The Best Drug Delivery System Options

For Patient & Physician!

Natural Hormone Replacement | Veterinary Preparations | Pain Management

Compounding is the art and science of preparing customized medications for patients that are not commercially available. The practice dates back to the origins of pharmacy. The pharmacist used to make medication for each specific patient. Since the evolution of pharmaceutical manufacturing the role of the pharmacist has changed dramatically. However, in more recent years, prescription compounding has made resurgence. Modern technology and innovative research has allowed the pharmacist to customize medications to meet the unique needs of patients.

Our specially trained staff enables Brewerton Pharmacy to offer the unique advantages of a compounding pharmacy to the most important people we know, YOU, our friends and patients.

While the industry is geared for the needs of the masses, we at Brewerton Pharmacy are committed to individuals.  Our staff is eager to work with you and your physician to insure that the medication you require is tailored to your specific needs.

 

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Bio-identical Hormone Replacement Therapy

Bio-identical Hormone Replacement Therapy is the natural way to bring your body into hormonal harmony from peri-menopause through menopause. Your body is changing much the way it did when you were a teenager going through puberty. During peri-menopause and menopause you may experience hot flashes, sleeplessness, anxiety or depression, decreased libido, or vaginal dryness. You may experience one or two of these symptoms or all of them but you do not need to suffer. These symptoms indicate a hormone imbalance that can be corrected with natural hormone replacement.
 

With a simple saliva test or a blood test, we can determine what hormones you are deficient in. Then we can re-establish your hormonal balance. There are actually three estrogens present in your body. They are estrone (e1), estradiol (e2), and estriol (e3). Depending on your symptoms you may be deficient in one or all of the estrogens. Estrogens are responsible for many things in your body. They include the following:

Estrone (e1), estradiol (e2), estriol (e3) are often prescribed in combination to re-establish a normal physiologic balance

Relieve menopausal symptoms including vaginal thinning and dryness
May increase HDL “good” cholesterol and decrease LDL “bad” cholesterol
Reduce the risk of colorectal cancer
May improve mood, energy levels, and sleep patterns
May reduce the risk of developing or the severity of type 2 diabetes
May improve memory and cognitive function

Reduce bone loss

There is also another hormone called progesterone, not to be confused with progestins. Progestins are a synthetic progesterone actually shown to cause cancer. Progesterone is a naturally occurring hormone, which actually has protectant properties in the body. Progesterone is necessary to regulate or balance estrogen levels in your body. A woman should never be given estrogen without progesterone. If you do not take progesterone with estrogen you can get what is called “estrogen dominance”. Estrogen dominance can be responsible for fibrocystic breasts, hot flashes, sleeplessness, anxiety or depression, dry hair or skin, vaginal thinning or dryness, and decreased libido. Progesterone has many uses that include the following:

Commonly prescribed for perimenopausal women to counteract “estrogen dominance”

Alone, or combined with estrogen, may improve Bone Mineral Density
Minimizes the risk of endometrial cancer in women who are receiving estrogen
Preferred by women who had previously taken synthetic progestins, according to one Mayo Clinic study

May enhance the beneficial effect of estrogen on lipid and cholesterol profiles and exercise-induced myocardial ischemia in postmenopausal women (in contrast to medroxyprogesterone acetate)

There is another group of hormones called androgens, which include testosterone and DHEA (dehydroepiandrosterone). DHEA is an androgen precursor from which the body can derive testosterone. Androgens are hormones that are important to the integrity of skin, muscle, and bone in both males and females, and have an important role in maintaining libido.

Natural hormone replacement is also used in patients that have had a hysterectomy. Whether you’ve had a total or a partial hysterectomy it does not mean you do not need hormones. Your body still produces some estrogen from other areas of your body after you’ve had a hysterectomy. Estrogen is still produced in adipose tissue (fat stores) and your adrenal glands. However, your ovaries are the only place that progesterone is produced. Therefore, if you’ve had your ovaries removed your body is no longer making progesterone. If you no longer are producing progesterone, you will most likely develop “estrogen dominance”. Estrogen dominance can produce the intolerable symptoms of menopause as described above. There is no need to suffer with bothersome symptoms.

The key to any hormone regimen is balance. Let us help you to achieve that balance and get your life back on track. Bio-identical hormone therapy can help you feel better the natural way. We will work together, along with your practitioner to get you feeling good. Please contact us for more information on achieving hormonal harmony.

For more information regarding your choices for hormone balance click here >>>LINK

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Veterinary Preparations

Our pets are like members of our families, just as our children are. As a full service pharmacy, we also provide medications to our furry or feathered friends as well. At Brewerton Pharmacy we compound or “make” medications for all sorts of pets. If anyone has tried to give a cat a medication, you know this is no easy feat. So, we make transdermal gels that can be rubbed into their ears. Your cat will be jumping into your lap to receive its next dose of medicine. We also can flavor medications that will taste better for your pets. We can make a Zithromax suspension that is fish flavored to treat cat-scratch disease in cats. For dogs, we offer liver flavored treats that can be medicated as well. At Brewerton Pharmacy, we’ve also made a mixture of applesauce and an antibiotic for a horse. Below are some examples of our most commonly made veterinary compounds.

Methimazole topical ear gel
Cisapride (fish-flavored) oral suspension
Zithromax (azithromycin) oral suspension flavored
Enalapril capsules
Zinc Acetate capsules

Lactulose syrup flavored with fish or chicken

So, whatever unique needs your pet may have, we at Brewerton Pharmacy can accommodate each and every one.

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Chronic Pain Management

Chronic pain, sports injuries and other pain related medical conditions are key reasons patients seek medical attention. At one time or another we've all suffered pain, whether it be a sprain, back or sports injury and it's very unpleasant. Chronic pain can affect a person not only physically, but also mentally and emotionally, as well. Many people lose time at work due to chronic pain and injuries. Furthermore, a large number of patients cannot take traditional medications because of either drug interactions or unwanted side effects. Commercially available oral prescriptions such as muscle relaxants or pain medications can make a person extremely drowsy and unable to work or drive. So, we at Brewerton Pharmacy, are breaking through traditional treatments and compounding transdermal prescription medications for pain management.

The word transdermal means through (trans) the skin (dermal).  Transdermal or transcutaneous drug delivery avoids the gastrointestinal tract and hepatic first-pass metabolism, thus lowering the amount of drug that circulates in the body and leads to fewer side effects. The method of delivering medications through the skin is not a new concept. There are commercially available medications in patch form such as lidocaine or fentanyl to treat pain, however they only contain one medication. At Brewerton Pharmacy, we have the unique ability to combine one or several ingredients into a transdermal gel. The strengths and type of medication can be tailor made to treat the symptoms of each individual patient.

There are several types of drugs that may be used in transdermal preparations. Many prescribers choose to combine two or more types of medications in a transdermal gel.

Non-steroidal anti-inflammatory drugs (NSAIDs): While NSAIDs act quickly and can relieve mild pain their real therapeutic purpose is to reduce inflammation or swelling in joints and tissues. Some examples of NSAIDs include ketoprofen, ibuprofen, naproxen and piroxicam.

Muscle relaxants: A muscle relaxant reduces the contractility of the muscle by blocking the transmission of nerve impulses. Common examples include cyclobenzaprine and carisoprodol.

Anesthetics: Anesthetics relieve pain, and when used transdermally it can be applied directly to a specific problem area. The most commonly used transdermal pain relievers are lidocaine, benzocaine, and tetracaine.

Adjunct pain relievers: These medications are not anesthetics but reduce pain in different ways by blocking transmission of a pain signal to the brain. These include antidepressants such as amitriptyline. Gabapentin is another drug that is used in pain management. It works by mimicking GABA (gamma-aminobutyric acid), an inhibitory neurotransmitter. Clonidine is a blood pressure medication that blocks pain by stimulating alpha-adrenoreceptors in the brain, resulting in reduced sympathetic outflow from the central nervous system.

There are long lists of medical conditions that a person would benefit from using the transdermal preparations. Some of the most common conditions include:

Fibromyalgia
Arthritis
TMJ (trigeminal neuralgia)
Sciatica
Neuropathies (nerve pain)
Sprains
Plantar faciitis
Exercise/Sports injuries of the knee, elbow, shoulder & back

Chronic pain management

Typically, the transdermal gels are applied three times a day to the affected area and rubbed in well. Once the pain is under control, some patients may be able to use the medication less often or as needed.

The combinations of medications that can be incorporated into transdermal gels are endless. However, there are several formulas we compound for patients on a daily basis. The examples are listed below.

Ketoprofen gel

 

Ketoprofen/Lidocaine gel
Ketoprofen/Lidocaine/Cyclobenazprine gel
Ketoprofen/Lidocaine/Gabapentin
Ketoprofen/Lidocaine/Gabapentin/Amitriptyline
Piroxicam/Dexamethasone
Naproxen/Lidocaine/Cyclobenzaprine

When applied topically, these everyday medications enable healthcare providers more treatment options with fewer side effects or drug interactions for patients. We at Brewerton Pharmacy can work together with you and your practitioner to find the treatment combination that is right for your pain relief. If you’d like more information on transdermal pain relief, please feel free to call our pharmacy anytime.

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