Wednesday, November 6, 2013

Ninth Question of the Day November 6, 2013 Doesn't this chat between consumers available and accessible by all show some of the huge issues in veterinary compounding? Doesn't it show lack of education and knowledge of both consumers and vets? Doesn't it show price is being used as a definitive factor when it should not be? Doesn't it also show we have no idea how many animals are improperly treated and suffer everyday with bad compounds?



Roadrunner Pharmacy
« on: Yesterday at 10:41:36 AM »

I just got a reply...Roadrunner only carries compounded Fluconazole, not the tablets. I wouldn't say that's a bad thing, and you will probably be able to save money getting it from them. Its just that my vet will not write me a script for a compounded drug since I called him on the carpet for giving me compounded bulk Itra (without the metabolite) and Vada ended up having absorption problems with it. Fluconazole does not require a metabolite, so I'm pretty sure it would be fine. Certainly worth discussing with your vet if you're on a tight budget.

Deb
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Re: Roadrunner Pharmacy
« Reply #1 on: Yesterday at 01:05:03 PM »

From Pet Health Pharmacy compounded fluconazole at 148mg or 152mg is priced at .62 a pill. Vet tried to say it's probably not the real thing, but is writing the script anyway.. should have it in 3-5 days.
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1 comment:

Kenneth Woliner, MD said...

Oh my God!

1. Itraconazole (Sporanox) cannot be absorbed without a special patented technology (the metabolite mentioned in the post). Any veterinarian / physician who prescribes itraconazole should know this, and NEVER prescribe compounded Itraconazole. Every pharmacist should know this, and never fill a prescription for oral forms of compounded Itraconazole.

2. Fluconazole (Diflucan) is available generically in 100 mg, 150 mg, and 200 mg sizes. Why is Pet Health Pharmacy (and perhaps Roadrunner Pharmacy) filling it at 148 mg or 152 mg sized capsules? ONE REASON: It is illegal to compound a commercially available prescription for price reasons alone. The 2 mg difference either way is not clinically significant. The only reason to make such an "odd number" sized capsule, is to use as a legal defense when a patient (human or animal) has a complication and the Board of Pharmacy brings charges against you for compounding a drug for PROFIT REASONS alone, when a commercially available product was available.

Pharmacies that play these games - are ones that I avoid.

Kenneth Woliner, MD
www.holisticfamilymed.com

November 6, 2013 at 3:47 PM

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