WHO PREPARES COMPOUNDED MEDICATIONS?
Compounded medications are ordered by a licensed physician, veterinarian or other prescriber, and must be mixed in a safe and carefully controlled environment by a licensed compounding pharmacist.
All pharmacies used to be compounding pharmacies. It was typical for a pharmacist to utilise his or her expertise to prepare medications for a specific patient, in a specific form that suited the patient's particular medical requirements, using the best standards at the time. The mass manufacture of pharmaceuticals brought about by pharmacy modernisation quickly rendered the position of the compounding pharmacist obsolete and reduced it to that of a dispenser. Many produced pharmaceuticals now are "one-size-fits-all," which doesn't address the specific needs of some patients.
When a patient has an allergy to a certain preservative, colour, or binder present in commercially accessible medications, pharmacy compounding may be their only alternative. Additionally, when a different dosage that is not sold commercially is required for treatment (like for infants, children, elderly or pets) or when flavouring the medicine is necessary to make it more acceptable for some patients, particularly kids. When taking a medication in the shape of a tablet is not an alternative, it can be be turned into a cream, liquid, or suppository (i.e. patients with mouth ulcers, in hospice, etc.)