Custom Preparations

What is compounding?

Compounding is the creation of a customized pharmaceutical preparation – a drug – by a licensed pharmacist to meet the unique needs of an individual patient when commercially available drugs are not effective or available.

Common reasons for compounding include:

  • Commercially available medications are discontinued or no longer available from the manufacturer.
  • Patient has allergies to preservatives, dyes, binders or additives.
  • Treatment requires specific dosage strengths to meet individual goals of therapy.
  • Combining several medications together to make it easier to take or apply
  • Oral or parenteral forms are not tolerable; topical forms such as creams, ointments or gels can be formulated.
  • Adding flavors to make medications taste better.
  • For the veterinarian community, which requires specific dosage regimens and flavors.

The demand for professional compounding has increased as health care professionals and patients realize that commercially available medications may not always meet their needs.

- Joe Catalano, RPh

Custom therapies we treat with compounding

  • Anesthetics
  • Bio-Toxic Mold Therapies
  • Dental Care
  • Dermatology
  • Hormone Restoration for Men
    Including Low-T & ED
  • Migraine Therapy
  • Palliative Care

  • Pain Management
  • Podiatry
  • Sports Medicine
  • Thyroid Hormone Therapy
  • Veterinary Care
  • Vitamin and Nutritional Deficiencies
  • Wound & Healing

Common compounding treatment services

Numbing Agents for the Skin 

Pre procedure topical agents are very effective in numbing the skin prior to any cosmetic or minor skin procedure. Our products can be specially formulated to meet the individual need of every patient.

Numbing agents such as Benzocaine, Lidocaine, Prilocaine and Tetracaine combinations can be formulated into a cream, gel, ointment, solution, or special liao-base and be formulated for use in a pump or spray (solutions only). Other ingredients such as DMSO to enhance penetration or adrenaline to help control bleeding can be added at various concentrations to produce a superior product, especially for cosmetic procedures.

It is important that topical anesthetics only be prescribed by a licensed practitioner according to state law, with clear written instructions and duration of use. Excessive application of any topical anesthetic agent can result in toxic absorption of the drug and lead to severe health consequences, including death. Our Pharmacy does not dispense topical anesthetic products to anyone without a valid prescription with clear instructions of the products use.

The efficacy of any compounded medication is influenced by the technique and equipment used in preparing the medication, the purity and quality of the ingredients, the choice of base, and proper use of additives. Our Pharmacy only partners with companies that source the purest of pharmaceutical ingredients, and we only purchase the most advanced and equipment that is inspected for accuracy to ensure the best quality and safety for our patients.

If you are interested in learning more about our numbing agents then call us toll free at 844-804-4445 and speak with one of our Pharmacists. You can also email us at Joe@ApothiCare360.com.

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What is Cholestyramine?

Cholestyramine (CSM) is a bile acid sequestrate that binds bile in the GI tract to prevent its reabsorption. CSM has been historically used for lowering cholesterol but has many other applications such as treating biotoxin associated illness, diarrhea, diaper rash, and eczema.

Cholestyramine is commercially available from pharmaceutical companies and contains many additives such as binders, fillers, and artificial sweeteners.

These additives make it difficult to compound CSM for topical use and challenging for patients to take orally. Additives produce many unwanted side effects and serve no purpose except for exposing your body to unwanted products. One dose of commercially available CSM is 9 grams, and contains 5 grams of additives and 4 grams of CSM.

ApothiCare 360 purchases only Pure Cholestyramine Resin, allowing us to add it to creams and ointments for topical use and provide the pure resin for oral ingestion, without all the unwanted additives.
What are topical uses for Pure Cholestyramine?

When compounded into a cream or ointment and applied topically, pure Cholestyramine extracts bile from skin. Bile and associated toxins from diarrhea and stool get absorbed into the skin, causing redness, rashes and severe irritation with pain, inflammation and sometimes infection.

Cholestyramine is the only product that may extract these toxins from the skin – alleviating the rash and irritation. Other products only help mask symptoms and do not focus on curing the rash and irritation.

For topical uses, our pharmacists compound pure Cholestyramine resin with healing creams and ointments to help cure and alleviate:

•Diaper rash

•Cutaneous stoma

•Perianal skin irritation

•Post surgical anorectal procedures

How do you use Pure Cholestyramine topically?

•Apply as a barrier protectant twice daily until rash and irritation is gone, typical treatment is for 4 to 10 days, based on severity.
Topical treatment options

Cholestyramine Healing Ointment 10%
Cholestyramine Healing Ointment 10% with Lidocaine 2%
Cholestyramine Healing Ointment 10% with a topical steroid

What are oral uses for Pure Cholestyramine?

Cholestyramine has a positive charge that binds to a wide range of different low molecular- weight, negatively-charged molecules and toxins and helps to shuttle them out of the body through the digestive tract. Cholestyramine is not systemically absorbed. Without Cholestyramine, these unwanted monecules and toxins are largely reabsorbed and continue in circulation indefinitely. Though gastrointestinal side effects are not uncommon and include constipation and other digestive issues, less than 10% of patients stop using Cholestyramine due to the side effects experienced. Uses for pure cholestyramine include:
•Treatment of severe diarrhea from c.diff (clostridium difficile). CSM binds to and adsorbs toxins in the bowel, reducing diarrhea.
•Treatment of biotoxin illness caused by mold exposure or lyme disease
•Itching from liver failure and other types of cholestasis – where there is reduced ability to remove bile acids.
•Wash out procedure in patients taking Leflunomide or Teriflunomide

How do you take Pure Cholestyramine orally?

Typical directions are 4 grams mixed in juice or apple sauce taken 3 to 4 times per day.

Oral treatment options

Pure Cholestyramine Resin

480 grams = 1 month supply when taking 4 grams 4 times per day

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Customized Medications to Enhance Dental Care

Customized medications prepared by our compounding staff help both dentists and their patients by solving each patient’s specific medication problems. Some examples of Dental Compounding include:

•Lip balms for viral lesions
•Transdermal muscle relaxants/analgesics
•Topical anesthetics
•Non-staining antibacterial rinses
•Oral sedation in lollipops and freezer pops
•Lollipops for oral thrush

•Mouth rinses for aphthous ulcers
•Trotters (lozenges) rinses to relieve mucositis caused by radiation or chemotherapy
•Mouth rinse to minimize oral bleeding during dental procedures
•Dry socket preparations
•Medicated mucosal bandage to cover ulcerated, infected, or tender mucosa

Call us toll free at 844-804-4445 or email us at Joe@ApothiCare360.com to discuss customized dental medications you may need.

Topical Anesthetics and Analgesics

Topical therapies are available to help patients with oral and perioral pain problems such as neuropathies, neuromas and neuralgias. Because of their rapid onset, significantly higher tissue levels beneath the site of application, and low side effect profile, topical medications offer very distinct advantages. Topical medications used intraorally in the treatment of oral ulcerations and infections include antifungals, NSAIDs, and, corticosteroids. These medications can be formulated into lollipops, lozenges, powders, and mucoadhesive pastes to increase the contact time with the mucosa and decrease pain at a faster rate.

Therapy for TMJ Disorder

Non-invasive topical therapy can successfully receive pain and inflammation associated with Temporo-Mandibular Joint (TMJ) disorder. Iontophoretic delivery of dexamethasone and lidocaine may improve mandibular function in patients with temper-mandibular function disorders who have concurrent TMJ joint capsulitis and disc displacement without reduction.

Suppressing the Gag Reflex

The gag reflex can cause considerable patient discomfort as well as interfere with dental procedures. A compounded troche can be retained intramurally a few minutes before the start of a procedure to suppress the gag reflex, allowing the dentist to give anesthetic with much greater ease. Troches or lollipops can be prescribed for home use for patients who can not properly perform oral hygiene procedures due to the gagging problem.

Treatment for Dry Mouth and Mucositis

Loss of saliva (xerostomia) is one of the most common complaints among patients who have received radiation therapy of the head and neck. Xerostomia contributes to radiation-induced periodontal infection, dental caries, osteoradionecrisis, and poor digestion of carbohydrates.

Periodontal Therapy

Customized compounding allows various active ingredients to be incorporated into custom mouth rinses, gels, troches, etc. For example, to treat periodontal disease, antibacterials can be formulated as a non-staining rinse, and antibiotics can be added to a mucoadhesive paste or plasticized gel in order to prolong the contact time between the medication and mucosa,

Transdermal Anti-Emetics
Application of anti-emetics in a gel form proves a rapid onset and offers an alternative to oral administration. Oral surgeons have found that this formulation to be particularly useful.

Miracle Mouthwashes
Mouthwashes or rinses may offer numerous advantages over commercially available dosage forms. A customized solution can eliminate concerns of palatability, limit alcohol content, and eliminate dyes which may stain the inside of the mouth.

Customized Hormone Replacement
Hormone fluctuations have a strong influence on the mouth. For example, postmenopausal problems may include decreased saliva production, increased dental caries, burning mouth syndrome, gingivitis, periodontitis and osteoporosis. Customized hormone replacement appears to reduce the rate of alveolar bone loss in postmenopausal women. Hormone Replacement Therapy is consistently associated with greater tooth retention in studies of early women.

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Topical Creams and Gels
Topical creams and gels can be formulated to provide high concentrations of drug at the site of application. These drugs can be used alone or in combination with multiple agents to treat many forms of pain.

Advantages to using a custom cream or gel:

•Side effects associated with oral pain medications can be avoided with topical applications.
•Minimize absorption into the blood stream, reducing systemic drug side effects.
•Provides a direct delivery system to pain receptors
•Blocks portions of the body’s inflammatory response system
•Reduces oxidative stress

•Reduces organ toxicity
•Produces fewer side effects
•Reduces adverse drug reactions
•Provides measurable and identifiable pain relief
•Greater effectiveness
•Improved patient compliance

Our pharmacists customize creams and gels for any type of pain or inflammation. Some examples include:

•Ankle Sprains
•Arthritis
•Bursitis
•Edema
•Entrapped Nerve
•Fibromyalgia
•Gout
•Inflammation

•Musculoskelatal Pain
•Neuroma
•Neuropathic Pain and Post-Herpetic Neuralgia
•Peripheral Neuropathy
•Phantom limb pain
•Plantar Fascitis
•Radiculopathy
•Shingles

•Strictures
•Synovitis
•Tarsal Tunnel Syndrone
•Tendinitis
•Tendinosis
•Trigeminal Neuralgia

Our pharmacists use combinations of pure pharmaceutical powders in different concentrations to provide a synergistic action and achieve optimal treatment. Based on your condition, you may need a customized cream that contains:
Analgesics: relieve pain at the site of application
Clonidine, Ketorolac, Tramadol
Anesthetics: numbs the area and helps relieve pain
Bupivicaine, Ketamine, Lidocaine, Prilocaine, Tetracaine,
Muscle relaxants: relaxes smooth or skeletal muscles
Baclofen, Cyclobenzaprine, Guaifenesin, Ketamine, Magnesium, Orphenadrine
Nerve agents: reduces pain caused by damaged nerves at the site of application and improves the effectiveness of other analgesic agents
Amitriptyline, Carbamazepine, Gabapentin, Ketamine, Imipramine
Non-steroidal Anti-inflammatories: reduce inflammation and pain at the site of application
Dicofenac, Flurbiprofen, Ibuprofen, Indomethacin, Ketoprofen, Mefenamic Acid, Piroxicam
Vasodilators: increases blood flow and tissue perfusion at the site of application, increases drug absorption.
Nifedipine, Verapamil
Price: Our pharmacy compounds various sizes based on your individual needs that range in price based on the ingredients and individual patient needs. Please call one of our pharmacists to discuss solutions for your pain management.
Sublingual Troches
Sublingual troches are an easy and effective way to achieve more immediate pain relief when compared to commercially available tablets and capsules. Troches can be flavored to each patient’s taste and offer a great solution to custom dose your immediate release pain medications. Please call one of our pharmacists to discuss possible solutions.

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Customized Medications for Pain, Symptom Control and Wound Care 

Palliative is defined by the World Health Organization as “the active total care of patients whose disease is not responsive to curative treatments.” The goal of palliative care is to achieve the best possible quality of life for these patients and their families.

Pain Management

Treatment of chronic pain involves the use of NSAIDs and opioid analgesics. By combining various agents which utilize different mechanisms of action to alter the sensation of pain, smaller concentrations of each medication can be used. Optimal treatment can involve the combination of other medications such as gabapentin and ketamine, but also may include many medications that have pain relieving properties or are adjuvant drugs, such as:

•antihistamines
•NMDA receptor antagonists
•corticosteroids

•anticonvulsants
•antidepressants
•antiarrhythmics

•antiviral agents
•anesthetics

Depending on the type and severity of pain being treated, a customized medication in a different dosage form can be created to help achieve a better quality of life for the patient. Our team of Pharmacists offer many options for pain management that can be customized based on each patients unique needs and condition.

Nausea and Vomiting

Nausea and vomiting can be controlled more effectively by using a combination of medications in different dosage forms such as topical gels, suppositories, lozenges, and lollipops. Oftentimes commercially available medications for nausea and vomiting are only available in oral forms, and sometimes for the palliative care patient these medications just don’t work effectively. Studies at Memorial Sloan-Kettering Cancer Center have successfully researched the safety and efficacy of using metoclopramide, dexamethasone, and diphenhydramine to control vomiting and also using lorazepam, diphenhydramine, haloperidol, and metoclopramide in suppository and topical forms for the treatment of nausea and vomiting (1).

Dry Mouth and Stomatitis

The loss of saliva (xerostomia) is a common complaint among patients who receive radiation of the head and neck. Loss of saliva contributes to radiation induced periodontal infection, dental caries, osteoradionecrosis, and poor digestion of carbohydrates. Our Pharmacists can compound a customized medication to help mouth sores, infections and dryness.

Skin Protectants

Patients with limited movement or who are confined to a bed can get skin irritation from pressure points and even sores and ulcers. It’s important to recognize the risks and help prevent skin damage at sensitive areas. Our Pharmacy compounds a topical medication containing cholestyramine, that when applied correctly, can dramatically help with skin irritations from bed sores, peristomal and perineal excoriation, decubitus ulcers, and other skin barrier infectious issues. Depending on the treatment, other ingredients may need to be added to provide a customized medication solution.

Call one of our Pharmacists toll free at 844-804-4445 to discuss our skin protectants.

Research: (1) Cancer 1995 Sep 1; 76 (5): 774-8.

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We Are Pediatric Problem Solvers

There are challenges with pediatric medications. Many children resist taking medication because they dislike the taste or texture, have problems swallowing large tablets and capsules, or are afraid of being stuck by a needle. Most prescription medications are not labeled for pediatric use and not available in suitable pediatric dosage forms. Many drugs are not available as liquids and even fewer are available in flavored dosage forms that children like.

We Can Make Kid Friendly Compounds

At ApothiCare 360 we can solve these problems. We can compound oral medications into flavored:

•suspensions
•solutions

•concentrate
•gummy shape

•lozenges
•freezer pops

•lollipops
•powders

We Are Pediatric Problem Solvers

Nothing But The Highest Quality

Did you know that the efficacy of any compounded medication is influenced by the technique and equipment used in preparing the medication, the purity and quality of ingredients, choice of base, and proper use of additives? ApothiCare 360 only uses the very best equipment that is tested for accuracy and purchases the highest quality ingredients from the most reputable sources in the industry to prepare our products. Our staff undergoes specific training in compounding to ensure your customized medications are the right dose, strength, texture and consistency every single time we make it. Our Pharmacy Manager, John Dobbs was trained in Pediatrics and is an expert in dosing pediatric medications, so you can be assured your child’s customized medications receive only the highest level of attention and scrutiny while being prepared.

Nutritional Therapy for Autism and Other Conditions

Most children with autism have a need for increased amounts of specific vitamins, minerals, and amino acids. Detoxification agents may remove essential minerals, creating a need for supplementation. Our staff can customize specific nutrients into patient specific flavored suspensions, powders, or transdermal preparations to improve compliance.

Gluten-Free Preparations

Gluten is a protein found in wheat rye, and barley, and is present in some medications, over the counter products, and cosmetic agents. A gluten-free diet can provide relief of symptoms associated with celiac disease, seasonal allergies, and autoimmune disorders. Our staff can compound gluten-free medications as well as preparations that are free of other problem causing products such as dyes and lactose.

Diaper Rash

We prepare customized formulations containing protectants, absorbents, antibiotics, numbing agents, corticosteroids, and cholestyramine to relieve irritated skin. If you are experiencing a problem with your child’s diaper rash, then give one of our pharmacists a call and we can discuss the right therapy with your doctor.

Acne

Our products contain antibiotics, moisturizers, and anti-aging ingredients to help reduce the effects of acne and the long term damage it can cause the skin. Not every product is right for every patient. That’s why we customize a formula for every patient, based on a thorough medical history consultation with your doctor.

We Make It Easier For Children To Take Their Medications

Our staff is dedicated to meeting the unique needs of children. If you are having a problem with your medication, or have any questions about the potential benefits of creating a customized medication for your child, then please call us, toll free 844-804-4445, or email us at Joe@ApothiCare360.com. We look forward to renewing your child’s health.

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Solving Problems With Customized Medications

Podiatrists and other health care professionals that treat the foot can encounter numerous problems that may be helped with customized medications, such as:

•Arthritis
•Athlete’s Foot
•Diabetic Neuropathy
•Dry Skin

•Edema
•Inflammation
•Muscle Spams

•Nail Removal
•Nerve Pain
•Plantar Warts

•Onychomycosis (nail fungus)
•Tendinitis
•Wounds

Solving Problems With Customized Medications

Podiatrists and other health care professionals that treat the foot can encounter numerous problems that may be helped with customized medications, such as:

Anti-Fungal Therapy

Fungal infections of the feet may be associated with dry, cracked skin surrounding the plantar surface and heel fissures. Hyperkeratosis can have various etiologies and chronic conditions are very difficult to deal with. Moccasin tinea pedis (athlete’s foot) is typically resistant to topical anti fungal therapy when used by itself. However, one study showed a 100% cure rate was achieved with patients who were treated with 40% topical Urea and anti-fungal cream concomitantly for 2 to 3 weeks (1).

Athlete’s food and onychomycosis are common problems. Studies point to using ibuprofen alone or in combination with azoles in the treatment of candidosis, particularly when applied topically, taking advantage of the drug’s anti fungal and anti-inflammatory properties (2).

For patients who cannot take oral medications an anti-fungal agent such as terbinafine hydrochloride can be prepared with pharmaceutical grade DMSO and applied topically. When applied topically, the medications usually have a lower adverse drug-reaction profile and are not prone to drug-drug interactions, as are medications that are taken orally (3).

Warts

Customized medications can be made for the treatment of warts, plantar warts, and molluscum contagious, such as cimetidine, glutaraldehyde, cantharidin, imiquimod, squaric acid dibutylester, podophyllin, salicylic acid and potassium hydroxide.

Wound Care

Medications that improve capillary blood flow can be added to a compound medication to enhance circulation at the wound margins and promote healing of the injured area. Traumatic wounds and pressure sores may heal more quickly if treated topically with phenytoin. Nifedipine has been used topically to treat wounds on the feet in patients with diabetes and club foot. Nifedipine may create localized peripheral vasodilation, resulting increased blood blow, which accelerates epithelialization and possibly microvascular neogenesis (4).

If you are experiencing a medical problem that’s becoming difficult to treat, or if you are concerned about side effects of orally administered medications, then call us toll free at 844-804-4445 to discuss a customized medication. Our staff can create a formula to meet your unique needs.

References: (1) Cutis 2004 May; 73 (5): 355-7. (2) J Med Microbiol 2000 Sep; 49 (9): 831-40. (3) Drug Topics June 18, 2001 pp. 43-56. (4) Int’l J of Pharm Compounding 2000 Sep.Oct; 4 (5): 356-8.

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Topical and Transdermal Therapy

Transdermal therapy can relieve pain, reduce inflammation, and relax muscles while significantly reducing the risk of side effects that are detrimental to athletic performance, such as gastrointestinal upset and drowsiness.

Topical NSAID (non steroidal anti-inflammatory drug) administration offers the advantage of local, enhanced delivery to painful sites with a reduced incidence of gastrointestinal adverse effects compared to the same drugs when taken orally. (1) Muscle relaxants can also be compounded for topical administration.

The low incidence of systemic adverse effects associated with topical NSAIDs corresponds with the much lower plasma concentration when the medication is applied topically in comparison to plasma levels produced by oral administration. Research is shown that topically applied ketoprofen provides a high local concentration of drug below the site of application but decreases systemic exposure and significantly reduces the risk of gastrointestinal upset or bleeding. When properly compounded into an appropriate base, tissue concentrations of ketoprofen were found to be 100-fold greater below the application site (knee) compared to systemic concentrations (2). Ketoprofen attains high concentrations in subcutaneous tissues and joints after multiple topical applications, and subcutaneous tissues appear to act as a reservoir of ketoprofen (3,4).

Analgesic Gels and Sprays

Gels and Sprays can be compounded to reduce pain and bleeding secondary to lacerations. LAT Gel (Lidocaine, Adrenaline, Tetracaine) is superior to preparations containing cocaine for topical anesthetic in laceration repair (5,6). Epinephrine (adrenaline) in the gel helps to stop bleeding secondary to injury, and use of LAT gel makes it much easier to cleanse the wound. LAT gel also appears to be a safe and effective means of providing anesthesia for the repair of simple finger lacerations in children, without causing digital ischemia (reduced blood flow to the finger). Doctors can contact one of our Pharmacists to customize a LAT Gel for their patients and procedures by calling us toll free at 844-804-4445 or emailing us at Joe@ApothiCare360.com.

Iontophoresis and Phonophoresis

These processes can enhance drug penetration, and are used to treat inflammatory conditions such as arthritis, plantar fasciitis, tendonitis, bursitis, and carpal tunnel syndrome.

Successful applications of iontophoretic technology include:

Treatment of inflammation of muscles and tendons using a dexamethasone and lidocaine mixture delivery of lidocaine for rapid, noninvasive local anesthesia therapy for plantar fasciitis when more immediate results are needed Doctors can contact one of our Pharmacists to discuss iontophoresis and phonophoresis for their patients and procedures by calling us toll free at 844-804-4445 or emailing us at Joe@ApothiCare360.com.

Anti-Fungal Therapy

Persistent problems including athlete’s foot, jock itch, and fungal nail (onychomycosis) may involve use of a combination of compatible medications that are synergistic in effect. Research points to the practicality of using ibuprofen, alone or in combination with drugs such as clotrimazole, in the treatment of candidiasis, particularly when applied topically, taking advantage of the drug’s anti fungal and anti-inflammatory properties (8). Penetrant enhancers such as USP medical grade DMSO can improve the extent of absorption of topically applied medications.

PreGame Rubs

These can be compounded to contain substances such as emu oil and anti-spasmodic drugs. Emu oil is a moisturizer that can improve healing of injured skin (9).

Mucosal Bandages

These can be compounded to contain antibiotics, topical anesthetics, corticosteroids, and other medications in a protective base that can be applied to moist surfaces such as a wound or oral mucosa.

Hyperhidrosis Therapy

This may include topical use of various medications, relieving excessive perspiration which is a concern for many athletes, as well as members of dance teams and marching bands.

Hemorrhoids

Hemorrhoids can be particularly problematic for catchers, coaches, and others who are regularly in a squatting position. Treatment often involves use of a novel dosage form known as the “rectal rocket,” a suppository that permits simultaneous internal and external application of corticosteroids, topical anesthetics, antibiotics or other medications.

Nutrition and Supplementation

Nutrition plays a key role in fitness. Vitamins, minerals and protein supplements can improve strength and endurance, speed healing, and help to optimize athletic performance. While the literature has many references regarding the benefits of supplements, the value of proper formulation is rarely discussed but is important to consider. The amount and rate of nutrient absorption depends on particle size of the active ingredients in the formulation, as well as the choice of inactive ingredients such as fillers in a tablet or the base of a topical preparation, and many other factors. We can prepare or recommend pharmaceutical grade supplements for your specific needs. Call us toll free a 844-804-4445 and make an appointment with Dr. Joe Catalano.

We Can Help Solve Your Problems

Athletes, coaches, weekend warriors, trainers team physicians, and physical therapists are faced with problems such as:

•Pain
•Muscle Spasms

•Edema/Swelling
•Inflammation

•Tendonitis
•Abrasions and cuts

•Infections of the skin and nails
•Dry skin

We can help solve these problems and others with customized medications that will deliver the needed medication to the affected area while minimizing the risk of side effects.

For more information on customized medications and nutritional support, please call us toll free at at 844-804-4445 or email us at Joe@ApothiCare360.com.

References: (1) Adv Studies in Medicine, Johns Hopkins University, 2003 July; 3 (7A). (2) Pharmaceutical Research 1996; 13 (1): 168-172. (3) J Rheumatol. 1997 Aug; 24 (8): 1595-8. (4) Rheumatology (Oxford). 1999 Jun; 38 (6): 564-7. (5) Pediatrics 1995 Feb; 95 (2): 255-8. (6) Am J Emerg Med 1995 Mar; 13 (2): 151-4. (7) Am J Sports Med 1997 May-Jun; 25 (3):312-6. (8) J Med Microbial 2000 Sep; 49 (9): 831-40. (9) Plas Reconstr Surg 1998 Dec; 102 (7): 2404-7.

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Numbing Agents for the Skin

Compound medications for your pets are available only by a prescription written by a veterinarian. Our Pharmacists compound a customized mixture of the exact doses and ingredients for your pets to ensure safe and effective medication administration each and every time.

Commercially available human medications contain many additives that may not be safe or appropriate to compound for animal use. That is why we try our best to use pure pharmaceutical powders and ingredients that are safe for pets to take.

Chew treats

Giving medications to your pets can be challenging, and we recognize this problem because we love pets and have our own too! That is why we specialize in compounding chew treats that are made to your pet’s specific needs. Each chew treat delivers the correct dose of medication prescribed by your veterinarian that is put in a natural chewy base and customized to the flavor your pet likes. Chew treats are made in small squares for cats and small or large chew bones for dogs.

Liquids and Capsules

Sometimes medications can not be placed into a chew treat. We can then compound your pet’s medication in a flavored liquid or a capsule. Most capsules can be opened and mixed in pet food for easier administration or you can give the capsules to your pet whole if you prefer.

Flavors

Some of the most popular flavors for dogs include chicken, bacon and beef. For cats, they seem to love our fish flavors such as tuna and salmon. In addition to these flavors, we also have many different fruits like apple, banana, cherry, grape, strawberry, and watermelon and other combinations such as peanut butter and molasses. Just ask and we can customize your pet’s medications to almost any flavor.

Skilled Professionals and Quality Products

The preparation of custom medications for pets requires chemicals and equipment that are not available in most pharmacies. Our staff have received extensive training in compounding techniques for animals and our pharmacy has invested in the technology and equipment to make the proper types of custom medications for your pets. We have to find ingredients from uncommon sources to ensure they are safe and of the highest quality. Our staff are all pet owners, avid animal lovers and are honored to help care for your pets.

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Customized Medications for Wound Care, Scars, Keloids and Burns 

Wound care involves debridement (removal of dead tissue), irrigating the wound, maintaining of a moist environment, preventing infection and further injury, and treatment to improve healing. Our compounding staff can compound a customized preparation with a number of proprietary bases and active ingredients to optimize the treatment of:

•Scars
•Keloids

•Burns
•Stretch marks

•Athletic injuries
•Ulcerated leg wounds

•Acne scars
•Any skin condition needing barrier protection

Here is a sample of some ingredients that can be added to bases for topical use to reduce pain, decrease inflammation, promote granulation, decrease exudate, improve circulation or control odor:

•Alpha Lipoic Acid
•Ascorbic Acid
•Collagenase
•Betamethasone Valerate
•Bupivacaine
•CoEnzyme Q10

•FluticasoneHyaluronic Acid
•Hydroquinone
•Imiquimod
•L-Arginine
•Lidocaine
•Levocetirizine

•Lycopene
•Metronidazole
•Mupirocin
•Nifedipine
•NSAID’s
•Pentoxifylline

•Phenytoin
•Pine Bark Extract
•Prilocaine
•Tamoxifen Citrate
•Tetracaine
•Tranilast
•Vancomycin
•Vitamin E

The use of customized compounds for the treatment of wounds can result in significantly improved healing and decreases the risk of drug related adverse effects and potential drug-drug interactions associated with systemic medications. Our compounds can be formulated into creams, ointments, gels, and solutions and can be applied as a spray or in a pump form.

Creams, Ointments, Gels, and Solutions

Creams may be more difficult to remove from the wound cavity and may affect the granulation process, therefore using a gel or solution is preferred. Gels are water soluble and almost any active ingredient can be formulated into a gel. Gels can help to keep the area moist, and are easily removed from the wound using a gentle stream of warm water or saline.

Water-washable preparations allow for easy cleaning and debridement, and occlusive vehicles provide a barrier over the wound to maintain a moist wound site and an optimal healing environment. Solutions can be used for irrigation, baths, soaks and speaks. An advantage of solutions in spray form is that the wound area does not need to be touched and sprays can have a cooling effect.

Topical anhydrous silicone gels are non-greasy and have been widely used for barrier protection. A silicone gel can be formulated with antioxidants, emollients, and specialty ingredients to reduce scarring, and their occlusion and hydration properties are essential in scar management.

Supplementation with Proper Nutrients

Healing of wounds involves increased cellular activity, which causes an intensified metabolic demand for nutrients such as arginine, glutamate, protein, vitamin A, vitamin C, pantothenic acid, zinc and copper. Appropriate supplements are a key to promote wound healing in the shortest time possible, with minimal pain, discomfort, and scaring. Our staff can recommend the best supplement for you based on your condition and current nutritional state.

Call us toll free at 844-804-4445 to schedule a private consultation with one of our Pharmacists. You can also email us at Joe@ApothiCare360.com.

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APOTHICARE 360 IS A PROUD MEMBER OF PCCA
PROFESSIONAL COMPOUNDING CENTERS OF AMERICA.

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