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Palliative Care Malignant Wounds Compounding Pharmacys Approach Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)-488-1819.

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Presentation on theme: "Palliative Care Malignant Wounds Compounding Pharmacys Approach Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)-488-1819."— Presentation transcript:

1 Palliative Care Malignant Wounds Compounding Pharmacys Approach Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)-488-1819 cindenrx@mts.net

2 - Incident Pain Medications - Topical Dosage Forms - Medications and Bases

3 Incident Pain Medications Fentanyl, Sufentanil Sublingual -Short acting opioids, injectable -Works within 10 to 15minutes and last about ~ 1 hour -Hold liquid under the tongue for about 10 minutes if possible without swallowing it -May be repeated up to two more doses at 10-15 minutes intervals

4 -Flavoured Fentanyl SL, Lollipops, Lozeges -Nasal Spray - Sufentanil in metered dose nasal sprayer which delivers 0.1mL per spray - one or more sprays approximately 10 to 15 minutes prior to activity. Incident Pain Protocol (www.palliative.info)www.palliative.info

5 Topical Dosage Forms Topical Sprays Wound Dressing Gels Radiation Burn Gel Mouthwash, Mouth Gel

6 Topical Spray - 0.1mL per spray - 2 to 4 sprays to surrounding area or specific painful spots Wound Dressing gel - Aqueous gel, Glycol base Gel - Polyox Bandage Radiation Burn gel - protective artificial skin layer

7 Mouthwash - medications to coat the mouth, treat pain, infections Mouth Gel - slow released protective coating

8 Medications and Bases Topical Sprays - Morphine Sulfate, Hydomorphone HCl, Methadone HCl - Normal Saline, Proplylene Glycol, Ethoxy Diglycol, DMAE Wound Dressing Gels - Lidocaine, Tetraciane, Morphine Sulfate, Hydromorphone HCl, Methadone HCl

9 For Bed Sore Ulcer Wounds - same pain medications - Aloe Vera, Phenytion, Misoprostol Metronidazole Base Bases - Intrasite Gel, Cellulose (Med Visc) Gel, Propylene Glycol, Ethoxy Diglycol, DMAE

10 Radiation Burn Gel - Lidocaine, Tetracaine, Morphine, Hydromorphone, NSAID, Antibiotics, Aloe Vera - Pluronic F127 Gel (Carbomer Gel) Mouthwash - Tetracaine HCl, Corticosteroids, Anti-fungal, Anti-viral, Antibiotics, Anti-histamine, Sucralfate - Anti-foaming mouthwash base

11 Mouth Gel - Morphine Sulfate, Hydromorphone HCl, Glycerin, Lemon - Bioadhesive Slow Released Gel

12 Need to try something unique? TALK TO US !!! Work with you to create a unique compound to meet your patients needs Member of Professional Compounding Centre of America (PCCA)

13 Questions???


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