PEDIATRIC

NUTRITIONAL SUPPLEMENTS & COMPOUNDED MEDICINES FOR CHILDREN

Below please find compounded medicines and nutritional supplements for pediatric care, including treatments for Coughs & Colds, Fever, Nausea, Autism, Diaper Rash, Psoriasis, Eczema, Acne, Lice, and More


Nutritional Supplements & medication tools


compounded TREATMENTS PER CONCERN

Cough/Cold

  • Various liquid formulations have been removed from the market. See the Winter Season Compounding Ideas sheet to see if any of these formulation ideas may apply to the pediatric patient.
  • Menthol 0.1%/Eucalyptus 0.275% Sorbitol Lollipop™ Base (This tastes similar to commercial cough drops except in the convenience of a lollipop dosage form. Once advantage of a lollipop is that it can last a long time if it is sucked on for a while and the rest saved.)

Diaper Rash

  • Nystatin 0.758%/Karaya Gum 33% Topical Ointment
  • Cholestyramine 5% Diaper Rash Ointment
  • Happy Hiney
  • Buttocks Ointment
  • Zinc Oxide 5%/Benzoin Compound Topical Paste

Fever

  • Ibuprofen Suppository (Ibuprofen is not commercially available as a suppository although acetaminophen is.)
  • Ibuprofen 100 mg Sorbitol Lollipop™ Base
  • Acetaminophen 240 mg Sorbitol Lollipop™ Base
  • Ibuprofen 10% in Lipoderm® Transdermal Gel

Lice

  • Ivermectin 1% Topical Lotion
  • Aromatic Head Lice Formula
  • Lice Remedy, Essential Oils

Psoriasis/Eczema

  • Cyanocobalamin 0.07% Topical Cream
  • Cyanocobalamin 0.1% Topical Foam

Topical Anesthetics

These drugs have a quick onset of action. Prilocaine/lidocaine is often used in offices; however, the onset is longer so the patient must wait.

  • Lidocaine HCl 4%/Tetracaine HCl 0.5%/Epinephrine HCl 0.05% Topical Gel
  • Lidocaine HCl 1%/Tetracaine HCl 1% Topical Foam

Nausea & Vomiting

  • Ondansetron 4 mg/0.1 mL Topical Lipoderm®
  • Ginger Root 200 mg sorbitol Lollipop Base™
  • Promethazine HCl 50 mg/mL Topical Lipoderm® (Stabilized)
  • Promethazine HCl 25 mg/mL Topical Lipoderm® (Promethazine – reminder of Black Box Warning)

Acne

Parents are often looking for alternatives for acne for their teenagers. Physicians often inquire about non-antibiotic treatments.

  • Niacinamide 3%/Lipoic Acid 0.5% Topical Cream
  • Niacinamide 4% Acne Gel
  • Niacinamide 4%/Biotin 0.1%/Lipoic Acid 0.5% Topical Acne Gel, Alternate

Autism

  • PCCA Anhydrous Lipoderm® is soy-free. Various drugs that are not stable in water may be incorporated into this base.
  • DMPS 20% Topical Anhydrous Lipoderm®
  • DMSA 20%/Emu Oil 10% Topical Anhydrous Lipoderm®
  • Topical Anhydrous Lipoderm® – General Formula
  • Glutathione 20%/Emu Oil 10% Topical Anhydrous Lipoderm®
  • Methylcellulose 1% Flavored Suspension Vehicle (PF) (This is sometimes referred to as the Autism Suspending Vehicle. It is often used for autistic patients.)

Commonly Requested Suspensions

Reduce bitterness in hard-to-flavor medications with the Proprietary Bitter Drug Powder Base. A general Oral Effervescent formulations may also work well with drugs that taste bad or are not stable in water.

  • Omeprazole 2 mg/mL Oral Suspension (flavorless formulation is available for use in G-tubes)
  • Lansoprazole 3 mg/mL Oral Suspension (flavorless formulation is available for use in G-tubes)
  • Sildenafil Citrate 1 mg/mL Oral Suspension (Sildenafil is not commercially available in a suspension)
  • Atomoxetine 6 mg/mL Oil Oral Suspension (Straterra® (atomoxetine) is not stable in an aqueous environment)
  • Ferrous Sulfate Heptahydrate 165 mg Oral Effervescent (Iron does not taste very good. Parents often inquire about alternatives for iron liquid for their children.)
  • Ranitidine 150 mg/5 mL Oral Suspension (The distinct bitterness and mint flavor of commercially available ranitidine often cannot be overcome with flavoring. Compounding with the pure powder may help with compliance and ease the minds of parents.)