Hospice/Palliative Care

The caring, knowledgeable and skilled compounding pharmacists at Impact Compounding can work closely with practitioners and caregivers to customize a personal solution that meets the needs of each patient so that patients can enjoy time with loved ones.

Customized dosages and delivery methods to patients with severe or terminal illnesses

Each hospice or palliative care patient’s body size, organ failures, and drug tolerance is diverse and their response to treatment varies.
Compounded prescriptions can be used to treat a variety of conditions aiding in hospice care, palliative care, and wound care management with trying to eliminate unwanted side effects.

Nausea and vomiting
Dry mouth
Mouth sores
Loss of appetite
Radiation mucosities
Wound care
Shortness of breath

Commercially available medications available in retail pharmacies may not work effectively for a variety of reasons and a patient’s options should not be limited to a one-size-fits all approach. Often patients in these palliative care settings may have difficulty swallowing. Other routes of administration such as topical skin creams/ointments, rectal or sublingual preparations can be used to help treat pain, nausea, vomiting, dry mouth, and secretory issues.

How Compounds Can Help

– Compounded medications offering different dosage forms (i.e. transdermal gel)

– Inability to swallow medications/nauseous (i.e. topical or transdermal gel, suppository, troche or lozenge)

– Combination drug therapy prescriptions (i.e. Multiple compatible drugs into a single dosage form to aid in taking medications and manage dosing schedules)

– Compounded flavored oral preparations (to help mask drug bitterness)

– Mouth rinses (aid in the healing of mouth sores from medication)

– Topical Pain management & wound care compounding (pressure sores (decubitus ulcers), bed sores, wound healing and odor)

Lorazepam, diphenhydramine, and haloperidol transdermal gel for rescue from chemotherapy-induced nausea/vomiting: results of two pilot trials.
Click here to access the PubMed abstract of this article.

Effect of topical morphine [mouthwash] for mucositis-associated pain following concomitant chemoradiotherapy for head and neck carcinoma.
Cancer. 2002 Nov 15;95(10):2230-6
Click here to access the PubMed abstract of this article.

Topical phenytoin in wound healing.
Int J Dermatol 1993 Mar;32(3):214-7
Click here to access the PubMed abstract of this article.


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