Dermatology compounding: What Compounders Can Do

Our dermatology compounding professionals can prepare individualized therapies for a myriad of dermatologic problems. Compounding pharmacists continue to improve both the aesthetic and therapeutic aspects of customized medications, offering alternatives and advantages for dermatology. We can compound medications into cosmetically appealing creams, topical sprays, and powders.

We work together with prescriber and patient to solve problems, and all dermatology compounding formulations are customized per prescription to meet the unique needs of each patient. Therapeutic results depend not only on the selection of drug, but also the use of a proper base and preparation technique. Please contact our compounding pharmacist to discuss the dosage form, strength, and medication or combination of dermatology compound that is most appropriate for your patient.

The following list is just a few of the preparations that we can compound for dermatology.

  • Alpha Lipoic Acid cream
  • “BLT” gel, cream and ointment (benzocaine, lidocaine, and tetracaine)
  • Cholestyramine ointment
  • 2Deoxy DGlucose (2DDG) in various dosage forms such as creams, lip balms, and oral rinses
  • Dapsone cream
  • Kojic Acid, Hydroquinone, Retinoic Acid Gel
  • Pseudocatalase cream
  • Tamoxifen topical
  • Trichloroacetic Acid/Lactic Acid/Azelaic Acid topical solution
  • Urea 40% ointment

Anti-Aging / Cosmeceutical Compounding

Dry Skin

  • Urea 20% (Aladerm) cream; Apply to affected areas 2 times daily.
  • Lactic Acid 83% FCC 11.4 mL and vitamin E 1 IU/mg Cream 12 g; Apply to affected areas 2 times daily.

Corn and Calluses

  • Salicylic Acid 10% solution; Apply to affected areas 2 times daily.
  • Salicylic Acid 30% gel; Apply to affected areas 2 times daily.
  • Salicylic Acid 40% ointment; Apply to affected areas 2 times daily.

 

Local Anesthesia (for allergy injections, renal dialysis, and laser treatments)

  • Benzocaine 4%, lidocaine 6%, and tetracaine 4% (B-L-T) gel, cream and ointment (benzocaine, lidocaine, and tetracaine); Apply a small amount to affected area as directed.
  • Tetracaine 3.6%, prilocaine 1.2%, and lidocaine 3% (T-P-L) gel, cream and ointment(deeper penetrating); Apply a small amount to affected area as directed.

Skin Infections

  • Clotrimazole 0.1%, urea 20%, and triamcinolone 0.025% (Clo-urea T) cream; Apply to affected areas 3 times daily.
  • Nystatin cream (100,000 U/g); Apply to affected areas 3 times daily.
  • Zinc pyrithione (DermaZinc) 30 g and clobetasol cream 15 g; Apply to affected areas 3 times daily.

Hair Loss

  • Finasteride 0.1% and minoxidil 3% gel; Apply to affected area 2 times daily.

Fever Blisters and Cold Sores

  • Menthol 3%, lidocaine 5%, and butylated hydroxytoluene (BHT) 7.5% cream; Apply to sore 4 times daily.

Nail Fungus (Onychomycosis)

  • Itraconazole 1% and ibuprofen 2% nail solution; Apply to affected nail 2 times daily for 3 months.

Sunburn

  • Ketoprofen 5% and lidocaine 1% gel; Apply to affected areas as needed.
  • Aloe Vera oil 3% and Aloe Vera Gel 0.5% = 35 mL and lidocaine 2% lotion 65 mL; Apply to affected areas as needed.

Severe Sunburn/Skin Burns

  • Ketamine 10% and bupivacaine 0.75% topical spray; Apply to affected areas 4 times daily.

Scar Tissue

  • Verapamil 15% in Pluronic lecithin organogel (PLO); Apply to affected area 2 times daily.

Poison Ivy

  • Triamcinolone 0.1%, benzocaine 5%, diphenhydramine 2%, and calamine lotion 14 mL; Apply to affected areas 4 times daily.

Bunions

  • Ketoprofen 20% PLO or cream; Apply to a bunion(s) 4 times daily.

Wrinkles

  • Retinoic acid 0.025% in 20% urea cream (Aladerm); Apply 2 times daily.

Spider veins

  • Vitamin K1 1% and vitamin A 0.3% (VitaKA) cream; Apply to area 3 times daily.