Dental Compounding - Patterson Park Pharmacy

1 Dental CompoundingWe customize medications to enhance Dental care. 2245 Eastern Ave. Baltimore, MD 21231 Phone Free Fax Storey Marke ng, All rights reserved. 1 Compounding an Introduc on .. 2 Suppressing the Gag Reflex .. 3 Topical Anesthe cs .. 4 Miracle Mouthwashes .. 5 Protec on from/Therapy for Radia on or Chemotherapy Induced Oral Mucosi s .. 6 Tranexamic Acid for Preven on of Post Surgical Bleeding .. 8 Treatment of Oral Candidiasis/Resistant Fungal Infec ons .. 9 Aphthous Ulcers/Canker Sores .. 9 Gingivi s/Gingival Hyperplasia/Periodontal Therapy .. 11 Angular Cheili s/Stoma s/Lip Lesions .. 12 Alveolar Ostei s (Dry Socket) .. 12 Therapy for Xerostomia .. 13 Topical Xylitol May Help to Prevent Caries .. 14 Tooth Avulsion and Preserva on.

2 14 3 Mix MP Provides Alterna ve to Extrac on .. 15 Orofacial Neuropathic Pain .. 16 Temporo Mandibular Joint (TMJ) Disorder .. 18 Oral Implica ons of Menopause .. 19 Burning Mouth Syndrome .. 20 Table of Contents 2245 Eastern Ave. Bal more, MD 21231 Phone Toll Free Fax contact@pa 2 Storey Marke ng, All rights reserved. Compounding combines an ageless art with the latest knowledge and state of the art technology, allowing specially trained professionals to prepare customized medica ons to meet each prac oner s and pa ent s specific needs. The demand for professional Compounding has increased as healthcare professionals and pa ents realize that commercially available medica ons do not meet the needs of many pa ents, and that these pa ents may have a be er response to a customized dosage form that is just what the den st ordered.

3 Our Compounding laboratory contains specialized equipment such as an electronic balance, capsule machine, electronic mortar and pestle, and ointment mill. These state of the art devices are not found in most pharmacies, but they enable us to compound medica ons to each prescriber s exact specifica ons. For example, an ointment mill reduces par cle size and therefore can be used to compound prepara ons containing higher concentra ons of ac ve ingredients than can be formulated using tradi onal methods. Ointment mills are ideal for Compounding transdermal and topical medica ons, and provide a homogenized appealing mixture. We prepare customized medica ons to solve problems for den sts and their pa ents. Change in Dosage Form If a pa ent is unable to take, has not responded to, or experienced adverse effects from commercially available medica ons, numerous op ons exist.

4 We can compound the needed drug(s) into different dosage forms, such as cosme cally appealing creams, ointments, transdermal gels, topical sprays and powders, or lozenges. We can place the needed medica on into the best dosage form or base which is most suitable to treat a specific problem. For example, a lollipop can be just perfect for keeping an an bio c or an fungal in contact with an infected area in the mouth. Transdermal formula ons may offer significant advantages to oral and injectable dosage forms. When a pa ent has difficulty swallowing or if a medica on is only commercially available as an injectable prepara on, we can formulate the needed drug as a transdermal gel or cream that will facilitate drug absorp on through the skin. When an ill child or adult is res ng comfortably, but it s me for the next dose of medica on the caregiver can administer a transdermal medica on without waking the pa ent.

5 Transdermal medica ons are o en preferred by pets and their owners, as well. Troches, lozenges, freezer pops, chewable gummy treats , and lollipops are pa ent friendly dosage forms. Troches are lozenges that can be absorbed through the buccal mucosa. Flavored chewable gummy treats and lollipops can be compounded to contain numerous medica ons, and can be dispensed in child resistant containers. These are ideal dosage forms for children or pa ents who have difficulty swallowing, or when a medica on (such as an an fungal drug) needs to be held in contact with the oral mucosa. Lip balms, applicator s cks, metered nasal or sublingual sprays, non aerosol topical sprays, creams and ointments can be used to apply medica on directly to the affected site. Insufflators are ideal for applying medica ons in powder form to hard to reach areas.

6 Topical administra on can reduce the amount of drug that the pa ent absorbs systemically, and therefore may reduce the risk of side effects. We can compound cosme cally appealing creams, ointments, and gels containing the specific medica ons needed to treat each unique problem. Individualized Dosing We can compound a dosage form that contains the op mal dose of drug (based on age, weight, and disease state) that is needed to treat the problem, but which minimizes the risk of adverse effects. Also, single doses of medica on can be prepared for school or travel. Change in Route of Administra on Some drugs are commercially available only as injec ons or oral dosage forms that must be swallowed. A pa ent may be unable to take medica ons orally or may not be permi ed to consume liquids or food required to administer the medica on.

7 Our Compounding professionals can provide addi onal therapeu c op ons by preparing the drug in an alternate dosage form such as a transdermal gel. Convenient Combina ons Taking mul ple prescrip ons can be inconvenient and costly. We can combine various compa ble medica ons into a single prepara on that contains the needed concentra ons of each drug which can simplify a medica on administra on schedule, and improve compliance. Also, a synergis c effect can be achieved when certain medica ons are used in combina on. Sugar, Preserva ve, Dye, or Lactose Free Elixirs, syrups, and suspensions may contain preserva ves such as alcohol which can cause reac ons or gastrointes nal irrita on, or sugar which makes the medica on undesirable for pa ents with diabetes.

8 Our Compounding specialists can prepare sugar free and preserva ve free dosage forms. If a pa ent is allergic to a dye or other excipient or has a lactose intolerance, we can compound the medica on without the problem causing addi ves. Flavored to Please We flavor medica ons to make them more pa ent friendly and increase compliance. Do you know a child who doesn t like the flavor of his an bio c? We can flavor medica on to taste like a real banana, or watermelon or root beer if preferred. Some mes elderly or chronically ill pa ents complain that medica on is too sweet. Coffee flavor may be the answer! Unavailable or Hard to Find Medica on Drugs may be temporarily unavailable, and pharmaceu cal companies may stop making products for which there is limited demand.

9 We can usually obtain the needed drug as a bulk pharmaceu cal grade chemical and Storey Marke ng, All rights reserved. 3 compound a customized formula on. Prac oner specific formula ons Den sts o en develop specific formula ons to meet the unique needs of their pa ent popula on, or acquire tried and true formulas during training. We commonly prepare these customized medica ons. Dental Compounding Customized formula ons available through our Compounding Pharmacy help both den sts and their pa ents. We customize medica ons to meet each pa ent s specific needs. Upon a prescrip on order, we can compound: lip balms for viral lesions mouth rinses for aphthous ulcers long ac ng capsules for dry mouth transdermal (topically applied) muscle relaxants/pain relievers for TMJ disorder topical anesthe cs plaque disclosure/removal solu ons non staining an bacterial rinses oral seda on in freezer pops lollipops for oral thrush mouth rinses to stop oral bleeding during Dental procedures for pa ents who take an coagulants mouthwashes for chemotherapy induced stoma s dry socket prepara ons mucosal bandages to cover ulcerated, infected, or tender areas on the oral mucosa and many more unique prepara ons!

10 Medica ons are manufactured in a limited number of strengths and dosage forms that will sa sfy the needs of most pa ents, due to shelf life limita ons and the cost of stocking and distribu ng numerous formula ons of each drug. Using pharmaceu cal grade chemicals and specialized equipment not found in most pharmacies, we can compound medica ons in doses and dosage forms that are not commercially available. We want to op mize the care of every pa ent. Just let us know what you need! Suppressing the Gag Reflex Various pharmacologic and behavioral therapies have been tried in an a empt to eliminate the gag reflex. The reflex can cause a pa ent considerable discomfort as well as interfere with the Dental procedure. The gagging response can be triggered by a variety of extra oral (sight of a mouth mirror, taste of prophy paste, sound of a handpiece) and intra oral (touching the palate, tongue, or throat) s muli.