Off label ways to compound

[lord999]

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Friday at work, I had a script for the following:

Rx: Danish Ointment

Signa:
Misce et fiant unguentum secundum artem regulas.

This is on labor day weekend, so we took us hours to decipher this. Come Tuesday I'm certainly going to complain. By the way, for those of you who don't work in community pharmacy, don't panic. Only the really old codgers in dermatology still write is pseudo-Latin. Everyone else uses plain, standard English.

Translation:

Rx. Danish Ointment
Sig: Mix and make a ointment according to the rules of our art.

So we figure out what we had to compound from a Remington's and received the ingredients today. My pharmacist then proceeds to add all the ingredients to a ziplock bag, mash it up, and cut a piece out so it can be used like a icing tube. It's a unique way to compound an ointment. Know of any other interesting tricks?

 

[LVPharm]

That's pretty unique...I've only made an ointment by incorporating a drug using levigation and geometric dilution in compounding class. I suppose if you squish the bag enough you'll get the stuff incorporated...but is that any better than using a spatula? At least with levigation you'd be able to see that the stuff is getting mixed in somewhat evenly. Did he squirt the stuff from the "icing bag" into a jar?

The only "compounding" I've ever had to do in a community pharmacy was make "magic mouthwash" on a few occasions....but I've got another year of community pharmacy rotations, so maybe I'll get to do some real compounding. 😉

PS. What's Danish Ointment? I can't find it in my Remington (I have "The Science and Practice of Pharmacy", that could be why, since you have the other one).

 

[lord999]

Sulfur 125 gm
KOH 125 gm
ZnSO4 28
H20 165 ml
Vaseline (White petrolatum) 225 gm
Benzaldehyde 5 gm

We had to order this from PCCA. The pt. paid $160 cash though!!!

The formula is in a Remington's Practice of Pharmacy (not the Pharmaceutical Sciences).

Yes, the pharmacist squeezed the ointment from the Ziplock into the ointment jar and made the swirl too!

 

[MNnaloxone]

Taken from my recipie proudly displayed at my Walgreens for progesterone suppositories:

"Add PEG to glass container. Place in the microwave on "Frozen Pizza" setting. Stir frequently until PEG is liquified. Add progesterone and stir again."

 

[lord999]

Awesome. However, you can't do that to products with lanolin (as I found out this evening). Turns out that alpha and beta actually exist afterall, so I got a sticky mess. The PEG works great!