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The latest in the compounding pharmaceutical world.

Chronic Bad Breath (Halitosis)

Published on June 23rd, 2017

There are many reasons why an individual may suffer from halitosis, or simply: chronic bad breath. Gum disease or cavities within the teeth can cause bad breath as bacterial plaque grows or builds up on the teeth and tongue. Cracked fillings may allow bacteria growth that can lead to bad breath as can dentures that are never properly cleaned. Additionally, your tonsils can have food particles trapped upon them and this may also lead to bad breath of a chronic nature.

However, one often overlooked potential cause of chronic bad breath could be xerostomia, known to most as dry mouth. When the mouth becomes dry it is obviously because the saliva production in the mouth is lower than necessary to keep a salivary flow, which helps to decrease bacteria and fungi from getting stuck and building up inside the mouth. This lack of flow can often be the cause of chronic bad breath/halitosis. If the mouth is dry it may be caused by many medications, diseases, infections, or medical treatments, and may even be hereditary. The only way to know the cause of your dry mouth, and potentially the cause of your chronic bad breath is to have a full medical consultation and exam with your physician. If your physician feels that you may benefit from an artificial saliva gel such as Mucolox, a compounding pharmacy can assist you with this. Consult with your physician to get to the root of the problem of your chronic bad breath for your health and happiness, and peace of mind.

The Advanced Anti-Aging World

Published on June 13th, 2017

The anti-aging market is a multi-billion dollar industry that drives the point that anti-aging is a topic of interest to nearly everyone. Let’s face it, no pun intended, we all care about how we look and feel. There are many theories on what is the ideal regimen for achieving the best anti-aging results, but scientists and physicians agree that diet is key. To improve health, and your skin’s health specifically, on a molecular level, the process starts within the body. A diet rich in superfoods is the first step toward results in anti-aging.

Introduce foods rich in beta-carotene, B vitamins, and Omega-3 fatty acids for a start, to begin the healthy revitalization your body craves. Low-glycemic foods like oats are a good way to start your day. Add fruits for extra benefit, such as blueberries that are packed with anti-oxidants. Get your leafy greens such as kale, spinach, and broccoli to keep your skin hydrated. Fermented foods such as kimchi provide good bacteria that help skin maintain a healthy glow. Protein choices such as fish, grains, nuts, seeds, eggs, and tofu all add essential amino acids to your diet that will help fight the natural weakening of collagen and elastin in the skin that inevitably comes with aging.

In addition to a healthy diet, and of course drinking lots of water daily, there are also compounded medications that can assist with anti-aging as well. Pharmaceutical compounding is an exciting advancement in health and fitness in that custom made drugs can be prepared and tailored to individual needs more appropriately than in the past.

AC Dermapeptide is an example of one such compounded medication that can potentially have dramatic effects in the area of anti-aging. As an amino acid compound, AC Dermapeptide seeks to improve the skin’s elasticity by increasing collagen production for a more youthful, firm, hydrated countenance. While there is no replacement for eating all the right fruits and veggies, AC Dermapeptide is one of many tailored medications that can work in tandem when anti-aging is the goal.

Is It Safe To Take Expired Medicine?

Published on May 13th, 2017

With the high cost of prescription and over-the-counter medications, patients often want to know if it is safe to take the expired medication sitting in their medicine cabinet in order to save money. The safety of expired drugs really depends on a variety of factors, including the type of medication, how it has been stored, and how long it has been expired.

A medication’s expiration date indicates how long the manufacturer guarantees the drug’s maximum efficacy. Pharmaceutical companies tend to be conservative with medication expiration dates, especially with over-the-counter medications. Aspirin and other common over-the-counter drugs are often effective and perfectly safe for several years past the assigned expiration date provided that they were not exposed to extreme temperatures, moisture, or direct sunlight.
Prescription medications, on the other hand, should not be used after the expiration date. Liquid medications, eye drops, and ear drops are no longer sterile once the seal is opened and can quickly become contaminated. Nitroglycerin tablets used to treat chest pain lose their potency quickly, especially if not stored properly. It is also never advisable to take leftover antibiotics. If the medication has lost any of its potency, it will not adequately address the infection. Without consulting a doctor, it is also impossible to know if the particular antibiotic is the right one to treat the infection.

If there is any doubt about an expired medication’s safety, the best option is to dispose of it properly through a community “drug take back” program.

The pharmacists and staff of our compounding pharmacy are always happy to answer any questions that you may have about your medications and medication safety.

How USP 800 Affects Compounding Pharmacies

Published on March 23rd, 2017

The new USP General Chapter 800 became effective January 1, 2017 and marked the completion of revisions that were initiated in 2014 by the California Board of Pharmacy. However, official implementation of the new regulation is delayed until July 1, 2018. Prior to the birth of this chapter, no portion of the USP specifically addressed hazardous drugs in the compounding setting. Chapter 800 attempts to rectify the oversight.

USP 800 is essentially a revision that combines or expands certain requirements of USP General Chapters 795 and 797. The basis for both chapters is the furtherance of safety for patients and pharmacy workers. Chapter 795 describes set standards for nonsterile preparations including the compounding process, equipment, personnel training and beyond-use dates.

Chapter 797 details requirements for sterile substances such as no pollutants and consistency in prescription criteria. It also covers personnel training, plus testing measures and storage of finished compounds. Additionally, this chapter describes the protective attire staff should don as an impediment to potential contamination.

More comprehensive, USP 800 aims to clarify any grey areas clouding the dispensary and handling of explicitly hazardous drugs in compound facilities. The regulation’s foundation is that no level of exposure to substances in said class is deemed acceptable. The chapter lists specific safeguards to be implemented for pertinent personnel as well as for the dispensing environment itself.

Chapter 800 Outtakes:

  • Employs the definition of a hazardous drug cited by the National Institute for Occupational Safety and Health which is based upon at least one of six criteria in humans or animals: “carcinogenicity, teratogenicity or developmental toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity and new drugs that mimic existing hazardous drugs in structure or toxicity.”
  • Considers all possible handling of hazardous drugs i.e., receipt, storage, mixing, preparing, compounding, dispensing, administering, disposing, altering, counting, crushing or pouring.
  • Delayed implementation date of July 1, 2018 may accommodate those providers that will need to institute structural refinements to their premises.
  • Prioritizes utilization of personal protection equipment and engineering controls.
  • Describes deactivation, decontamination, cleaning procedures and proper ventilation.
  • Presents in-depth explanations of segregated room types for both sterile and nonsterile compounding including requirements for each.

If your pharmacy is not able to meet your prescription needs due to this regulation change, we at Fusion Rx are ready and able to do so.

Compounded Sinus Treatment for Acute and Chronic Rhinosinusitis

Published on February 19th, 2016

The Turn of the Seasons

Although people who suffer from chronic rhinosinusitis can battle problems year-round, there is often an uptick in symptoms When the seasons change. Spring and fall are particularly bad for aggravating these problems, but some individuals also see worse symptoms when spring turns to summer or fall turns to winter. At that time, compounding pharmacies see an uptick in customers looking for relief.

Finding Relief from this Condition

Some people rely heavily on home remedies. This is fine if symptoms are moderate. However, for particularly stubborn, persistent issues, compounded treatments are typically the preferred way to go. These days, there is a wide variety of both OTC and prescription treatments readily available. They include topical treatments, such as pain killers or sinus rinses, and oral medications, such as decongestants, steroids and antibiotics.

Severity of Symptoms

Sinusitis just means the sinus tissues are inflamed. Although this is uncomfortable and can interfere with breathing through the nose, it is not necessarily due to infection. Another possible cause for such symptoms includes allergies. The treatment methods have some areas of overlap, but also include important differences.

Topical sprays or saline rinses may be sufficient to give relief of allergy symptoms, yet can also be helpful with more serious problems. If there is a yellow or green discharge, this is an infection and may warrant antibiotics. In a world of increasingly antibiotic resistant strains of infection, it is wise to not prescribe antibiotics unnecessarily.

However, when they are called for, they can be literally lifesaving. In the era before antibiotics, infections we consider minor today were sometimes fatal. If ignored, any infection has the potential to turn more serious. So you should always deal with infection as a serious matter.

An Ounce of Prevention is Worth a Pound of Cure

If you have a history of sinus problems, you should not wait until symptoms take a turn for the worse to seek treatment. A good maintenance routine and effective preventive measures can help you avoid having minor problems turn into major ones.

This is not only going to give you better quality of life, it is typically easier on your budget. Arm yourself with good information and good preventive treatments before you get sick. A compounding pharmacy is a place where you can get both information and treatment products. If you have a history of sinus problems, call Fusion RX today for a consultation.

Discovering The Best Hemorrhoids Treatment Options

Published on February 12th, 2016

What Are Hemorrhoids?

Hemorrhoids are a group of swollen veins that develop in the anal region. They can be located on the inside or outside of the anus. Anyone can develop hemorrhoids. However, it is rare for children to develop hemorrhoids.

Hemorrhoids is an embarrassing ailment, but you do not have to cope with alone. There are a number of treatment options that are available for hemorrhoids. A professional can help you find the treatment option that best fits your needs.

Hemorrhoids Treatment Options

Many people’s hemorrhoids never go away completely. However, there are ways that you can reduce the pain and symptoms this condition causes. If over-the-counter medications are not giving you relief, then a compounding pharmacist can help you. A compound pharmacist will develop a personalized treatment for you based on your medical issues, preferences and symptoms.

One of the reasons that over-the-counter treatments often fail is because most of them only have one active ingredient. However, a treatment customized by a compounding pharmacist may contain several active ingredients. Some ingredients are designed to alleviate the symptoms, such as itching and burning. Others are designed to shrink the hemorrhoids.

A compound pharmacist can also adjust the dosage as needed. A Rectal Rocket is just one of the many treatment options that you have for hemorrhoids. It is a suppository that is shaped like a rocket. It can treat both internal and external hemorrhoids. The main part of the Rectal Rocket is placed inside of the rectum, which treats the internal hemorrhoids. The tail part hangs outside of the rectum, which treats the external hemorrhoids.

The Rectal Rocket may seem like a strange treatment, but many people prefer to use it over surgery. Our pharmacists can help you find the hemorrhoids treatment that is best for you.

How To Prevent Hemorrhoids

Constipation is one of the main causes of hemorrhoids. It is often caused by diet. Increasing your fluid and fiber intake will help alleviate constipation that is caused by diet. Refined carbohydrates, such as crackers, muffins and bread can exacerbate constipation. Dairy products can also worsen constipation.

If you have difficulty treating hemorrhoids and have tried over-the-counter and other commercially available prescription treatments that have failed, please contact us to get more information about how compounding pharmacy can help you!

What is Compounding Hormone Replacement Therapy?

Published on February 5th, 2016

Hormones are chemical messengers that our bodies use to share information between different organ systems. They help keep all of our body’s functions in sync. If your hormones are out of balance it can effect many realms of your health, including your emotions, metabolism, skin, and sex life – just think of how haywire your body felt during puberty!

Hormones can become unbalanced due to menopause, disease, or other factors, causing a slew of negative effects. Compounded hormone replacement therapy (HRT) offers a solution to restore balance to hormones.

How is compounded HRT unique?

Compound therapies are custom prepared medications that are mixed to meet the unique needs of a particular patient. Compounded HRT provides an advantage over “one-size-fits-all” hormone treatments, because it takes into account a patient’s current hormone levels and desired outcome for an individualized therapy.

A compound pharmacist works closely with a healthcare provider to evaluate a patient’s current hormone state and develop a hormone replacement strategy to help bring her hormone levels back into a comfortable balance.

What conditions can compounded HRT treat?

The most common use for hormone replacement is alleviation of the symptoms of menopause, however, hormone imbalances can occur at any age and compounded HRT can be used to treat conditions that arise at any point in a woman’s life. Conditions that respond well to hormone therapy include:

  • Reproductive conditions, such as PMS, irregular cycle, and infertility
  • Mental conditions, such as mood swings, poor sleep, and post-partum depression
  • Sexual conditions, such as decreased libido, painful intercourse, and vaginal dryness
  • Weight gain and more

Millions of women are affected by these conditions, and many companies have produced generic products to treat them. Unlike a generic pill, compounded HRT recognizes that each woman is different and tailors treatment specifically to her.

What can I expect with compounded HRT?

The first step in developing your custom HRT strategy is understanding your unique hormonal profile. A compounding pharmacist can give you a hormone evaluation to fill out, and assist your healthcare provider in assessing hormone levels obtained from a serum or saliva sample.

Guided by the results of these tests, your healthcare provider and compounding pharmacist will work with you to develop a treatment plan suited to the needs of your body. Your pharmacist can then prepare your custom hormone treatment in the appropriate dosage form, such as capsules, creams, suppositories, or sublingual drops.

Once therapy begins, you will continue to work with your healthcare team to ensure that the desired results are being accomplished and make adjustments as necessary.

Compounded hormone replacement therapy can help bring your body back into balance. Contact us for a consultation today!

Compounding Treatments For Psoriasis

Published on January 21st, 2016

Psoriasis is a common dermatitis that alters the life cycle of skin cells, leading to the rapid formation of silvery scales and itchy, dry, red patches on the surface of the skin. While there is no cure for this persistent skin condition, various ingredients can be combined to fit the unique need of a patient, prevent skin cells from building up too fast and generally alleviate symptoms. Salicylic acid, coal tar, alpha-hydoxy acid, retinoids and steroids are used in combination to alleviate psoriasis symptoms.

Coal Tar as a psoriasis treatment

Coal tar, which is a thick, black liquid that is obtained by distillation of bituminous coal, is one of the oldest treatments for psoriasis. The topical compound is usually combined with steroids to inhibit the growth and development of extra cells, reducing itching, scaling and inflammation. This topical compound should be prepared in concentrations of 0.5-5 percent.

Patients with psoriasis should apply coal tar to the affected area, and wait for approximately two hours before rinsing it off with clean water. Coal tar has a nasty smell and stains clothing and bedding.

Salicylic Acid, Urea And Alpha-hydroxy Acids

Salicylic acid is prepared in concentrations of up to 20 percent and is often used in combination with urea, which hydrates the skin, steroids and other medications. Alpha-hydoxy acid has properties that prevent extra thick skin cells from sticking together and help shed off the skin’s top layer. Salicylic acid can cause toxicity and burning if used on a large area. When used in high concentrations or for extended periods, these medications can cause skin irritation, itching and other side effects.

Topical Retinoids And Corticosteroids

Topical retinoids are vitamin A derivatives that are usually used with steroids to normalize the growth and differentiation of cells at the DNA level. Side effects of topical retinoids include skin rash and dryness. Psoriasis patients should apply sunscreen while using the medication.

Pregnant and nursing mothers should consult their doctors before using tazarotene. Topical corticosteroids aid in reducing inflammation and itching. The body can develop tolerance against corticosteroids if the medications are used for prolonged periods.

As of 2016, there is no cure for psoriasis: however, compounding pharmacies use special tools to manufacture topical compounds that help alleviate psoriasis symptoms. Besides using the treatments, patients should avoid psoriasis triggers, such as smoking, alcohol, intense sun exposure, stress and injuries.

Skin exposure to controlled amount of light can help improve symptoms. Fusion RX is the only compounding pharmacy in Los Angeles that is accredited by Pharmacy Compounding Accreditation Board and delivers medications to at least 41 states throughout the United States of America. Call us today on (888) 792-6676 for consultation and prescription.

Discontinued Medications

Published on January 14th, 2016

  • Boceprevir Capsules
  • Permethrin 1% Lotion
  • Ezetimibe and Atorvastatin Tablets
  • Edrophonium Chloride and Atropine Injection
  • Aripiprazole Short-Acting Intramuscular Injection
  • Otic Unapproved Prescription Preparations Containing Benzocaine or Chloroxylenol
  • Aminohippurate Sodium
  • Azathioprine Injection
  • Droperidol Injection
  • Oxycodone/Acetaminophen Oral Solution
  • Ticlopidine Tablets
  • Denileukin Diftitox Injection
  • Scopolamine Injection
  • Ticarcillin Clavulanate
  • Fluoxymesterone Tablets
  • Amphotericin B Cholesteryl Sulfate Complex Injection
  • Mannitol Inhalation Capsules
  • Tetanus Toxoid Adsorbed
  • Cyclophosphamide Tablets
  • Erythromycin Ethylsuccinate and Sulfisoxazole Oral Suspension
  • Warfarin for Injection
  • Neostigmine Bromide Tablets
  • Norfloxacin Tablets (Noroxin)
  • Bismuth Subsalicylate/Metronidazole/Tetracycline (Helidac Therapy)
  • Prenatal Multivitamins with Minerals
  • Hexachlorophene 3% Detergent Cleanser (Phisohex)
  • Pilocarpine Ophthalmic Gel
  • Levothyroxine (Levothroid) Oral Tablets
  • Oral Sodium Phosphate (Over-the-Counter) Solution
  • Ganciclovir Capsules
  • Japanese Encephalitis Virus Inactivated Vaccine
  • Mesalamine 400 mg Delayed-Release Tablet (Asacol)
  • Scopolamine Hydrobromide Ophthalmic Solution
  • Asparaginase Injection
  • Kanamycin Sulfate Injection
  • Buprenorphine and Naloxone Tablets
  • Nystatin Vaginal Tablets
  • Ethinyl Estradiol 50 mcg and Norethindrone 1 mg Tablets
  • Chloral Hydrate Oral Solution and Capsules
  • Verapamil Extended Release Tablets
  • Epinephrine Metered Dose Inhaler
  • Lepirudin Injection
  • Neomycin Oral Solution
  • Alefacept Injection
  • Gold Sodium Thiomalate Injection
  • Mebendazole Tablets
  • Drotrecogin Alfa (Activated) Injection
  • ADEKs Chewable Tablets
  • Tinzaparin Sodium Injection
  • Inamrinone Injection
  • Piperacillin Sodium for Injection
  • TriHIBit – Diphtheria, Tetanus Toxoid, and Acellular Pertussis with Haemophilus b Conjugate Vaccine (DTaP with Haemophilus b Conjugate)
  • Tripedia – Diphtheria, Tetanus Toxoid, and Acellular Pertussis Vaccine (DTaP)
  • Gatifloxacin 0.3% Ophthalmic Solution
  • Ergonovine Injection
  • Mephobarbital Tablets
  • Iron Polysaccharide Oral Liquid
  • Thiopental Injection
  • Flunisolide Oral Inhaler
  • Heparin Sodium (Beef) injection
  • Gemtuzumab Ozogamicin Injection
  • Ipecac Syrup
  • Emergency Drug Syringes
  • Tetracaine Topical Solution

Debate about Vitamin B and Memory Loss Finally Put to Rest

Published on November 14th, 2014

There has been a lot of talk at our compounding pharmacy recently about the apparent cause of memory loss upon taking vitamin B and folic acid supplements. There have also been discussions about taking vitamin B12 and folic acid to reduce the risk of Alzheimer’s disease and memory loss, since homocysteine levels can be reduced upon taking these. What should we believe is true? Previous studies found mixed results, but a new comprehensive study may finally put an end to the debate once and for all.

The latest study, published in the Neurology journal, shows that over a two-year period people who had taken B vitamins had decreased levels of homocysteine, while a second group who took a placebo supplement showed no improvement. However, those in the placebo group and the vitamin B group did not show any significant improvement on thinking and memory tests. In addition, vitamin levels could be connected to changes in the brain that are not visible to psychological tests, but they can be seen on brain scans, the study said.

Are there People with a Vitamin Deficiency?

A great majority of people are able to get B12 vitamins they need through a basic diet. Meat, fish, eggs and dairy products are all rich in this vitamin. However, there are patients who struggle from vitamin deficiencies. Without some of the supplements that we obtain from vitamin B, our bodies would not be able to convert carbohydrates into energy, promote metabolic reactions for growth, or provide assistance in development of red blood cells. Vitamin B deficiency occurs for a number of different reasons, some of which are unknown but others present themselves as the following:

  • Pernicious anemia
  • Rapid heartbeat
  • Weight loss
  • Stomach issues
  • Memory loss
  • Shortness of breath
  • Tingling of hands and feet

Compounding Personal Vitamin Prescriptions

For many, it may be difficult for their bodies to absorb vitamin supplements, and for these people, vitamin B12 injections prescribed by their doctor may be what they need. These prescriptions can be made in a sterile compounding pharmacy like ours. We are able to develop an individualized medication that goes well beyond than what a normal pharmacy can produce, which most pharmacies have no time or the expertise to do such a task. With a doctor’s prescription, we have the ability to mix your prescriptions and medications in the perfect blend for you.

Whether it is a specific dosage or a combination that cannot be found over the counter, we are the people you rely on to deliver the best product for you. The compounding pharmacy Los Angeles patients choose most can create the appropriate medication for your prescription. Contact Fusion RX Pharmacy online or over the phone at 1-888-792-6676 and we will fill get started on your prescription today.

  • It is rare to find health professionals who are so willing to educate the patient on what they need to know.

    Clair C. | West Hollywood, CA