Topical methods of delivery also are widely used because they allow the absorption of medicine directly through the skin, and may help avoid potential side effects such as stomach upset or drowsiness. Topical medications often are prescribed for pain management, inflammation and nausea/vomiting. They are easy to use and are effective delivering the medication as needed.
Medication can be compounded into customized capsules, especially in cases where an alternate strength is required or to omit potential allergens or irritants, such as dyes, preservatives, or gluten. To lessen the number of doses to be taken, multiple medications often can be combined into a single dosage or made into sustained-release capsules. Vegetarian capsules made from cellulose are available for patients who do not want to take a gelatin capsule.
Many medications can be compounded as oral suspensions for those patients who have difficulty swallowing tablets and capsules. Some patients may have problems tolerating the taste of a commercially available liquid, but a compounding pharmacist can make a pleasant-tasting, custom-flavored oral solution or suspension which can be administered easily and accurately. Some medications may be available as effervescent powders, which are mixed with water to make a fizzy drink.
Suppositories are solid dosage forms that melt, soften, or dissolve in a body cavity. Although not often the first choice for a dosage form by the patient, there is no disputing that suppositories are very useful for administering drugs to infants and children, severely debilitated patients, and for those whom an avoidance of oral or injectable products is desired. Their benefits can be local in nature (ex. hemorrhoid treatment) or systemic (ex. analgesics, antibiotics, hormones, antinauseants) and can be formulated into either single or multiple-ingredient suppositories.
The rectal rocket features a countoured frontend and a flared bottom. The benefit of this design is two-fold. The overall shape of the suppository allows it to remain at the point of insertion without lapsing into the rectum. In addition, the flared bottom remains in continual contact with the outer surface of the anus, treating external hemorrhoids as well as internal.
Troches are small lozenges that dissolve between the cheek and gum over a period of about 30 minutes. As it dissolves, the hormones are gradually absorbed into the blood stream, resulting in physiologically natural hormone blood levels. Also, because these are bio-identical to the hormones your body has produced, they are efficiently recognized, utilized, metabolized and excreted by the body. Since your own hormones only last about 8 to 12 hours, your natural hormone replacement should be dosed about every 12 hours to give adequate, even blood levels.