San Dimas PHARMACY COMPOUNDING

ABOUT SAN DIMAS PHARMACY WHO IS SAN DIMAS PHARMACY? Although San Dimas Pharmacy only opened it’s doors on Februrary 21st, 2008 we have rapidly established ourselves as Bakersfield’s friendliest pharmacy. We aim to provide a warm, traditional, family-oriented atmosphere combined with state-of-the-art technology. Our staff is courteous, friendly and will go out of their way to keep our customers happily healthy. We strive to get to know our customers and their families on a first name basis. We pride ourselves in helping the community. Our pharmacist, Kalpana Patel, is available Monday thru Friday, 8.30AM to 6PM to provide private, personalized consultations and will be happy to answer any of your concerns. We work closely with the physicians to ensure quality care for our customers.

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PAIN FORMULATIONS Pain is an unpleasant feeling that results from harmful stimuli such as blunt force, extreme temperatures, or dangerous chemicals. It can result from a variety of sources including nerve damage or trauma. Whatever the cause, the complexities of pain make treating it a challenge. Compounded pain creams allow physicians to choose from medications with different mechanisms of action to target the patient’s specific type of pain. In addition, using pain medications topically does not result in the adverse effects from systemic narcotic drugs. Using compounded pain creams also provides an alternative for patients who suffer from chronic pain and allows them to escape some of the stigmatization associated with the condition.

1) MUSCLE PAIN 1 (GCPBDA) CREAM Gabapentin 6%, Clonidine 0.2%, Prilocaine 7%, Baclofen 3%, Diclofenac 2%, Amantadine 20% 2) MUSCLE PAIN 2 (DBGLA) CREAM Diclofenac 2%, baclofen 3%, Gabapentin 6%, Lidocaine 1%, Amantadine 10% 3) ANTI-INFLAMATORY PAIN 1 (FBCGL) CREAM Flurbiprofen 20%, Baclofen 2%, Cyclobenzaprine 2%, Gabapentin 6%, Lidocaine 2.5% 4) ANTI-INFLAMATORY PAIN 2 (GDBDL) CREAM Gabapentin 8%, Dextromethorphan 8%, Baclofen 3%, Diclofenac 2%, Lidocaine 1% 5) PAIN OPTION 2 (MTL) CREAM Meloxicam 0.9%, Topiramate 2%, Lidocaine 2% 6) PAIN OPTION 3 LidoRX Gel (Lidocaine HCL 3%) & Voltaren Gel (Diclofenac Sodium 1%) 7) PAIN PATCH Menthol 5%, Capsaicin 0.05%. Cash Formula for (7) Formulas above: AIDL (Amantadine 10%, Ibuprofen 20%, Dexamethasone 0.4%, Lidocaine 1%)

9) MIGRAINE OPTION 2 (SPL) CREAM Sumatriptan 3%, Pentoxifylline 3%, Lidocaine 2%). Cash Formula for Migraine: SN (Sumatriptan 2.5%, Naproxen 2%) 10) PSORIASIS OPTION 1 (CMTG) CREAM Cyclosporine 2%, Mometasone 0.2%, Tretinoin 0.05%, Glycolic Acid 2% 11) PSORIASIS OPTION 2 (CSTC) CREAM (Coal Tar 5%, Salicylic Acid 5%, Triamcinolone .016%, Clobetasol 0.0125%). Cash Formula for Psoriasis: GCT (Glycolic Acid 2%, Clobetasol 0.05%, Triamcinolone 0.025%) 12) TMJ (AGFLBBIC) CREAM Amantadine 10%, Gabapentin 5%, Flurbiprofen 5%, Lidocaine 4%, Bupivacaine 2%, Baclofen 2%, Imipramine 2%, Carbamazepine 2%. Cash Formula for TMJ: PPM (Potassium Chloride 6%, Potassium Citrate 6%, Magnesium Chloride 6%) 13) PLANTAR FASCIITIS (VCGDTA) CREAM Verapamil 10%, Clonidine 0.2%, Gabapentin 6%, Diclofenac 3%, Tetracaine 2%, Amantadine 15% Cash Formula for Plantar Fasciitis: VKL (Verapamil 5%, Ketoprofen 5%, Lidocaine 5%)

8) MIGRAINE OPTION 1 (SPDLT) CREAM Sumatriptan 5%, Pentoxifylline 5%, Dexamethasone 0.1%, Lidocaine 5%, Tramadol 2%

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DERMATOLOGY FORMULATIONS The skin is the body’s largest organ and functions as a protective cover for the rest of the body. As the body’s defensive barrier, the skin is at a greater risk of coming in contact with harmful chemicals and other environmental hazards. This is especially true when a skin condition is affecting the integrity of the skin. In addition, skin is the body’s only organ visible to the naked eye. Red, scaly skin can not only be uncomfortable, but it can also be embarrassing.

1) SCAR & STRETCH MARKS FLDPPG (Fluticasone 1%, Levocetirizine Dihydrochloride 2%, Pentoxifylline 0.5%, Prilocaine 3%, Gabapentin 15%). Cash Formula ECT (EGC-G 1%, Caffeine 1%, Tranilast 1%) 2) WOUND VLMC (Vancomycin 5%, Levofloxacin 1%, Mupirocin 5%, Collagenase 250 u/gm). Cash Formula (Phenytoin 5% Cream) 3) ITCHING (TOPICAL) LDDC (Lidocaine 1%, Diphenhydramine 2%, aDexamethasone 0.5%, Cimetidine 4%). Cash Formula for Body (Triamcinolone 0.1% Cream) Cash Formula for Face (Hydrocortisone Valerate 0.2% Cream) 4) ANTI-AGING FBC (Fluticasone 1%, Methylcobalamin 0.07%, Coenzyme Q10 4%). Cash Formula KT (Kojic Acid 6%, Tretinoin 0.1%) 5) SKIN LIGHTENING / ANTI-AGING HTT (Hydroquinone 4.5%, Tretinoin 0.1%, Triamcinolone 0.1%. Cash Formula KT (Kojic Acid 6%, Tretinoin 0.1%) 6) ACNE CBTA (Clindamycin 2%, Benzoyl Peroxide 2.5%, Tretinoin 0.05%, Aloe Vera 1%). Cash Formula (Spironolactone 5% Cream)

7) ANTI-FUNGAL CREAM TCT (Terbinafine 2%, Ciclopirox 4%, Triamcinolone 0.25%). Cash Formula TD (Terbinafine 2%, DMSO 5%) 8) ANTI-FUNGAL NAIL SOLUTION TIFD (Terbinafine 1%, Itraconazole 3%, Fluconazole 3%, Diclofenac 3%). Cash Formula TD (Terbinafine 2%, DMSO 5%) 9) PSORIASIS CMTG (Cyclosporine 2%, Mometasone 0.2%, Tretinoin 0.05%, Glycolic Acid 2%). Cash Formula GCT (Glycolic Acid 2%, Clobetasol 0.05%, Triamcinolone 0.025%) 10) ECZEMA TS (Triamcinolone 0.1%, Salicylic Acid 2%) Cash Formula GCT (Glycolic Acid 2%, Clobetasol 0.05%, Triamcinolone 0.025%) 11) ROSACEA CM (Clindamycin 2%, Metronidazole 0.7%) Cash Formula RZ (Resorcinol 2%, Zinc Oxide 10%) 12) WARTS CISA (Cimetidine 2%, Imiquimod 2.5%, Salicylic Acid 30%, Acyclovir 5%). Cash Formula CS (Cimetidine 2%, Salicylic Acid 30%)

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PAIN PILLS V.S. PAIN CREAMS Topical pain and anti-inflammatory creams reduce inflammation, pain, swelling and discomfort in localized areas without the typical side effects often associated with oral treatments such as non-steroidal anti-inflammatory or narcotic therapy. Research shows topical medications may also be preferred to minimize side effects or issues such as stomach upset, constipation, and drug interactions often associated with oral medications.

ONCOLOGY FORMULATIONS The skin is the body’s largest organ and functions as a protective cover for the rest of the body. As the body’s defensive barrier, the skin is at a greater risk of coming in contact with harmful chemicals and other environmental hazards. This is especially true when a skin condition is affecting the integrity of the skin. In addition, skin is the body’s only organ visible to the naked eye. Red, scaly skin can not only be uncomfortable, but it can also be embarrassing.

1) SCAR & STRETCH MARKS FLDPPG (Fluticasone 1%, Levocetirizine Dihydrochloride 2%, Pentoxifylline 0.5%, Prilocaine 3%, Gabapentin 15%). Cash Formula ECT (EGC-G 1%, Caffeine 1%, Tranilast 1%) 2) WOUND VLMC (Vancomycin 5%, Levofloxacin 1%, Mupirocin 5%, Collagenase 250 u/gm). Cash Formula (Phenytoin 5% Cream) 3) ITCHING (TOPICAL) LDDC (Lidocaine 1%, Diphenhydramine 2%, aDexamethasone 0.5%, Cimetidine 4%). Cash Formula for Body (Triamcinolone 0.1% Cream) Cash Formula for Face (Hydrocortisone Valerate 0.2% Cream) 4) ANTI-AGING FBC (Fluticasone 1%, Methylcobalamin 0.07%, Coenzyme Q10 4%). Cash Formula KT (Kojic Acid 6%, Tretinoin 0.1%) 5) SKIN LIGHTENING / ANTI-AGING HTT (Hydroquinone 4.5%, Tretinoin 0.1%, Triamcinolone 0.1%. Cash Formula KT (Kojic Acid 6%, Tretinoin 0.1%) 6) ACNE CBTA (Clindamycin 2%, Benzoyl Peroxide 2.5%, Tretinoin 0.05%, Aloe Vera 1%). Cash Formula (Spironolactone 5% Cream)

7) ANTI-FUNGAL CREAM TCT (Terbinafine 2%, Ciclopirox 4%, Triamcinolone 0.25%). Cash Formula TD (Terbinafine 2%, DMSO 5%) 8) ANTI-FUNGAL NAIL SOLUTION TIFD (Terbinafine 1%, Itraconazole 3%, Fluconazole 3%, Diclofenac 3%). Cash Formula TD (Terbinafine 2%, DMSO 5%) 9) PSORIASIS CMTG (Cyclosporine 2%, Mometasone 0.2%, Tretinoin 0.05%, Glycolic Acid 2%). Cash Formula GCT (Glycolic Acid 2%, Clobetasol 0.05%, Triamcinolone 0.025%) 10) ECZEMA TS (Triamcinolone 0.1%, Salicylic Acid 2%) Cash Formula GCT (Glycolic Acid 2%, Clobetasol 0.05%, Triamcinolone 0.025%) 11) ROSACEA CM (Clindamycin 2%, Metronidazole 0.7%) Cash Formula RZ (Resorcinol 2%, Zinc Oxide 10%) 12) WARTS CISA (Cimetidine 2%, Imiquimod 2.5%, Salicylic Acid 30%, Acyclovir 5%). Cash Formula CS (Cimetidine 2%, Salicylic Acid 30%)

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NASAL IRRIGATION & NASAL NEBULIZATION Nasal drug delivery via nasal irrigation or nasal nebulization can achieve local or systemic effects within the body. The nasal region has an abundant supply of blood vessels and is highly permeable to sufficiently small and lipophilic substances. When aiming to treat resistant sinus infections however, achieving a local effect in the sinus cavity may be more beneficial. According to the FDA guidance document on nasal drug delivery, the optimal particle size for nasal deposition should be substantially larger than five microns. Nasal nebulizer treatments (with larger particle sizes of approximately 10 – 30 microns) have good compliance rates because they deliver therapy in under two minutes, do not require refrigeration, and are very easy for patients to use. Nebulizer treatments are also beneficial because they offer an additional strategy for treating stubborn sinus infections by simultaneously delivering multiple medications at high concentrations and minimal medication waste.

BENEFITS OF NEBULIZER TREATMENTS • Increases the solubility and dispensability of active ingredients, potentially improving absorption performance • Allows for multi-drug therapy combinations, giving you more power to customize medication, simplify therapy regimens and potentially improve patient compliance • Enables an extended beyond-use date consistent with USP guidelines for anhydrous dosage forms, since the powder contents (from a capsule or sachet) are mixed with Sodium Chloride only at the time of use • Testing has concluded that it improves the antimicrobial activity of the active pharmaceutical ingredients (APIs)

TYPES OF PATIENTS WHO MAY BENEFIT FROM PHARMACEUTICAL NASAL THERAPY • Patients with recurrent nasal polyps • Patients suffering from recalcitrant allergic rhinitis • Patients with smell disorders • Post-sinus surgery patients with chronic nasal crusting and infection • Patients with infections who have had or are candidates for sinus surgery • Patients suffering from other rhinologic conditions no insurance) for $41.99 (per machine. Adult & Child masks are available to purchase (cash only, no insurance) for $4.22 (per mask)

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TYPES OF ACTIVES • Antihistamines • Antifungals • Anesthetics • Antibacterials • Steroids NOTES According to Chapter 797 of the U.S. Pharmacopoeia, compounded aqueous solutions for irrigation or nebulization are required to be sterile. But commercially available dry powders for inhalation are manufactured as non-sterile products, since there is no water present in the products to promote the growth of microbes. And while compounded or manufactured aqueous solutions are sterile prior to administration, once the solution is opened and placed into a nebulizer cup or irrigation device it is no longer sterile, which means it’s not actually administered sterile. For Nebulizer treatments, a nebulizer machine & mask are required. San Dimas Pharmacy offers one complimentary nebulizer machine & one mask (adult or child) for NEW sinus therapy prescriptions (one per patient). Nebulizer machines are available to purchase (cash only,

FREQUENTLY PRESCRIBED FORMULATIONS • Cromolyn (200 mg) • Betamethasone (0.5 mg) + Tobramycin (100 mg) • Betamethasone (0.5 mg) + Tobramycin (100 mg) + Vancomycin (200 mg) • Fluticasone (3 mg) + Tobramycin (125 mg) • Fluticasone (3 mg) + Tobramycin (125 mg) + Itraconazole (40 mg) • Fluticasone (3 mg) + Tobramycin (125 mg) + Amphotericin B (5 mg) • Betamethasone (0.5 mg) + Vancomycin (200 mg) • Fluticasone (3 mg) + Vancomycin (160 mg) • Fluticasone (3 mg) + Vancomycin (160 mg) + Itraconazole (40 mg) • Mometasone (0.6 mg) + Levofloxacin (100 mg) • Fluticasone (3 mg) + Levofloxacin (100 mg) + Amphotericin B (5 mg) • Fluticasone (3 mg) + Mupirocin (5 mg) + Tobramycin (125 mg) • Mometasone (0.6 mg) + Levocetirizine (4)

METABOLIC SUPPLEMENTS The optimal intake of vitamins and minerals (micronutrients) is essential to your health. Without this we run the risk of increased sickness, stress on the internal mechanisms of the body and possible accelerated disease. Micronutrients which are greatly lacking in most people’s diet for many reasons, assist in a variety of cellular functions including DNA repair, detoxification of foreign substances within the body, hormone production, along with general maintenance of growth, reproduction, and energy. A network of homeostatic control mechanisms work to maintain the cellular environment within limits. When the homeostatic balance becomes disrupted due to poor nutrition, stressful lifestyle or general neglect, cells within your body begin to malfunction which can lead to disease. Disease and cellular malfunction arise in two basic ways: deficiency (cells not getting what they need) or toxicity (cells poisoned by what they do not need). The link between diet and health is clear: external influences based on lifestyle choices, such as diet, and environmental exposure can affect your body’s ability to maintain cellular health. A potent, targeted micronutrient supplement can help support energy production and optimal metabolism promoting a more balanced cellular homeostasis. San Dimas Pharmacy is on the cutting edge of enhanced metabolic nutrition and has assembled highly effective, ultra-potent and micronutrient dense formulas for doctors to help their patients stay healthy and achieve optimum health. Ask your doctor how you can use these pharmaceutical grade, cutting edge and highly effective vitamins to put yourself in the driver’s seat towards increased health, better energy levels, and maximum vitality. FORMULATIONS OFFERED BY SAN DIMAS PHARMACY These are 3 examples offered by San Dimas Pharmacy. Please call the pharmacy for any questions to customize a formulation. OPTION ONE RHUAD CAPS (783) 1. Resveratrol 100mg 2. Hydroxocobalamin (Vit B 12) 20mg 3. Ubiquinol (Active Co-Enzyme Q10) 100mg 4. Alpha Lipoic Acid 250mg 5. Vitamin D3 1000 units

OPTION TWO HPNMU CAPS (783) 1. Hydroxocobalamin (Vit B12) 20mg 2. Pyridoxal-5-phosphate (Vit B6) 70mg 3. NADH 5mg 4. 5-Methyltetrahydrofolate Calcium (5-MTHF) 10mg 5. Ubiquinol (Active Co-Enzyme Q10) 100mg

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OPTION THREE HPND CAPS (783) 1. Hydroxocobalamin (Vit B12) 20mg 2. Pyridoxine HCL (Vit B6) 70mg 3. Nicotinamide Adenine Dinucleotide Reduced (NADH) 5mg 4. Vitamin D3 1000 units

INGREDIENT LIST 5-METHYLTETRAHYDROFOLATE CALCIUM (5-MTHF) Water-soluble B vitamin. Biologically active form of folic acid that’s used at the cellular level for DNA reproduction, the cysteine cycle and the regulation of homocysteine. Supports optimal cardiovascular, immune, and nerve function. ACYCLOVIR An antiviral drug used to treat infections caused by herpes viruses, such as genital herpes, cold sores, shingles, and chicken pox. ALOE VERA Used topically to reduce pain and inflammation, enhancing the healing of skin wounds. ALPHA LIPOIC ACID An antioxidant that’s been shown to help prevent cell damage and improve the look of skin. Boosts metabolism. AMANTADINE An NMDA receptor antagonist that selectively interrupts certain pathways of the brain blocking the agonist-mediated response, inhibiting the perception of pain. AMPHOTERICIN B A polyene antifungal drug that is used in the treatment of sinus infections with a fungal etiology. It is indicated for the treatment of Candida and Aspergillus infections. ASCORBIC ACID (VITAMIN C) A naturally occurring organic compound with antioxidant properties. BACLOFEN / CYCLOBENZAPRINE Functions to block nerve impulses via the central nervous system, which controls the contraction and relaxation of skeletal muscle. Serves to relieve spasms, cramping, and tightening. BENZOYL PEROXIDE Has drying actions & reduces amount of acne-causing bacteria, improving mild to moderate acne. BETAMETHASONE A potent glucocorticoid (steroid) with anti-inflammatory and immunosuppressive properties that can relieve inflammation due to sinus infections. BUPIVACAINE / LIDOCAINE / PRILOCAINE / TETRACAINE Local anesthetics that, when used topically, creates a numbing effect through blocking nerves in one’s body from transmitting pain impulses. CAFFEINE Induces differentiation and proliferation in epidermal keratinocytes. CAPSAICIN Used to help relieve a certain type of pain known as neuralgia (shingles) and help relieve minor pain associated with rheumatoid arthritis or muscle sprains and strains. CARBAMAZEPINE Used to treat trigeminal neuralgia and decreases polysynaptic responses and helps to block nerve pain. CICLOPIROX An antifungal that treats skin infections caused by fungus, such as ringworm, athlete’s foot, or dandruff. CIMETIDINE A histamine H2-receptor antagonist used as an effective monotherapy for a variety of dermatological diseases including warts. (Molluscum contagiosum/genital/common), treating pruritus and idiopathic urticaria. CLINDAMYCIN An antibiotic that targets acne-causing bacteria and lipase-producing organisms, decreasing the number of acne lesions by reducting the concentration of free fatty acids in sebum, associated with acne inflammatory lesions. CLOBETASOL Helps to reduce the swelling, itching, and redness that can occur in a variety of skin conditions (e.g., eczema, dermatitis, allergies, rash). CLONIDINE A sympatholytic agent that may alter pain sensation by acting on receptors activated in neuropathic pain by obstructing norepinephrine signaling pathways and increasing GABAA receptor activity. CO-ENZYME Q10 An antioxidant and membrane stabilizer that found naturally in every cell in the body and essential for cell growth and maintenance. Plays a role in cellular health and growth and has a role in protection of heart disease, cancer, migraines, neuropathy, and oxidative stress. COLLAGENASE An enzyme used to reduce collagen production used to clean superficial wounds and severe burns. CROMOLYN A synthetic compound that is used to prevent allergic reactions and bronchospasms (narrowing of airways) that cause asthma. A mast-cell stabilizer that prevents the release of histamine. CYCLOSPORINE An immunosuppressant agent that is highly effective in the treatment of psoriasis and eczema. DEXAMETHASONE Has anti-inflammatory properties and has been shown to reduce the relapse of acute migraine headaches. DEXTROMETHORPHAN Non-competitive NDMA recetor antagonist offering the potential to therapeutically alleviate pain with minimal side effects.

DICLOFENAC Non-steroidal anti-inflammatory drug (NSAID) that functions by reduction the production of prostaglandins in the body responsible for causing inflammation, pain, stiffness, tenderness, swelling, and increased temperature. Works by blocking the effect of chemicals called cyclo-oxygenase. (COX) enzymes resulting in fewer prostaglandin production, which means pain and inflammation are eased. DILTIAZEM Relaxes muscles and blood vessels to increase blood circulation and oxygen delivery. DIPHENHYDRAMINE An antihistamine. Orally used to treat motion sickness, induce sleep, and treat certain symptoms of Parkinson’s disease. Topically used to relieve the itching of insect bites, sunburns, bee stings, poison ivy, poison oak, and minor skin irritation. DMSO Used to decrease pain from headaches, inflammation, and arthritis and speed the healing of wounds, burns, and muscle and skeletal injuries. EGC-G The most abundant catechin in tea and is a potent antioxidant that may have therapeutic applications in the treatment of many disorders (e.g. cancer). FLUCONAZOLE An antifungal used to treat fungal infections, including yeast infections of the vagina, mouth, throat, esophagus, abdomen, lungs, blood, and other organs. FLURBIPROFEN An analgesic, anti-inflammatory, and antipyretic medication used to relieve pain and inflammation in muscles, joints, and tendons. It is rapidly absorbed through the skin to reach the affected areas quickly. FLUTICASONE Medium-potency synthetic corticosteroid that exhibits anti-inflammatory properties used in the treatment of asthma and allergic rhinitis. FLUTICASONE PROPIONATE Exhibits anti-inflammatory, antipruritic, and vasoconstrictive properties, interfering with the formation of scar tissue and leading to decreased edema, erythema, pruritus, plaque formation & scaling of the affected skin. GABAPENTIN Has a unique effect on voltage-dependent calcium ion channels in the nerve cells, thought to interrupt the series of events that lead to experience of pain sensation. Although, the exact mechanism is unclear, its been shown to prevent allodynia (pain-related behavior in response to a normally innocuous stimulus) and hyperalgesia. GLYCOLIC ACID Has keratolytic properties and works as a skin peeling agent. Used on the skin to gradually peel off and treat common skin and foot (plantar) warts, help remove corns and calluses. HALOPERIDOL An antipsychotic medication used in the treatment of schizophrenia, acute psychosis, mania, delirium, nausea and vomiting in palliative care, intractable hiccups, agitation, and severe anxiety. HYALURONIC ACID A natural substance present in the body that’s used for healing wounds, burns, skin ulcers, and as a moisturizer. HYDROCORTISONE VALERATE A synthetic (man-made) corticosteroid that is used on the skin (topically). Corticosteroids have potent anti-inflammatory actions and also suppress the immune response. HYDROXOCOBALAMIN Natural form of Vitamin B12 that is essential to growth, cell reproduction, and hematopoiesis. Plays a role in supplying essential methyl groups for DNA & protein synthesis including myclin. IBUPROFEN A nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body IMIPRAMINE A tricyclic antidepressant that exhibit local anesthetic properties. IMIQUIMOD An immune response modifier used to treat certain types of growths on the skin including precancerous growths (actinic keratosis), certain types of skin cancer (superficial basal cell carcinoma), and warts on the outside of the genitals/anus. ITRACONAZOLE Exerts its effect by altering fungal cell membranes, suppressing their ability to grow or reproduce. KETOPROFEN A nonsteroidal anti-inflammatory drugs used for the treatment of musculoskeletal pain. KOJIC ACID A chelation agent produced by several species of fungi that is used in cosmetics to lighten skin and as a treatment for skin diseases like melasma. LEVOCETIRIZINE DIHYDROCHLORIDE A Histamine (H1) receptor agonist, suppresses the formation of edema, flare, and pruritus that result from histaminic activity. Inhibits the inflammatory response which reduces scar formation and suppresses stimulation in keloid strains and unintentional scratching.

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LEVOFLOXACIN A quinolone antibiotic that works by interfering with bacterial DNA replication. Broad-spectrum bactericidal activity covering aerobic gram-positive and gram-negative bacteria to include most strains of bacterial pathogens responsible for respiratory infections. LIDOCAINE / PRILOCAINE Local anesthetics that, when used topically, creates a numbing effect through blocking nerves in one’s body from transmitting pain impulses. LIDOCAINE / PRILOCAINE / TETRACAINE Local anesthetics that, when used topically, creates a numbing effect through blocking nerves within the body from transmitting pain impulses. MAGNESIUM CHLORIDE Helps the body absorb calcium and other important nutrient for bone density. MELOXICAM A nonsteroidal anti-inflammatory drug that is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis. MENTHOL A topical analgesic that is used to relieve minor pain caused by conditions such as arthritis, bursitis, tendonitis, muscle strains or sprains, backache, bruising, and cramping. METHYLCOBALAMIN A form of Vitamin B12 used orally in the treatment of peripheral neuropathy, diabetic neuropathy, and as a preliminary treatment for amyotrophic lateral sclerosis. Topically used for dry, itchy eczema skin conditions. Helps reduce painful swelling, inflammation, and skin lesions caused by dermatitis. METOCLOPRAMIDE Used in hospice for managing terminal delirium, nausea, vomiting, or hiccups. Topical dosage forms of symptom management medications to be used when swallowing is difficult or impossible due to the life-limiting illness. METRONIDAZOLE An antibiotic effective against anaerobic bacteria and certain parasites. MISOPROSTOL Synthetic analogue of prostaglandin E1, attenuate the inflammatory process and promote collagen formation by inhibiting IL-1 and TNF. Modulate inflammation and decrease wound healing time. MOMETASONE A medium-potency glucocorticosteroid that exhibits anti-inflammatory and antipruritic properties corresponding to decreased erythema, pruritus, plaque formation, and scaling of the affected skin. MUPIROCIN Monocarbolic antibiotic stopping the production of essential proteins needed for bacteria to survive, used to treat gram positive bacteria. NAPROXEN A nonsteroidal anti-inflammatory that is used to treat fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. NICOTINAMIDE ADENINE DINUCLEOTIDE REDUCED (NADH) Stabilized orally absorbable form of nicotinamide adenine dinucleotide; co-enzyme involved in posttranslational modification and redox metabolism including cellular respiration. NIFEDIPINE Relaxes muscles and blood vessels to increase blood circulation and oxygen delivery. Possesses some anti-inflammatory properties as well. NYSTATIN Used to treat fungal infections of the skin, mouth, vagina, and intestinal tract. PENTOXIFYLLINE Used to improve blood flow (by decreasing the thickness of blood) in patients with circulation problems to reduce aching, cramping, and tiredness in the hands and feet. PHENYTOIN Stimulates collagen deposition, fibroblast proliferation, glucocorticoid antagonism, and has antibacterial activity. PHYTONADIONE (VITAMIN K) A Vitamin K source that is used to prevent bleeding in people with blood clotting problems or too little Vitamin K in the body. Topical application used to reduce bruising. POTASSIUM CHLORIDE Potassium is used to treat TMJ in a noninvasive manner by penetrating and permeating the painful tissues around the area and inactivating both the nerves of the CNS and ANS thereby inhibiting pain, inflammation and muscle spasms. POTASSIUM CITRATE Potassium is used to treat TMJ in a noninvasive manner by penetrating and permeating the painful tissues around the area and inactivating both the nerves of the CNS and ANS thereby inhibiting pain, inflammation and muscle spasms. PROMETHAZINE An antihistamine that is used to prevent motion sickness, and treats nausea and vomiting or pain after surgery. Topical dosage forms of symptom management medications to be used when swallowing is difficult or impossible due to the life-limiting illness. PYRIDOXINE HCL Vitamin B6; co-enzyme catalyst in variety of body process including energy metabolism and neurotransmitter function , gluconeogenesis/glycogenolysis, and immune function.

PYRIDOXAL-5-PHOSPHATE Active form of Vitamin B6. Co-enzyme catalyst in variety of body process including energy metabolism, neurotransmitter function, gluconeogenesis/glycogenolysis, and immune function. Plays a role in protection of age-related muscular degeneration, kidney stones, and decreased risk of lung cancer. RESORCINOL A dihydroxy benzene used to treat acne, seborrheic dermatitis, eczema, psoriasis, corns, calluses, warts, and other skin disorders. RESVERATROL An antioxidant that’s a natural compound found in mulberries, grapes, red wine, and peanuts. Protects the body from cell damage, oxidative stress; promotes cellular homeostasis; plays a role in protection of heart disease, cancer, diabetes, Alzheimer’s, and aging. Improves increased. HDL cholesterol, fibrinolysis, and antiplatelet or anti-inflammatory effects. SALICYLIC ACID Used on the skin to gradually peel off and treat common skin and foot (plantar) warts, help remove corns and calluses. SPIRONOLACTONE Used topically to treat acne, including hormonally influenced acne in women, by blocking the androgen receptor which reduces sebum produced by sebaceous glands. SUCRALFATE Used to treat chemotherapy-induced oral mucositis and other radiation-induced gastrointestinal symptoms. A cytoprotective agent and an oral gastrointestinal medication primarily indicated for the treatment of active duodenal ulcers. SUMATRIPTAN A selective serotonin receptor agonist that is used for treating migraine headaches. TERBINAFINE Antifungal used to treat certain type of fungal infections (e.g., fingernail or toenail) by inhibiting the growth of fungus. TETRACYCLINE Broad-spectrum polyketide antibiotic used to treat bacterial infections such as urinary tract infections, chlamydia, and acne. TOBRAMYCIN An aminoglycoside antibiotic that is used to treat a variety of infections. Its greatest activity is against aerobic gram-negative rods [ex. Enterobacter sp., Escherichia coli, Klebsiella pneumoniae, Neisseria sp., Psuedomonas aeruginosa]. TOPIRAMATE Demonstrates an analgesic effect in diabetic neuropathy, trigeminal neuralgia and cluster headaches along with other neuropathic pain. TRANILAST An antiallergic drug that reduces collagen synthesis in fibroblasts and inhibits growth of neurofibroma cells used to treat keloids and hypertrophic scars. Mast cell stabilizer, inhibiting the release of chemical mediators such as histamine. TRETINOIN Effects the growth of skin cells, reducing fine wrinkling, mottled hyperpigmentation, and roughness associated with photo damaged skin. TRIAMCINOLONE Synthetic corticosteroid, is an anti-inflammatory agent used for the treatment of keloid or hyperthrophic scars. Reduces redness, swelling, and itching associated with infected skin. UBIQUINOL Fully reduced form of CoQ10 (enhanced bioavailability). Acts as an antioxidant and membrane stabilizer. Plays a role in cellular health and growth and has a role in protection of heart disease, cancer, migraines, neuropathy, and oxidative stress. UREA Used to soften thick, rough, or dry skin caused by certain skin conditions & helps soften and remove damaged or diseased nails without surgery. VANCOMYCIN A glycopeptide antibiotic useful for the treatment of infections caused by gram-positive bacteria [ex. Staphylococcus aureus (MRSA), Clostridium difficile, Streptococcus agalactiae (group B streptococci)]. VERAPAMIL A calcium channel blocker that helps in the treatment of fibrotic tissue disorders such as plantar fibromatosis. VITAMIN D3 D3 has been shown to be better at raising and maintaining Vitamin D levels in the body than other forms of Vitamin D. Play a role in reducing osteoporosis, chronic pain and fibromyalgia. Secosteroids; responsible for enhancing intestinal absorption of calcium, iron, magnesium, phosphate and zinc. VITAMIN E (ACETATE/SUCCINATE) A substance found naturally in many foods, carries a tremendous benefit for skin cells. Through its antioxidant properties, vitamin E can help fight the signs of aging, protect from sun damage, and even potentially lower skin cancer risks. ZINC OXIDE A mild astringent with weak antiseptic properties used to treat and prevent various skin conditions including minor abrasions, burns, chafing, diaper rash, insect bites, and minor skin irritation.

San Dimas PHARMACY COMPOUNDING

661.325.7979 [email protected] www.sandimaspharmacy.com 3805 San Dimas Street, Ste A Bakersfield, CA 93301