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Review: How to Write a Compounded Medication Script
On your script, start by introducing that this is a compounded medication by writing "compounded medication*”.
Below that write the active ingredient(s), with strength or dose (mg or %), please be sure to include below this information, the dosage form in which you are looking for (transdermal, capsule, troche, etc).
Next include the quantity, followed by the directions for use.
For example, A common ABH formula used is:
Lorazepam 1 mg/mL/Diphenhydramine hcl 12.5 mg/mL/Halaoperidol 2 mg/mL in Transdermal cream
The script would be written on your prescription pad as follows:
lorazepam 1 mg/mL
Diphenhydramine 12.5 mg/mL
Haloperidol 2 mg/mL
Dispense 120 mL (30 day supply)
Sig: Apply 1 mL to inner wrest and rub in with opposing wrist q6h PRN N/V
To Simplify Things More, Keep in Mind...
There are many standard, or common, compound formulas for patients who are being treated for a vast array of symptoms. However, for the times when you have a very specific case, there is a way to create your own formula and there is a method!
For example, to come up with formulas for topical compounded medications, it is usually best, easiest, and safest to start with the medications and dose you would give the patient orally and titrate it up from there. This same guideline can be applied to most of our medication administration methods.
As an example of the proper base used in a formula, we will use the example given above: The transdermal cream one would likely use for this medication combination is Lipoderm. Lipoderm is a vehicle for deep-penetrating topical and transdermal formulations ideal for acute pain, anxiety, and nausea.
However, if you do not need to specify the base ingredient, let us figure it out for you! You may write 'cream' (or whichever method is desired) and we are happy to choose the best match!
Keep in mind that, in suspension or troche compounds, we can add whichever sweetener and/or flavor the individual would most enjoy in efforts to make the administration more comfortable.