Pharmacy Compounding Areas of Expertise

Pharmacy Compounding Areas of Expertise

Andropause

Symptoms of testosterone deficiency affect approximately 1 in 200 men and may include:

  • Decreased libido, muscle mass, strength, and stamina
  • Depression
  • Fatigue
  • Sleep Disorders
  • Heart Disease
  • Anxiety
  • Osteoporosis

This condition is commonly referred to as “Andropause” and less often as “Androgen Deficiency in the Aging Male” (ADAM).

A man may be considered hypogonadal at any age if total testosterone is less than 200 ng/dl, or bioavailable testosterone is less than 60 ng/dl. Basaria and Dobs of Johns Hopkins University recommend that elderly men with symptoms of hypogonadism and a total testosterone level < 300 ng/dl should be started on hormone replacement.

Let our pharmacists help restore your natural balance through supplementation to relieve the symptoms of andropause.

Find out more information:
Hormone Therapy for Men

Bio-Identical Hormone Replacement Therapy

In order for a replacement hormone to fully replicate the function of hormones which were originally  produced and present in the human body, the chemical structure must exactly match the original. There are significant differences between hormones that are natural to humans and synthetic or horse preparations. Side chains can be added to a naturally-occurring hormone to create a synthetic drug that can be patented by a manufacturer. A patented drug can be profitable to mass produce, and therefore a drug company can afford to fund research as to the medication’s use and effectiveness. However, naturally-occurring substances can not be patented, so scientific studies are less numerous on natural hormones. Natural hormones include estrone (E1), estradiol (E2), progesterone, testosterone, dehydroepiandrosterone (DHEA), and pregnenolone. Our compounding specialists work together with patients and prescribers to provide customized hormone therapy that provides the needed hormones in the most appropriate strength and dosage form to meet each patient’s specific needs. Hormone replacement therapy should be initiated carefully after medical and family history has been reviewed. Every woman is unique and will respond to therapy in her own way. Close monitoring and medication adjustments are essential.

Find out more information:
Hormone Replacement Therapy for Women

Dentistry

We work together with dentists and their patients to solve problems using customized medications. Upon prescription order, we can compound:

  • Lip balms for viral lesions
  • Topical muscle relaxants/analgesics
  • Topical anesthetics
  • Bleaching/whitening agents
  • Non-staining antibacterial rinses
  • Oral sedation in lollipops and freezer pops
  • Lollipops for oral thrush
  • Mouth rinses for ulcers or chemotherapy-induced stomatitis
  • Mouth rinse to stop oral bleeding during dental procedures for patients who take anticoagulants
  • Dry socket preparations
  • “Mucosal bandages” to cover ulcerated, infected, or tender mucosa
  • Lozenges that help to prevent gagging

Contact us for the full list of compounding opportunities.

Medications are manufactured in a limited number of strengths and dosage forms that will satisfy the needs of most patients due to stability concerns, and the cost of stocking and distributing numerous formulations of each drug. Using pharmaceutical grade chemicals and specialized equipment not found in most pharmacies, we can compound medications in doses and dosage forms that are not commercially available.

Find out more information:
Dentistry

Discontinued Medications

Drug shortage is increasingly becoming a problem and is beginning to impact patient conditions and issues.

Here at Hooper’s, we are able to compound a specific drug that your physician has prescribed. Let us help you get the critical care you require.

Pain Management

Pain management is essential because even when the underlying disease process is stable, uncontrolled pain prevents patients from working productively, enjoying recreation, or taking pleasure in their usual roles in the family and society. Chronic pain may have a myriad of causes and perpetuating factors, and therefore can be much more difficult to manage than acute pain, requiring a multidisciplinary approach and customized treatment protocols to meet the specific needs of each patient.

Optimal treatment may involve the use of medications that possess pain-relieving properties, including some antidepressants, anticonvulsants, antiarrhythmics, anesthetics, antiviral agents, and NMDA (N-methyl-D-aspartate) antagonists. NMDA-receptor antagonists, such as dextromethorphan and ketamine, can block pain transmission in dorsal horn spinal neurons, reduce nociception, and decrease tolerance to and the need for opioid analgesics. [Anesth Analg 2001 Mar;92(3):739-44] By combining various agents which utilize different mechanisms to alter the sensation of pain, physicians have found that smaller concentrations of each medication can be used.

Topical and transdermal creams and gels can be formulated to provide high local concentrations at the site of application (e.g., NSAIDs for joint pain), for trigger point application (e.g., combinations of medications for neuropathic pain), or in a base that will allow systemic absorption. Side effects associated with oral administration can often be avoided when medications are used topically. Studies suggest that there are no great restrictions on the type of drug that can be incorporated into a properly compounded transdermal gel. When medications are administered transdermally, they are not absorbed through the gastrointestinal system and do not undergo first-pass hepatic metabolism.

We work together with patient and practitioner to solve problems by customizing medications that meet the specific needs of each individual. Please contact our compounding pharmacist to discuss the dosage form, strength, and medication or combination that is most appropriate for your patient.

Find out more information:
Pain Management

Sterile Compounding

Here at Hooper’s, we are experts at compounding sterile products including IVs and injectables. The major difference between non-sterile compounding and sterile compounding techniques has to do with how the medicine is adminstered, rather than how it is compounded. The customized medications made through the sterile compounding techniques are either directly injected into the patient or will be inserted into the eye. Since these are medications which carry a high risk of infection or other medical problems, they are compounded according to sterile rules and regulations.  Our sterile compounding pharmacy ensures that all injectable medications and any applications that will be made will be fully sterile and free from even tiny amounts of bacteria or fungi.