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  • BDD Moderators: Keif’ Richards

Compounding Pharmacy

D

Dr Rxpert

Bluelighter
Joined
Mar 22, 2010
Messages
153
Location
Jacksonville, FL
I recently got my oxycodone written in compound. I get 90-30mg oxycodone/5dm, 60-10mg methadone, 90-10mg valium, 90-350mg soma. The only compound I get is the 30mg oxycodone. It comes in a light blue capsule. They work great for me, it is compounded with 5mg of dm, which I was told it was Dextromethorphan, use to treat upper respiratory and cough. Anyways, my question is does anyone else get their medicine compounded? if so what is your opinion?

can a mod move this in the right thread? I really wanted some opinions and or information on compounding medicine. anyone?
 
Last edited by a moderator:
Compounds are RARELY done in pharms anymore. Big hospitals are the only ones who really do it. Some small, mom and pop places might compound also. Generally speaking, medicine comes in ready to take form these days.

Compounds are made up out of ingredients ordered by a doctor. It's like a recipe. Whatever recipe your doctor sent to your pharm, that was a pharm that DOES compounds. Not many people on BL talk about pharm compounds. There's a very small segment of the medicine community that still mixes their own. They all still had to study alchemy but they don't practice it in everyday life. I don't think you'll get a lot of responses to your post as a result.
 
probably where he can find a drum of oxycodone HCL lol in a small mom and pop pharmacy...lol

there si one i know of right at the city county line that is supposed to be one of the biggest in the state. i would love to see the raw materials they have in there.

but to answer your question, its too much time + effort to compound pills for one patient when so many meds come ready to go that will suit just about everyone. However there are a TON of pharmacies out there.
 
Nah, i was just wondering if anyone had any experience with a compound pharmacy. I been going to one 3 months and they compound many meds, not all. and it's a mom and pop pharm. anyways, I asked because here in north jacksonville, they are usually out and on back order due to manufacturer. I go here and get them pretty quickly, they are friendly and only keep 100-200 pills made up at any given time as it is time consuming. thanks for your information though. I will continue to go there. I hate pharmacy hopping trying to get a script filled so I have given up on chain pharmacys. btw mr. medicine cabinet, you must not have to had to pharmacy hop, there are over 50+ PM dr's. here in jax so it is very hard to meet certain requirements the DEA has forced upon these pharmacists or find somebody that can keep them in stock. thanks for your time everyone. have a good one yall! thx again!
 
I'm in South Florida and have a friend whose pharmacy started this "compounding" thing. But it's better than your prescription not being filled due to the fact that they're out of pills. You can go to Walgreens or CVS and get turned away because the oxycodone is not in stock. Nowadays you gotta be happy with what you can get and consider yourself lucky to be able to get your scripts filled. I think the pharmacy is doing a good thing by making their own and they try to keep the costs down while doing this.
 
I've been compounding for like 4 months now. exact same reason because it's impossible to find your meds anywhere. and screwed up thing is insurance doesn't cover it so you have to pay out the ass to get them.
I actually signed up just to see what they added to the compound. do you know if all compounds have the same thing at it is yours. but I have to admit they're nowhere near as strong as the actual tabs. you can also compound oxycontin 80's and a few other things to you can't get anymore. my biggest worry is everyones going to start compounding him and then the compounds are going to be impossible to find. I know quite a bit about if anyone has any questions.. good luck
 
I'm sure there are many bluelighters who make their own compounds. I've never in my life heard of a modern pharmacy that do this; It's seriously old-school. Perhaps you'd get more help by starting a thread like "Safe and Effective DIY Compounds and Cocktails: Advice Needed", or something like that? Just a suggestion.

Btw I used to make a recreational "compound" of one bottle codeine linctus, (500 mg codeine phosphate), 500 mg tramadol, 250 mg dipenhydramine. I'm sure there are many others who do stuff like this; you just need to ask the right questions.
 
djcompound said:
I've been compounding for like 4 months now. exact same reason because it's impossible to find your meds anywhere. and screwed up thing is insurance doesn't cover it so you have to pay out the ass to get them.
I actually signed up just to see what they added to the compound. do you know if all compounds have the same thing at it is yours. but I have to admit they're nowhere near as strong as the actual tabs. you can also compound oxycontin 80's and a few other things to you can't get anymore. my biggest worry is everyones going to start compounding him and then the compounds are going to be impossible to find. I know quite a bit about if anyone has any questions.. good luck
Click to expand...

Do you mean at a pharmacy? A compound is just whatever the prescription says to put in it. The doctor can instruct them to put any combination or quantity of drugs (within reason and given that the pharmacy has access to the specific drugs/can order them). So no, all compounds absolutely do NOT have the same thing in them :)
dopemegently said:
I've never in my life heard of a modern pharmacy that do this; It's seriously old-school.
Click to expand...
I guess it must depend where you live. There are quite a few modern compounding pharmacies in my city. They just tend not to be large chains. It's actually becoming more and more common, but is expensive so only really worth it for things you can't get otherwise. Some things you simply can't make at home, like the ingredients aren't even sold at regular pharmacies, or the doses are so tiny they would be near-impossible to measure accurately on your own.
 
Yes same here...plenty of compound pharmacies in the city I live in but even the smallish town I lived in prior to here had one. And no, the are not all same ingredients in oxys or whatever. That is the whole point of compounding (which is mixing)..so they can put whatever in whatever amounts they want into the medication. And docs ordering compounded meds is not as unusual as you all think...as a nurse I see it done.

I use a compounding pharmacy for a topical med/lotion that my doc orders for me that is a mix of many different drugs that is used for pain. It includes ketamine, gabapentin, lidocaine, flexeril, an NSAID and several other drugs in it and it works pretty good considering I had no faith in it but was hurting so bad I was willing to try anything that might possibly help.
 
When we say "compounding", do we mean making a formula of already existing drugs, or are we talking about the real old pharmacies with all their glass bottles and pestles and mortars, who had all the ingredients to make up the drugs themselves; this was serious skill-it wasn't just counting pills into bottles back then- although I'm sure there's more to it than than that? I admit, I'm rather confused as to what "compounding really means in this context.....

BTW there are zero "mom and pop" chemist's here; it's all modern chain stores.
 
dopemegently said:
When we say "compounding", do we mean making a formula of already existing drugs, or are we talking about the real old pharmacies with all their glass bottles and pestles and mortars, who had all the ingredients to make up the drugs themselves; this was serious skill-it wasn't just counting pills into bottles back then- although I'm sure there's more to it than than that? I admit, I'm rather confused as to what "compounding really means in this context...
Click to expand...

Pharmaceutical compounding is basically when the pharmacist makes a particular pharmaceutical product (pill, capsule, liquid, ointment, etc) custom to fit the unique needs of the individual. It's done at a "compounding pharmacy", not just any pharmacy has the means do it - however pharmacies that offer compounding often have regular pre-made pharmaceuticals as well. The doctor writes an exact prescription and it's sort of like making a recipe. For example I got naltrexone liquid made with a specific number of mcg in every mL & no sugar or artificial flavours. Another example is the OP's case, where a doctor ordered capsules containing 30mg oxycodone and 5mg of dextromethorphan.

Compounding pharmacists measure and combine the ordered ingredients using modern tools/machines. Just counting pills manufactured at a lab into bottles like all pharmacies do is not compounding.

The compounding pharmacies in my city are not what I'd call "mom and pop" exactly, but they aren't the large well-known North American chains either. There are some small chains that have like 3 stores each and one chain that has around 100 stores. I think compounding pharmacies are just something you don't tend to hear about or realize exist until you start looking for them :)
 
One of the biggest compounding pharms in my city looks likes its a century old. What i would do for 500grams of alprazolam and a kilo of oxy lol
 
I read that compounding pharmacies use baclofen as an ingredient in a custom topical cream. I guess it aint as simple as filling a bottle with different drugs ie my diy compounding way...it seems quite skilful actualy. (As I said earlier, all I see is chemists putting pills into bottles to order. (Almost reminds me of my job in domino's as a teen sometimes....only you wear a white coat, of course.)
 
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