A compounding pharmacist practices pharmacy at the highest level. This requires significant clinical and compounding training and application; it requires extensive collaboration with physicians and other healthcare providers; it requires application of scientific principles; it requires familiarity with regulatory and liability issues. A compounding pharmacist, or compounding clinical pharmacist, works alongside physicians and other healthcare practitioners in patient care. The compounding pharmacist is the only healthcare provider with the unique and specific knowledge to extemporaneously compound patient-specific preparations upon request.

Over the past several weeks, we have looked at the following aspects or topics related to Compounding Pharmacy:

• History, development, and current status
• Reasons for growth
• Current scope and coverage
• Definitions
• Meeting patients' needs
• Responsibilities and liabilities
• Education and training
• Cutting-edge technology and treatment issues
• Problem-solving
• Integrity and responsibility
• Public presentation(s) for your community
• Site presentation to your patients

In summary, compounding pharmacy is complex and vitally important to modern-day patient care. It is not for every pharmacist; just those that are serious and dedicated to doing it right!

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

News

Zolpidem (Ambien) Linked To Doubling of Emergency Department Visits
A new study by the Substance Abuse and Mental Health Services Administration (SAMHSA), estimated emergency department (ED) visits involving zolpidem overmedication almost doubled from 21,824 visits in 2005-2006 to 42,274 visits in 2009-2010. The report is based on findings from the 2005 to 2010 Drug Abuse Warning Network (DAWN) reports, a public health surveillance system that monitors drug-related morbidity and mortality through reports from a network of hospitals across the nation.
http://www.forbes.com/sites/robertglatter/2014/08/26/commonly-prescribed-sleeping-aid-linked-to-doubling-of-emergency-department-visits/

Oral Mucositis Symptoms Relieved with Mucoadhesive Rinse
A rinse for oral mucositis has been shown to offer significantly better symptom improvement than placebo in a randomized controlled trial. The mucoadhesive hydrogel (MuGard, Access Pharmaceuticals) coats the oral cavity and mucous membranes. It contains purified water, glycerin, benzyl alcohol, sodium saccharin, Carbomer Homopolymer A, potassium hydroxide, citric acid, polysorbate 60, and phosphoric acid. Some physicians have reported using it instead of "Magic Mouthwash".
https://login.medscape.com/login/sso/getlogin?urlCache=aHR0cDov
L3d3dy5tZWRzY2FwZS5jb20vdmlld2FydGljbGUvODMwNDkz&ac=401

IJPC Now on Facebook and Youtube

Become a fan of the IJPC Facebook page and share ideas, photos, and keep up to date with the latest compounding information - http://www.facebook.com/IJPCompounding

Learn about the Journal's new multi-media features and view our growing collection of educational and training videos at www.ijpc.com/videos or by subscribing to our Youtube channel at https://www.youtube.com/user/IJPCompounding.

Did You Know ...

�that the first Monday of September is when we celebrate Labor Day, the "end" of the summer and a day of shopping, vacationing, or rest? It is also the time when football season starts, and many teams play their first game of the year during Labor Day weekend. Interestingly, for the "fashion-conscious," traditionally, people did not wear white clothes, particularly shoes, after Labor Day. But, not any more since more and more people now wear white all year round, rather than just in the summer. Also, it was the custom to wear a straw cowboy hat from Memorial Day until Labor Day, then a felt one until Memorial Day comes around again.

Tip of the Week

Have a great Labor Day Weekend and celebrate with your family and friends!

Looking Back

Dear lover boy,
Your photo came,
But your shaggy beard,
Won't fit the frame!
     Burma Shave

Book Review

Remington Education: Pharmaceutics
Shelley Chambers Fox, PhD
Pharmaceutical Press; Paperback; 560 pages; $34.95

This book provides a comprehensive and concise presentation of all the aspects of pharmaceutics. The first section covers physicochemical principles, and the second part applies these principles to the design of dosage forms used by each route of administration. Each chapter provides learning objectives, key point boxes, drug examples, illustrations, case studies, assessment questions, and references for additional reading. It is easy-to-read and is a valuable addition to one's professional pharmacy library as well as for students in college.

Accreditations

ACHC is pleased to announce that the following pharmacies have achieved PCAB Accreditation:

Prescription Compounds, Baton Rouge, Louisiana; Patricea Angelle, PD, rxcmpds@aol.com. Re-Accreditation for Sterile and Nonsterile Compounding

Compounding Corner Pharmacy, Inc., Sugar Land, Texas; Shannon Maguadog, PharmD, compoundingcornerpharmacy@yahoo.com. Re-Accreditation for Sterile and Nonsterile Compounding

Heritage Therapeutics, LLC, Holmes, Pennsylvania; David Raffaele, draffaele@heritagethp.com. Initial Accreditation for Nonsterile Compounding

PRN Rx, LLC, New Berlin, Wisconsin; Michelle Kutcher, RPh, michellek@prnrx.com. Initial Accreditation for Nonsterile Compounding

Atlas Drug, North Bergen, New Jersey; Anthony Ortiz, RPh, atlasdrugs@gmail.com. Initial Accreditation for Nonsterile Compounding

Elite Rx, Birmingham, Alabama; Ryan Robnett, ryan.robnett@eliterx.net. Initial Accreditation for Nonsterile Compounding

Shertech Pharmacy - Spartanburg, Spartanburg, South Carolina; Russell Prescott, RPh, rprescott@shertechpharmacy.com. Re-Accreditation for Sterile and Nonsterile Compounding

Professional Arts Pharmacy, Lafayette, Louisiana; Kevin LaGrange, PD, kevin@professionalarts.com. Re-Accreditation for Nonsterile Compounding

Classifieds

For Sale: Isolator
NU-NR797 4ft Negative Pressure Recirculating Compounding Aseptic Isolator - Bio-hazardous Drugs from NuAire (Refurbished). Asking price: $8,925.00, shipping Cost: $640, total: $9,565.00. Model: NU-NR797-400, 6 Month Warranty Parts & Labor. Please email for photo. Please Contact Carlos Gomez: 786-531-8972 Email: Carlos.gomez0628@yahoo.com