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Palliative Care Malignant Wounds Compounding Pharmacy’s Approach

Palliative Care Malignant Wounds Compounding Pharmacy’s Approach. Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)-488-1819 cindenrx@mts.net. Incident Pain Medications Topical Dosage Forms Medications and Bases. Incident Pain Medications.

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Palliative Care Malignant Wounds Compounding Pharmacy’s Approach

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  1. Palliative Care Malignant WoundsCompounding Pharmacy’s Approach Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)-488-1819 cindenrx@mts.net

  2. Incident Pain Medications • Topical Dosage Forms • Medications and Bases

  3. Incident Pain Medications Fentanyl, Sufentanil Sublingual • Short acting opioids, injectable • Works within 10 to 15minutes and last about ~ 1 hour • Hold liquid under the tongue for about 10 minutes if possible without swallowing it • May be repeated up to two more doses at 10-15 minutes intervals

  4. Flavoured Fentanyl SL, Lollipops, Lozeges • Nasal Spray - Sufentanil in metered dose nasal sprayer which delivers 0.1mL per spray - one or more sprays approximately 10 to 15 minutes prior to activity. Incident Pain Protocol (www.palliative.info)

  5. Topical Dosage Forms • Topical Sprays • Wound Dressing Gels • Radiation Burn Gel • Mouthwash, Mouth Gel

  6. Topical Spray - 0.1mL per spray - 2 to 4 sprays to surrounding area or specific painful spots • Wound Dressing gel - Aqueous gel, Glycol base Gel - Polyox Bandage • Radiation Burn gel - protective artificial skin layer

  7. Mouthwash - medications to coat the mouth, treat pain, infections • Mouth Gel - slow released protective coating

  8. Medications and Bases • Topical Sprays - Morphine Sulfate, Hydomorphone HCl, Methadone HCl - Normal Saline, Proplylene Glycol, Ethoxy Diglycol, DMAE • Wound Dressing Gels - Lidocaine, Tetraciane, Morphine Sulfate, Hydromorphone HCl, Methadone HCl

  9. For Bed Sore Ulcer Wounds - same pain medications - Aloe Vera, Phenytion, Misoprostol • Metronidazole Base • Bases - Intrasite Gel, Cellulose (Med Visc) Gel, Propylene Glycol, Ethoxy Diglycol, DMAE

  10. Radiation Burn Gel - Lidocaine, Tetracaine, Morphine, Hydromorphone, NSAID, Antibiotics, Aloe Vera - Pluronic F127 Gel (Carbomer Gel) • Mouthwash - Tetracaine HCl, Corticosteroids, Anti-fungal, Anti-viral, Antibiotics, Anti-histamine, Sucralfate - Anti-foaming mouthwash base

  11. Mouth Gel - Morphine Sulfate, Hydromorphone HCl, Glycerin, Lemon - Bioadhesive Slow Released Gel

  12. Need to try something unique? TALK TO US !!! Work with you to create a unique compound to meet your patients’ needs Member of Professional Compounding Centre of America (PCCA)

  13. Questions???

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