Veterinary Compounding

 

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 provides valuable benefits to today's pet owners.

 

The Compounding Solution

 

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? 

As any pet owner is well aware, animals may be extremely difficult to treat with medications. Cats are notorious for refusing to swallow a pill, and will usually eat right around one disguised in food. And dosages can be very tricky with dogs - a medication that works for an 80-pound Golden Retriever is far too much for a six-pound Yorkie to handle. 

Humans and their animals often have variations of the same diseases, including skin rashes, heart conditions, eye and ear infections, cancer and diabetes. Pet medications, though, present unique problems that are often best dealt with through compounding.

 

Flavored Medicine

 

The pet who refuses to take medication because of the taste is often 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 gladly take it when it's part of a tasty biscuit or treat. 

By working closely with your veterinarian, a compounding pharmacist can prepare medicines into easy-to-give flavored dosage forms that animals devour, whether your pet is a cat, dog, ferret, bird or snake.

 

Solving Dosage Problems

 

Just like their owners, animals are individual and unique. That's why you love them. They come in different shapes and sizes, and as a result, not all commercially available medicines are appropriate for your pet. Commercial medicine often comes in large tablets or capsules of 100 mg or more. But a small kitten may need a dose of only 15 mg. That's where compounding is especially helpful. In this situation, your veterinarian can prescribe a tuna-flavored suspension with an amount that is exactly right for your pet's size and condition.

 

Commercially Unavailable Medicine

 

From time to time, a manufacturer will discontinue a medication used in veterinary applications. When that medication has worked well for animals, a compounding pharmacist can prepare a prescription for the discontinued product - at a dosage strength and dose form appropriate for that pet's specific needs.

 

Avian / Exotic

 

Diazoxide 50 mg/ml Oral Suspension
EDTA 15% Injection Solution
Enrofloxacin 11.35 mg/ml Oral Suspension
Fluconazole 100 mg/ml Oral Suspension
Fludrocortisone 1 mg/ml Oral Suspension
Haloperidol 1 mg/ml Oral Suspension
Itraconazole 20 mg/ml Oral Suspension
Ketaconazole 100 mg/5ml Oral Suspension
Ketamine 10 mg/ml, 50 mg/ml, 100 mg/ml & 200mg/ml Injection Solution
Leuprolide Diluent Sterile Injection Suspension
Penicillamine Oral Suspension

 

Equine

 

Acetyl-D-Glucosamine (N) 100 mg/ml Injection Solution
CaCo Copper Vet Injection Solution
Camphor 205% in Sesame Oil Injection Solution
Erythromycin Ethylsuccinate 46.8% & Rifampin 5% Oral Suspension
Estradiol 5 mg/ml & Progesterone 100 mg/ml in Oil Injection Solution
Flunixin Meglumine 50 mg/ml Oral Paste
Glucosamine Sulfate 10% Injection Solution
Iodine 2% Oil Injection Solution
Methylene Blue 1% Injection Solution
Nitrofurazone 0.2% Topical Solution
Phenylbutazone 20% Oral PLO
Phenylbutazone Flavored Oral Powder
Progesterone 100 mg/ml Oil Injection Solution
Sulfadiazine 33.3% / Pyrimethamine 1.67% Oral Suspension Sugarless

 

Household Animals

 

Aluminum Hydroxide Oral Suspension
Amino Caproic Acid 16.7% Oral Syrup
Amitraz 19.9% Topical Solution
Calcitriol 4 nanograms/0.25ml or 16 nanograms/ml Oral Oil Solution
Calcium Glubionate Oral Syrup
Diethylstilbestrol Oral Capsules
Triple Fish Oral Suspension
Insulin (Beef) 500 mg/ml Acidic Injection Solution
Kanamycin Compound Oral Antidiarrhea Mixture
Metronidazole Benzoate 125 mg/ml Oral Suspension
Potassium Bromide 250 mg/ml and 500 mg/ml Oral Solution
Protamine Zinc Insulin 40 U/ml Injection Suspension
Protamine Zinc Insulin 100 U/ml Injection Suspension
Tetracycline 100 mg/ml Oral Suspension
TRIS EDTA Buffered Otic Solution

 

Ophthalmic

 

Apomorphine 6 mg Ophthalmic Solution
Apomorphine 3 mg Ophthalmic Capsules
Betamethasone/Gentamicin Ophthalmic Solution
Dexamethasone Phosphate 0.1% Ophthalmic Ointment
Idoxuridine 0.5% Ophthalmic Ointment (Sterile)
Idoxuridine 0.1% Ophthalmic Solution
Itraconazole 1% Ophthalmic Solution
Itraconazole 1% Ophthalmic Ointment
Miconazole Nitrate 1% Ophthalmic Solution
Tacrolimus 0.03% Ophthalmic Ointment
Tacrolimus 0.03% Ophthalmic Oil Solution
Tacrolimus 0.02% Aqueous Ophthalmic Suspension

 

Unavailable Products Used in Veterinary Practice

 

Sterile ampicilin sodium
Dipyrone
Betamethasone diproprionate and betamethasone sodium phosphate IM injection
Vitamin A, D3 and E injection
Hyaluronidase
Sodium cacodylate and copper gluconate, ferric chloride
Pen G Procaine, chlorpheniramine, hyoscyamine, streptomycin
Pen G Procaine, streptomycin
Progesterone injection

 

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The Honolulu Pharmacy, Pharmacy Honolulu, HI