The compounding of medications from bulk ingredients for individual patients, as deemed appropriate by a prescribing physician, is the historic practice of pharmacy and has been occurring since the inception of the profession of pharmacy, centuries ago. Drug compounding is the process by which a pharmacist prepares a medication, prescribed by a physician, to meet an individual patient’s need. The practice of drug compounding is also known as compounding pharmacy.

The dosage or route of administration of compounded bioidentical hormones, such as natural progesterone, varies from that of commercially available drugs and is customized for each individual patient. On the other hand, drugs manufactured by pharmaceutical companies are mass produced and distributed to wholesalers who in turn sell to pharmacies for resale to the public. These drugs have limited dosage strengths and means of administration. They are not tailored for a specific patient. There is no direct personal interaction between the pharmaceutical manufacturer and the physician, pharmacist, or patient.

Pharmacies that compound bioidentical hormones purchase these hormones in bulk from pharmaceutical companies and laboratories that are registered and governed by the Food and Drug Administration (FDA).

Natural, bioidentical human hormones cannot be patented because they occur in nature. Drug companies make their profits by creating and patenting chemicals that never before existed in nature. This allows the drug companies to have a proprietary product that no one else can produce for at least seventeen years. Owning the patent rights to a drug enables the pharmaceutical company to advertise and sell that drug without competition, thus dramatically increasing profits. Not surprisingly, large pharmaceutical companies have gone after compounding pharmacies, but advocates and patients who have witnessed the success of compounding biodentical human hormones are making sure their voices are heard:

“Since Kay Bell started taking bioidentical hormones, she has lost 20 pounds, gone down two dress sizes and her head no longer aches at 2 p.m. daily.

But the Mesa real estate agent’s delight has turned to outrage since a major drug company complained to the Food and Drug Administration about the “natural” estrogen she has taken for a year…Fearing her treatment would be outlawed, Bell wrote a letter to the FDA, pleading for restraint. So did more than 40,000 others…” (From Women’s Health Blog)

Big Pharma will most likely continue slinging their arrows as it becomes clearer that women all over the world are benefiting from biodentical hormone replacement therapy:

“As further proof that Bioidentical Hormones are growing in popularity for menopausal women, a very large drug company, who’s one-size-fits-no one menopausal prescription has lost market share due to concerns over their drugs side effects coupled with the growing popularity of BHRT, is insinuating that women are being hoodwinked by BHRT. It’s classic bullying. BHRT is a threat to BIG Pharma because more and more women are digging the individual doses, results and attention.” (From My Menopause Blog)

In order for women to receive bioidentical hormones in the appropriate dosage, they must be prescribed for them by a physician experienced in their use. Few, if any, chain pharmacies specialize in compounding bioidentical hormones. There are many small, independent community pharmacies that dabble in compounding. However, for my patients, I always recommend that they obtain their compounded bioidentical hormones from pharmacies that specialize in compounding bioidentical hormones.

This entry was posted on Monday, July 31st, 2006 at 3:23 pm and is filed under Dr. Steven Hotze. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.