Re: Compounding Agents for Atropine Cream

[Guest guest]

In a message dated 12/7/03 10:26:18 AM, VulvarDisorders

writes:

<< I know you said you had it compounded in acid mantle cream- does it

usually come differently? I'm not usually sensitive to regular preps so I might

not

have to have it compounded but is acid mantle cream healing as well? >>

Hi Kathy,

Drug companies do not make Atropine into a cream. If a doctor wants to

prescribe it in a cream form, a compounding pharmacy has to mix it up. Spaedt

prefers to have her creams compounded in acid mantle. I asked my pharmacist why

she would choose that and he said probably because most hospital pharmacies

compound with acid mantle and doctors/nurses are more familiar with prescribing

it as a compounding agent.

My pharmacist doesn't feel acid mantle absorbs the cream into the skin as

well as other compounding agents and he suggested to my doctor (Haefner) that

she

prescribe it to be compounded with sulfate. I think a couple of Spaedt

patients have their Atropine cream compounded in olive oil because they find the

acid mantle irritating. My pharmacist has also suggested emu oil if the

Atropine is supressing gland lubrication production. He also said he could mix

in

Estradiol too if my doctor prescribed it that way.

Anyway, Atropine cream can be mixed with several compounding agents. I'd s

uggest you have your doctor talk to a compounding pharmacist and between the

three of you decide which compounding agent will work best for you. If you're

going to use the cream long term though, I'd suggest requesting that it's

compounded with something that will help counter Atropine's habit of suppressing

gland production and/or skin dryness. Olive oil, emu oil, estrogen, etc... may

help with that.

If you would like your doctor to discuss it with a pharmacist that is already

compounding Atropine cream for vv/vvs patients - you can find contact

information about my pharmacist () at: http://www.healthwaysrx.com

Spaedt's

patients can probably give you information on how to contact the pharmacist

she uses.

<<I had atypical cells on the vulva and used FU-5 cream and I asked her if

she could put a vinegar wash on to see if any areas turned white indicating

abnormal cells or if she could look w/magnification and she said she didn't do

this. (I was surprised)>>

A vinegar wash really is not very accurate for indicating whether there are

abnormal cells. All it shows are white spots that may not be anything. Nor

does magnification tell all that much either. To have accuracy, one needs to

have a biopsy done.

Debbie

Tiger

[Guest guest]

<<If you would like your doctor to discuss it with a pharmacist that is already

compounding Atropine cream for vv/vvs patients - you can find contact

information about my pharmacist () at: http://www.healthwaysrx.com

Spaedt's patients can probably give you information on how to

contact the pharmacist she uses.>>

Oops. I typed the wrong url:

http://www.healthwayrx.com