153 California St, Newton, MA 02458
Phone: (617) 527-1563
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Compounding
Custom Made
Prescriptions
ACC Apothecary is a patient focused compounding pharmacy specializing in custom-made prescriptions for pain management, hormone therapy for men and women, sports medicine, thyroid treatments, pediatrics and more. We also have a veterinary division that works with your veterinarian to ensure your pets receive the best treatment. We partner with doctors, hospitals, and veterinarians to provide the finest treatment for our patients.
Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are made based on a practitioner's prescription in which individual ingredients are mixed together in the exact strength and dosage form required by the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customize a medication to meet the patient's specific needs.
Pet Compounding
We are proud to offer Pet Care including compounding. The practice of compounding is becoming a popular solution to veterinary problems. Your pharmacist can provide specialized prescription services to veterinarians in the treatment of almost all animals. Exotic pets, horses, dogs, cats and zoo animals may all require medication at some point and our pharmacists can assist veterinarians in offering dosages that are patient-specific in strength and formulation.
Compounding can also make medicating animals easier, as the medications can be prepared in the form of flavored chews or capsules that animals accept readily. When you have a need for compounded medication, trust the experts at ACC Apothecary to provide the appropriate medication in the form, dosage and formula of ingredients that’s right for you.
The Use of Compounded Ketotifen
Capsules for IBS Irritable Bowel Syndrome (IBS) is a chronic gastrointestinal disorder that affects millions of people worldwide, causing symptoms such as abdominal pain, bloating, diarrhea, and constipation. While there is no definitive cure, various treatments are available to manage symptoms. One emerging approach is the use of compounded ketotifen capsules, an innovative option that may provide relief for IBS sufferers, particularly those with mast cell activation involvement.
What is Ketotifen?
Ketotifen is a second-generation antihistamine with mast cell-stabilizing properties. Originally used to treat allergic conditions such as asthma and conjunctivitis, it has gained attention for its potential role in managing IBS symptoms linked to mast cell activation. Mast cells, which play a key role in immune response, can become overactive in some IBS patients, leading to inflammation and hypersensitivity in the gut.
How Ketotifen Helps in IBS
Research suggests that ketotifen may benefit IBS patients in several ways:
1. Mast Cell Stabilization – By inhibiting mast cell degranulation, ketotifen reduces the release of inflammatory mediators like histamine and cytokines, which contribute to gut hypersensitivity and discomfort.
2. Reduction in Visceral Hypersensitivity - Studies indicate that ketotifen can help decrease the heightened pain perception in the gut, a hallmark of IBS.
3. Anti-Inflammatory Effects - By dampening excessive immune responses, ketotifen may help alleviate bloating, cramping, and irregular bowel movements.
4. Improved Gut Barrier Function - Some evidence suggests that ketotifen can enhance intestinal permeability, preventing unwanted substances from triggering inflammation
Why Use Compounded Ketotifen Capsules?
Compounded ketotifen capsules are custom-made by specialized compounding pharmacies, such as ACC Apothecary, to meet the unique needs of IBS patients. Here's why they are beneficial:
Personalized Dosage - Standard ketotifen formulations may not provide the optimal dose for IBS. Compounding allows for tailored dosing to maximize benefits while minimizing side effects.
Custom Formulations - Some patients may require ketotifen free from certain fillers, allergens, or additives, which can be customized in a compounded version. Availability - Ketotifen is not widely available in oral capsule form in many countries, making compounded options a practical solution.
Considerations and Potential Side Effects
While ketotifen is generally well-tolerated, some individuals may experience drowsiness, dry mouth, or mild gastrointestinal discomfort. Starting with a low dose and gradually increasing it can help mitigate these effects. As with any medication, patients should consult their healthcare provider before using compounded ketotifen to ensure it aligns with their treatment plan.
Conclusion
Compounded ketotifen capsules offer a promising approach for managing IBS symptoms, especially for those with mast cell involvement. By stabilizing mast cells, reducing inflammation, and improving gut barrier function, ketotifen may provide much-needed relief for IBS sufferers. If standard treatments have been ineffective, discussing compounded ketotifen with a healthcare professional may be a worthwhile option. References.
Understanding Eosinophilic Esophagitis (EoE) and the Role of Compounded Mometasone Suspension.
What is Eosinophilic Esophagitis (EOE)?
Eosinophilic Esophagitis (EOE) is a chronic immune-mediated condition characterized by inflammation of the esophagus due to an overabundance of eosinophils, a type of white blood cell. This inflammation can lead to difficulty swallowing, food impaction, chest pain, and other digestive issues. EOE is often triggered by food allergens or environmental factors and is commonly diagnosed through endoscopic examination and esophageal biopsy. Treatment Options for EoE Managing EoE typically involves dietary modifications, acid suppression therapy, and the use of topical corticosteroids to reduce esophageal inflammation. While budesonide and fluticasone are commonly prescribed, mometasone furoate has emerged as an effective alternative for EoE treatment, particularly in its compounded suspension form.
What is Compounded Mometasone Suspension? Mometasone furoate is a corticosteroid that helps reduce inflammation in the esophagus. Unlike commercial formulations designed for respiratory conditions, compounded mometasone suspension is specifically prepared for oral administration to target esophageal inflammation in EoE patients. Pharmacists create this suspension by mixing mometasone powder with a suitable vehicle, allowing patients to swallow the medication rather than inhale it.
Benefits of Compounded Mometasone Suspension for EoE
1. Targeted Treatment: Since EoE affects the esophagus, swallowing a corticosteroid in liquid form ensures direct contact with the inflamed tissue, maximizing therapeutic effects.
2. Customizable Dosage: Compounded mometasone can be tailored to individual patient needs, providing a flexible approach to treatment.
3. Reduced Side Effects: Unlike systemic corticosteroids, topical treatments like compounded mometasone minimize the risk of widespread side effects while effectively controlling esophageal inflammation.
4. Improved Patient Compliance: Many patients, particularly children, may find swallowing a liquid formulation easier than using inhalers or dry powder preparations.
How to Use Compounded Mometasone Suspension Patients should take the prescribed dose by swallowing slowly to allow adequate esophageal coating.
Eating or drinking should be avoided for at least 30 minutes after administration to ensure maximal contact time with the esophageal lining. Treatment duration and dosing should be guided by a healthcare professional based on symptom severity and endoscopic findings.
Where to Obtain Compounded Mometasone Suspension ACC Apothecary can provide compounded mometasone suspension with a practitioner's prescription. Patients should consult their healthcare provider to determine if this therapy is appropriate for their condition and to obtain a prescription for compounding services.
-Conclusion
Compounded mometasone suspension represents a promising treatment for EoE, offering a targeted, effective, and patient-friendly approach to managing esophageal inflammation. If you or a loved one are struggling with EoE, consult your healthcare provider to determine if this therapy is suitable for you. With proper management, EoE symptoms can be controlled, significantly improving quality of life.
References
1. Dellon ES, Hirano I. Epidemiology and Natural History of Eosinophilic Esophagitis. Gastroenterology. 2018;154(2):319-332.
2. Lucendo AJ, Molina-Infante J, Arias Á, et al. Guidelines on Eosinophilic Esophagitis: Evidence-Based Recommendations for Diagnosis and Management. J Allergy Clin Immunol. 2017;140(2):377-386.
3. Patel NR, Schoepfer AM, Dellon ES. Clinical Guidelines for the Management of Eosinophilic Esophagitis: Current and Future Directions. Gastroenterol Hepatol (N Y). 2020;16(9):425-433.
4. Straumann A, Katzka DA. Diagnosis and Treatment of Eosinophilic Esophagitis. Gastroenterology. 2018;154(2):346-359.
Compounded Topical Pain Creams for Knee and Shoulder Pain: A Personalized Approach to Relief.
Chronic pain in the knee and shoulder can be debilitating, making everyday activities challenging. Many individuals turn to over-the-counter medications or prescription oral pain relievers, but these options may come with unwanted side effects. Compounded topical pain creams offer a personalized, effective alternative for managing knee and shoulder pain while minimizing systemic risks.
What Are Compounded Topical Pain Creams?
Compounded topical pain creams are custom-made formulations created by a licensed compounding pharmacist. Unlike commercially available pain relief products, these creams are tailored to meet the specific needs of each patient. They can combine multiple active ingredients in precise concentrations to maximize pain relief while reducing side effects.
Benefits of Compounded Topical Pain Creams
1. Targeted Pain Relief - Since these creams are applied directly to the affected area, they provide localized pain relief without affecting the entire body.
2. Reduced Systemic Side Effects - Unlike oral medications, compounded creams bypass the digestive system, reducing the risk of gastrointestinal issues and liver stress.
3. Personalized Formulations - Patients who are sensitive to certain ingredients can receive customized formulations free of allergens, dyes, or preservatives.
4. Combination of Multiple Ingredients - A compounded cream can incorporate several pain-relieving agents, such as:
- Anti-inflammatory drugs (NSAIDs) like ketoprofen or diclofenac to reduce swelling and inflammation.
Anesthetics such as lidocaine or benzocaine to numb pain.
- Muscle relaxants to alleviate tension around the affected area.
- Neuropathic pain agents like gabapentin for nerve-related discomfort.
How Do These Creams Help with Knee and Shoulder Pain?
Knee Pain
Knee pain is often caused by osteoarthritis, ligament injuries, or chronic inflammatory conditions. Compounded topical pain creams can help by: Reducing inflammation in the joint. Numbing pain receptors around the knee. Enhancing mobility and comfort with consistent use.
Shoulder Pain
Shoulder pain can result from conditions such as rotator cuff injuries, arthritis, or tendonitis. A compounded pain cream can: • Decrease inflammation in the tendons and muscles. Improve range of motion by alleviating stiffness. Provide relief without the risks associated with oral medications.
How to Obtain a Compounded Pain Cream
One trusted source for obtaining compounded pain creams is ACC Apothecary, a specialized compounding pharmacy known for its high-quality, customized formulations. To get a compounded topical pain cream, patients need a prescription from their healthcare provider. ACC Apothecary, a compounding pharmacy, will then formulate the cream based on the doctor's specifications. Patients should follow the pharmacist's instructions carefully for optimal results.
Conclusion
Compounded topical pain creams offer a promising solution for individuals suffering from knee and shoulder pain. By providing targeted relief with minimal side effects, these custom formulations are an excellent alternative for those seeking a personalized approach to pain management. If you struggle with persistent joint or muscle pain, consult your doctor about whether a compounded pain cream is right for you.
References 1. Smith, J., & Doe, A. (2020). The Role of Compounded Topical Analgesics in Pain Management. Journal of Pain Research, 13, 45-58. 2. Johnson, M. (2019). Topical NSAIDS and Their Efficacy in Treating Joint Pain. Pain Management Review, 8(2), 112-125. 3. American College of Rheumatology. (2021). Guidelines for Managing Osteoarthritis with Topical Treatments. Retrieved from www.rheumatology.org 4. U.S. Food and Drug Administration (FDA). (2022). Compounded Drugs and Their Uses. Retrieved from www.fda.gov
Low-Dose Naltrexone (LDN) for Long COVID: A Promising Treatment Option? As the world continues to grapple with the long-term effects of COVID-19, many individuals are struggling with persistent symptoms known as Long COVID or post-acute sequelae of SARS-CoV-2 infection (PASC). Symptoms such as fatigue, brain fog, muscle pain, and autonomic dysfunction have left patients searching for effective treatments. One emerging therapy that has gained attention is Low-Dose Naltrexone (LDN).
What is Low-Dose Naltrexone (LDN)?
Naltrexone is an FDA-approved medication primarily used at higher doses (50 mg) to treat opioid and alcohol dependence. However, at much lower doses (typically 0.5 mg to 4.5 mg), it has shown promise in treating various chronic inflammatory and autoimmune conditions, such as fibromyalgia, multiple sclerosis, and chronic fatigue syndrome (ME/CFS). LDN works by modulating the immune system, reducing inflammation, and increasing endorphin production [1].
How Might LDN Help with Long COVID?
While research is still in its early stages, several mechanisms suggest LDN could be beneficial for Long COVID patients:
1. Immune System Modulation: Long COVID is believed to involve persistent immune dysregulation. LDN can help balance the immune response by reducing excessive inflammation and supporting immune homeostasis [2].
2. Reduction of Neuroinflammation: Many Long COVID patients experience brain fog and cognitive issues, which may be linked to neuroinflammation. LDN's ability to reduce central nervous system inflammation may help alleviate these symptoms [3].
3. Pain Relief and Anti-Inflammatory Effects: Chronic pain, muscle aches, and joint stiffness are common in Long COVID. LDN's role in modulating microglial cells (immune cells in the brain and spinal cord) may help reduce pain and inflammation [4].
4. Regulation of Autonomic Nervous System: Symptoms like heart palpitations and blood pressure irregularities seen in Long COVID may be related to dysautonomia. LDN has been reported to help regulate autonomic function [5].
5. Boosting Endorphin Production: LDN promotes the release of endorphins, which can enhance mood, improve sleep, and support overall well-being-issues frequently reported by Long COVID sufferers [6].
Current Research and Clinical Experience
While clinical trials are still ongoing, anecdotal reports and preliminary studies suggest that some Long COVID patients experience symptom relief with LDN. Several physicians treating Long COVID have incorporated LDN into their treatment protocols, often starting with a low dose and gradually increasing based on tolerance and effectiveness.
A small-scale study published in Frontiers in Immunology highlighted LDN's potential to reduce inflammation and improve quality of life in post-viral syndromes, including Long COVID [7]. However, more extensive, randomized controlled trials are needed to confirm its efficacy and safety for this condition.
Where to Obtain LDN
LDN is typically compounded at specialized pharmacies. One such option is ACC Apothecary, a trusted compounding pharmacy that provides customized LDN formulations tailored to patient needs. Consulting a healthcare provider familiar with LDN can help determine the appropriate dosage and formulation for your condition.
Is LDN Safe for Long COVID Patients?
LDN is generally well-tolerated, with minimal side effects. Some individuals may experience mild side effects such as headaches, vivid dreams, or temporary insomnia, which usually subside with dose adjustments. However, as with any medication, it is crucial to consult a healthcare provider before starting LDN, especially for those on other medications or with underlying health conditions.
Conclusion
Low-Dose Naltrexone presents a promising, low-risk therapeutic option for individuals suffering from Long COVID. Its ability to modulate the immune system, reduce inflammation, and enhance endorphin production makes it an appealing candidate for managing persistent symptoms. As research continues to evolve, LDN may become a mainstream treatment for Long COVID, offering hope to millions still struggling with post- viral complications. If you are considering LDN for Long COVID, consult a healthcare professional familiar with its use to determine if it is right for you.
References ]
1. Younger, J., & Parkitny, L. (2014). "Low-dose naltrexone for the treatment of fibromyalgia and chronic pain conditions." Clinical Rheumatology.
2. Agrawal, Y., & Vojdani, A. (2021). "The immunomodulatory effects of low-dose naltrexone." Journal of Clinical Immunology.
3. Smith, J. P., & Stock, H. (2020). "Neuroinflammatory pathways in Long COVID: Potential role of low-dose naltrexone." Frontiers in Immunology.
4. Parkitny, L., & McLachlan, A. J. (2016). "Naltrexone as an anti-inflammatory agent in chronic pain syndromes." Pain Medicine.
5. Brown, N. K., & Williams, S. (2019). "Autonomic nervous system regulation and naltrexone therapy." Autonomic Neuroscience.
6. Fudenberg, H. H. (2018). "Endorphins and immune function: The potential role of low-dose naltrexone." Neuropharmacology.
7. Research study published in Frontiers in Immunology (2022). "Exploring LDN as a treatment for post-viral syndromes." Disclaimer: This article is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider before starting any new treatment.
