VERY IMPORTANT!! How Does Pharmacy Compounding Affect Anti-Doping

Pharmacy compounding is when a pharmacist makes a customized medication for a patient. Unlike commercial drug manufacturing, compounding takes place right there in the pharmacy. The pharmacist uses bulk ingredients that they purchase from a variety of places and combines them according to a recipe written by a physician, or someone else licensed to prescribe medication.
Some doctors or pharmacists choose to compound medications if their patients have a unique medical need that can’t be treated with a commercially available drug. Examples might include allergies to a filler or a dye that is used in pill manufacturing, intolerance to a particular form of a medication (a topical cream is needed instead of an oral formulation for some reason), and the inability to swallow large pills or take a bad-tasting medication, such as with children.
Compounding has an important place in health care, however, there are some risks that athletes need to be aware of when considering whether to use a compounded medication.

• Compounded formulations are not approved by the Food and Drug Administration (FDA). Athletes may end up using ineffective treatments for conditions than can be treated with a proven commercial medication.
• Some compounding pharmacies may create unsafe mixtures of ingredients. This may occur when two drugs are compounded that are not supposed to be used together, or when a drug is mixed with a dietary supplement ingredient causing dangerous side effects or drug-drug (or drug-supplement) interactions.
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