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Compounding

Nora Apothecary compounds customized medications for human and veterinary drug therapy. Physicians and veterinarians are often faced with unique, medicine-related problems. Customized medications that are preservative-free, in unique dosage forms, in individualized doses or commercially unavailable compounds can resolve drug treatment failures. As a member of the American College of Veterinary Pharmacists and The Professional Compounding Centers of America, Nora Apothecary & Alternative Therapies offers specialized compounding services to physicians and veterinarians in order to improve outcomes of drug therapies.

The masters are strong and getting stronger. Thanks to aggressive research and development on the part of drug manufacturers, an immense gallery of prescription drugs are available. Any one of us can now enjoy the modern convenience of the 24-hour “mega” drug store to fill our prescription needs, or the super discount store that can sell us snow tires and Prozac all at the same counter.

All of this amounts to a great package of quality and convenience – except for the “problem patient.” A patient can be labeled “problem” when treatment fails for any one of a number of reasons. Perhaps they can’t tolerate the potency or the form in which the drug is available due to absorption or swallowing difficulties. Maybe they’ve experienced a sensitivity to the preservatives or need a natural – as opposed to synthetic – version. Or maybe the patient is an animal and the drug needed to cure what ails them is simply not available to the veterinarian. For whatever reason, treatment failure is a real issue in today’s medicine. This is why the sometimes biased knowledge of the local drug salesman can’t be the physician’s only source of drug information. He or she needs a knowledgeable partner in order to keep abreast on the constantly changing canvas of modern medicines. This is why the strategic partnership a physician establishes with a compounding pharmacist is of the utmost importance.

By using unformulated chemicals, pharmaceutical-grade products, and pure forms of the drugs called for in a prescription, the compounding pharmacist – or drug expert – is the fine art master able to offer alternatives to failed treatments. While the drug companies offer their immense gallery, the compounding pharmacist brings the art back into the science. Today, according to the Professional Compounding Centers of America an international network of more than 2200 retail pharmacists in the United States, Canada, Puerto Rico, South America, Australia and New Zealand, an estimated 43,000 customized, compounded dosage forms are dispensed in the United States the alone.

The PCCA, based in Houston, Texas, provides their members with up-to-date consulting on a wide array of subjects and concerns. Ten pharmacists and three pharmaceutical chemists compose PCCA’s Pharmacy Consulting Department, which receives more than 400 calls a day from pharmacists who need technical information to help them meet an individual patient need. As a result of pharmacists’ inquiries, there is a constant exchange of ideas and technology about meeting patient needs through the compounding of medications, making this department the nerve center of contemporary compounding pharmacy.

This up-to-date education readily available to the compounding pharmacist is especially invaluable with the increasing need for specialized hormone replacement therapies. Each patient’s individuality is especially evident in a wide variety of variables when treating hormone balance issues.

It is the pharmacist who realizes that a number of the natural molecules needed in these treatments are not promoted by the drug companies because of their non-patentable status or the lack of studies to support their success. It is also the pharmacist who knows that some of these substances are, in fact, supported by studies and these studies are readily available.

Example: Donna suffered from menopausal hot flashes. She had read about the success of natural hormone replacement and asked her family physician about it. He felt traditional therapy was the preferred treatment and started her on the traditional regime. For seven months, she continued the treatments as her symptoms worsened. A friend at her local health food store suggested she talk to a reputable doctor at the local hospital’s center for alternative medicine. This physician agreed to begin an NHR treatment regime and recommended she have her prescriptions filled by a pharmacy known for their compounding skills and use of pure and safe ingredients. Needless to say, her problems subsided immediately. Donna has been on NHR treatment for a year and recently saw her family physician for a checkup. He commented on her remarkable state of health and asked her what she had been doing. She shared her story with him and the chain of education continued.

Whether promoting quality of life and wellness or treating the “problem patient,” compounded medicines serve many purposes and are the fine art of the prescription. From pre-operative patients or the critically-ill, to patients with acute allergies or special medical challenges, the compounding pharmacist offers more than simply a bottle of pills. He or she is your strategic partner and an excellent resource for information and product with the wellness of your patient as the focus.