pharmacy services
There are many diseases and conditions that are better treated with the help of a compounding pharmacist. Although we try to provide enough information to help patients make the most informed decision possible, we cannot list all medical conditions we can help with. Please don’t hesitate to call us at if there are any questions about medications we carry, delivery methods we can provide, or anything else! We strive to make personalized medication a pain-free experience for all our patients and practitioners and welcome requests for anything we don’t already provide.

If you’re tired of unnecessary side effects, allergic reactions to ingredients, dosages that aren’t quite right, or delivery methods that aren’t optimal, we can create a better experience for you by personalizing thousands of combinations of medications and routes.

Pain Management

Pain Management

Chronic pain can have a cascade of effects on patients’ lives. Even though the condition may be controlled, the underlying pain a person experiences can prevent them from carrying out daily activities and enjoying their lives to the fullest. Our compound pharmacists will be able to work with the prescribing physician to create a personalized medication that may include several different types of pain relievers at varying dosages to best target the pain for that individual.

In addition to creating various combinations of pain relievers, we can also adjust the administration route for our patients. Although many pain medications are taken orally, it may perhaps benefit the patient to apply a topical or transdermal cream or gel instead. Creams and gels allow the patient to target the specific area they are experiencing pain, and apply a higher concentration of the drug to that area. When drugs are administered in this way, the absorption process by the body differs, and oftentimes, patients experience fewer side effects while still enjoying the full relief provided by the medication.

Pain medications available for compounding include:

  • Corticosteroids like hydrocortisone, dexamethasone, and triamcinolone
  • Muscle relaxants like cyclobenzaprine and baclofen
  • Nerve pain modifiers like gabapentin, ketamine, amitriptyline, and clonidine
  • NSAIDs like ibuprofen, ketoprofen, and diclofenac
  • Opiates like morphine, hydromorphone, and oxycodone
  • Topical anesthetics like lidocaine, benzocaine, and tetracaine

Careful adjustment and compounding by pharmacists at Medica Pharmacy will ensure the best possible administration and dosage for individual pain management needs.

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Hormone Therapy For Women

Hormone Therapy For Women

Hormones fluctuate throughout the life of every individual; however, if a patient has certain medical conditions or has undergone specific types of surgery, their hormone levels might be further impacted. The best responses are seen in those who can be treated with natural hormones because the body already creates them and knows how to process them.

Natural hormones include:

  • Estrogen – mainly produced by the ovaries, but also the adrenal glands, and fat tissue; created in three forms:
    • Estradiol – primary type of estrogen in women of childbearing age; responsible for regulating menstruation and fertility; low levels can have a significant impact on bone growth.
    • Estriol – weak form of estrogen produced during pregnancy; in high doses can be effective at treating hot flashes and menopause symptoms.
    • Estrone – only estrogen that is produced by women after menopause; derived from the conversion of androgens.
  • Progesterone – release by the ovaries; sometimes referred to as progestin and can be used alone or in combination with estrogen to help control menstrual problems and menopause symptoms.
  • Testosterone – produced in the ovaries and adrenal glands; important for reproductive tissue and bone mass; women only produce between 1%-25% as much as men.
  • Dehydroepiandrosterone (DHEA) – produced in the adrenal glands, ovaries, and brain; is the most abundant steroid in the human body and regulates the sex steroids; predominantly responsible for the creation of estrogens and testosterone.

Additionally, synthetic hormones are natural hormones that have been altered in a small way in order for a manufacturer to patent them as a drug. Our compounding pharmacists will work with both the physician and the patient to develop the best combination of hormones to treat their specific condition. Even those that have experienced success with certain hormones in the past may benefit from a more customized approach. Small adjustments to the type, form, and dosage of each hormone prescribed can greatly benefit a patient’s overall response to the treatment.

Hormones can be dosed in the following forms by one of our compounding pharmacists:

  • Capsules
  • Creams
  • Injections
  • Suppositories
  • Sublingual drops
  • Troches/lozenges
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Hormone Therapy For Men

Hormone Therapy For Men

The primary hormone necessitating replacement in men is testosterone. About .5% of the male population experiences testosterone deficiency, called andropause, hypogonadism, or “low T.” Testosterone levels in males peak between adolescence and their early 20s and begins to decrease by about 1% per year throughout their 30s or 40s. Although more likely to occur in men over 50, levels below 200 ng/dL are considered low and may occur in men of any age.

Symptoms of andropause may include:

  • Low libido
  • Depression
  • Lack of energy
  • Diminished bone density
  • Insomnia
  • Abdominal fat
  • Breast enlargement
  • Trouble remembering things
  • Reduced muscle mass
  • Reduced body hair

The benefits of testosterone replacement therapy may include improvements in mood, erectile dysfunction, libido, muscle mass, strength, and bone mass. The compounding pharmacists at Medica Pharmacy can work with prescribing physicians to find the best option for individual patients’ hormone replacement needs.

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Adrenal Dysfunction

Adrenal Dysfunction

The adrenal glands, located on the top of each kidney, are responsible for the production of sex hormones (estrogen and testosterone) as well as cortisol (the stress hormone). These hormones are essential to proper body function and are the primary source of estrogen and testosterone in men and women after reaching middle age.

Adrenal gland disorders affect the production of these hormones. For example, Cushing’s syndrome causes the body to create too much cortisol while in Addison’s disease, the glands do not make enough. Additionally, conditions such as congenital adrenal hyperplasia and hyperaldosteronism may also cause the adrenal glands to make too much or too little of the essential hormones created in the adrenal glands. Causes of adrenal gland disorders can include genetic mutations, tumors, infections, certain medications, or problems with other glands.

Symptoms of adrenal gland disorders vary significantly between conditions, but may include:

  • Obesity, especially around the upper abdomen and face
  • Skin problems
  • Hypertension or hypotension
  • Depression or other mood disorders
  • Excess facial hair in women
  • Menstrual irregularity
  • Early puberty
  • Headache
  • Brittle bones
  • Weight loss
  • Weakness
  • Fatigue
  • Craving for salt
  • Nausea or vomiting

Depending on the condition, treatment may include surgery to remove tumors or hormone replacement therapy.

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Thyroid Dysfunction

Thyroid Dysfunction

Hormones triiodothyronine (T3) and thyroxine (T4) are produced by the thyroid and responsible for the regulation of metabolism and bone growth as well as protein synthesis. About ten million Americans suffer from hypothyroidism, and nearly half don’t know they have it! Disruption in the thyroid hormones is generally caused by one of two things: ongoing inflammation of the thyroid (frequently autoimmune thyroiditis or Hashimoto’s thyroiditis wherein the patient’s immune system causes the inflammation), or hypothyroidism, which is caused by “medical treatments” such as the removal of all or part of the thyroid due to cancer or other medical conditions like goiter.

Symptoms of hypothyroidism include:

  • Fatigue
  • Weakness
  • Cold intolerance
  • Decreased libido
  • Trouble remembering things
  • Depression
  • Irritability
  • Weight gain or difficulty losing weight
  • Hair loss
  • Coarse, dry hair
  • Dry, rough, pale skin
  • Muscle pain
  • Constipation
  • Abnormal menstrual cycles

Not every patient will experience all of these symptoms, and they may also vary significantly in severity between individuals. Hypothyroidism can typically be diagnosed by a test known as a thyroid panel that checks the levels of thyroid hormones in the blood.

Although rarely life-threatening, hypothyroidism can benefit from a personalized approach, which may greatly improve a patient’s well-being and overall success with prescribed thyroid replacement therapy. Traditionally, patients have been treated with levothyroxine (synthetic T4), although some patients don’t respond fully to this alone and may also require synthetic T3. This can be problematic though due to the swift absorption of this drug by the body resulting in higher than normal T3 levels creating a myriad of problems including heart palpitations.

For patients who require Natural Thyroid rather than synthetic thyroid replacement, Medica Pharmacy can help. We can formulate many forms and strengths of Natural Thyroid not available in standard pharmacies. Additionally, we can combine pure T3 and T4 powders to exact strengths for individual needs, eliminating unnecessary additives and unwanted side effects.

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Palliative Care

Palliative Care

Palliative care is defined as specialized medical care for patients living with serious, chronic conditions with an emphasis on comfort measures. While palliative care is a holistic approach to helping patients improve their quality of life and includes psychological and spiritual care especially for those nearing the end of life, medications that help reduce pain or other problematic symptoms are also integral.

For example, a compounding pharmacist can work with the prescribing physician to create pain relief solutions unique to that individual patient. We can also assist doctors in finding the right medication combinations to treat symptoms such as dry mouth, diarrhea, constipation, nausea/vomiting, ulcers, excess mucus, and anxiety, to name a few. In addition to creating personalized compounds, Medica Pharmacy can also adjust the medication route, strength, and may be able to limit unwanted side effects by reducing the number of added ingredients.
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Pediatrics

Pediatrics

Children can often present more complex needs when it comes to their medications. While most adults can tolerate injections, swallow pills, or generally get past the short-lived task of taking medication, children are not generally as tolerant. Additionally, children may struggle to adequately convey troublesome side effects. Compounding pharmacists can help create a less stressful, more effective solution by personalizing the route, dosage, and even flavor of medication. Some examples of pediatric solutions we offer: better-tasting suspensions, concentrates (to create smaller doses), freezer pops, gummies, hard lozenges, lollipops, and even added colors that may make taking medicine less of a chore for your child.
When children fight their caregivers to take their medicine, waste and spillage may occur, which leads to not ingesting enough of the dose and ultimately not getting the full benefit of the treatment. To better ensure they take the full prescribed dose, a compounding pharmacist can personalize pediatric medications in a way that best suits the individual child.

Many parents worry about the ingredients in medications if their children are allergic or sensitive to certain foods, so all our medications can be customized to ensure they are free of any/all of the following:

  • Dyes
  • Gluten
  • Wheat
  • Yeast
  • Casein
  • Sugar
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Podiatry

Podiatry

Conditions like athlete’s foot, arthritis, diabetic neuropathy, fungal infections, dry/cracked skin, plantar fasciitis, warts, and wounds are just a few of the reasons patients might find themselves seeking care under a podiatrist. A compounding pharmacist at Medica Pharmacy can work with a specialist to ensure the most personalized option is available to their patient. Fungal and bacterial infections can be especially hard to fight when the patient needs to continue wearing shoes, for example. Patients suffering from diabetic neuropathy might find themselves unable to walk, which can lead to further medical problems like bed sores or ulcers.

Careful consideration for the location and condition by the prescribing doctor can allow the compounding pharmacist to create the most effective dose and transmission route for the patient. For example, in patients suffering from a particularly tough kind of athlete’s food called moccasin tinea pedis, we can compound the antifungal medication with 40% urea cream to improve the absorption rate and achieve much quicker recovery. Traditional routes of treatment for conditions like warts and molluscum contagiosum have generally been to freeze, scrape, or laser the growth off. Applying a compounded topical medication including 10% KOH, however, has been shown effective in treating these conditions without the need for more invasive or painful procedures.
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Dermatology

Dermatology

While dermatological issues can sometimes be interpreted as strictly aesthetic, we understand the importance of an effective and quickly-working treatment to get patients back to feeling confident and comfortable. Conditions such as acne, chemical peels, rashes, pruritus, lice, infections, pigmentation abnormalities, warts, scarring, and rosacea are just a few of the conditions our compound pharmacists can help with.

Acne is frequently treated with over-the-counter creams, gels, and scrubs but patients struggling with especially resistant cases might benefit from treatments such as 5% topical spironolactone gel or topical nicotinamide gel. School-age children tend to be a high-risk age group for head lice, as it often spreads in the close confines of classrooms, and many parents worry about the long-term effects of traditional treatments with permethrins. Herbal formulations compounded by our pharmacists are a more natural, but equally effective treatment option; additionally, we can compound ivermectin for use as a topical ointment or as an oral medication created in just the right dose.

Many people worry about the myriad of troubles caused by sun damage. From early signs of aging to skin cancer, the sun can wreak havoc on patients’ skin. While sunscreen can certainly reduce the unwanted effects of summertime sunbathing, it is not without its issues. Some states have begun banning the use of sunscreen that isn’t reef-safe, and all the chemicals involved in making sunscreen as effective as it is can leach into your bloodstream. Sunscreen is certainly not a one-size-fits-all product. Melatonin has been shown to have protective qualities against UV radiation, which is the main cause of skin cancer. A topical cream of 0.1% melatonin solution applied 15 minutes before sun exposure works as an antioxidant in addition to regulating gene expression and stabilizing DNA, thus effectively protecting skin at a cellular level.

Additional examples of ingredients Medica Pharmacy can include in medications for dermatological use are:

  • Alpha lipoic acid
  • Azelaic acid
  • Coal tar
  • Collagenase
  • Fluconazole
  • Hydroquinone
  • Ibuprofen
  • Ivermectin
  • Minoxidil
  • Niacinamide
  • Tamoxifen
  • Tea tree oil
  • Tretinoin
  • Triamcinolone
  • Zinc
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Hair Loss

Hair Loss

Hair loss (alopecia) can greatly impact a person’s self-image and confidence and affects as many as 50 million people in the United States. Hair loss is different in men and women and thus requires different treatment approaches. It is typically caused by hormonal imbalances, but can also be caused by other medical conditions such as thyroid problems, physical trauma, stress, and certain medications.

Depending on the reason behind a patient’s thinning hair, a compounding pharmacist can create a medication containing any of the following:

  • Azelaic acid
  • Biotin
  • Estradiol
  • Finasteride
  • Fluocinonide
  • Ketoconazole
  • Latanoprost
  • Minoxidil
  • Niacinamide
  • Progesterone
  • Saw palmetto
  • Tretinoin
  • Zinc sulfate

Androgenetic alopecia (AGA) is commonly known as “male pattern baldness” and is a result of hormone imbalances. This type of hair loss is responsible for approximately 95% of all male alopecia cases. Hair loss is more common in men than women, and over 65% of men over 35 experience some form of balding. By age 50, that number grows to approximately 85% of the male population. While this may seem like a problem related to aging, nearly 25% of men who suffer from hair loss begin before they are 21.

Female pattern hair loss is also a form of androgenetic alopecia (AGA) but differs in that the thinning occurs more diffusely across the scalp rather than in one particular area. While AGA is not as common in women, it still affects over 30% of the female population at some point in their lives. In postmenopausal women, that number climbs to over 65%. Women are also generally more affected by their hair loss because it is considered less socially acceptable. For female pattern hair loss, doctors use the Ludwig Classification to describe the severity.

  • Type I – minimal thinning that can be camouflaged by styling the hair
  • Type II – moderate thinning wherein hair volume is decreased, and part becomes visibly wider
  • Type III – significant, diffuse thinning and the scalp becomes easily visible

No matter the cause or stage of a patient’s thinning hair, Medica Pharmacy can help create a personalized medication to slow or stop hair loss, and in some cases even help the patient regrow their hair.

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Sports Medicine

Sports Medicine

Athletes come in all different shapes and sizes, which is why a compounding pharmacy can be a great benefit to their healing and care when injured. Whether it’s a little league child, leisure athlete, or a professional ballplayer, Medica Pharmacy can work with coaches, trainers, and physicians to create a personalized treatment to get them back in the game as quickly as practicable.

Commercially available medications are often limited to a small number of doses and delivery methods. Many are available only in oral form and simply aren’t as effective in some cases as a topical cream or gel, or iontophoresis. Since downtime is such a big factor in sports medicine, it is a field often at the forefront of safely trying out new ways to treat pain and injuries. Compounding pharmacies are in stride with this cutting edge treatment process and can create custom medications not commercially available.

For example, topical medications, including pain relievers like ketoprofen are more effective at treating pain and inflammation at the source versus taking ketoprofen by mouth. Additionally, analgesics to be taken orally often have a mild sedative effect or can cause gastrointestinal upset, which is counterproductive for athletes. Applying such medications topically can avoid this unwanted side effect, and is something only a compound pharmacy can do.

In addition to common sports injuries, we can create customized solutions to the following sports-related conditions:

  • Athlete’s foot – treated with topical antifungals
  • Calluses – treated with compounded lotions
  • Carpal tunnel – treated with transdermal gels
  • Cramps – treated with topical gels and/or customized electrolyte solutions
  • Dehydration – treated with personalized electrolyte solutions
  • Excessive perspiration – treated with customized deodorants and gels
  • Dry skin – treated with customized moisturizing creams
  • Hemorrhoids – treated with suppositories or topical creams
  • Nutrition – personalized vitamin and mineral supplements
  • Wounds – treated with compounded healing gels and ointments
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Wound Care

Wound Care

Skin is the biggest organ of the body, and also the most exposed — responsible for protecting the rest of what lies underneath. Open wounds and sores can lead to much bigger problems than localized pain or irritation. They can become doors to the rest of the body, allowing bacteria, viruses, and other unwanted intruders to enter the bloodstream where they wreak havoc.

Because every wound is unique in its location, severity, and ability to heal, a compounding pharmacy is a patient’s best resource when working towards recovery. Medica Pharmacy will work with the prescribing physician to ensure the best combination of medications is compounded in a delivery method that will work for the individual on their road to recovery.

An example of this is the “polyox bandage,” which comes as a powder and can be compounded to include any necessary medication to aid in the healing process. The powder is puffed onto the wound in layers, and if not already moist, a small amount of water is added in between the application of the powder layers. This creates a flexible, rubber-like barrier which protects the wound from excess moisture and germs that would inhibit healing.

Some wounds, such as ulcerated tumors, pressure ulcers, and fungating tumors might emit an unpleasant odor during the healing process. This can be embarrassing for the patient and make them self-conscious. Application of topical metronidazole has been shown to eliminate such odors, thereby creating a more comfortable healing process.

Other medications we can compound for wound-healing include:

  • Benzoyl peroxide
  • Caffeine
  • Cholestyramine
  • EGCG (green tea polyphenols)
  • Meadowsweet extract
  • Mupirocin
  • Pentoxifylline
  • Phenytoin
  • Polyethylene glycol
  • Pracaxi oil
  • Sildenafil
  • Sucralfate
  • Topical insulin
  • Tranilast
  • Urea paste
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Veterinary

Veterinary

Personalized medications aren’t just for people! We work with veterinarians to create custom solutions for pets, exotics, zoo, and farm animals. Customizations include things such as flavors, doses, and medication routes to ensure the best possible outcome based on their specific needs and illness.

We offer preparations such as:

  • Chewable troches
  • Creams/ointments/lotions
  • Discontinued medications
  • Gels
  • Medicated treats
  • Oral suspensions/pastes
  • Otic and non-aqueous solutions
  • Rectal enemas and suppositories
  • Topical powders
  • Transdermals

We know it can be hard to get animals to take medication because caregivers cannot explain why it’s so important or necessary. We offer a wide range of flavors to help ease the frustration of administering a medication that otherwise wouldn’t be very enticing to the animal.

Flavors we offer include:

  • Apple
  • Bacon
  • Beef
  • Blueberry
  • Cheese
  • Chicken
  • Fish
  • Liver
  • Molasses
  • Orange
  • Peanut butter
  • Raspberry
  • Shrimp
  • Strawberry
  • Tuna
  • Vanilla

Whether it’s a sick fish or a healing horse, Medica Pharmacy can work with the prescribing veterinarian to create the best possible and most effective treatment for them.

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Vitamins

Vitamins

It is essential to provide your body with the proper vitamins needed for it to grow and function normally. The essential vitamins your body needs are:

  • Vitamin A
  • B Vitamins such as vitamin B-12, vitamin B-6, folate, thiamine, riboflavin, niacin, biotin, and pantothenic acid
  • Vitamin C
  • Vitamin D
  • Vitamin E
  • Vitamin K
While most of the daily vitamins your body needs is supplied by the food you eat and by spending time in the sun, you may need to supplement your diet with additional vitamins if you are on a special diet or if you are deficient in a certain vitamin. Here at Medica Pharmacy, we are your one-stop shop for not only the medication you may need, but also the supplements that can help keep your body healthy and operating optimally.
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Private Consultations

Private Consultations

Here at Medica Pharmacy, we know that you may have questions about your medications and supplements, and we know how important your privacy is when it comes to your healthcare. For your convenience, we are pleased to offer private consultations to further customize your experience and help you feel comfortable with your treatment.

Whether you have questions about how to administer your medication, dosing, or potential side effects, we can help you be most prepared for your at-home care. Our highly trained team is here to help assist you in any way we can so you can feel confident when taking your medication.
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Topical and Transdermal Therapies

Topical and Transdermal Therapies

At Medica Pharmacy, we offer both topical and transdermal options for medications that relieve pain, reduce inflammation, and relax muscles. By administering these medications topically or transdermally, side effects that are harmful to athletic performance can be avoided. This way, the patient can benefit from the therapeutic effects of the medication while limiting the risk of adverse effects.

Adv Ther. 2009 Dec;26(12):1072-83. Epub 2010 Feb 4. New therapeutic approaches for management of sport-induced muscle strains. De Carli A et al. Click here to access the PubMed abstract of this article.
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Topical Anesthetics

Topical Anesthetics

Here at Medica Pharmacy, we are also able to compound analgesic gels to help reduce pain and bleeding. Epinephrine, or adrenaline, is used primarily to stop bleeding associated with injuries. Studies have shown that gels containing lidocaine, adrenaline, and tetracaine are superior to those containing cocaine for topical use. We strive to prepare the most effective, safe product to meet each patient’s needs.

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Diabetes

Diabetes

Diabetes can be a demanding, exhausting disease. At Medica Pharmacy, our goal is to help customize your treatment to fit your individual needs and preferences. We also offer free counseling to help you manage your medication, become as comfortable as possible with its administration, and to answer any questions you may have.

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