Per a prescription order, a formulation can be compounded to contain
the proper combination of active ingredients, in the most appropriate
base, to treat a specific type of wound. We customize medications
to meet each individual’s specific needs.
For example, the choice of cream, ointment, or gel can be clinically
significant. Each time a wound needs to be cleaned, there is the
potential for disruption of new tissue growth. Gels, which are more
water soluble than creams or ointments, may be preferable for wound
use because a gel can be rinsed from the wound by irrigation. Ointments
may contain polyethylene glycol (PEG), which can be absorbed from
open wounds and damaged skin. If the wound is quite large and too
much PEG is absorbed, it can lead to renal toxicity.
Another useful dosage form is the “polyox bandage” -
which can be puffed onto a wound and will adhere even if exudate
is present. A polyox bandage can be compounded to contain
the active ingredient(s) of your choice.