Pediatrics

It’s no secret that most kids don’t like taking medicine. There’s nothing fun about being sick, and taking medicine just seems to make it worse. But it doesn’t have to be that way. While there’s no guarantee that taking medicine ever will become an entirely pleasurable event, there are some ways we can help. From flavoring medications to make them taste better, to providing individualized strengths and dosage forms (and avoiding potentially allergenic ingredients), our pharmacist can help to make adjustments and fill the gaps that commercially made pharmaceuticals may not be addressing for your patients.

Diaper Rash – Stubborn diaper rashes are hard on everyone in the family! With irritated skin, we want to make extra sure nothing in the cream is going to add to the discomfort. We start with one of our natural cream bases and can add any type of anti-microbial or anti-inflammatory which may be needed.

Sample formulations:

  • Alpine Keester Kreme – apply to affected area after each diaper change
  • Pracaxi Oil Gel – apply to affected area after each diaper change

Lice – Many parents are reluctant to utilize permethrin-containing products, which we have been told are not always completely effective. We have received excellent feedback on this all natural alternative:

  • Aromatic Head Lice Formula-soak scalp and all hair overnight, then wash out thoroughly

Hypo-Allergenic Preparations – One of the major advantages compounding pharmacies offer is the fact that we work with pure materials and have the ability to include or omit any ingredients which may pose an allergenic threat. We frequently make lactose, corn, gluten, and artificial dye/sweetener – free formulations.

Oral Liquids – If a medication not usually used in pediatrics is needed, we can likely convert it to a liquid form and adjust the dosage as required by your patient.

Nausea – When oral medications won’t work, suppositories (not always a desirable option) are sometimes the only option, except for a compounded gel form of promethazine:

  • Promethazine 25 mg/ml Gel–apply ½ to 1 ml to wrists as needed

Excessive Perspiration – Many patients may be concerned with the use of high-concentration aluminum chloride anti-perspirants. Glycopyrrolate is an anti-cholinergic which can provide effective relief and be formulated into a convenient stick or cream:

  • Glycopyrrolate 1% Stick-apply to affected area(s) every 4 hours as needed

Canker Sores – Keeping medication in contact with the inflamed tissue is key to enhancing effectiveness. Several unique bases are available to do just that:

Mucosal Bandage – This is a powdered base which, when moistened, creates a barrier film to serve two purposes: protect the injured tissue and keep medications in contact with the tissue. Sample formulation:

  • Lidocaine 1%/Triamcinolone 0.5% Polyox Mucosal Bandage-puff two thin layers onto affected area every 4-6 hours

Sore Throat – Whether due to illness or surgery, throat pain can create a challenge in keeping a child hydrated and comfortable. We frequently dispense anesthetic lollipops, which are very effective and well-tolerated by young patients:

  • Tetracaine 0.5% Lollipop-place lollipop on tongue for 15-20 seconds, followed by 1 teaspoon of warm water, every 2-3 hours as needed