Dermatologics
Dermatologics is the branch of medicine dealing with the skin and its diseases. Compounding helps the dermotologist with topical anesthetics that work with cosmetic procedures, providing chemical peels to meet patient needs, barrier creams for various applications and all sorts of skin and wound care formulations that improve results.
Compounding solutions improve treatment for:
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Topical Anesthetics
The rapid proliferation of laser and cosmetic procedures has made adequate analgesia necessary for patient comfort and tolerability of treatments. The ideal topical anesthetic would have a rapid onset of activity and a high safety profile. Compounded triple anesthetic gel containing permeation enhancers can provide effective cutaneous anesthesia as early as 15 minutes after application without occlusion. Compounded vitamin K cream after a laser treatment may help reduce the severity of bruising.
Chemical Peels
Research has concluded that dermatologists should have a choice of formulations to satisfy individual patient needs. We can compound various combinations of chemical peels with kojic acid, glycolic acid, trichloroacetic acid and more.
Barrier Creams
Barrier creams containing medications such as cholestyramine can be formulated to minimize development of contact dermatitis, as part of an incontinence skin care protocol, or to treat severe diaper rash.
Skin and Wound Care
We utilize specialized equipment, such as an ointment mill, that allows us to compound formulations containing high concentrations of active ingredients such as urea and silicone that can be useful for dry skin. Medications that improve capillary blood flow can be added to a compound to enhance circulation at the wound margins and promote healing of injury such as decubitis ulcers, venous stasis, diabetic ulcers, traumatic wounds, and burns. In addition, topical anesthetics can be added to relieve pain and medications that promote tissue regeneration can be added to speed healing.
Psoriasis
Safe, convenient, and effective topical compounded combination therapies can be of great benefit among the large population suffering from psoriasis.
Cosmeceuticals
Topical antioxidants such as alpha lipoic acid and vitamin C may promote energy production of skin cells and stimulate the formation of collagen. Topical amino acids such as DMAE may help to tone and add firmness to the skin, prevent age spots, and aid in healing the micro-scarring which causes wrinkles.
Therapies for resistant problems
Resistant acne - customized formulations that contain numerous medications to provide synergistic effect can be compounded
Recalcitrant viral warts and molluscum contagiosum - combination and/or concentrated formulas can be compounded
Dermal scarring - topicals containing tamoxifen can be compounded
Pyoderma gangrenosum - topical treatment with sodium cromoglycate can be compounded as adjunctive or sole treatment
Herpes virus - the natural antiviral 2-deoxy-D-glucose inhibits the multiplication of herpes virus and can be compounded in a variety of dosage forms
Vitiligo - Patients with vitiligo may have low catalase levels in their epidermis in association with high levels of hydrogen peroxide. Topical application of a UVB-activated pseudocatalase cream can remove epidermal hydrogen peroxide resulting in repigmentation.
