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 Why do we even HAVE compounding pharmacies?

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Eric

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PostSubject: Why do we even HAVE compounding pharmacies?   Tue Oct 16, 2012 4:03 pm

Article... (fairly long)http://www.reuters.com/article/2012/10/16/us-usa-health-meningitis-compounding-idUSBRE89F05Y20121016


With the New England Compounding Center at the center of a fungal Meningitis outbreak, why do they even exist? The simple answer is that they provide special mixtures (by prescription only) that pharmaceutical companies will not produce.

Quote :
For example, some women who receive hormone replacement therapy to treat menopause symptoms do not want the standard Premarin, made from the urine of pregnant mares, but instead search for biologically closer alternatives. A compounding pharmacist can produce human progesterone, for instance, from a plant compound, synthesizing a chemical identical to that in a woman's body.
"Progesterone is not available from pharmaceutical companies because it's not patentable," said Zolner. "So you get it from a compounding pharmacy."

Another example:

Quote :
"If there is one reason why we see more use of (compounding pharmacies) in a hospital setting, it's because of drug shortages," including of cancer medications and anesthesia, said Leigh Briscoe-Dwyer, the chief pharmacy and medication safety officer for North Shore - LIJ Health System on New York's Long Island, adding that she and her staff do extensive due diligence on a compounding pharmacy before ordering from one.

"If I can't get a product from my normal channel but a drug compounder is able to compound that preparation for me, it's a way that we can get medications without interrupting care," she said.

The compounders do not want FDA oversight and have spent hundreds of thousands of dollars lobbying congress to stay away from FDA oversight, claiming all compounders are subject to state oversight. The state pharmaceutical boards are understaffed and overworked. There are an estimated 3,000 to 5,000 compounding pharmacies in the US.

The FDA did some tests...

Quote :
Ten of the 29 drugs failed one or more quality tests, including nine that failed potency testing, some with less than 70 percent of their declared potency. By contrast, in its analyses of more than 3,000 samples from drug manufacturers, who are subject to FDA oversight, only four had quality problems.

How big is the industry? Fairly extensive.

Quote :
By 2006, some 30 million prescriptions were written for compounded products, or as many as 5 percent of annual prescriptions, found an analysis by a researcher at Kaiser Permanente. An estimated 3,000 to 5,000 compounding pharmacies operate in the United States...

So far, compounders have been able to "lay low" and not get FDA regulation.

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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Tue Oct 16, 2012 4:43 pm

I can understand the need for the compounding pharmacies but I cannot understand why their is no regulation on them.

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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Tue Oct 16, 2012 4:53 pm

Admin wrote:
I can understand the need for the compounding pharmacies but I cannot understand why their is no regulation on them.

Each state has a "Pharmacy Board" that regulates pharmacies... and compounding pharmacies. The New England Compounding Center was in hot water with the state pharmacy board already (they got a slap on the wrist in 2006, I think, and promised to clean up their act... and NOT make huge batches without prescriptions). The NECC was on the fast track to having additional state regulatory pressure put on them... then the shit hit the fan.

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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sat Oct 20, 2012 10:54 am



Were the hospitals and free-standing clinics not aware that what they were doing was wrong, or were they led to believe this ordering procedure was legal? How could the hospitals and clinic have been unaware that compounding pharmacies are not supposed to dispense their drugs without individual prescriptions? How much liability should the hospitals and clinics assume in this case?

It is so obvious that those hospitals and clinics involved were trying to cut corners and save money by using the drugs from NECC. Why is this fact not being discussed?
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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Fri Nov 23, 2012 8:55 pm

Interesting. My Grandfather was a pharmacist. From our family history,he was one of the very few who every passed the Pharma ital board with out going to a formal college. I never knew him very well as they lived in South Florida. I do know that he was able to open 3 drug stores and, I assumed, had the permits and such to sell any kind of drugs. His claim to fame was that he could compound. But it was one a one to one basis. After he retired I know that a couple of big Miami hospitals used to send for him to compound certain prescriptions. I had no idea that compounders could be used to mass produce drugs or they were not certified Pharmacists. Grand paw was, I hope.
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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Fri Nov 23, 2012 10:26 pm

There's a small compounding pharmacy locally that I have used to get a specially mixed arthritis cream (prescription only.) They deal with only one prescription at a time. Darn if I can remember the name of it - it's in Gulf Breeze, and they're nice people.
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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sat Nov 24, 2012 2:48 pm

PBulldog2 wrote:
There's a small compounding pharmacy locally that I have used to get a specially mixed arthritis cream (prescription only.) They deal with only one prescription at a time. Darn if I can remember the name of it - it's in Gulf Breeze, and they're nice people.

PB, my wife's rheumotologist put her on VOLTAREN GEL for her arthritis. It is a cream and it works wonders. I have used it a couple of times for some sore joints and it is almost instant relief. She is a firm believer in it.

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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sat Nov 24, 2012 8:54 pm

Admin wrote:
PBulldog2 wrote:
There's a small compounding pharmacy locally that I have used to get a specially mixed arthritis cream (prescription only.) They deal with only one prescription at a time. Darn if I can remember the name of it - it's in Gulf Breeze, and they're nice people.

PB, my wife's rheumotologist put her on VOLTAREN GEL for her arthritis. It is a cream and it works wonders. I have used it a couple of times for some sore joints and it is almost instant relief. She is a firm believer in it.

I will remember that! Is it by prescription only? My doc will be willing to write for it, I'm sure.
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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sun Nov 25, 2012 11:50 am

PBulldog2 wrote:
Admin wrote:
PBulldog2 wrote:
There's a small compounding pharmacy locally that I have used to get a specially mixed arthritis cream (prescription only.) They deal with only one prescription at a time. Darn if I can remember the name of it - it's in Gulf Breeze, and they're nice people.

PB, my wife's rheumotologist put her on VOLTAREN GEL for her arthritis. It is a cream and it works wonders. I have used it a couple of times for some sore joints and it is almost instant relief. She is a firm believer in it.

I will remember that! Is it by prescription only? My doc will be willing to write for it, I'm sure.

Yep it is prescription only.

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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sun Nov 25, 2012 4:12 pm



Yep it is prescription only.[/quote]

Thanks again, Ghost. I will ask my doctor when I call this week.

The prescription cream I received from the compounding pharmacy was made out of ibuprofen and other ingredients. It worked so well, but I no longer see the orthopod who prescribed it. The Voltaren cream sounds very similar.
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PostSubject: Re: Why do we even HAVE compounding pharmacies?   Sun Nov 25, 2012 5:53 pm

PBulldog2 wrote:


Thanks again, Ghost. I will ask my doctor when I call this week.

The prescription cream I received from the compounding pharmacy was made out of ibuprofen and other ingredients. It worked so well, but I no longer see the orthopod who prescribed it. The Voltaren cream sounds very similar.

Beside the Voltaren Gel it says (diclofenac sodium topical gel) 1%.

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