We work together with prescribers, children, and their families to
customize medications and meet specific needs.
Children pose many challenges when it comes to medication: they may resist
having to take a medication, dislike the taste or texture, have difficulty
swallowing solid dosage forms, and are fearful of injections.
The limited pediatric market for most drugs may be the leading reason for
the lack of investment in drug development for this population by the pharmaceutical
industry. Most medications are not labeled for pediatric populations, and when
a medication is not approved for use in infants and children, it usually is
not available in a suitable pediatric dosage form. Fortunately, our compounding
pharmacy is able to help. We can compound oral medications into pleasantly
flavored suspensions, solutions, concentrates, freezerpops, "gummy bears" or
lozenges, in colors that entice the child to take the medication. A palatable
formulation is more likely to improve compliance and minimize spillage or waste
during administration. Lollipops are an ideal alternative to "swish and
swallow" medications that need to be retained in the mouth for a prolonged
period of time. Most drugs can be compounded into transdermal gels that can
easily be applied to an appropriate site, such as the child's wrist, for absorption
through the skin.
Professional compounding is not just diluting existing medications, or mixing
powders with bases. We must consider physical and chemical properties of each
active and inactive ingredient in order to prepare an effective and safe customized
medication with the desired taste, color, fragrance, viscosity, uniformity,
texture, and stability. The efficacy of any compounded medication is influenced
by the technique and equipment used in preparing the formulation, the purity
and quality of the ingredients, choice of vehicle (base), and proper use of
additives such as penetration enhancers.