prescription order, a formulation can be compounded to
contain the proper combination of active ingredients, in
the most appropriate base, to treat a specific type of
wound. We customize medications to meet each
individual’s specific needs.
For example, the choice
of cream, ointment, or gel can be clinically
significant. Each time a wound needs to be cleaned,
there is the potential for disruption of new tissue
growth. Gels, which are more water soluble than creams
or ointments, may be preferable for wound use because a
gel can be rinsed from the wound by irrigation.
Ointments may contain polyethylene glycol (PEG), which
can be absorbed from open wounds and damaged skin. If
the wound is quite large and too much PEG is absorbed,
it can lead to renal toxicity.
Another useful dosage
form is the “polyox bandage” - which can be puffed onto
a wound and will adhere even if exudate is present. A
polyox bandage can be compounded to contain the active
ingredient(s) of your choice.