Dermatology Compounding

Providing specialized dermatological care for patients and healthcare providers, including topical medications, creams, gels, ointments, etc.

Every patient's skin is unique, and dermatological conditions often require individualized treatment approaches. When commercially available products don't meet a patient's specific needs, compounding offers the flexibility to create personalized topical preparations.

Why Does Dermatology Compounding Matter?

Dermatology compounding prepares custom topical medications tailored to individual patient needs. This allows for:

  • Combination Formulations: Blends multiple active ingredients and specialized bases into a single customized topical preparation
  • Custom Strengths: Tailored to precise concentrations that commercial medications do not offer
  • Personalized Bases: Vehicle formulations, such as ointments, creams, gels, and lotions, suited to your individual skin type
  • Allergen-Free Options: Preparations customized to exclude problematic ingredients, such as fragrances, dyes, preservatives, gluten, and dairy

Dosage Forms

Creams

Oil and water emulsions that easily absorb into the skin, customized with pleasant textures, no residue, and quick absorption.

Ointments

Provide occlusion, a physical barrier to trap moisture, and improved skin penetration for dry or scaly skin conditions.

Gels

Clear, semi-solid preparations that are easily absorbed and lack greasiness.

Lotions

Semi-liquid preparations to easily cover large areas.

Solutions

Designed for scalp conditions and nail treatments.

Foams

Light preparations ideal for scalp and large body areas.

Commonly Compounded Preparations

Acne Treatments: Combinations of active ingredients at the strengths your prescriber specifies, where a single commercial product does not cover the combination
Psoriasis & Eczema: Topical anti-inflammatory preparations in the base and strength prescribed
Anti-Aging: Prescription compounding into cosmetically elegant, non-greasy, quick-absorbing, and neutral-smelling bases
Pigmentation Disorders: Preparations prescribed for hyperpigmentation, in combinations and strengths set by your prescriber
Antifungal: Custom-strength nail and skin preparations, including vehicles chosen for nail penetration where a prescriber asks for them
Wound Care: Specialized preparations combining the active ingredients your prescriber specifies for wound management

Topical preparations are compounded at our Lake Mary pharmacy for patients in Central Florida, and we also ship and deliver across all of Florida. Learn more by reading areas we serve from Lake Mary.

Frequently Asked Questions

Local prescription delivery is free.

Yes, compounded prescription medications require a valid prescription from a licensed healthcare provider such as a dermatologist, physician, nurse practitioner, or physician assistant.

In many cases, yes. If you have information about the medication, we can often prepare a comparable formulation with your healthcare provider's prescription.

Often, yes. We can frequently prepare formulations without common allergens like parabens, propylene glycol, fragrances, dyes, or other problematic ingredients.

Usually because the commercial options did not fit. The strength you need may not be made, you may react to something in the base, or your prescriber may want two or three actives in one application rather than three separate products. Compounding lets the prescription match the treatment plan instead of the plan matching what is stocked.

A compounded cream is a prescription medication prepared for you individually, at the strength and in the base your prescriber specified, and it can contain actives not sold over the counter. An over-the-counter product is a manufactured item sold at fixed, generally lower strengths without a prescription. Compounded preparations are not FDA-approved.

Yes, with a prescription specifying the strength and the base. Manufactured tretinoin comes in a small number of fixed concentrations, and prescribers frequently want something between them, something lower for sensitive skin, or the same strength in a different vehicle. Your dermatologist writes the specification and we prepare to it.

Combination preparations of this kind are compounded when a prescriber writes for them, and the actives, strengths, and base are their decision rather than ours. Compounded preparations are not FDA-approved. Ask your dermatologist whether a combination suits your skin and how long they intend you to use it, then send us the prescription.

Whatever your prescriber writes. These are typically combination preparations, and the actives, their strengths, and the base are chosen for the individual patient by the dermatologist, not selected from a menu by the pharmacy. Send us the prescription and we will tell you the price and the turnaround before we make anything.

Often, yes, when your prescriber writes for it, and it is a common request because one application is far easier to keep up with than three. Not every combination is chemically stable together in one base, so ask us before your dermatologist writes it and we will tell them what will hold up.

Prescribers do write compounded topical preparations for rosacea, usually where the commercial options have not suited the patient or where a particular strength or base is wanted. What goes into one is your dermatologist's decision. We prepare what is prescribed; we cannot advise on whether it is right for your skin.

Yes, when it is prescribed. Compounded preparations for eczema are commonly requested in order to leave out a preservative, fragrance, or base ingredient the patient reacts to, or to combine actives in a single vehicle. Tell us what has to be excluded when the prescription is sent and we will formulate accordingly.

There is no fixed number; the limit is chemical rather than administrative. What matters is whether the actives are stable together in one base at the strengths prescribed, and whether the result still behaves like a cream. Our pharmacists will tell your dermatologist what is workable. Those calls are welcome on (407) 610-9090.

We quote each prescription individually, because cost depends on the actives, their strengths, the base, and the tube size your dermatologist ordered. Many plans do not cover compounded topicals. We give you the cash price before we prepare anything and can provide an itemized receipt to submit to your insurer yourself.

Contact Pharmique Pharmacy

Questions about dermatology compounding?

(407) 610-9090
1210 S International Pkwy, Suite 166
Lake Mary, FL 32746
Mon-Fri: 9:00 AM - 5:00 PM
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Important Information

About Compounded Medications: Compounded dermatological preparations are prepared by our licensed pharmacy pursuant to a prescription from a licensed healthcare provider. Compounded medications are NOT FDA-approved.

For External Use Only: Unless specifically prescribed otherwise, dermatological preparations are for external use only. Follow all application instructions provided.