Help! My Child Will Not Take This Medicine.

It’s bedtime and your child is tired, but they need to take their medication and they refuse.  It’s the wrong color, it tastes bad, the pill is too big, it smells weird, it feels funny on their tongue.  Have you had this happen to you? Are you so frustrated and hate this nightly occurrence? Or even worse, has it made you late in the morning because of the ongoing refusal from your child.  You are not alone! Children have a mind of their own and some may have sensory issues but they still have to take their medications. How can this experience be more positive for both the caregiver and the child? Let’s talk about compounding.
 
What is a compounding?  Compounding is the art and science of preparing customized medications for patients.  It is not a new, compounding dates back to the origins of pharmacy but it started to decline in the 1950s when pharmacists went from preparer of medicines to a dispenser of mass-manufactured products.  In the last few decades though, compounding has started to come back with the need for more customized medications to meet a patient’s unique needs.

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How can compounding benefit your child?  Working with your healthcare provider and a compounding pharmacist you can customize the child’s medicine to meet their needs.  Say that again… the child’s needs, not what the drug manufacturer thinks is the child’s needs but specifically tailored to what the individualized child needs.  What a great solution!
 
Some of the ways your compounding pharmacist can do this:
  • Alter the form of the medication to make it easier to take
  • Add flavor to the medication to make it taste better
  • Adjust the strength of the medication
  • Combine medications into one, easy-to-use form
  • In some cases, formulate medications that are no longer manufactured commercially
 
Some forms a medication may be altered into are:
  • Transdermal creams- avoids bitter flavors and pill swallowing
  • Troches- placed under the tongue to dissolve, avoid pill swallowing or made into a “gummy” texture, variety of flavors are available
  • Popsicles or lollipops- viewed as a treat, variety of flavors, avoid pill swallowing
  • Oral suspensions- avoid pill swallowing, variety of flavors
  • Oral Effervescent powder packets- dissolves in water to make a fizzy drink, variety of flavors and no pill swallowing
  • Suppositories- avoids bitter flavors, no pill swallowing
  • Capsules- combine medications into a single dose reducing number of pills
 
Does this sound like a solution to your problem? The first step to getting started with compounding is to speak up! Let your doctor and staff know about the problems you are having as a caregiver.  Speak to a licensed compounding pharmacist, they can help you find some alternatives that will work for the child.  The great thing about working with local compounding pharmacist, they will become a part of your healthcare team, working with you every step of the way to find a solution for both the caregiver and the child.  It becomes personal to the pharmacist.
 
Most pharmacies are not a compounding pharmacy.  A pharmacy must be registered as a compounding pharmacy with the local state board of pharmacy.  Compounded prescriptions are legal and safe as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy, that is regulated by the state boards of pharmacy.
 
Make medicine time a more enjoyable experience for everyone involved, find a local compounding pharmacist today!
 
 
Article Submitted by: Grant County Drugs, a local Northern Kentucky compounding pharmacy located in Dry Ridge, Kentucky.  If you have any additional questions regarding compounding please speak with your doctor or call Melissa Vice, PharmD, RPh the director of compounding at Grant County Drugs 859-823-5271.
 
Posted: 12/17/2019 7:07:52 AM | with 0 comments