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What is Compounding and Compounded Medications?

What are the risks? How to avoid getting hurt from using compounding medications medicines?

"A good decision is based on knowledge and not on numbers." Plato
Compounded Drugs Mix Benefits With Possible Risk
"In the past few years, a battle has been raging over how to regulate the 3,500 compounding pharmacies across the United States.
 
These pharmacies mix drugs to individual specifications on site, but many people don't know that they even exist. Those relying on compounded drugs face significant challenges: Some have allergies to additives in mass manufactured drugs or need doses of medications that may only be in testing stages.
 
But the Food and Drug Administration is concerned about the safety of compounded drugs."
 

 
NPR
Pharmacy Compounding Primer for Physicians: Prescriber Beware
"Pharmacy-compounded drugs have been associated with quality defects, infectious disease outbreaks and other adverse events which, in some cases, have involved patient deaths. Because federal surveillance requirements do not exist for compounded drugs, the extent of quality and safety problems is unknown."
 

 
Medscape
Potential risks of pharmacy compounding
"Pharmacy compounding involves the preparation of customized medications that are not commercially available for individual patients with specialized medical needs. Traditional pharmacy compounding is appropriate when done on a small scale by pharmacists who prepare the medication based on an individual prescription. However, the regulatory oversight of pharmacy compounding is significantly less rigorous than that required for Food and Drug Administration (FDA)-approved drugs; as such, compounded drugs may pose additional risks to patients."
 

 
NIH
Compounded Drugs: Understand the Risks
"During the past few years, compounding pharmacies have received a lot of press. In 2012, a story involving a compounding pharmacy received national attention when as many as 14,000 people received contaminated injections of a steroid medication. A total of 751 patients contracted meningitis or other infections from the injections, and 64 people in 20 states died.
 
A year before this nationwide outbreak, ophthalmologists at Bascom Palmer Eye Institute in Miami were treating patients who had received intraocular injections of tainted Avastin. As early as November 2011, Roger A. Goldberg, MD, MBA, reported a series of 12 patients who developed Streptococcus endophthalmitis after injection with intravitreal bevacizumab.2,3 These 12 patients presented to Bascom Palmer with severe intraocular infections one to six days after receiving an intravitreal injection of bevacizumab. The injections occurred at four different clinics in south Florida, but all doses of bevacizumab were prepared by the same compounding pharmacy in Broward County."
 

 
Jobson Medical Information LLC
Compounding Medications / Medicines
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Compounding Pharmacies / Apothecaries
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