All About Product Compounding, According to Dermatologists

If you battle with multiple pores and skin situation, chances are you’ll be in want of drug compounding, a product-mixing apply dermatologists typically use for sufferers whose wants can’t be met by conventional over-the-counter merchandise.


Potent Product Delivery

In Miami dermatologist Dr. Deborah Longwill’s workplace, she typically depends on product compounding to deal with pores and skin circumstances like zits, dermatitis, rosacea and melasma. “A few of our most popular prescription products to compound are clindamycin, tretinoin, anti-fungal creams, spironolactone, hydroquinone, and clobetasol. Oftentimes, we prescribe these alongside over-thecounter products like niacinamide, hyaluronic acid and salicylic and lactic acid. Together, the products create a more potent solution for hard-to-treat conditions.”


Customization is King

West Palm Beach, FL dermatologist Kenneth Beer, MD says compounding “enables me to match the unique problems of the patients’ skin with a product designed for their particular issue.” Because he’s based mostly in Florida, most of Dr. Beer’s sufferers undergo from hyperpigmentation, and he says compounding is a good way to diminish indicators of solar injury. “I like to compound skin lighteners and treatments for fine lines and wrinkles,” he says. “Most commonly, that involves the use of tretinoin, steroids and acids like kojic acid.”


The Injection Add-On

While mixing skin-care topicals and prescriptions is the preferred technique of compounding, Omaha, NE dermatologist Joel Schlessinger, MD makes use of compounding with injections and filler. “We mainly compound lidocaine injections with sodium bicarbonate,” he says, including that this mixture makes the injections much less painful and ends in a happier affected person. “We also add a small amount of lidocaine compounded with epinephrine to each of our volumizing fillers. This addition results in less bleeding and bruising among my patients who are undergoing injections.”


Active Advantage

“Not only is compounding excellent for customization, but it is also quite economical and ideal for cost containment,” says Bloomfield Hills, MI dermatologist Linda C. Honet, MD. “I know that my own prescribing habits have changed as healthcare coverage for medications has become inconsistent. I like to take advantage of being able to vary the percentages, potencies and combinations of topical medications to suit the needs of my patients.”

These combos could make injections much less painful—and the affected person happier.

Dr. Honet provides that treating zits most frequently requires a number of stronger topicals, together with retinoids, benzoyl peroxide or acid-based exfoliants. “There are some medications, like Epiduo Forte or BenzaClin, that are commercially available and take advantage of a single-step application with two actives at once, but they are not truly compounded medications by definition. These are also often quite expensive at times, so I prefer in-office compounding.”

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