Supportive Care Compounding for Oncology Patients

Cancer treatment can cause side effects that impact comfort and quality of life. Pharmacy Solutions compounds supportive care medications for oncology patients when prescribed by a qualified healthcare provider. Common examples include compounded mouthwashes for oral mucositis, anti-nausea medications in alternative dosage forms, topical pain preparations and skin care formulations for radiation dermatitis. Compounding may be appropriate when a patient cannot swallow pills, needs an alternative route of administration, requires a strength not commercially available or has sensitivities to ingredients in commercial products. The pharmacy holds PCAB accreditation in both sterile and non-sterile compounding and is USP <800> compliant for the handling of hazardous drugs. If you are experiencing side effects from cancer treatment, discuss your symptoms with your oncology team to determine whether a compounded medication might be appropriate.

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The team at Pharmacy Solutions took the time to explain the process and worked directly with my doctor. I appreciated having a pharmacy that understood what I was going through.

Patricia L.

Age 48

Going through treatment was hard enough without having to worry about getting my medications right. The pharmacy worked with my doctor to make sure I had exactly what I needed, when I needed it.

Louise C.

Age 53

Going through treatment was difficult enough without having to worry about my medications. The pharmacy worked with my doctor to make sure everything was prepared exactly the way I needed it, and that gave me one less thing to worry about.

Patricia W.

Age 61

What supportive care medications can Pharmacy Solutions compound?

Pharmacy Solutions can compound a wide range of supportive care medications for oncology patients when prescribed by a healthcare provider. Common examples include compounded mouthwashes for oral mucositis, anti-nausea medications in alternative forms, topical pain preparations and skin care formulations for radiation dermatitis. The specific medication and formulation are determined by the prescribing provider.

Do I need a prescription for supportive care medications?

Yes. Pharmacy Solutions compounds medications only when a licensed healthcare provider has issued a valid prescription. If you are experiencing side effects from cancer treatment, discuss your symptoms with your oncology team. They can determine whether a compounded medication is appropriate and issue a prescription if needed.

What is “magic mouthwash”?

Magic mouthwash is a common name for compounded oral rinses used to manage mouth sores and oral discomfort during cancer treatment. There is no single standard formula. The specific ingredients are determined by the prescribing provider based on the patient’s symptoms and may include combinations of anesthetics, anti-inflammatory agents, antifungal medications and coating agents.

Can compounded medications help with chemotherapy-induced nausea?

Compounded anti-nausea medications may be appropriate for patients who cannot tolerate commercially available options or who need an alternative dosage form. For example, patients who cannot swallow pills may benefit from anti-nausea medications compounded as troches or suppositories. Your healthcare provider can determine whether a compounded formulation is appropriate for your situation.

How do I get a compounded supportive care medication?

Talk to your oncology team about your symptoms. If they determine that a compounded medication would be beneficial, they can issue a prescription specifying the medication, strength and formulation. The prescription can be sent to Pharmacy Solutions, where the pharmacy team will prepare the medication according to the provider’s specifications.

What quality standards does Pharmacy Solutions follow?

Pharmacy Solutions is PCAB accredited in both sterile and non-sterile compounding, is USP <800> compliant for the handling of hazardous drugs, sources all ingredients from FDA-registered facilities and tests all finished products through an independent third-party laboratory.

Can Pharmacy Solutions ship supportive care medications?

Pharmacy Solutions can ship compounded medications to patients in states where the pharmacy is licensed. Contact the pharmacy directly or click Ask a Pharmacist for information about shipping to your location.

References

[1] Elad S, Cheng KKF, Lalla RV, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2020;126(19):4423-4431.
[2] National Cancer Institute. Oral Complications of Cancer Therapies (PDQ)–Patient Version. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq
[3] Saunders DP, Epstein JB, Elad S, et al. Systematic review of antimicrobials, mucosal coating agents, anesthetics, and analgesics for the management of oral mucositis in cancer patients and clinical practice guidelines. Supportive Care in Cancer. 2020;28(5):2129-2139.
[4] Hesketh PJ, Kris MG, Basch E, et al. Antiemetics: ASCO Guideline Update. Journal of Clinical Oncology. 2020;38(24):2782-2797.
[5] Paice JA, Portenoy R, Lacchetti C, et al. Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline. Journal of Clinical Oncology. 2016;34(27):3325-3345.
[6] Behroozian T, Goldshtein D, Ryan Wolf J, et al. MASCC clinical practice guidelines for the prevention and management of acute radiation dermatitis: International Delphi consensus-based recommendations. The Lancet Oncology. 2023;24(10):e446-e459.
[7] Pharmacy Compounding Accreditation Board (PCAB). Accreditation Commission for Health Care (ACHC). https://www.achc.org/pcab/

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