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Commonly used hospice compounds and their uses

Overview of frequently compounded medications and their hospice indications.
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Effective hospice care depends on fast access to medications that reliably manage pain, respiratory distress, GI symptoms, agitation, secretions, and end-of-life comfort needs.

Bayview Pharmacy maintains a consistent inventory of high-utilization medications and symptom-specific compounded formulations so hospice teams can treat patients quickly, avoid delays, and maintain predictable standards of care.

Why This Matters for Hospice Teams

Hospice patients decline rapidly, and symptom needs often change without warning. Nurses and prescribers need clear, dependable medication options that are easy to select and consistently stocked.

This guide helps hospice teams:

  • Know which medications Bayview routinely keeps available
  • Identify appropriate strengths and routes for common symptoms
  • Find compounded alternatives when oral administration isn’t possible
  • Standardize care across home, facility, and inpatient settings

Key Takeaways

  • Bayview Pharmacy routinely stocks the most commonly used hospice medications.
  • Condition-specific compounded formulations support patients who cannot tolerate standard routes.
  • The two tables below provide fast, reliable guidance for managing common hospice symptoms.

Standard Hospice Medications

The first table includes the medications most commonly used across hospice programs. These are the core therapies for:

  • Pain and dyspnea
  • Nausea and vomiting
  • Agitation and anxiety
  • Respiratory congestion and secretions
  • Constipation and GI discomfort
  • Sleep and neurologic symptoms

This table allows hospice nurses and prescribers to quickly verify what’s stocked, what strengths are available, and which medications are appropriate for first-line or breakthrough symptom control.

Condition Retail Medication Form / Route
Pain Acetaminophen (325mg, 500mg, 650mg ER) Tablets, Oral Solution, Suppositories
Pain Hydrocodone/APAP (Lortab, Vicodin) (5/325mg, 7.5/325mg, 10/325mg) Tablets, Oral Solution
Pain Oxycodone IR (5mg, 10mg, 15mg, 30mg; 5mg/5mL liquid) Tablets, Oral Solution
Pain Morphine IR (Tablets: 15mg, 30mg; Solution: 20mg/mL) Tablets, Oral Solution
Pain Fentanyl Transdermal Patch (12mcg/hr, 25mcg/hr, 50mcg/hr, 75mcg/hr, 100mcg/hr) Transdermal Patch
Pain Tramadol (50mg tablets) Tablets
Pain Ibuprofen (Advil, Motrin) (200mg, 400mg, 600mg, 800mg) Tablets, Oral Suspension
Pain Naproxen (Aleve, Naprosyn) (220mg, 250mg, 500mg) Tablets
Pain Ketoprofen (50mg, 75mg) Capsules
Pain Lidocaine 5% Patch (5% topical patch) Topical Patch
Pain Diclofenac Topical (Voltaren) (1% gel) Topical Gel
Nausea/Vomiting Ondansetron (Zofran) (4mg, 8mg ODT/Tablets) ODT, Tablets, Oral Solution
Nausea/Vomiting Prochlorperazine (Compazine) (5mg, 10mg tablets; 25mg suppositories) Tablets, Suppositories
Nausea/Vomiting Promethazine (Phenergan) (12.5mg, 25mg) Tablets, Suppositories, Syrup
Nausea/Vomiting Metoclopramide (Reglan) (5mg, 10mg) Tablets
Nausea/Vomiting Meclizine (25mg) Chewable Tablets
Nausea/Vomiting Scopolamine Patch (1.5mg) Transdermal Patch
Nausea/Vomiting Haloperidol (Haldol) (0.5mg, 1mg, 2mg, 5mg) Tablets, Oral Solution, Injectable
Nausea/Vomiting Olanzapine (2.5mg, 5mg, 10mg) Tablets, ODT
Constipation/Bowel Docusate Sodium (Colace) (100mg) Capsules, Oral Solution
Constipation/Bowel Senna (8.6mg, 17.2mg) Tablets, Syrup
Constipation/Bowel Senna/Docusate (Senokot-S) (Standard combo dosing) Tablets/Capsules
Constipation/Bowel Bisacodyl (Dulcolax) (5mg tablets, 10mg suppositories) Oral Tablets, Suppositories
Constipation/Bowel Miralax (Polyethylene Glycol) (17g dose) Powder
Constipation/Bowel Lactulose (10g/15mL) Oral Solution
Constipation/Bowel Glycerin Suppositories (Adult suppositories) Rectal Suppositories
Constipation/Bowel Fleet Enema (Sodium Phosphate) (Standard adult enema) Rectal Enema
Constipation/Bowel Naloxegol (Movantik) (12.5mg, 25mg) Tablets
Anxiety & Agitation Lorazepam (Ativan) (0.5mg, 1mg, 2mg) Tablets, ODT, Injectable
Anxiety & Agitation Diazepam (Valium) (2mg, 5mg, 10mg) Tablets, Oral Solution, Rectal Gel
Anxiety & Agitation Midazolam (1mg/mL, 5mg/mL injection) Injectable
Anxiety & Agitation Chlorpromazine (10mg, 25mg, 50mg) Tablets, Oral Solution
Anxiety & Agitation Trazodone (50mg, 100mg) Tablets
Anxiety & Agitation Quetiapine (Seroquel) (25mg, 50mg, 100mg) Tablets
Anxiety & Agitation Diphenhydramine (Benadryl) (25mg tablets; 12.5mg/5mL liquid) Tablets, Oral Liquid
Neuropathic Pain Amitriptyline (10mg, 25mg, 50mg) Tablets
Neuropathic Pain Gabapentin (Neurontin) (100mg, 300mg, 400mg) Capsules, Oral Solution
Neuropathic Pain Baclofen (5mg, 10mg, 20mg) Tablets
Neuropathic Pain Hyoscyamine (0.125mg) SL Tablets, Oral Drops
Seizures & Spasms Clonazepam (Klonopin) (0.5mg, 1mg, 2mg) Tablets, ODT
Seizures & Spasms Phenobarbital (15mg, 30mg, 60mg) Tablets, Oral Elixir
Oral Care Nystatin (100,000 units/mL) Oral Suspension (Swish & Swallow)
Oral Care Chlorhexidine Gluconate Rinse (0.12%) Oral Rinse
Oral Care Viscous Lidocaine (2% solution) Oral/Topical Solution
Other Dexamethasone (0.5mg, 1mg, 4mg) Tablets, Oral Solution, Injectable
Other Prednisone (5mg, 10mg, 20mg) Tablets
Other Omeprazole (Prilosec) (20mg, 40mg) Capsules, Delayed-Release
Other Pantoprazole (Protonix) (40mg) Tablets
Other Glycopyrrolate (1mg tablets; 0.2mg/mL injection) Tablets, Injectable
Other Atropine 1% Drops (1% solution) Ophthalmic (Used Sublingually)
No medications match your search or filter criteria.

Our Compounded Formulations

Some hospice symptoms require specialized formulations, alternative routes, or combinations not commercially available. The second table organizes these compounded options by clinical condition, making it easy to match therapies to the patient’s most pressing symptoms.

These formulations support scenarios such as:

  • Patients who cannot swallow
  • Localized pain or wound discomfort
  • Refractory nausea, agitation, or secretions
  • Oral mucositis, thrush, or radiation-related pain
  • Neuropathic pain and allodynia
  • Difficult-to-manage dermatologic symptoms
  • Situations requiring rectal, vaginal, nasal, or topical routes

This condition-based table gives hospice teams quick access to practical alternatives that keep patients comfortable without unnecessary transfers or delays.

Condition Compounded Formulation Form / Route
Nausea & Vomiting Promethazine HCl 12.5–25 mg/g Topical Cream Topical cream
Nausea & Vomiting Lorazepam 1 mg/mL / Diphenhydramine HCl 12.5 mg/mL / Haloperidol 2 mg/mL / Metoclopramide 20 mg/mL Topical Cream Topical cream (multi-agent antiemetic)
Nausea & Vomiting Lorazepam 1 mg / Diphenhydramine HCl 12.5 mg / Haloperidol 2 mg Suppository Rectal/vaginal suppository
Nausea & Vomiting Ondansetron 4 mg/0.1 mL Topical Cream Topical cream
Nausea & Vomiting Ondansetron 8 mg base MBK Suppository Rectal suppository
Nausea & Vomiting Doxylamine Succinate 10 mg / Pyridoxine HCl 10 mg / Ginger Root Capsules Oral capsules
Dry Mouth Pilocarpine HCl 10 mg/mL Oral Drops Oral drops
Excess Secretions Glycopyrrolate 2% Topical Spray Topical spray
Excess Secretions Glycopyrrolate 2% Topical Foam Topical foam
Excess Secretions Glycopyrrolate 0.5 mg/mL Oral Suspension Oral suspension
Excess Secretions Glycopyrrolate 0.1 mg/0.25 mL Topical Cream Topical cream
Wounds – No Infection Beta Glucan 0.5% / Naltrexone HCl 0.5% Topical Spray Topical spray
Wounds – No Infection Aloe Vera 0.2% / Arginine HCl 1% / Misoprostol 0.0024% / Naltrexone HCl 1% Topical Gel Topical gel
Wounds – No Infection Arginine HCl 1% / Aloe Vera 0.2% / Misoprostol 0.0024% / Naltrexone HCl 1% / Phenytoin 2% Topical Gel Topical gel
Wounds – No Infection Misoprostol 0.0024% / Phenytoin 2% / Beta Glucan 0.5% Topical Gel Topical gel
Wounds – No Infection Phenytoin 2% / Misoprostol 0.0024% / Lidocaine 2% / Bupivacaine HCl 0.2% / Diphenhydramine HCl 1% / Aloe Vera 0.2% Polyox Bandage Topical bandage
Infected Wounds Misoprostol 0.0024% / Mupirocin 2% Anhydrous Topical Spray Topical spray
Infected Wounds Misoprostol 0.0024% / Metronidazole 2% / Lidocaine HCl 2% Topical Gel Topical gel
Infected Wounds Misoprostol 0.0024% / Phenytoin 5% / Gentamicin 0.2% Topical Gel Topical gel
Wounds with Pain Morphine Sulfate 1 mg/mL Topical Gel Topical gel
Oral Suspensions Hydrocodone bitartrate 10 mg/5 mL / Acetaminophen 325 mg/5 mL Oral Suspension Oral suspension
Oral Suspensions Morphine Sulfate 1 mg/mL Oral Suspension Oral suspension
Oral Suspensions Omeprazole 5 mg/mL Oral Suspension Oral suspension
Oral Suspensions Omeprazole 2 mg/mL Oral Suspension Oral suspension
Oral Suspensions Lansoprazole 3 mg/mL Oral Suspension Oral suspension
Pain Morphine Sulfate 5% Topical Cream Topical cream
Pain Morphine Sulfate 50 mg Slow Release Suppository Rectal suppository (Slow Release)
Pain Fentanyl 100 mcg/0.1 mL Topical Cream Topical cream
Pain Fentanyl 50 mcg/mL Nasal Spray Nasal spray
Pain Hydrocodone bitartrate 5 mg / Acetaminophen 500 mg Suppository Rectal suppository
Pain Hydrocodone bitartrate 20 mg Slow Release Capsules Oral capsules (SR)
Pain Oxycodone HCl 30 mg Suppository Rectal suppository
Pain Ibuprofen 20% Topical Cream Topical cream
Pain Ibuprofen 600 mg Suppository Rectal suppository
Pain Ketoprofen 10% Topical Cream Topical cream
Pain Lidocaine HCl 4% Isotonic Nasal Spray Nasal spray
Allodynia Ketoprofen 10% / Cyclobenzaprine HCl 2% / Amitriptyline HCl 2% / DMSO 15% Topical Spray Topical spray
Allodynia Lidocaine HCl 10% / Tetracaine HCl 5% / Prilocaine HCl 5% / Bupivacaine HCl 1% Topical Spray Topical spray
Allodynia Ketamine HCl 2% / Morphine Sulfate 2% Topical Foam Topical foam
Allodynia Ketamine HCl 10% / Bupivacaine HCl 0.3% Topical Spray Topical spray
Allodynia Ketamine HCl 2% / Morphine Sulfate 2% Topical Spray Topical spray
Seizures Diazepam 10 mg/g vaginal/Rectal Gel Vaginal/rectal gel
Seizures Levetiracetam 500 mg Suppository Rectal/vaginal suppository
Seizures Phenytoin sodium 400 mg Suppository Rectal/vaginal suppository
Seizures Zonisamide 100 mg Suppository Rectal/vaginal suppository
Oral Mucositis Pain Stanford modified Mouthwash Oral rinse
Oral Mucositis Pain Stanford Mouthwash Oral rinse
Oral Mucositis Pain Misoprostol 0.0024% / Diphenhydramine HCl 0.1% / Lidocaine HCl 1% Oral Rinse Oral rinse
Oral Mucositis Pain Doxepin HCl 0.5% Mouthwash Oral rinse
Oral Mucositis Pain Misoprostol 0.0024% / Ketoconazole 1% compound Oral Rinse Oral rinse
Oral Mucositis Pain Lidocaine HCl 2% Oral Rinse Oral rinse
Oral Mucositis Pain Beta Glucan 0.5% / Dexpanthenol 1% / Vitamin E acetate 2% Oral Rinse Oral rinse
Oral Mucositis Pain Dexamethasone 3.3 mcg/mL / Tetracycline HCl 13.5 mg/mL / Nystatin 16,667 U/mL / Diphenhydramine HCl 1.25 mg/mL Mouthwash Oral rinse
Oral Mucositis Pain Morphine Sulfate 2% Oral Rinse Oral rinse
Oral Mucositis Pain Glutamine 1 g/5 mL Oral Suspension Oral suspension
Burning Mouth Syndrome Doxepin HCl 0.5% Mouthwash Oral rinse
Burning Mouth Syndrome Amitriptyline HCl 2% / Gabapentin 6% / Lidocaine HCl 0.5% Oral Rinse Oral rinse
Burning Mouth Syndrome Ketamine HCl 3% / Amitriptyline HCl 2% / Gabapentin 6% / Lidocaine HCl 0.5% Oral Rinse Oral rinse
Burning Mouth Syndrome Salicylic acid 0.3% Mouthwash Oral rinse
Oral Yeast / Thrush Clotrimazole 1% Oral Rinse Oral rinse
Oral Yeast / Thrush Amphotericin B 50 mg/mL Oral Rinse Oral rinse
Oral Yeast / Thrush Amphotericin B 100 mg/mL Oral Suspension Oral suspension
Oral Yeast / Thrush Amphotericin B 100 mg Troche Oral troche
Radiation Burns Misoprostol 0.0024% / Lidocaine HCl 2% Topical Lotion Topical lotion
Radiation Burns Ketoprofen 2% / Lidocaine 2% / Misoprostol 0.0024% / Phenytoin 2% / Aloe Vera 0.2% Topical Gel Topical gel
Radiation Burns Allantoin 2% / Vitamin D3 1000 IU/g / Aloe Vera 0.5% Topical Gel Topical gel
Radiation Burns Ketoprofen 2% / Lidocaine 2% / Aloe Vera 0.2% / Phenytoin 2% Topical Cream Topical cream
Radiation Burns Ketoprofen 2% / Lidocaine 2% / Aloe Vera 0.2% / Phenytoin 2% Topical Spray Topical spray
Constipation Naltrexone HCl 0.5 mg Capsules Oral capsules
Vaginal Dryness (Non-hormonal) Vitamin E / Vitamin A / Sodium Hyaluronate Vaginal Gel Vaginal gel
Vaginal Dryness (Non-hormonal) Vitamin E 200 U/g Vaginal Gel Vaginal gel
Itching Lidocaine HCl 1% / Diphenhydramine HCl 2% / Dexamethasone 0.5% / Cimetidine 4% Topical Cream Topical cream
Itching Lidocaine HCl 1% / Diphenhydramine HCl 2% / Dexamethasone 0.5% / Cimetidine 4% Topical Gel Topical gel
Adult Diaper Rash Cholestyramine 5% / Mupirocin 0.5% / Miconazole nitrate 0.5% Topical Ointment Topical ointment
Adult Diaper Rash Cholestyramine 10% Diaper Rash Ointment Topical ointment
Hemorrhoids Pramoxine HCl 1% / Zinc oxide 12.5% / Lidocaine 5% Rectal Gel Rectal gel
Hemorrhoids Lidocaine 2% / Hydrocortisone 1% Suppository Rectal suppository
Anal Fissures Nifedipine 0.2% / Lidocaine 2% Rectal Gel Rectal gel
Anal Fissures Allantoin 2% / Nifedipine 0.4% / Lidocaine 3% Rectal Gel Rectal gel
Anal Fissures Lidocaine 2% / Hydrocortisone 1% / Tranexamic acid 2% Suppository Rectal suppository
Anal Fissures Nifedipine 0.2% Rectal Gel Rectal gel
Anal Fissures Nitroglycerin 0.2% / Misoprostol 0.002% / Phenytoin 0.2% Topical Ointment Topical ointment
Anxiety Lorazepam 5 mg/g Topical Cream Topical cream
No compounded formulations match your filters. Try adjusting the search or condition.

A Reliable Resource for You

Hospice nurses often make critical decisions in unpredictable situations. Having immediate access to standard medications and symptom-specific compounds allows them to respond without delay. Bayview Pharmacy is dedicated to supporting these moments with dependable inventory, rapid solutions, and compounds designed specifically for hospice patients.

Need a Custom Hospice Formulation?
If you don’t see the exact medication, strength, or route your hospice patient needs, our compounding team can help. We work directly with hospice groups to design custom formulations and symptom-specific options.
Don’t see what you need? Our compounding team can create custom hospice formulations for your patients.
Call Our Hospice Team

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