Dosage Forms Available
We prepare many different dosage forms depending on physicians desires and patient needs.
~ Creams, gels and ointments
We suggest an airless pump dispenser for many creams and gels. They are convenient (compliance enhancement) and consistent (accurate). These dispensers are also handy for travel. Ointments are usually too thick for this type of delivery device.
We also use convenient topical syringes. These are especially useful for very small doses. An example would be female testosterone at the rate of 2 mg per 0.1 ml of gel. Pain and nausea medication can also be applied in this way to allow patient or caregiver to easily titrate dose based on need. Sizes range from 0.5 ml to 60ml.
Heat sealed tubes are also available in sizes from 3 Gm up to 240 Gm.
We usually prepare suppositories in a heat sealed pull apart shell. These are especially convenient for products such as indomethacin and progesterone. Patients and caregivers find these easy to use and damage to the suppository during removal is rare. Good for rectal or vaginal applications.
We usually prepare our orally dosed Natural Hormones in an oil filled capsule. We recommend oil for several reasons. Natural hormones are not water soluble but they are soluble in vegetable oil. We use either olive oil or safflower oil and vitamin E as a preservative. By starting with micronized hormones and then dissolving them in oil, the first steps for human absorption are already taken care of. In a dry form, they have to dissolve before they can be absorbed. There are also theories that by being dissolved in oil, the hormones are partly absorbed by the lymphatic system and other "delayed depot" absorption processes that have yet to be defined.
We also prepare slow release dry powder capsules. A few examples include triiodothyronine, DHEA, Pregnenolone, melatonin, and hydrocortisone.
~ Sublingual lozenges (troches)
Our favorite lozenge is a tiny half moon shaped creation that is comfortable under the tongue (almost unnoticeable due to shape and size). This can be used for testosterone, estrogens, selegiline/ergotamine, melatonin and other items that do not require large amounts of dry chemical. We have successfully made progesterone and other products up to 50 mg in this form but would not suggest more powder than that for these small lozenges. We also make medium to large lozenges when required. To learn more more about lozenges, click one or both of these links: general lozenge information or technical lozenge information.
~ Sublingual drops
We prepare many natural hormones in a sublingual liquid. We provide handy oral syringes for accurate dosing and use sweeteners such as stevia, xylitol and glycerin to sweeten without risk to the teeth. This is usually the least expensive way to dose natural hormones because it is least time consuming process for us to make and because the required amount of medication is usually 1/2 to 1/4 the amount required for oral dosing.
NOTE: There is one problem regarding sublingual drops or lozenges. Saliva testing for hormones levels can not be accurately done with this type of dosing.
We can make sucrose-free lollipops using a sorbitol base that can include chemicals such as nicotine for smoking cessation, oral anesthetics for mouth or throat pain, and several different formulations for controlling nausea.
~ Nebulizer solutions
We have state of the art equipment to prepare combinations of albuterol, ipratropium, and a corticosteroid of choice in single use sterile vials. All of the active ingredients can be combined into a single 3 cc bottle for ease, compliance, safety and accuracy.
We prepare nasal and throat spays using convenient pump dispensers that deliver a consistent dose. We prepare such things as xylitol/beclomethasone, a snore stopper with uvula sprayer and others.
~ Ophthalmic drops
Prepared in a clean room and put into sterile dropper bottles of various sizes.
~ Vials containing sterile injections.
We use a clean room with a laminar flow hood to prepare products such as tri-mix (phentolamine/papaverine/prostaglandin E-1) for penile injection (erection aid).