Presentation is loading. Please wait.

Presentation is loading. Please wait.

Palliative Care Malignant Wounds Compounding Pharmacy’s Approach

Similar presentations


Presentation on theme: "Palliative Care Malignant Wounds Compounding Pharmacy’s Approach"— Presentation transcript:

1 Palliative Care Malignant Wounds Compounding Pharmacy’s Approach
Dennis Wong, B.Sc. (Pharm.) CD Whyte Ridge Pharmacy 123 G Scurfield Blvd., Winnipeg (204)

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 Pt keep it SL for 10min, Pre-fill syringes, Filtered Needles, if pt cannot hold liq properly, then lollipops, lozenges

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)

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

6 - 2 to 4 sprays to surrounding area or specific painful spots
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 Aq gel easy to wash off with Normal saline, polyox bandage is cellulose powder mixture that you can mix medications in it, abosrb fluid so good for oozing wounds, puff it to wound, spray with NS & puff again until you get a few layer, can be wash away with NS irrigation

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???


Download ppt "Palliative Care Malignant Wounds Compounding Pharmacy’s Approach"

Similar presentations


Ads by Google