Prescriptions should begin with the phrase "Compounded Medication" — *Prescriptions should begin with the phrase “Compounded Medication”*

At Fort Worth Pharmacy, our compounding professionals are ready to work with you on a customized medication solution that fits the needs of your patient or patient population. But first, we will need a prescription order.

As patients take advantage of seeking alternatives to commercial medication forms prescribers have questions about the best way to write compound medication prescriptions. Our Pharmacists are here to answer formulation questions to help your patients.

Popular dosage forms that can be created in our compounding pharmacy include:

Sublingual Troches
Transdermal Cream – various cream options available
Creams, Gels, or Suppositories
Oral Capsules
Solutions
Suspensions
Ointments
More options available

How to write a compound prescription

Writing for a compounded medication is straightforward – the most complex part is choosing the active pharmaceutical ingredient(s) (API) and the dosage form. We offer easy-to-use pumps for cream or gels.

Please include the following information. We are happy to consult with you regarding your patient’s prescription if you have questions.

Patient name
Date of birth
Best daytime phone number for patient
Active drug name
Dose/Strength/Concentration
(i.e. Oral Tablet, Cream, Suppository, etc.)
Directions for use
Quantity to dispense
Number of refills authorized
Contact information for prescriber

How Prescribers Can Send a Prescription

We offer a variety of dispensing options

In addition to customizing the dosage and delivery type for your compounded prescription, our team can also help you choose the right dispensing option for your medication. Here are a few of our most popular options.

Sublingual Troches

These are easily dissolved under the tongue, and can be mixed with just about any flavor (e.g. peppermint, raspberry or vanilla butternut).

The larger size troches are ideal when you need higher doses of your medication, and they can even be cut into your desired size/dosage (making them more cost effective). Smaller troches are more easily dissolved, but may require multiple doses.

Tube with Optional Applicators

Ideal for the application of creams or gels, either topically or vaginally. Many choose a vaginal option for hormone replacement therapy because it allows for localized application.

Pump Top

We offer two versions of an easy-to-use pump for cream or gels. Their ergonomic design is especially helpful for those with arthritis who are using pain medication topically. And our unique manufacturing process ensures that there are no air bubbles that can cause loss of medication when undergoing pressure changes (i.e. on airplanes).

Topi-CLICK Cream Dispenser

This unique cream-dispensing method offers consistent dosing and limits cross contamination. Just turn the appropriate number of clicks, and apply to desired area of the body. It’s especially helpful for those who are sight impaired—and may not be able to accurately dispense the correct dose.

Common Compounded Prescriptions

Please reach out to our pharmacy if you need a compounded prescription not on this list. We’d be happy to work with you to meet the needs of your patients!

FEMALE COMPOUNDED HORMONE THERAPY OPTIONS
ORAL ESTROGENS	DOSAGES	COMMON DOSING
Estradiol (E2) capsules	Any	0.125 mg – 2 mg
		once daily or in divided doses
Estriol (E3) capsules	Any	1 mg – 4 mg
		once daily or in divided doses
Biestrogen (Bi–est)	Any	1.25 mg – 5 mg
20% estrodiol (E2)		once daily or in divided doses
80% estriol (E3)
Triestrogen (Tri–est)	Any	1.25 mg – 2.5 mg
10% estrone (E1)		once daily or in divided doses
10% estradiol (E2)
80% estriol (E3)
ORAL PROGESTERONE
PROGESTERONE	Any	50 mg – 200 mg
		once or twice daily
		or according to cycle
ORAL ESTROGEN AND PROGESTERONE COMBINATIONS	DOSAGES	COMMON DOSING
Estradiol (E2) with progesterone	Any	0.125 mg – 2 mg estradiol
		once daily or in divided doses
		50 mg – 200 mg progesterone once or twice daily or according to cycle
Estriol (E3) with progesterone	Any	1 mg – 4 mg
		once daily or in divided doses
		50 mg – 200 mg progesterone once or twice daily or according to cycle
Biestrogen (Bi–est) with progesterone	Any	1.25 mg – 5 mg
		once daily or in divided doses
		50 mg – 200 mg progesterone once or twice daily or according to cycle
Triestrogen (Tri–est) with progesterone	Any	1.25 mg – 2.5 mg
		once daily or in divided doses
		50 mg–200 mg progesterone once or twice daily or according to cycle
ADDITIONS TO ORAL HORMONES (CAN ALSO BE TAKEN ALONE)	DOSAGES	COMMON DOSING
Testosterone	Any	1 mg – 5 mg
		once daily or in divided doses
DHEA	Any	5 mg – 50 mg
		once daily or in divided doses
Pregnenolone	Any	5 mg – 50 mg
		once daily or in divided doses
TOPICAL CREAMS/GELS – ESTROGEN
ESTRADIOL (E2)	Any	0.125 mg – 2 mg
		once daily or in divided doses
Estriol (E3)	Any	1 mg – 4 mg
		once daily or in divided doses
Biestrogen (Bi–est) 20% estrodiol (E2) 80% estriol (E3)	Any	1.25 mg – 5 mg
		once daily or in divided doses
Triestrogen (Tri–est)	Any
10% estrone (E1)		1.25 mg – 2.5 mg once daily or in divided doses
10% estradiol (E2)
80% estriol (E3)
TOPICAL CREAMS/GELS – PROGESTERONE
Progesterone	Any	25 mg – 200 mg
		once or twice daily
		or according to cycle
TOPICAL CREAMS/GELS – ESTROGEN & PROGESTERONE
Estradiol (E2) with progesterone	Any	0.125 mg – 2 mg estradiol
		once daily or in divided doses
Estriol (E3) with progesterone	Any	1 mg – 4 mg
		once daily or in divided doses
Biestrogen (Bi–est) with progesterone	Any	1.25 mg – 5 mg
		once daily or in divided doses
Triestrogen (Tri–est) with progesterone		1.25 mg – 2.5 mg
		once daily or in divided doses
ADDITIONS TO TOPICAL HORMONES (CAN ALSO BE TAKEN ALONE)
Testosterone	Any	1 mg – 5 mg
		once daily or in divided doses
DHEA	Any	2.5 mg – 10 mg
		once daily or in divided doses
Pregnenolone	Any	5 mg – 10 mg
		once daily or in divided doses
VAGINAL ESTROGENS
Estradiol (E2)	Any	0.01%
cream or gel		1 g, 2 – 3 times weekly
Estriol (E3)	Any	0.5 mg – 2 mg/g
cream or gel		1 g, 2 – 3 times weekly
ADDITIONS TO VAGINAL ESTROGENS (CAN ALSO BE TAKEN ALONE)
Progesterone	Any	20 mg – 100 mg
		once or twice daily
Testosterone	Any	0.5 mg – 2 mg/g
		1 g, 2 – 3 times weekly

COMPOUNDED TOPICAL PAIN MEDICATION OPTIONS
NSAIDS/ANALGESICS	DOSAGES	COMMON DOSING
Ketoprofen	Any	5–10%
Ibuprofen	Any	5–10%
Diclofenac	Any	1–3%
Flurbiprofen	Any	5–10%
Naproxen	Any	5–10%
MUSCLE RELAXERS
Cyclobenzaprine	Any	2–5%
Baclofen	Any	2–10%
TOPICAL ANESTHETICS	DOSAGES	COMMON DOSING
Lidocaine	Any	2–10%
Bupivacaine	Any	1–5%
Tetracaine	Any	1–5%
Benzocaine	Any	2–5%
NEUROPATHIC PAIN	DOSAGES	COMMON DOSING
Amitriptyline	Any	2–5%
Gabapentin	Any	2–10%
OTHER ANALGESICS	DOSAGES	COMMON DOSING
Ketamine	Any	2–5%

MALE COMPOUNDED HORMONE THERAPY OPTIONS
TOPICAL (ALONE OR IN COMBINATION)	DOSAGES	COMMON DOSING
Testosterone	Any	5–10%
Progesterone	Any	0.50%
Chrysin	Any	5.00%
DHEA	Any	5 mg/g – 10 mg/g
ORAL CAPSULES
Danazol	Any	12 mg – 40 mg, once daily or every other day
Anastrazole	Any	0.25 mg, once daily, every other day or every third day
Danazol and Anastrozole	Any	12 mg/0.25 mg – 40 mg/0.25 mg, once daily or every other day

COMPOUNDED THYROID REPLACEMENT OPTIONS
CAPSULES	COMMON DOSING
Liothyronine (T3)	2.5 mcg – 25 mcg
Immediate release or long acting
Levothyroxine (T4)	25 mcg – 150 mcg
Immediate release or long acting
T3/T4 combination	See above
Immediate release or long acting
Thyroid USP (Porcine)	1 grain – 2 grain
	(60 mg – 120 mg)

COMPOUNDED PET MEDICATION OPTIONS
TOPICAL (FELINE)	DOSAGES	COMMON DOSING
Methimazole	Any	25 mg – 50 mg/ml
Prednisolone	Any	25 mg – 50 mg/ml
Tramadol	Any	25 mg – 100 mg/ml
Fluoxetine	Any	20 – 50 mg/ml
Amitriptyline	Any	100 mg/ml
Amlodipine	Any	0.625 mg/ml
ORAL LIQUID (Plain, chicken or sardine flavor)	DOSAGES	COMMON DOSING
Can also be made into a capsule
Gabepentin	Any	50 mg – 100 mg/ml
Methimazole	Any	5 mg – 10 mg/ml
Prednisolone	Any	1 mg – 10 mg/ml
Prednisone	Any	1 mg – 10 mg/ml
Ursodiol	Any	50 mg – 100 mg/ml
Methocarbamol	Any	50 mg–100 mg/ml
Metronidazole	Any	50 mg – 100 mg/ml
Amlodipine	Any	1.25 mg – 2.5 mg/ml
Atenolol	Any	5 mg – 10 mg/ml
Fluoxetine	Any	10 mg/ml
Diethylstilbesterol (DES)	Any	0.25 mg – 1 mg/ml
Doxycycline	Any	50 mg – 100 mg/ml
Tramadol	Any	50 mg – 100 mg/ml
Alprazolam	Any	1 mg/ml
Famotidine	Any	10 mg/ml
colchicine	Any	0.6 mg/ml
Calcitriol	Any	16 ng/ml
Phenobarbital	Any	10 mg – 30 mg/ml
Amitriptyline	Any	10 mg/ml
Mirtazipine	Any	2 mg – 4 mg/ml

By Phone	By Fax	eScribe
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