19035 W. Capitol Dr. #105
Brookfield, WI 53045

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About Compounding

MD Custom Rx, a compounding-only pharmacy, is committed to providing high-quality compounded medications in the dosage form and strength prescribed by the physician. Through the triad relationship of patient, physician, and pharmacist, all three can work together to solve unique medical problems.

The demand for professional compounding has increased as health care professionals and patients realize that commercially available medications do not meet the needs of many patients, and that these patients may have a better response to a customized medication dosage form. Our compounding professionals can customize medications to fit each individual patient.

What is prescription compounding?

We often get asked to supply a list of the preparations we prepare. To limit ourselves to such a list would be a disservice and would prevent proper understanding of what prescription compounding really is. Above all else, think of us as your medication problem solvers! Prescription compounding exists to help meet unique needs that are not being properly addressed through commercial drug products.

The best way to illustrate this may be through some examples:

Julie had many allergies including; lactose, gluten, corn, almonds, and dyes. Most commercial products resulted in producing as many health issues as they were meant to treat. Julie struggled with uncontrolled diarrhea dominant Irritable Bowel Syndrome (IBS) and due to her multiple allergies, she did not have the option of traditional commercial products to manage her symptoms. The pharmacy team at MD Custom Rx were able to work with her prescriber to identify therapeutic options based upon our knowledge of medications and excipients that cooperated with her individual biology and multiple sensitivities. We used this knowledge to find the prescription option that was most versatile, most likely to be efficacious, and most affordable.
Robert had been on antidepressant medication(s) for years and always desired to stop taking them but could never successfully stop. He found a wonderful functional medicine provider who helped him to heal many aspects of his health and his provider agreed that Robert is better equipped than he has ever been to “get off” of antidepressant medication. Robert starts to decrease his dose at the direction of his medical provider, but whenever he got down to a certain dose he got stuck. With the commercial strengths available, Robert could not further decrease his dose without experiencing adverse effects. After speaking with the pharmacist team at MD Custom Rx, Robert and his doctor decided to try a compounded liquid. With a liquid, Robert was able to make much smaller decreases in his dose and thus was able to tolerate continued dose decreases. With his compounded liquid, Robert felt in control and empowered to be able to make the tiny adjustments he was comfortable with and eventually he was able to stop the medication completely without experiencing any adverse effects.
Mary’s mother, Janet, had been admitted to hospice care to manage her end-of-life to make her the most comfortable after a long and strenuous battle with stomach cancer. Due to Janet’s condition and frailty, she suffered extreme nausea, but was unable to swallow or take medications by mouth. Luckily, Janet’s hospice team was experienced with a compounded preparation called ABHR Gel. ABHR Gel is rubbed into the patient’s wrists and does a wonderful job of controlling nausea and at the same time can help keep the patient calm and relaxed. ABHR Gel was prescribed for Janet to be compounded by our team and Mary expressed her gratitude for the small part we were able to play in helping her mother pass peacefully and comfortably. Peter had a previous dental surgery and ended up with his tongue moving involuntarily for periods of time. According to his wife, his tongue would scrape against his front teeth to the point of bleeding. Peter was in pain daily as his tongue would be routinely cut up and unable to heal. The compounding team at MD Custom Rx did work with Peter’s medical team to compound tetracaine lollipops to help manage his discomfort and provide necessary relief for the patient while the root cause was being identified. A simple medication but in a unique form is one of the ways a compounding pharmacy can be an effective part of health care.
Jack could no longer afford the topical, commercial gel that controlled his acne. Jack’s dermatologist reached out to the pharmacist team at MD Custom Rx to discuss what options were available. We were able to formulate a combination gel that not only contained the active ingredient in the commercial product Jack could not afford but combined it with three additional products that are efficacious in the treatment of acne and for skin integrity. And the compounded, combination preparation could be provided for 1/10 the price of the commercial product resulting in a win, win, win for the patient! For years Mira’s headaches were well controlled with a certain medication. The manufacturer discontinued making her headache medication and it became no longer available. The compounding team at MD Custom Rx was able to source ingredients almost identical to those that were in the commercial product and Mira’s prescriber agreed to prescribe the compounded version. She is so appreciative to be able to continue the headache relief she had grown accustomed to.

Quality Compounding Maximizes Therapeutic Outcomes

The efficacy of any formulation is directly related to its preparation, which is why THE SELECTION OF A COMPOUNDING PHARMACY IS CRITICAL. Ongoing training for compounding pharmacists and technicians, state-of-the-art equipment, and high-quality chemicals are essential. Experience and ingenuity are important factors as well. When adjusting a formula or developing a unique preparation, our compounding pharmacists must consider physical and chemical properties of both the active ingredient(s) and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures are in place, stability studies are considered when compounding, and appropriate potency and sterility testing are performed.

Our compounding professionals can formulate suitable medications such as topical and transdermal creams, sublingual drops, oral and nasal sprays, lollipops, rectal solutions and suppositories, and other customized dosage forms.

MD Custom Rx’s Commitment to Quality

MD Custom Rx is a PCAB Accredited Compounding Pharmacy, certified to follow the highest level of prescription compounding standards.

PCAB Accreditation is awarded only to compounding pharmacies who:

MD Custom Rx offers a broad range of prescription compounding options, as well as a high level of personalized attention and care. Having your prescription prepared by a PCAB Accredited Compounding Pharmacy is important because it helps to ensure your prescription will be safe and potent.

While all compounding pharmacies are required to meet the requirements set by their respective state boards of pharmacy, PCAB Accreditation denotes a more stringent and comprehensive standard which serves as an assurance that our compounding pharmacy has been tested against the profession’s most rigorous standards.

Our accreditation confirms our commitment to providing safe, personalized solutions that meet the medical needs of our patients – and the needs of the healthcare providers in our community.

Solving Medication Challenges

With unique delivery systems and devices, compounding is the perfect fit for a range of medical specialties.