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Editorial: What is Compounding Pharmacy, Part II: Growth Factors

It is very apparent that compounding pharmacy has seen unprecedented growth in recent years. What factors have contributed to that growth? Let's look at the following list:

• Limited dosage forms available from manufacturers
• Limited strengths available
• Hospital pharmacy IV admixture programs
• Hospital pharmacy TPN programs
• Home healthcare growth
• Hospice rate of growth
• Nonavailable drug products/combinations
  • Discontinued Drugs
  • Drug Shortages
• Orphan drugs
• New therapeutic approaches with unavailable drug products
• Special Patient Populations
  • Pediatrics
  • Geriatrics
  • Bioidentical Hormone Replacement Therapy
  • Pain Management
  • Oncology Patients
  • Dental Patients
  • Environmentally & Cosmetic Sensitive
• Sports Injuries
• Veterinary Compounding
  • Small, Large, Herd, Exotic, Companion

It is virtually impossible for the pharmaceutical manufacturers to accommodate the needs of all patients and that is why compounding is vital to health care today. Next week, we will continue this series. Feel free to use any of this information in your professional promotional materials.

Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief
International Journal of Pharmaceutical Compounding
Remington: The Science and Practice of Pharmacy Twenty-second edition

E-Cig Dangers: Infant Poisoned
A 10-month-old boy was sickened but survived the toxic ingestion of a liquid used for "vaping." The child recovered but the consequences of children accidently consuming the nicotine in the refill vials can easily become tragic. If a 200-pound person took one teaspoonful of a 1.8% nicotine solution, it could be lethal. This rise in such poisonings among children and the surging popularity of e-cigarettes highlights the importance of educating patients and parents about this danger. Calls related to poisoning from the liquid nicotine were formerly at a rate of about one a month in 2010, but jumped to 215 in February of this year alone. Interestingly, 51% of the poison calls involved children aged 5 and younger, while 42% involved people aged 20 and older.
http://consumer.healthday.com/public-health-information-30/poisons-health-news-537/nicotine-poisoning-of-infant-highlights-new-e-cig-dangers-687620.html

Little Candy-flavored Cigars Loophole
Some of the cigars, which are unregulated by the FDA, had more chemical flavoring than candy or Kool-Aid. Scientists have reported that the flavored "little cigars" that are popular among American teens are essentially "candy-flavored tobacco." The strong, sweet flavors mask the bitter taste of tobacco and may lure young people into the highly addictive habit that carries great health risks. The sale of flavored cigarettes has been banned in the U.S. since 2009; however, the tobacco companies have sidestepped the ban by producing "little cigars," which weigh slightly more than cigarettes thereby avoiding regulation.
http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/little-cigars-popular-among-teens-just-candy-flavored-tobacco-report-687628.html

Illegal Imports May be Destroyed by the U.S. FDA
The U.S. FDA is proposing a new rule that would allow the agency to destroy a drug valued at $2,500 or less that has been refused admission into the U.S. The scope of the FDA's authority would be expanded to destroy refused drugs after the owner or consignee of the drug is provided with an opportunity to present testimony prior to the drug's destruction. The FDA has estimated it will contract out about 12,100 drug destructions each year. The majority of refused drug products subject to FDA's new destruction authority come into the U.S. via an International Mail Facility or an express courier hub. These parcels are often routed by the United States Postal Service (USPS) to Customs and Border Protection, which turns them over to FDA for examination and a determination of admission.
http://www.in-pharmatechnologist.com/Regulatory-Safety/US-FDA-proposes-rule-to-tighten-supply-chain-by-destroying-illegal-imports

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�that this Sunday is Mother's Day, a celebration honoring mothers and motherhood, maternal bonds, and the influence of mothers in society? It is celebrated on various days, most commonly in the spring, in many parts of the world. It was first celebrated in 1908, in Grafton, West Virginia. Several states officially recognized Mother's Day, the first in 1910 in West Virginia. In 1914, Woodrow Wilson signed the proclamation creating Mother's Day, the second Sunday in May, as a national holiday to honor mothers. Traditionally, each person offers a gift, card, or remembrance toward their mothers, grandmothers, and/ or maternal figure on mother's day. Originally, it was designed to appreciate and honor your mother by writing a personal letter, by hand, expressing love and gratitude.

Take time to spend with your family as we celebrate Mother's Day!

This cream makes
The Gardener's daughter,
Plant her Tu-Lips
Where she oughter!
     Burma Shave

PCAB is proud to announce the accreditation of the following pharmacies:

Town Total Compounding Center, Melville, New York; Joseph P. Navarra, RPh, joseph.navarra@towntotal.com. Initial Accreditation for Sterile & Nonsterile Compounding

Institutional Pharmacy Solutions, Virginia Beach, Virginia; Tommy Phan, PharmD, tphan@ipspharmacy.com. Initial Accreditation for Nonsterile Compounding

Sunquest Pharmaceuticals Inc., Syosset, New York; Atul Sharma, atul@sunqrx.com. Initial Accreditation for Nonsterile Compounding

Park Compounding, Irvine, California; Dennis Saadeh, PharmD, dennis@parkrx.com. Initial Accreditation for Sterile & Nonsterile Compounding