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Podiatry, the specialized branch of medicine dedicated to the study, diagnosis, and treatment of disorders related to the foot, ankle, and lower extremities, often requires unique solutions for various conditions. Over the years, Podiatrists have used compounded medications as a useful tool in offering their patients effective treatment options for foot and nail conditions. Living Well Compounding at Prevention Pharmacy is offering solutions that make it easier for offices and patients to access patient specific unique products for foot care, including treatments for arthritis, athlete’s foot and other fungal infections.

Here’s a closer look at how compounded medications benefit podiatry:

1. Fungal Nail Infections: Compounded antifungal medications can be tailored to suit individual patient needs, addressing issues like onychomycosis (nail fungus). These formulations may include antifungal agents such as terbinafine or fluconazole, combined with penetration enhancers for improved efficacy.

2. Plantar Fasciitis: Compounded creams or gels containing pain-relieving medications like nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and neuropathic agents can provide localized relief for conditions like plantar fasciitis.

3. Neuropathy: Compounded topical formulations with medications such as gabapentin or amitriptyline can be created to alleviate neuropathic pain, offering a targeted approach with fewer systemic side effects.

4. Wound Care: Compounded medications, including growth factors, antimicrobial agents, and collagenase, can be incorporated into customized ointments or dressings to facilitate the healing of foot ulcers or wounds.

5. Customized Dosage Forms: Compounded medications are available in various forms, including capsules, liquids, or troches, allowing for easy administration of medications based on patient preferences or specific requirements.

6. Compounding for Children: Children may require specific formulations in lower doses or more palatable forms. Compounding allows for the creation of child-friendly medications, ensuring compliance and effectiveness.

7. Combination Therapies: Conditions that benefit from a combination of medications can be addressed with compounded formulations, simplifying treatment regimens and improving patient adherence.

8. Nail Surgery: Compounded pain medications can be customized to manage postoperative pain, offering effective relief while minimizing side effects.

In podiatry, where individualized care is essential, compounded medications provide valuable tools to address diverse patient needs effectively. Consulting with a compounding pharmacist allows podiatrists to collaborate on creating specialized medications that contribute to improved patient outcomes and overall foot health.

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Commonly prepared Podiatry Compounds

Nail Removal (Non-Surgical)

  • Urea 40% Occlusive Ointment
  • Urea 40%/Bacitracin 500 U/Gm/Clotrimazole 2%/Ibuprofen 2%/Deoxy-D-Glucose (2) 0.19%

Nail Fungus

  • Itraconazole 1%/Ibuprofen 2%/DMSO Nail Solution
  • Itraconazole 1%/DMSO Topical Solution
  • Ketoconazole 2%/Urea 40%/DMSO Nail Suspension
  • Itraconazole 1%/Terbinafine HCl 3%/Tea Tree Oil 6.6%/Urea 10%/Biotin 0.6%/DMSO Nail Suspension

Fungal Skin Infection

  • Ketoconazole 2%/Miconazole 2%/Clotrimazole 1% Topical Cream
  • Clotrimazole 2%/Ibuprofen 2%/Tea Tree Oil 1% Topical Cream
  • Ketoconazole 2%/Tea Tree Oil 5%/DMSO Topical Solution
  • Amphotericin B 3% Topical Lotion

Circulation Problems or Raynaud’s Phenomenon

  • Nifedipine 4% Topical
  • Pentoxifylline 5%/Nifedipine 2% Topical
  • Pentoxifylline 3%/Nifedipine 3% Topical
  • Pentoxifylline 5% Topical
  • Nifedipine 16% Topical

Diabetic Neuropathy

  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% Topical
  • Nifedipine 10%/Pentoxifylline 5%/Ketamine HCl 10%/Gabapentin 6%/Lidocaine 3%/Prilocaine 3% Topical
  • Amitriptyline HCl 2%/Baclofen 2%/Ketamine HCl 5%/Ketoprofen 10%
  • Amitriptyline HCl 2%/Baclofen 2%
  • Amitriptyline HCl 2%/Ketoprofen 2%/Carbamazepine 2%
  • Ketamine HCl 10%/Gabapentin 6%/Tizanidine HCl 0.2%/Nifedipine 2%

Heel Spurs

  • Ketamine HCl 5%/Gabapentin 10%/Tizanidine HCl 0.2%/Baclofen 2%
  • Ketamine HCl 10%/Gabapentin 6%/Tizanidine HCl 0.2%/Nifedipine 2%
  • Ketamine HCl 5%/Gabapentin 6%/Amitriptyline HCl 3%/Indomethacin 5%/Tizanidine HCl 0.2%/Lidocaine2%
  • Ketoprofen 10%/Tizanidine HCl 0.2%/Bupivacaine HCl 1%
  • Ketoprofen 10%
  • Amitriptyline HCl 2%/Baclofen 2%/Ketamine HCl 5%/Ketoprofen 10%
  • Ibuprofen 20%

Foot Cramps

  • Guaifenesin 10% Topical
  • Ketoprofen 10%/Cyclobenzaprine HCl 2%
  • Magnesium Chloride 10%/Peppermint 1%
  • Magnesium Chloride Hexahydrate 10%
  • Guaifenesin 10%/Magnesium Sulfate Heptahydrate 10%

Gout

  • Indomethacin 2%/Tetracaine HCl 2%/Colchicine 0.2% Topical

Hyperhidrosis of the Feet (Sweaty Feet)

  • Glycopyrrolate 1% Topical Cream
  • Glycopyrrolate 0.5% Topical Solution
  • Glycopyrrolate 1% Topical Lotion

Wounds/Burns Without Infection

  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2%
  • Aloe Vera/Vitamin E/Allantoin/Glycosaminoglycans
  • Allantoin 2%/Vitamin D3 1000 IU/Gm/Aloe Vera 0.5%
  • Silver Sulfadiazine 1%
  • Collagenase 250 U/Gm l
  • Phenytoin 5%/Misoprostol 0.0024%/Arginine HCl 1%
  • Phenytoin 5%/Misoprostol 0.0024%/Arginine HCl 1%/Sodium Hyaluronate 0.5%
  • Phenytoin 5%/Misoprostol 0.0024% Topical Gel
  • Phenytoin 2%/Misoprostol 0.0024%/Lidocaine 2%/Bupivacaine HCl 0.2%/Diphenhydramine HCl 1%/AloeVera 0.2% Polyox Bandage
  • Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical Cream
  • Aloe Vera 0.2%/Arginine HCl 1%/Misoprostol 0.0024%/Naltrexone HCl 1%
  • Misoprostol 0.0024%/Phenytoin 2%/Beta Glucan 0.5%
  • Arginine HCl 1%/Aloe Vera 0.2%/Misoprostol 0.0024%/Naltrexone HCl 1%/Phenytoin 2%
  • Aloe Vera 0.2%/Arginine HCl 1%/Misoprostol 0.0024%/Naltrexone HCl 1%
  • Beta Glucan 0.5%/Naltrexone HCl 0.5%

Infected Wounds

  • Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
  • Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel
  • Misoprostol 0.0024%/Mupirocin 2% Anhydrous Topical Spray (CGSil)
  • Doxycycline 20 mg/Phenytoin 20 mg/Misoprostol 0.024 mg/Lidocaine HCl 10 mg

Plantar Fasciitis

  • Ketoprofen 10%/Cyclobenzaprine HCl 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine HCl 2%
  • Ibuprofen 20%/Piroxicam 1%/Cyclobenzaprine HCl 1%
  • Lidocaine 2%/Diclofenac Sodium 3%/Cyclobenzaprine HCl 2%/Baclofen 2%
  • Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO 5%
  • Ketoprofen 10%/Amitriptyline HCl 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2%/Magnesium Chloride 5%
  • Ketamine HCl 10%/Diclofenac Sodium 8%/Gabapentin 6%/Bupivacaine HCl 1%/Cyclobenzaprine HCl 2%/Baclofen 2%
  • Ketoprofen 10%/Ibuprofen 10%/Lidocaine 5%/Piroxicam 2%/Cyclobenzaprine HCl 2%//Baclofen 2%/Cyclobenzaprine HCl 2%/Tetracaine 2%
  • Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5%/Ketoprofen 10%/Capsaicin 0.025%/Menthol 0.5%/Camphor 0.5%
  • Ketoprofen 10%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2%
  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline HCl 2%/Guaifenesin 2%
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline HCl 2%
  • Ketoprofen 10%/Cyclobenzaprine HCl 2%
  • Baclofen 2%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5%
  • Amitriptyline HCl 2%/Ketoprofen 2%/Carbamazepine 2%

Burning Foot Syndrome

  • Ketamine HCl 5%/Gabapentin 10%/Tizanidine HCl 0.2%/Baclofen 2%
  • Ketamine HCl 10%/Gabapentin 6%/Tizanidine HCl 0.2%/Nifedipine 2%
  • Ketamine HCl 5%/Gabapentin 6%/Amitriptyline HCl 3%/Indomethacin 5%/Tizanidine HCl 0.2%/Lidocaine 2%
  • Ketoprofen 10%/Tizanidine HCl 0.2%/Bupivacaine HCl 1% Topical
  • Ketoprofen 10%/Amitriptyline HCl 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical
  • Amitriptyline HCl 2%/Baclofen 2%/Ketamine HCl 5%/Ketoprofen 10%
  • Amitriptyline HCl 2%/Baclofen 2% Topical
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline HCl 2% Topical
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/ Nifedipine 2% Topical
  • Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 1% Topical Anhydrous
  • Ketoprofen 10%/Amitriptyline HCl 1%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2%/Magnesium Chloride 5%

Diabetic Toes

  • Pentoxifylline 5%/Nifedipine 2%
  • Pentoxifylline 3%/Nifedipine 3%
  • Nifedipine 4%
  • Pentoxifylline 5%
  • Nifedipine 16%
  • Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/ Nifedipine 2%
  • Nifedipine 10%/Pentoxifylline 5%/Ketamine HCl 10%/Gabapentin 6%/Lidocaine 3%/Prilocaine 3%

Corns/Callouses

  • Salicylic Acid 10%/Podophyllum 10%/Trichloroacetic Acid 10% (W/V) Topical Solution
  • Salicylic Acid 20%/Menthol 0.1% Topical Cream

Commonly Requested Formulas for Patients with Rough/Dry Feet

  • Urea 20% Topical Gel (CGSil)
  • Sodium Hyaluronate 0.5%/Urea 10%/CGSil Topical Gel
  • Urea 8% Topical Cream
  • Urea 20%/Lactic Acid 5% Topical Cream
  • Urea 40%/Lactic Acid 10%/Salicylic Acid 3% Topical Cream
  • Salicylic Acid 5%/Urea 20%/Ammonium Lactate 12% Topical Cream

Warts

  • Imiquimod 1%/Acyclovir 2%/Deoxy-D-Glucose 0.2%/EGCg 1%/Aloe Vera 0.2%/Ibuprofen 2%
  • Topical Gel
  • Cimetidine 10%/Fluorouracil 5%/Deoxy-D-Glucose 2%/Imiquimod 5% Topical Deoxy-D-Glucose 0.2%/Imiquimod 5%/Tea Tree Oil 2.5%/Cimetidine 10% Topical Cream
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2% Topical
  • Salicylic Acid 15%/Cimetidine 5% Topical Occlusaderm
  • Cimetidine 10%/Deoxy-D-Glucose 0.2%/Ibuprofen 2%/Lidocaine 5%/Salicylic Acid 15% Topical Occlusaderm
  • Imiquimod 5%/Deoxy-D-Glucose 0.2% Topical Gel
  • Imiquimod 5%/EGCg 1% Topical Gel
  • Salicylic Acid 16.7%/Lactic Acid 16.7%/Trichloroacetic Acid 12%/Flexible Collodion Topical Solution
  • Imiquimod 5%/Fluorouracil 5%/Salicylic Acid 30%/Tretinoin 0.1% Topical Gel
  • Cimetidine 10%/Fluorouracil 5%/Deoxy-D-Glucose 2%/Salicylic Acid 10%/Imiquimod 5% Topical
  • Naltrexone HCl 1%/Deoxy-D-Glucose 0.2%/EGCg 0.2%/Cimetidine 15%/Salicylic Acid 15%/Vitamin A /Palmitate 25,000 U/Gm/Zinc Acetate 0.5% Topical Anhydrous
  • Cimetidine 10%/Deoxy-D-Glucose 0.29%/Ibuprofen 2% Topical
  • Salicylic Acid 40% Topical Ointment
  • Salicylic Acid 16.67% Compound Collodion Topical Solution Dinitrochlorobenzene 0.05% Topical Ointment
  • Squaric Acid Dibutyl Ester 0.1% Topical Solution Diphenylcyclopropenone 0.01% Topical Solution
  • Cantharidin Topical Liquid
  • Cantharidin Plus Topical Liquid
  • Fluorouracil 5%/Salicylic Acid 6% Topical Cream
  • Fluorouracil 5%/Salicylic Acid 15%/Cimetidine 5%/Deoxy-D-Glucose 0.2%

Amputation Pain

  • Ketamine HCl 10%/Diclofenac Sodium 8%/Gabapentin 6%/Bupivacaine HCl 1%/Cyclobenzaprine HCl 2%/Baclofen 2%
  • Ketoprofen 10%/Ibuprofen 10%/Lidocaine 5%/Piroxicam 2%/Cyclobenzaprine HCl 2% Topical
  • Flurbiprofen 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Tetracaine 2%
  • Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5%
  • Ketoprofen 20%/Ibuprofen 2%/Ketamine 2%/Clonidine 0.2%/Amitriptyline HCl 2%/Guaifenesin 2%
  • Ketoprofen 10%/Guaifenesin 10%/Capsaicin 0.025%/Lidocaine 2%/Amitriptyline HCl 2%
  • Ketoprofen 10%/Cyclobenzaprine HCl 2%
  • Baclofen 2%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% Topical
  • Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical
  • Ketoprofen 5%/Cyclobenzaprine HCl 0.5%/Lidocaine HCl 5%/Bupivacaine HCl 1% Topical

Download our Podiatry Order Form