Pediatric Compounding

Pediatric Compounding"Pediatrics - the branch of medicine that deals with the care of infants and children and the treatment of their diseases." — The American Heritage Dictionary

Perhaps the two biggest challenges in pediatrics are:

  1. A lack of availability of pediatric dosages and dosage forms
  2. Patient compliance

This is where the compounding pharmacists at Lorraine's Pharmacy can be of service to some of our youngest customers. Family doctors and pediatricians are dedicated to addressing the unique needs of their young patients, and our compounding pharmacists possess the creativity to help serve those needs.

Lack of availability of pediatric dosages and dosage forms

The number of new drugs marketed in Canada continues to increase. However, most new drugs are not labeled for infants and children. When a drug is not specifically approved by Health Canada for use in infants and children, it is usually not available in a suitable dosage form. However, there is a very real need for therapeutic options in the pediatric population. Consequently, the "off-label" use of drugs is common in pediatric patients. Compounded formulations have an important role, especially in the treatment of infants and young children (those younger than 6 years of age) who are unable to swallow tablets or capsules. In addition, those patients require doses based on body size and weight. The fixed doses intended for adults are not appropriate for use in infants and children. Compounded formulations fill this need for pediatric patients.

Patient compliance

Compounded formulations open the door to a whole host of solutions that make taking medicine easier for infants and children. This may involve simply flavoring a liquid formula or making unique alternative dosage forms such as troches/lozenges, popsicles, gummy gels, chewing gums, lollipops, chocolates, puddings/Jell-O, or transdermal gels. The compounding pharmacists at Lorraine's Pharmacy work with the doctor, parent, and most importantly, the patient to help make the medication-taking experience a more pleasant one.

The following are examples of solutions that we have used to improve the treatment of our pediatric customers. If you or someone you know has a child that would benefit from our specialty pediatric compounding and would like more information on our services, please contact us. We will be happy to discuss your questions and concerns.

Examples of Problem-Solving Solutions:

  • Preparation of medications in commercially unavailable dosage forms (e.g. lollipops, gummy bears, puddings, freezies, syrups, suspensions, lozenges, suppositories, transdermals, etc.)
  • Flavor adjustment (e.g. hundreds to choose from such as cherry, raspberry, strawberry, watermelon, banana, orange, grape, chocolate, bubblegum, etc.)
  • Preparation of medications in commercially unavailable dosages (e.g. increase or decrease dose, dosing on a mg/kg basis, sustained release)
  • Removal of unnecessary or unwanted ingredients (e.g. lactose, fillers, dyes, preservatives)