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BAYVIEW PHARMACY'S PRESCRIPTION COMPOUNDING BLOG

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Tri-Mix for Erectile Dysfunction

  
  

Erectile dysfunction is the inability to maintain an erection firm enough for sex, on an ongoing basis.  Symptoms related to erectile dysfunction may include:

  • Trouble getting an erection
  • Trouble keeping an erection
  • Reduced sexual desire

Erectile dysfunction treatments vary, but one therapy that is recognized by the American Urological Association as being safe and effective is an intracavernous injection of multiple medications (usually referred to as Tri-Mix).  A Tri-Mix compound consists of the medications alprostadil, papaverine, and phentolamine.  The AUA states, "As monotherapy, alprostadil is the most popular vasoactive agent; however, combination therapy with other vasoactive drugs (Bi-Mix and Tri-Mix) can either increase efficacy or reduce side effects" -(AUA Guideline on the Management of Erectile Dysfunction)Trimix resized 600

A Tri-Mix penile injection needs to be compounded by a specialty pharmacy.  Bayview Pharmacy, Rhode Island's premier Tri-Mix injectable compounding pharmacy, has the ability to compound Tri-Mix, as a sterile injectable solution. As a leading Tri-Mix injection compounding pharmacy, our solutions for injection are compounded under the stringent USP <797> guidelines for sterile compounding.

An example of how you might prescribe follows:

Compounded Medication

Alprostadil 10mcg + Papaverine 30mg + Phentolamine 1mg

Sterile Injection Solution

5ml

Inject 0.2ml to 1ml as directed

Tri-Mix for ED can be costly, but Bayview Pharmacy is a unique compounding pharmacy - in that we bill prescription drug insurances.  We also have the ability to ship medications via UPS.

For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

Isoniazid Injection Shortage - Bayview Pharmacy Can Help!

  
  

Isoniazid Backorder- Due to manufacturer delays isoniazid injection is currently on backorder.  If you or your patients are having difficulty obtaining this medication during the isoniazid injection backorder period, Bayview Pharmacy can compound it for you.

Isoniazid injection is recommended for all forms of tuberculosis in which organisms are susceptible.

Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound isoniazid as a sterile injectable solution. During this isoniazid shortage, prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

Compounded Medication

Isoniazid 100mg/ml

 Injection Solution

10ml 

Inject as directed

We bill prescription drug insurances so your insurance co-pays should not change.  We also have the ability to ship medications via UPS.

For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

Bayview Pharmacy - A Pharmaceutical Clinical Trial Pharmacy

  
  

Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the trained pharmacists, professional certifications, and facilities to help you achieve a successful trial outcome.  Our state of the art compounding facility, one of New England's finest, is located in South Kingstown, RI; just east of the University of Rhode Island.  We have established ourselves as a leading clinical research trial pharmacy throughout the nation; working with researchers from Brown University to UCLA.  We specialize in both sterile (USP 797) as well as non-sterile (USP 795) compounding.reviewing info

As a leading clinical trial compounding pharmacy we have the ability to compound both active medications and placebos.  Our experience and flexibility allow us to meet all of the requirements you would expect from a premier clinical trial pharmacy.  For example we have the ability to compound medications in the following forms:

  • Oral: capsule, oral liquid, oral suspension
  • Topical: solution, cream, ointment, gel
  • Rectal: suppository
  • Nasal: spray, solution, drops, ointment, irrigation
  • Our state of the art compounding laboratory was constructed so that we can assist you as a sterile compounding clinical trial pharmacy as well.  As an example we have experience compounding the following:

  • Parenteral: sterile injectable products (aqueous or oil base) in vials or syringes
  • Urethral: gel, injection
  • For more information about our capabilities make sure to read our clinical trial website page, and feel free to request more information by filling out the form on that page or calling us M-F 9-6EST @ 401-284-4505.

    Oxytocin and Lactation

      
      

    It has been postulated that a rise in the concentration of oxytocin causes contraction of cells around the alveoli and milk ducts, in preparation for suckling, and that lactation failure may result from insufficient oxytocin (Cochrane Database Syst Rev 2000;(2):CD000156).  When the infant is suckled, afferent impulses from sensory stimulation of nerve terminals in the areolus travel to the central nervous system where they promote the release of oxytocin from the posterior pituitary. In the woman oxytocin release is often associated with such stimuli as the sight or sound or even the thought of the infant indicating a large cerebral component in this "neuroendocrine reflex". The oxytocin is carried through the blood stream to the mammary gland where it interacts with specific receptors on myoepithelial cells, initiating their contraction and expelling milk from the alveoli into the ducts and sub-areolar sinuses. The passage of milk through the ducts is facilitated by longitudinally arranged myoepithelial cell processes whose contraction shortens and widens the ducts, allowing free flow of milk to the nipple. The process by which milk is forcibly moved out of the alveoli is called milk ejection or let-down and is essential to milk removal from the lactating breast (Oxytocin and Milk Ejection - Margaret Neville).  Oxytocin nasal spray has been used successfully to help treat for "the let-down effect" (Applied Therapeutic: The Clinical Use of Drugs. Sixth Edition; 1997: 44-29.). 

    Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound oxytocin into a nasal spray.

    Prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

    Compounded Medication

    Oxytocin 40units/ml

    Nasal Spray

    30ml

    Inhale 1 spray in both nostrils 2-3 minutes before nursing/pumping

    We bill most major prescription drug insurances to keep your copays to a minimum.  We also can ship anywhere in the USA, next day if need be.

    For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

    Chlorpromazine (Thorazine) Syrup - Bayview Pharmacy Can Help!

      
      

    If you or your patients are having difficulty getting Chlorpromazine Syrup (brand name Thorazine) prescriptions filled at a retail pharmacy due to manufacture discontinuation, Bayview Pharmacy may be able to help.

    Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound Chlorpromazine into a flavored oral syrup.

    Prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

    Compounded Medication

    Chlorpromazine 5mg/ml

    Flavored Oral Syrup

    150ml

    Take 1tsp TID

     

    We bill prescription drug insurances so your insurance co-pays should not change.  We also can ship anywhere in the USA, next day if need be.

    For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

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    Buprenorphine Shortage (Buprenex Shortage) - Bayview Pharmacy can Help!

      
      

    If you or your patients are having difficulty getting injectable buprenorphine from your current supplier due to manufacture backorder, Bayview Pharmacy may be able to help.

    Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound injectable buprenorphine for veterinary or human use. Buprenorphine is one of the most popular opioid analgesics used in veterinary medicine. 

    Prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

    Compounded Medication

    Buprenorphine 0.3mg/ml

    Injectable Solution

    #10ml

    Give 0.1ml inside the cheek pouch Q8-12H as needed

     

      We also can ship anywhere in the USA, next day if need be.

    For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

    Choline-Mag Trisalicylate Shortage

      
      

    If you or your patients are having difficulty getting Choline-Mag Trisalicylate prescriptions filled at a retail pharmacy due to manufacture backorder, Bayview Pharmacy may be able to help.

    Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound capsules that contain the active ingredients found in Choline-Mag Trisalicylate - choline salicylate and magnesium salicylate.

    Prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

    Compounded Medication

    Choline-Mag Trisalicylate 333mg

    Capsules

    #270

    Take 3 capsules TID with food

    We bill prescription drug insurances so your insurance co-pays should not change.  We also can ship anywhere in the USA, next day if need be.

    For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

    Thyrolar (liotrix) Tablets Shortage

      
      

    Thyrolar (liotrix) Shortage

    If you or your patients are having difficulty getting Thyrolar prescriptions filled at a retail pharmacy due to manufacture backorder, Bayview Pharmacy may be able to help.

    Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to compound capsules that contain the active ingredients found in Thyrolar - levothyroxine and liothyronine.  These capsules can be compounded in the following strengths:

    1/2grain     1grain    2grain     3grain

    Customized strengths are also available!

    Prescriptions will need to be written with the request to compound, and an example of how you might prescribe follows:

    Compounded Medication

    Thyrolar 1grain equivalent

    Capsules

    #30

    Take 1 capsule daily

    We bill prescription drug insurances so your insurance co-pays should not change.  We also can ship anywhere in the USA, next day if need be.

    For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.

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    Papain and Urea for Wound Management

      
      

    Papain, from the fruit of carica papaya, effectively digests nonviable protein matter without harming viable tissue when utilized for wound care.  Papain is combined with urea, (formerly known as Accuzyme) to stimulate its digestive potency, making it suitable for debridement of necrotic tissue and liquefication of pus in acute and chronic wounds such as:

  • pressure ulcers
  • varicose ulcers
  • diabetic ulcers
  • burns
  • postoperative wounds
  • pilonidal cyst wounds
  • carbuncles
  • traumatic wounds
  • infected wounds
  • There are no commercially available products containing papain and urea.  Bayview Pharmacy, Rhode Island's premier compounding pharmacy, has the ability to formulate papain and urea into a topical ointment on the orders of a licensed medical provider.  Bayview Pharmacy participates in most major drug insurance programs, and has the ability to ship medications via UPS.

    For more information regarding our ability to compound papain, or to find out more about our ability to develop customized medications for wound management, contact us.

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    Diaper Rash - When to Seek Treatment

      
      

    Recently the American Academy of Family Physicians released a list of warning signs concerning diaper rash.  They recommend that diaper rash should be evaluated by a doctor when:

  • The rash breaks out when the baby is 6 weeks or younger.
  • The rash has small ulcers or pimples.
  • The rash is accompanied by fever, nodules or large bumps.
  • The infant doesn't look well or has lost weight.
  • The rash spreads beyond the diaper area, including to the scalp, face or arms.
  • The rash doesn't improve with treatment after a week.
  • In many cases a pharmacy that focuses in making specialized medications (i.e. compounding pharmacy), like Bayview Pharmacy, can assist you and your physician in identifying a proper treatment strategy for your child.   A compounding pharmacy can identify medications that may help to treat your child's illness and develop a strategy that maximizes effectiveness, while limiting costs.

    An example of how a compounding pharmacy could help to treat your child's diaper rash follows.  Topical cholestyramine ointment has been identified as an agent that may help treat irritation due to bile acids.  Topical mupirocin has been identified as an agent that has shown the ability alleviate diaper dermatitis and Candida.  A compounding pharmacist has the ability to compound these two medications together, into one topical ointment.  The advantages of such an ointment could be:

    • Increased efficacy compared to either agent used individually
    • Decreased amounts of medications being utilized due to a dual therapy product being applied
    • Decreased medication costs due to the above

    An example of how a physician might prescribe for this compounded medication would be:

    Compounded Medication

    Cholestyramine 10% / Mupirocin 2%

    Topical Ointment

    120gm

    Apply to affected area TID or @ each diaper change

    For more information about treating diaper rash or how prescription compounding may help you - contact us at your convenience.

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