The pharmacy and medical boards have warned pharmacists not to compound medicines that are available commercially.
They say medicines should be compounded only if a commercial alternative is not available or is unsuitable for the patient.
This includes if they are allergic to an excipient such as a preservative or need a different dose form because they have trouble swallowing.
If a pharmacist receives a request to prepare a compounded medicine and there is a commercial medicine with a close formulation, they should contact the prescriber, the boards write.
Here are five points from a joint statement issued by the boards:
- Consider whether the compounded medicine will remain stable for the duration of use and whether it’s at risk of contamination.
- The prescriber must be contacted about alternative products if there are any concerns the compounded medicine is not safe or appropriate for a patient.
- Ensure all substances in the compounded medicine are suitable and approved for human use.
- Help patients make an informed choice by explaining compounded medicines have not been assessed by the TGA for quality, safety and efficacy.
- Compounding pharmacists must know and comply with their local drugs and poisons legislation, as well as practice standards and guidelines.
To read the statement and access compounding guidelines click here