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Altostrata

Getting custom dosages at compounding pharmacies (US, UK, and elsewhere)

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ChessieCat

Put my Pristiq tablets in to be compounded today and I asked the compounding pharmacist about the slow release and he told me it is in the capsule, not added to the ground up tablet.

 

My compounder charges me $75 for 500 capsules based on a bulk order.  I provide my own tablets.  And he uses different coloured capsules for different doses :D

 

If anyone in the Sydney area is interested, please PM me and I can provide the details of this pharmacy.

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Altostrata

Chessie, that sounds like a brilliant solution to tapering Pristiq. How long does the prolonged-release additive extend the effect of the drug?

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Bethsimmons

Roy Katz of www.customrx.com can ship to any state in the U.S. with a doctor's prescription. Roy will speak with your doctor to explain how it works. He is an expert in custom compounding Cymbalta and has helped hundreds from the Facebook group " Cymbalta Hurts Worse ". We have used him about 3 years with no complaints. About $60.00 a month. He will provide the paperwork for the patient to file insurance reimbursement if needed.
 


Dec. 29, 2016 -- Update

Update on Roy Katz, customRX. He is no longer practicing.

I am now working with a new compounding pharmacy in called Pharmacy Solutions. www.pharmacysolutionsonline.com - Important to ask for Michelle Wong.

They can fulfill prescriptions in 34 U.S. States. I'm working to get them up to speed on Cymbalta tapering, as well as co-coordinating with the prescribing doctor. There is a learning curve for sure as this drug is like no other for some people.

Edited by scallywag
add update on pharmacy

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Altostrata

BethSimmons, as I asked before, how does Roy Katz compound Cymbalta, other than put the beads into other capsules?

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ChessieCat

I thought I would post this here to help anyone who is trying to calculate their doses for compounding.

 

I will be dropping by less than 10% so I hope to only have to hold for 3 weeks to start but I will have additional 2mg x 42 and 1mg x 21 if I need them.

 

Col 1 = No of days on the dose
Col 2 = dose
Other columns are how many tablets I need of each dose for the no of days

Col 1                2        3            4            5           6          7

No of Days     MG     20mg     10mg      5mg      2mg      1mg
21                   29       21                        21         39          6
21                   27       21                        21         21
21                   25       21                        21
21                   24       21                                     42
28                   23       28                                     28        28
28                   22       28                                     28
28                   21       28                                                 28
28                   20       28                                                    .

21                   19                    21           21         42
21                   18                    21           21                     21
21                   17                    21           TBA
21                   16                    21           TBA
21                   15                    21

Row 1                         196       Later       105       200        83

Row 2                           200                     100       200      100
Row 3                           20mg                   5mg     2mg      1mg

Row 4                           4000                    500      400       100     5000
Row 6                                                                                        50
Row 7                                                                                        50 tabs needed

Rows below the underlining are the start of my next batch of compounded tablets.

Row 1 = total number of capsules needed of that particular dose
Row 2 = rounded to nearest 100 (which is the minimum quantity of a dose)
Row 3 = is just for ease of seeing what quantity I need of each dose for ordering
Row 4 = this is the total of the dose to work out how many 100mg tablets are needed
Row 6 = Row 4 total divided by 100mg tablets
 

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DoctorMussyWasHere

South African Resources

 

Not much to say about resources in South Africa. They are few and far between.

Needless to say the psychiatrist at Valkenberg Psychiatric Hospital had never heard of slow tapering, Fagron, compounding pharmacies etc.

 

So thanks for the WWW and the other SA.

 

 

Meds Pricing

Our meds pricing is controlled and available online here.

 

 

Compounding Pharmacies

There appear to be two main compounding pharmacies in South Africa:

The Compounding Pharmacy, and Fagron Pharmaceutical Compounding Services.

 

Fagron has a branch in Cape Town, which is why we chose them.

They barely put a markup on making up doses of Risperidone to a 0.1 microgram or 0.0001mg decimal point accuracy.

(although to be honest I didn't try weighing the pills to check, not that I could.)

 

They were extremely professional. More like a laboratory than a pharmacy.

  1. Email them your prescription with the new doses, preferably specified by the prescribing doctor.
  2. They will contact you in 3 days to collect or deliver.
  3. Each taper range is in its own bottle, marked with a very small number: 1, 2, 3, 4, etc
  4. Each dose is in a blue capsule

 

 

Fagron Pharmaceutical Compounding Services

http://www.fagron.co.za/

Fagron Cape Town
+27 (0)21 933 5545
Email: cpt@fagron.co.za


Fax: 086 619 4632
61

Clarendon Street


Parow Valley


Cape Town



Fagron Johannesburg
+27 (0)11 675 5331
Email: jhb@fagron.co.za


Fax: 086 619 4398
55

14th Avenue


Northcliff EXT. 17


Johannesburg



Fagron George
+27 (0)44 873 4158
Email: grg@fagron.co.za


Fax: 086 613 1467


Unit 60
14 CJ Langenhoven Street


George

The Compounding Pharmacy

https://www.compounding.co.za/
2 Eaton Ave
Cnr Bryanston Dr.
Bryanston
Co-ordinates: -26.046316 | 28.021929
Email: pharmacist@compounding.co.za
Email: orders@compounding.co.za
Phone: 011 463 0310
Operating hours: Mon-Fri 8.30am – 5pm  ( closed public holidays)

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Ttgreat54
On 3/4/2012 at 10:20 AM, Altostrata said:

In the United States, these compounding pharmacies will fill prescriptions by mail:

Hi Alto,

To order these meds, do i need a prescription from my dr ??

Great infomation here, TY

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scallywag
4 hours ago, Ttgreat54 said:

Hi Alto,

To order these meds, do i need a prescription from my dr ??

Great infomation here, TY

States vary in what they require for pharmacies to fill prescriptions.  Most reputable online pharmacies will require you to have a written prescription.  Contact (call or send a message via the contact us page on a website) several of the pharmacies listed and ask what they need to fill from you in order to ship you the medication your doctor has prescribed.

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Ttgreat54
18 hours ago, scallywag said:

States vary in what they require for pharmacies to fill prescriptions.  Most reputable online pharmacies will require you to have a written prescription.  Contact (call or send a message via the contact us page on a website) several of the pharmacies listed and ask what they need to fill from you in order to ship you the medication your doctor has prescribed.

Ty Scally,

Yes I did contact them, waiting to here back.

Ty

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ChessieCat
2 hours ago, Oceanrat said:

As I try and navigate a messy situation here. And figure out why my taper has gone so awry, I sent my compounded Zoloft to an independent lab for analysis (I know it’s extreme but when you’re suffering in this manner you go to extremes). I’m not saying all compounding places are this way, but here were my findings. The Zoloft was supposed to be 40mgs. I sent 3 capsules in, the active ingredient in 3 were:

35.1

39.3

42.3

not sure if that’s causing my problems, but wanted to share how far off they’re. Now I guess I attempt to bridge over to full liquid, but feeling , well not so confident . 

 

 

 

Edited by ChessieCat

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DWeb

I'm having a very hard time finding a compounding pharmacy that will compound Pristiq for me. Most of them just say it's impossible. I called the Peoples RX in Texas and they no longer ship out of state. 

 

Does anyone have a good solution for finding a compounding pharmacy that will do slow release formulations that can either mail to me in Washington OR is actually in Washington State?

 

Thanks

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DWeb
19 hours ago, ChessieCat said:

I am tapering by getting my Pristiq compounded.  I've gone 75mg to 4mg using this method.  My Intro topic link is in my signature.

 

To find a compounder:  http://www.pccarx.com/Resources/FindACompounder

 

Also see this topic:  Please see this topic:  Tips for tapering off Pristiq (desvenlafaxine)

 

Yeah, I went to PCCAR and looked for compounding pharmacies. Called about 10 or 12 and none would work with Pristiq. I'm learning how lucky you were to find someone local that would do that for you. 

 

I've read all through the Pristiq tapering topic and think I'm just going to have to go the Effexor route. I've created a introduction topic and will update there. 

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ChessieCat

I have contacted the pccarx because I think it is important for them to know that 1) it is possible to compound Pristiq if they don't already know this, and 2) to advise their members that it is possible

 

I have provided my compounding pharmacist's contact information in the above and following correspondence.

 

I have also contacted these pharmacies:

 

https://paramountpharmacy.com/contact/

 

https://www.keycompounding.com/contact/

 

I will let you know if I get a response from them.

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ChessieCat
On 3/17/2019 at 11:22 AM, ChessieCat said:

I have contacted the pccarx

 

And received the following response:

 

I have not provided Ranel's address because it may change in the future if this person leaves the organisation but this is the one I used and you can send it   Subject:   ATTN:  Clinical Compounding Pharmacist

 

customerserviceexternal AT SYMBOL pccarx DOT com

 

Thanks so much for contacting us regarding this.  There are definitely some options on compounding this product and we are happy to assist a pharmacy with the knowledge on how to do this.  We have many member pharmacies within the state of Washington that are PCCA members and would be able to assist this patient.  Do you know where in Washington State your contact is located?  If you can provide that information I can direct them to a pharmacy that is a PCCA member.  That pharmacy is welcome to contact me through our members only website or by calling customer service and I can assist them with a formulation. 

Thank you and have a wonderful day!

Ranel A. Larsen, Pharm D, RPh | Clinical Compounding Pharmacist

PCCA | 9901 South Wilcrest Dr. | Houston, TX 77099-5132

Ph: 800.331.2498    

Fax: 800.874.5760 | PCD Fax: 713-234-6009

www.pccarx.com

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ChessieCat

This has been added to Post #1 of this topic:

 

Quote

 

 

MOD NOTE:  If you cannot find a pharmacist who will compound your drug I suggest you contact the main compounding organisation in your country and ask them if your drug can be compounded and if it can, to advise you of a pharmacy who can do the compounding for you.  Or you could ask the compounding pharmacy to contact the compounding organisation.

 

PCCA - Professional Compounding Centers of America (includes:  Bahamas, Canada, US, Singapore, Taiwan, Thailand, Australia, New Zealand, Philippines, Malaysia)

https://www.pccarx.com/Resources/FindACompounder

 

 

 

If anyone knows the name of a compounding organisation in their country please post here and I will add the details.

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