Microsoft word - frequently used compounds - hospice.doc

“Customized, Patient Specific, Compounded Medications”

Frequently Used Compounds

*The following are examples of compounded medication options frequently used in the care of hospice patients. This list is not
all inclusive of compounding capabilities. Strengths and dosage forms can be modified to meet patient-specific needs. Please
contact Town & Country Compounding pharmacists for a formula consultation.

Problem Options
Chronic Severe Pain
Transdermal Gel, Suppository, or SR Capsule  Morphine  Hydromorphone  Oxycodone  Dextromethorphan plus opiate* *Addition of dextromethorphan may reduce the need for fentanyl or morphine use by 1/3 to ½. Acute/Break-through Pain
 Hydromorphone 2mg, 5mg or 10mg per spray  Morphine 5mg per spray  Fentanyl 50mcg, 100mcg, 200mcg or 250mcg/ml Bone Metastases
Suppository or Transdermal Gel- alone or in combination  Ibuprofen 600mg/Prednisone 10mg Suppository  Ibuprofen 10% - 40%  Ketoprofen 10%-20%  Piroxicam 1%-2%  Diclofenac 5%-8% Nerve Pain
Transdermal Gel- alone or in combination  Ketamine 2%-10%  Gabapentin 6% Nausea/Vomiting
Transdermal gel, suspension or suppository ABHR (Ativan®, Benadryl®, Haldol®, Reglan®) or ABH  Proclorperazine 25mg/ml TD gel  Promethazine 10mg-25mg/ml TD gel Anxiety/Agitation/Sleep
Transdermal Gel, Suppository or Oral Solution Lorazepam 1-2mg  Alprazolam 0.25mg-2mg  Diazepam 2mg-10mg 106 Prospect Street, Ridgewood, NJ 07450 Ofc: 201-447-2020 Fax: 201-447-3253 [email protected]
“Customized, Patient Specific, Compounded Medications”

Frequently Used Compounds

Bedsores/Skin Wounds
Topcial gels Skin protectorants, e.g., zinc, A&D, w/wo nystatin  Calcium Channel Blockers- improves blood flow and vascularization, reduces scarring by interfering with collagen production  Pentoxifylline 5%-10%, penetration enhancer when used in with Calcium Channel Blockers, improves circulation by reducing blood viscosity  Phenytoin 2%-5%, stimulates wound repair  Metronidazole 2% – antimicrobial to control odor  Misoprostol 0.0024%, accelerates wound healing  Magic Mouth Wash (tetracycline, nystatin, lidocaine, Excessive salivation
 Hyoscamine 0.5mg/ml oral drops (0.125mg/dose)  Scopolamine 250mcg/0.1ml transdermal gel  Morphine sulfate for inhalation 5mg-10mg/3ml Seizures
Rectal gels, suppositories or oral solutions  Levetiracetam (Kepra®) 250-750mg suppositories  Phenytoin 300mg suppositories  Midazolam nasal spray  Diazepam 5mg/ml rectal gel  Lorazepam 2mg/ml oral solution  Valproic Acid 500mg suppositiories 106 Prospect Street, Ridgewood, NJ 07450 Ofc: 201-447-2020 Fax: 201-447-3253 [email protected]


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