King's Pharmacy and Compounding Center

-Making any strength of a medication when specific doses are not commercially available. -Preparation of a medication that has been withdrawn from the marketplace due to economic concerns, not safety. -For those patient(s) that cannot or have trouble swallowing, the pharmacist creates a concentrated liquid or a rectal suppository. -For those patient(s) that may have sensitivity to dyes, preservatives, or fillers, the pharmacist creates or prepares allergy-free medications. -For children, pharmacist formulates liquid medication for taste flavored liquid medications for compliance with children. -For patient compliance, pharmacists may combine many medications into one dosage form. -For animals, pharmacists may create flavoring medications or prepare unique dosage forms.

Compounded medications do require a prescription from the doctor or veterinarian. Compounding pharmacists have the unique opportunity to develop a special relationship with the patients they serve, working with the doctor to solve problems that manufactured dosage forms do not address.

With commercially available medications, the drug is produced with no specific patient in mind. It limits the prescriber to matching the available product to the patient. Whereas, with compounded medications, the formula matches the patient’s needs. The drug can be prepared in the most effective dosage and strength.

Because compounding requires expensive specialized equipment and extensive training in modern compounding techniques, most pharmacies do not compound.

-allergies to preservatives, dyes or fillers -difficulty swallowing capsules or tablets (i.e. geriatric or pediatric patients) -sensitivity to standard drug strengths (i.e. renal patients) -dosage forms not commercially available -difficult to dose patients (i.e. children and pets)

The preparation, mixing, assembling, packaging, or labeling a drug or device as the result of a prescription or in anticipation of a prescription (based on routine, regularly observed prescribing patterns) in response to the patient, practitioner and pharmacist relationship in the course of professional practice.