Posted on Fri, May 14, 2010 @ 10:17 AM
Preterm delivery remains one of the most important issues facing perinatal medicine today. In 1999, prematurity/low birthweight accounted for 4,304 neonatal deaths, reflecting a rate of neonatal mortality due to prematurity of 23.0 per 100,000 live births. Despite the extent of the problem, the exact etiology of preterm delivery is not completely understood. 
There has been a resurgence of interest in the association between progesterone and preterm delivery. Two recent trials have looked at the utility of progesterone in the prevention of preterm delivery in high-risk patients. In a multicenter trial reported in the New England Journal of Medicine in 2003, Meis et al, recruited 463 patients with a history of spontaneous preterm delivery and randomized them in a 2:1 ratio to intramuscular 17 alpha hydroxyprogesterone caproate vs. placebo from 16-20 weeks until 36 weeks. Treatment with 17 alpha hydroxyprogesterone significantly reduced the risk of delivery at <37 weeks, <35 weeks, and <32 weeks. The Yale Progesterone Study is an ongoing randomized, placebo-controlled trial of the use of 17 alpha hydroxyprogesterone caproate for the treatment of preterm labor.
Where do I find 17 alpha hydroxyprogesterone caproate?
Bayview Pharmacy, Rhode Island's premier hydroxyprogesterone compounding pharmacy, has the ability to compound 17 alpha hydroxyprogesterone caproate, as a sterile injectable solution. As a leading 17 alpha hydroxyprogesterone caproate 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
17 Alpha-Hydroxyprogesterone Caproate 250mg/ml
Injection Solution
(4) prefilled 1ml syringes
Inject 1ml once a week as directed
Bayview Pharmacy is a unique 17 alpha hydoxyprogesterone compounding pharmacy in that 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.
Posted on Wed, May 12, 2010 @ 02:59 PM
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.
Posted on Thu, May 06, 2010 @ 04:10 PM
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.
Posted on Mon, Oct 05, 2009 @ 12:27 PM
Good health requires personal responsibility and the right to personal choice. There are many different ways that you can pursue improved health. One of those ways involves working with a compounding pharmacy like Bayview Pharmacy in Rhode Island.
Prescription compounding improves peoples' health, by making medicine easier to take. Compounding allows specially trained pharmacists to "custom make" medications for an individual patient (human or animal), based on that patient's unique needs and symptoms. Most compounding pharmacies are individually owned and have a vested interest in the communities that they serve.
A compounding pharmacist uses raw chemicals, powders, liquids and special equipment to make medications, that are prescribed by licensed medical providers. This results in a customized medication being made by a pharmacist, according to a doctor's directions, that meet an individual patient need.
Every day, medications are compounded at Bayview Pharmacy by specially trained pharmacists to help treat a wide variety of diseases including - acne, warts, erectile dysfunction, fibromyalgia, and hemorrhoids to name a few. We even compound medications for your pets. And since we offer such unique services I wanted to mention 5 ways that we are improving patients' health today.
- Increasing Medication Efficacy - Compounding pharmacies are able to adjust doses and combine medications, based on individual need. The resulting product is a medication that is customized for your unique circumstances.
- Decreasing Medication Side Effects - Because medications are customized, a compounding pharmacist has the ability to tailor a medication to meet your requirements, reducing the chances that you will suffer from an allergic reaction or side effect.
- Increasing Medication Compliance - Studies have shown that the greater number of medications a patient must take the less compliant that patient is. Bayview Pharmacy has the ability to combine several medications, regardless of disease state, into one delivery form that helps improve patient compliance.
- Decreasing Costs & Time- Instead of needlessly switching drugs trying to find the right one to help you (and spending untold amounts of dollars in the process) Bayview Pharmacy can customize several medications into one delivery form saving you money and time.
- Expanding Treatment Options - Bayview Pharmacy allows doctors to expand their treatment options by turning pills into creams, injectables, gels, flavored solutions, flavored treats and so much more. Medications can be combined and adjusted to fit each individual's needs.
So if you are looking to improve your health, or improve the process in which you acquire health care, look no further than a compounding pharmacy like Bayview Pharmacy.
Posted on Wed, Sep 23, 2009 @ 03:35 PM
Acne typically appears on your face, neck, chest, back and shoulders, which are the areas of your skin with the largest number of functional oil glands. Teenage and adult acne can take months or years to treat successfully. Depending on its severity, acne can cause emotional distress and lead to scarring of the skin.
Acne treatments work by reducing oil production, speeding up skin cell turnover, fighting bacterial infection, reducing the inflammation or doing all four. With the right treatment, you can keep acne under control. But what's the best acne treatment for you? Many options are available, including prescription creams and antibiotics, which target the various causes of acne. But even with the wide range of acne treatments, chronic breakouts may still be difficult to treat.
That's why working with a compounding pharmacist, can be an essential part of successful treatment strategy. Prescription compounding allows specially trained pharmacists to "custom make" acne medications for an individual patient, based on that patient's unique needs and symptoms.
Bayview Pharmacy's compounding pharmacists have the capabilities to customize dermatological preparations that improve therapeutic outcomes, reduce side effects, and save patients time and money.
Compounding medications for dermatological diseases allows for...
- ...unique delivery vehicles to be utilzed (i.e. topical cream, scalp lotion, nail lacquer); which makes administering the medication easier, more pleasant, and potentially more effective
- ...medicines to be concentrated based on individual need, which maximizes therapeutic outcomes while reducing side effects
- ...multiple medications, that have been shown to have modest effects individually, to be combined to form a more potent customized medication. This may speed the healing process and save patients valuable time and money, eliminating needlessly switching from one therapy to the next
Examples of medications that the pharmacists at Bayview Pharmacy might custom make to treat acne, either together or as monotherapy, include salicylic acid, benzoyl peroxide, clindamycin, and tretinoin to name a few.
Let us help you get the conversation started with your medical provider. Contact us via this simple form and we can help you determine what the most effective and efficient way is to solve this medical issue.
Posted on Sat, Sep 12, 2009 @ 10:33 AM
Recently, natural desiccated thyroid has become difficult to obtain. Manufactured products such as Armour Thyroid, Nature-Throid, and Westhroid have become scarce, to unavailable throughout the country. If you are experiencing difficulty obtaining natural desiccated thyroid, a compounding pharmacy may be able to assist you.
Prescription compounding improves peoples' health, by making medicine easier to take. Compounding allows specially trained pharmacists to "custom make" medications for an individual patient (human or animal), based on that patient's unique needs and symptoms. Most compounding pharmacies are independently owned, and most chain pharmacies do not compound.
A compounding pharmacist uses raw chemicals, powders, liquids and special equipment to make medications. This results in a customized medication made by a pharmacist, according to a doctor's directions, to meet an individual patient need.
Compounding is fundamental to the profession of pharmacy, and pharmacists are the only health care professionals that have studied chemical compatibilities and who can prepare alternate dosage forms.
If you would like to find out if a compounding pharmacist can assist you during this stressful time, consider doing the following:
- Go to the International Academy of Compounding Pharmacists' website and search for a compounding pharmacy near you.
- Contact your local compounding pharmacy and ask if they are able to assist you.
- If they are, you will probably need to have a new prescription written for you by your medical provider. An example of how a licensed medical prescriber might write for a compounded prescription can be found here.
- If they are not, Bayview Pharmacy may be able to assist you.
Compounding pharmacies are an extremely valuable resource, not only during times like these, but for any health care issue where treatment strategies need the assistance of a highly skilled, professional, pharmacist.
P.S. - Log onto Facebook and join thousands of individuals who are discussing natural desiccated thyroid treatments by searching for the group "Save Natural Thyroid".
Posted on Thu, Aug 13, 2009 @ 02:12 PM
Armour Thyroid Shortage
If you or your patients are having difficulty getting Armour thyroid 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 desiccated thyroid capsules in the following strengths:
15mg 30mg 60mg 120mg
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
Desiccated Thyroid 15mg
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.
Posted on Wed, Apr 01, 2009 @ 08:09 AM
It's cheap. It's easy. And in its first big test, it worked.
A "polypill" combining five heart drugs -- three blood-pressure-lowering drugs, a cholesterol-lowering statin drug, and aspirin -- is safe and works as well as any of the medications alone, researchers report.
The bigger news is you don't have to wait for this, or any other version of this, pill to be manufactured by some "big drug company" to improve your health today. Compounding pharmacies across the country have, and have had, the ability to compound multiple medications into one pill for years. And scientists for the past 5 years have speculated that this type of pill would not only increase compliance, but would also decrease heart disease and stroke by over 80% respectively.
Better yet, a compounding pharmacy like Bayview Pharmacy has the ability to custom make a polypill, on your physician's orders, that meets your unique needs. If you can't take or tolerate a certain medication that was included in this trial; or if your doctor determines that you need a lower dose of one of the medications, a compounding pharmacy can make exactly what you need.
What if you only need three medications instead of five? A compounding pharmacy can help you. Should a 67 year old woman who is 5'1" and weighs 125lbs be taking the same medication at the same strength as a 48 year old man who is 6'2" and weighs 225lbs? Probably not, and a compounding pharmacy can custom make a polypill that meets both of these patients' needs.
To find out if a compounded prescription may be right for you, contact Bayview Pharmacy, or find a compounding pharmacy near you.
Posted on Sat, Mar 14, 2009 @ 05:18 AM
As more and more women in the United States move into their menopausal years, there seems to be more and more discussion revolving around the benefits/risks of hormone replacement therapy. Even Oprah has chimed in on the subject, with a rather thorough discussion.
If you are trying to figure out if hormone replacement therapy is right for you, it is important to educate yourself as best you can. Over the recent past, there has been important scientific evidence that has been published discussing the difference between HRT and BHRT. Here are some of the highlights:
- Physiological data and clinical outcomes demonstrate that bioidentical hormones are associated with lower risks, including the risk of breast cancer and cardiovascular disease, and are more efficacious than their synthetic and animal-derived counterparts.
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Custom-compounded hormones have been gaining favor ever since a large government-funded study known as the Women's Health Initiative linked the long-term use of conventional hormone replacement therapy in menopausal women to an increased risk of heart disease, stroke, and breast cancer.
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Women and their physicians have, in increasing numbers, been opting for the use of bioidentical hormones; i.e., those that match the structure and function of hormones produced in the body.
It is important that you seek out as much information as possible about HRT and BHRT. Utilize the internet, speak with your medical provider, and schedule a time to speak with your pharmacist. Once you have come to a conclusion about what is best for you, make sure you advocate for yourself and your wants, especially with your medical provider.
A woman's menopausal years don't have to be an emotional roller coaster. With the proper knowledge and medical care they can be the best days of your life.