or pain-relieving medicationsas topical preparationsthat can be absorbed through the skin.

Compounded prescriptions frequently are used to ease pain, nausea, and other symptoms for hospice patients as well.

Is compounding legal? Is it safe?

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.

In addition, compounding is regulated by state boards of pharmacy.

Will my insurance cover compounded medications?

Some insurance plans do cover compounding. At Palm Beach Gardens Pharmacy, we accept all major insurance companies.

Is compounding expensive?

Compounding may or may not cost more than conventional medication. Its cost depends on factors such as the type of ingredients and equipment required, plus the time the pharmacist spends researching and preparing the medication.

Fortunately, compounding pharmacists have access to pure-grade quality chemicals which dramatically lower overall costs and allow them to be very competitive with commercially manufactured products.

How does compounding benefit me?

There are several reasons why prescribers and pharmacists provide compounded medications for patients.

The primary reason is to avoid patient non-compliance, which means the patient is either unable or unwilling to use the medication as directed.

Many patients are allergic to preservatives or dyes, or require a dosage that is different from the standard drug strengths. With a practitioner’s consent, a compounding pharmacist can adjust the strength of a medication, add flavor to make it more palatable, or alter its form to make it easier for the patient to ingest.

Pharmacists also can prepare medications using unique delivery systems. For those patients who find it difficult to swallow a capsule, a compounding pharmacist can prepare the drug as a flavored liquid suspension instead. Other dosage forms include topical gels or creams that can be absorbed through the skin, suppositories, sublingual troches or lozenges, or even lollipops.

What kinds of prescriptions can be compounded?

Almost any kind! Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices.

Compounding applications can include: bio-identical hormone replacement therapy; hospice; pediatric; pain management;ophthalmic; dental; otic ( for the ear); dermatology; medication flavoring; neuropathy; veterinary; sports medicine; infertility; wound therapy; podiatry and gastroenterology.

Does my prescriber know about compounding?

Prescription compounding is a rapidly growing component of many practitioners’ practices, but some may not realize the extent of compounding’s resurgence in recent years due to today’s climate of aggressive marketing by drug manufacturers.

Ask your prescriber about compounding, or get in touch with a compounding pharmacy – one that is committed to providing high-quality compounded medications in the dosage form and strength prescribed by the practitioner. Through the triad relationship of patient, prescriber and pharmacist, all three can work together to solve unique medical problems.

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