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Title: The Ghen and Rains Physicians Guide to Pharmaceutical Compounding by Impakt Communications, John F.A.C.A. Rains ISBN: 1-890694-29-0 Publisher: Impakt Communications Pub. Date: 04 April, 2000 Format: Hardcover Volumes: 1 List Price(USD): $49.95 |
Average Customer Rating: 4.5 (2 reviews)
Rating: 5
Summary: Review by a Medical Doctor
Comment: Reference guide for the physician Steven J. Bock, MD
The last quarter of the 20th century witnessed the emergence of integrative medicine. Previously, healthcare practitioners faced increasing pressure to make cookbook diagnostic and treatment protocols to facilitate coding and reimbursement. This led to an attempt to fit the patient's "dis-ease" into the treatment, instead of fitting the treatment to the patient. In contrast, integrative medicine evaluates each individual's symptoms, what they mean, in whom they are occurring, and what that patient needs. Pharmaceutical compounding has endured the same restraints and is now enjoying a rebirth. A compounding pharmacy can expertly mix and dispense various medications and natural supplements in a unique prescription for a patient's unique problem. Editors Mitchell Ghen, D.O., Ph.D., and John Rains, compounding pharmacist, F.A.C.A., have pulled together a significant reference guide on pharmacologic compounding: The Ghen and Rains Physicians' Guide to Pharmaceutical Compounding. (Green Bay: IMPAKT Communications, Inc., 2000). Standard medications will probably work for 80 percent of your patients. However, the other 20 percent may need something special. For example, a menopausal woman may have multiple concerns. Perhaps she experiences certain symptomatology, including a personal or family history of cancer, gastrointestinal problems from oral medication, side effects secondary to allergy, and a unique liver metabolic detox profile for the breakdown of hormones. Her physician may be cognizant of these needs but hampered by the pharmacologic preparations available. Her physician may want to get measurements of the patient's hormones, possibly by blood or salivary determination, and then prescribe a transdermal hormonal preparation, a custom-tailored combination of estriol, estradiol, natural progesterone, testosterone, and DHEA. A qualified compounding pharmacy can specifically design a unique formula for that patient. The Ghen and Rains Physicians' Guide to Pharmaceutical Compounding provides an excellent overview of the myriad aspects involved in compounding a prescription. Mr. Rains gives us a detailed description of the equipment and processes that compounding pharmacies use to implement a formula. The authors discuss the various vehicles and dispersion solutions that are available, and their advantages. You'll learn about the many ways that analgesics can be dispersed, such as rectally or transdermally. Chapters are included on bio-identical hormones, anti-aging nutraceuticals, and homeopathic compounding. The chapter on homeopathic prescribing offers a clear, concise description of homeopathy for the uninitiated physician. There are also sections on bioavailability of various medications, and information on preservatives, stabilizers, flavorings, and coloring agents. I especially enjoyed the chapters on analgesics, nutritional formulations, and rehabilitation/sports medicine, where the authors share sample prescriptions. This will give practitioners a strong starting point so they may eventually create their own unique prescriptions based on their patients' needs. The Ghen and Rains Guide includes professional monographs for over 200 compounding prescriptions for a multitude of conditions. These formulas range from bromelain PLO gel for treating painful inflammation, to testosterone PLO gel preparations. One can also compound DMPS or DMSA, preservative-free medications such as clonidine solution, or preservative-free nutrients such as taurine injectables. Again, this section provides a well-tested armamentarium for established protocols, as well as a starting point from which to create new avenues for your treatments. This is an indispensable office manual for medical practitioners who want to explore the potential of compound prescription writing. In this new millennium, we are becoming more aware of the unlimited amount of medical information and possibilities available to us. We need to make the treatment fit the patient, rather than trying to make the patient fit the treatment. The top-down style of pharmaceutical treatments may work for many of our patients, but we also need the option of customized, individualized products, such as compounded prescriptions. The Ghen and Rains Guide is the first textbook in this field that typifies a shift in the healthcare system. It puts the patient first with respect to prescription remedies. I recommend it highly, and feel it will be very helpful to many primary care physicians, OB-GYN specialists, orthopedists, rehabilitation practitioners, pain-management specialists, and other physicians who choose to expand their repertoire.
Rating: 4
Summary: physicians guide to pharmaceutical compounding
Comment: A must for pharmasists and physicians concerned with compounding drugs for more personalized care. This book brings to light some of the alternative medicines along with the conventional. Dr. Ghen's approach to medicine brings back the belief that you must treat not only the problem but the individual.
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Title: Allen's Compounded Formulations : The Complete U.S. Pharmacist Collection by Loyd V. Allen, International Journal of Pharmaceutical Compounding ISBN: 1582120412 Publisher: Apha Publications Pub. Date: 25 March, 2003 List Price(USD): $149.00 |
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Title: Trissel's Stability of Compounded Formulations by Lawrence A. Trissel ISBN: 1582120072 Publisher: Apha Publications Pub. Date: 01 June, 2000 List Price(USD): $92.00 |
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