Central Drug

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Full Service Compounding Pharmacy

Compounding Services

employee6.jpgWhat is compounding? Before mass production of medications became the norm, compounding was a routine activity among pharmacists.  The art of compounding can be traced to biblical times (Exodus 30:25 KJV). Ancient compounders discovered the first oils from plants and animals. They made ointments for wounded patients, discovered poisons and antidotes, and even compounded perfumes for customers. While times and technologies have changed, much of what the compounder does is still the same as it was then. 

Professional compounding is not just diluting existing medications, or mixing powders with bases. Consideration must be given to 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 efficiency of any compounded medication is influenced by the technique and equipment used in formulation preparation, the purity and quality of the ingredients, choice of vehicle (base), and proper use of additives (i.e. penetration enhancers).

In summary, compounding is a timeless art combined with the latest medical knowledge and state-of art technology. It is the scientific creation of custom-tailored medication specific to each individual or pet’s needs. These formulations are based on the relationship between a patient, his doctor, nurse practitioner or physician’s assistant, and the pharmacist. 
 

Sterile Compounding

Our compounding pharmacy specializes in sterile compounding and is equipped with a state of the art ISO Class 7 sterile room that is required for the production of sterile preparations. We are the only licensed, sterile ACHC accredited pharmacy between Houston, San Antonio, and Corpus Christi. Our set up exceeds the requirements set by the USP 795, 797, and 1116 guidelines. These ensure that we exceed the highest standards required for sterile production. This level of commitment to our patients centers around their knowledge that our sterile compounds are indeed sterile and safe to use.

Sterile preparations individually compounded by our laboratory and available with a valid doctor's prescription include:
• Erectile Dysfunction Injections- TRIMIX • Nasal Sprays - HCG, oxytocin, glutathione, methylcobalamin, lidocaine
• Eye Drops - we make a wide variety of eye drops. Can't find what you are looking for on the market; contact our pharmacist to see if we can compound what you are looking for.
• Nutritional Injections - methylcobalamin, Vitamin C, Vitamin B complex, glutathione, phosphatidylcholine, zinc
• Other - DMSO/lidocaine/heparin/hydrocortisone Bladder irrigations used in urology
• Injectables
• Inhalations

All sterile compounding is done by highly trained Pharmacist and Technicians, both of whom have decades of Sterile Compounding experience.

Sterile Compounding: Strict Policies and Procedures
These medications are compounded in our specially designed and constructed Clean Room. In this environment, Central Drug s skilled pharmacists prepare your medications according to USP 795 and USP 797 guidelines, the regulatory standard for the compounding of sterile pharmaceutical preparations. These procedures include:
• Lab testing of finished products, both in-house and independently
• Monitoring with environmental microbiology sampling
• Monitoring the particle count of the sterile environment
• Proper cleaning and maintenance routines
• Routine outside certification of our laminar flow hood
• Routine testing of our pharmacy staff's sterile technique
• Proper staff grooming and gowning before entering critical sterile areas

Sterile Compounding: A Measure of Our Commitment
Maintaining a sterile environment requires a constant, ongoing commitment to quality and safety. This is the commitment Central Drug's Compounding Pharmacy makes to you. Please contact us to learn more about our sterile compounding services.

Women's Health - Bio-Identical Hormone Replacement

There are many mass-manufactured hormone treatments on the market today.  However, every woman’s body and hormonal makeup is unique.  Millions of women, from every age and background, experience some form of hormone-related health condition during their lifetimes.  At Central Drug, we believe if traditional forms of hormonal therapy don’t offer relief; individual females deserve a unique balance of hormones.  Help can be found in the form of Bio-Identical Hormone Replacement Therapy (BHRT).

Click HERE to download the BHRT evaluation form

Bio-identical hormones have the exact same chemical structure as human hormones.  Our bodies recognize this and allow them to mimic the function of the hormones that it produces on its own.  BHRT may assist in the treatment in a variety of conditions common among women of all ages. Menopause, Premenstrual Syndrome (PMS), Irregular Menstrual Cycle, Moodiness, Hot Flashes, Infertility, Post-Partum Depression, Decreased Libido, Weight Gain, Endometriosis, Fibrocystic Breast Condition, Vaginal Dryness, Painful Sexual Intercourse, Sleep Disturbance, Night Sweats

When it comes to your health, a cookie-cutter approach just doesn't work. If you want to be treated as an individual, call us and schedule your consultation with our nurse practitioner and pharmacist today.

Men's Health

You may have noticed you don't have the stamina, sex drive, motivation or strength you did 10 years ago. Is this a normal part of aging? Yes. Can it be improved? Yes again. Men undergo a much more gradual decline when it comes to honnone changes. Women hit menopause around age 51 with a period of about 10 years leading up to that with changing hormone levels. Men experience a decline in honnones starting around age 30. Since there is not anyone event or outright symptom (like hot flashes) that signal this decline, symptoms in men often go undetected or ignored.

This has changed in the past several years with men taking more control of their health and seeking the same hormone balance help that women have enjoyed for decades. While testosterone decline is the most imp0l1ant factor in andropause many of the symptoms (fatigue, depression, low sex drive, loss of muscle mass) can be caused by lifestyle or medications. Talk to one of our team members today about how we can help you feel better.

Pediatrics

Central Drug works together with pediatricians, family practitioners, and their children to customize pediatric medications to meet specific needs.  Children present many challenges when it comes to medicines; most medicines are not labeled for pediatric populations.  This is usually because it is not available in a suitable pediatric dosage form.  Children also may resist taking a medicine, dislike the taste or texture, have difficulty swallowing solid dosage forms, or are fearful of injections or suppositories. 

Central Drug can help.  Our trained staff can compound oral medications into pleasantly flavored suspensions, solutions lollipops, freezer pops, “gummy bears”, or lozenges.  Different colors may also be used to entice the child to take the medications.  Some drugs can be compounded into transdermal gels that can be gently applied to an appropriate site, such as the child’s wrist, for absorption through the skin (e.g. Phenergan for nausea).  Alternative dosing forms can improve compliance and minimize spillage or waste.  Greater compliance leads to improved outcomes.

A few of the pediatric challenges Central Drug can help solve: acne, Attention Deficit Hyperactivity Disorder (ADHD), Autism, diaper rash, Fungal Infections, head lice, Scabies, Molluscum Contagiosum, nausea & vomiting, and topical anesthesia.

Pain Management

Central Drug specializes in pain management.  Steve’s goal as a pain management pharmacist is to increase compliance in pain therapy by providing many specialized dosage forms; allowing treatment of pain in ways not commonly available.  Optimal treatment may include some antidepressants, antiarrhythmics, anesthetics, antiviral agents, and NMDA antagonists.  By combining various agents which utilize different mechanisms to alter the sensation of pain, practitioners have had great success in treating chronic and acute pain.

Conditions for which we commonly compound medications for include: Arthritis Ankle,, Foot & Knee Pain, Burning Foot Syndrome, Carpal Tunnel Syndrome, CRPS (Chronic Regional Pain syndrome), Diabetic Neuropathy, Fibromyalgia, Gout, Head, Neck, and Facial Pain, Migraines, Muscle Spasms, Neuropathic Pain, Post Herpetic Neuralgia, Shingles, Shoulder Pain & Tennis Elbow, TMJ-Temporomandibular Disorders

Dermatology

At Central Drug, we help patients with a multitude of skin conditions on a daily basis.  Skin care professionals that we team with include dermatologists, aestheticians, and plastic surgeons. 

Compounded medications topically and orally can be utilized in the treatment of the following conditions:
Psoriasis, Eczema, skin cancers, acne, Rosacea, Melisma, Alopecia, warts, scars, rashes (i.e. Tinea Versicolor), local anesthetics and anti-aging.

Dental

We at Central Drug know that patients have varying levels of oral health.  They have different tolerances for various types of medications.  The sensitivity of their gag reflexes vary widely.  Despite these individual needs, many pharmacies only carry the most frequently prescribed oral medicines to meet the most common patient needs, as well as to save pharmacy costs, and shelf space.

We stock a wide selection of pharmaceuticals which we can compound for your dentist, periodontist, orthodontist, oral surgeon, or oncologist in a variety of strengths and dosage forms to treat a variety of oral conditions. 

Oral conditions include:
• Thrush
• Burning Mouth Syndrome
• Apthous Ulcers, Canker Sores, and Oral Lesions
• Pain and Infection
• Oral Lichen Planus
• Temporal Mandibular Joint Pain
• Dry Mouth
• Gag Reflex Suppression
• Transdermal Medications to treat Nausea
• Pre & Post Procedure Medication for Anxiety

Veterinary Compounding

Central Drug can take the stress out of medicating your beloved pet.  Your love your pet—why not give them customized care?  We offer many advanced veterinary compounding services, including equine (horse), cattle, avian (bird), small animal and rodent compounding, and exotic animal compounding.

Animals are individual and unique; just like you. Not all commercially available medicines are appropriate for your pet; often they do not come in the dose necessary for your pet. Custom compounding allows you to give your pet the exact dose it needs in a dosage form that will be suited best for you both.

Wouldn’t your cat prefer her medicine to be rubbed gently on her ear versus being forced to swallow it? Wouldn’t your dog prefer his medicine in a tasty liver, chicken, or beef flavored liquid?  Call us!

Podiatry

Podiatry is the study, diagnosis, and treatment of disorders of the foot, ankle and lower leg.  Our compounded medications are often applied as topical creams, gels and liquids to treat the following conditions: warts, nail fungus, heel spurs, plantar fasciitis, poor circulation, toenail removal, dry skin, inflammation and swelling.

Wound Care

At Central Drug, we offer solutions for both infected and non-infected wounds. Wound care compounding can involve multiple approaches and medications applied topically. Different goals in wound care include stimulating new tissue growth, reducing pain, and discouraging bacterial overgrowth. Some of our compounded medications are designed to increase blood flow to the wound as well. If you have a wound that is difficult to heal or poor circulation, do not hesitate to contact us. We are happy to assist you and your provider with more information about our wound treatment strategies.