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What is compounding?

Compounded medications are ordered by a physician and personalized by a compounding pharmacy in the exact strength, dosage and formulation to meet a unique medical need. Compounding pharmacies can produce unique dosage forms based on patient preferences and/or restrictions. Examples include dye-free, preservative-free, alcohol-free, and/or sugar-free forms of medications. We have flavored products for kids and Veterinarian products.

 

Compounding has been an essential part of pharmacy practice for centuries. Many regulatory bodies have set rules with which pharmacies must be compliant. The Food and Drug Administration allows products to be compounded as long as licensed practitioners have written a prescription for a specific patient to be filled at a licensed pharmacy.

 

Millers Pharmacy is licensed to deliver Compounding products to all 50 states and is one of the few Compounding Pharmacies in the US that is Nationally Accredited.

Dermatology & Cosmeceuticals

Disorders of the skin can be a problem among patients of all ages. Common problems include scarring, acne, rosacea, skin discoloration, psoriasis, and eczema

Numerous medications exist on the market to help with these conditions. Preparations such as gels, creams, lotions, ointments can be compounded to help manage dermatological ailments. Pharmacists will work with medical providers such as dermatologists to provide a customized topical preparation specifically designed for treating your condition at an affordable cost.

We also offer Mesotherapy injections into the mesoderm, or middle layer of the skin, of vitamins, minerals, medications and amino acids. It is a series of injections to help with puffy or lumpy skin, and excess fat in problem areas, such as the under eye, upper arms and abdomen. Physicians have used this therapy for skin rejuvenation, weight loss, and hair re-growth, among others.

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Women’s Health

Hormonal imbalances can take place at any age and affect both men and women. Many women experience side effects when dealing with menopause and hormone imbalance. Unstable hormone levels can lead to chronic symptoms and disorders that can disrupt daily activity.

The primary hormone of importance in females is estrogen, which exists in three different forms in the body: estrone (E1), estradiol (E2), estriol (E3). Other important hormones include progesterone (P4), testosterone, and dehydroepiandrosterone (DHEA). These substances may help restore natural balance in the body and may help alleviate chronic symptoms arising from imbalance.

There are several effective products that exist on the commercial market to help with symptom management. Compounding allows for a more personal and tailored dose for you. In addition, compounding offers a variety of dosage forms that will best fit you.

By working with your medical provider, compounding pharmacies can create various formulations that may include any combination E1, E2, P4, E3, DHEA, and/or testosterone to help manage your symptoms with the lowest possible dose to alleviate symptoms for the shortest period.

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Men’s Health

Disorders of the skin can be a problem among patients of all ages. Common problems include scarring, acne, rosacea, skin discoloration, psoriasis, and eczema

Numerous medications exist on the market to help with these conditions. Preparations such as gels, creams, lotions, ointments can be compounded to help manage dermatological ailments. Pharmacists will work with medical providers such as dermatologists to provide a customized topical preparation specifically designed for treating your condition at an affordable cost.

We also offer Mesotherapy injections into the mesoderm, or middle layer of the skin, of vitamins, minerals, medications and amino acids. It is a series of injections to help with puffy or lumpy skin, and excess fat in problem areas, such as the under eye, upper arms and abdomen. Physicians have used this therapy for skin rejuvenation, weight loss, and hair re-growth, among others.

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For Your Best Friend

As a pet owner, you want your pet to receive the highest-quality veterinary medications. Veterinary compounding is the making of medicines that are specific for pets and other animals. Ease of administration, palatability, and the need for producing small or large dosage forms are a few reasons for compounding for animals

As any pet owner is aware, animals can be extremely difficult to treat with medications. Cats are notorious for refusing to swallow pills, and usually will eat right around one disguised in food.

Dosages can be very tricky with dogs – a dose of medication that works for an 80-pound Labrador may be far too much for a six-pound Chihuahua to handle. Large and exotic pets pose many unique medication challenges. A compounding pharmacist is equipped to help them all, including cats, dogs, horses, rabbits, birds, and reptiles.

At Millers, in addition to working with veterinarians who specialize in small animals we also have two areas of special expertise. We have pharmacists with special knowledge in equine medications and have the equipment needed to make these large dosage forms.

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Pediatrics

Many medications are not available in child-friendly dosage forms. The most common factors that influence medication compliance among children include taste and appearance. The commercial market does not produce many formulations of medications that are easy to use in the pediatric population.

Compounding is an option for helping children get the medications they need in a suitable form. Many medications that may not be available in liquid forms can be compounded into solutions, suspensions, and syrups.

In addition, gummy bears, freezer pops, lollipops, topical creams are examples of formulations that may be more child friendly. Many of the oral alternatives can be flavored to help with medication administration in children.

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Sports Medicine

Participating in any sport or fitness activity, at any level, can result in injury that may require a variety of treatments. Whatever the injury, compounded medications are available in different strengths as well as unique dosage forms to provide a personalized treatment. Compounded medications can help you get back into the game much faster and are not just for professional athletes but are available to everyone.

Compounded medications can treat pain, inflammation, muscle spasms, bacterial/fungal infections, and neuralgia. In addition, compounded medications can help treat excessive sweating, can be used for pre-game rubs, and can be used with iontophoresis and phonophoresis technologies, which are used to enhance drug penetration through the skin.

Many oral medications that are traditionally used to manage sports injuries, such as non-steroidal anti-inflammatory drugs (NSAIDs), can cause undesirable side effects that can negatively affect athletic performance. However, these medications, if used topically, can ease inflammation and pain, with fewer undesirable side effects. In short, compounded sports medicines offer the ability to supply key ingredients in strengths and delivery systems that most effectively provide relief and recovery.

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Low Dose Naltrexone

Naltrexone belongs to a class of drugs known as opioid antagonists. Naltrexone blocks opiate drugs from binding to the opioid receptors, which can result in increased endorphin and enkephalin release. Therefore, this results in reduced signaling and release of inflammatory substances, nerve cell inflammation and autoimmune mediators.

When taken at bedtime, the short acting LDN binds to the receptors which leads to a brief blockade of opioid receptors between 2 am and 4 am. This blockade is believed to up-regulate vital elements of the immune system by causing an increase in endorphin and enkephalin production.

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Pain Management

Millions of individuals across the world suffer from chronic pain. Chronic pain can be a burden for both patients and their healthcare providers. Optimal pain management is essential for patients to lead productive, enabling lifestyles. Pain can arise due to a variety of different conditions, and as a result, healthcare providers

Many medications that are traditionally used to manage symptoms of chronic pain can cause undesirable side effects. Opioid-related medications such as codeine, hydrocodone or oxycodone can be very intolerable in the gastrointestinal system. Treating pain topically is an alternative option to avoid these undesirable side effects.

Many pharmacies are able to compound topical preparations that contain various medications to help control symptoms of pain. Because these formulations are applied topically, just enough of the medication is absorbed through the skin to help relieve symptoms at the site of the pain.

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Ophthalmology

Naltrexone belongs to a class of drugs known as opioid antagonists. Naltrexone blocks opiate drugs from binding to the opioid receptors, which can result in increased endorphin and enkephalin release. Therefore, this results in reduced signaling and release of inflammatory substances, nerve cell inflammation and autoimmune mediators.

When taken at bedtime, the short acting LDN binds to the receptors which leads to a brief blockade of opioid receptors between 2 am and 4 am. This blockade is believed to up-regulate vital elements of the immune system by causing an increase in endorphin and enkephalin production.

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