Keeping Our Tiniest Patients Happy: Pediatric Compounding for Infants

Keeping Our Tiniest Patients Happy: Pediatric Compounding for Infants

i-briefcaseWhen my daughter was born, I wanted to be so careful with her. When she needed to take medication as an infant I dreaded giving it to her. I wondered, would it be exactly what she needed, or too much? For parents of infants, getting customized compounded medications is a fantastic option because it ensures you’re not giving them anything extra; it also makes dosing the infant far easier. With many parents on the lookout for treatments tailored to the needs of the little ones, it can be a very valuable service for compounding pharmacists to offer. Here are some of the many ways that pediatric compounding for infants is able to keep the smallest of patients happier.

Compounded Diaper Rash Treatments

Diaper rash is a painful problem for many infants, and there are a variety of compounded diaper rash options that compounding pharmacists can create for its treatment. Compounded diaper rash treatments often include hydrocortisone, a steroid hormone that is most commonly used to treat inflammation; miconazole and/or nystatin, which are potent antifungal agents, and zinc oxide which helps keep the skin dry, fights bacteria, and prevents further rash from occurring.

The rash is even more concerning in infants suffering from reflux. This is because reflux treatments that include drugs like cisapride can cause even more irritation in the perianal area as they decrease the transit time in the gastrointestinal tract. This in turn can result in less bile absorption back into the infant’s system, and if there are high levels of bile acid in the baby’s stool, the perianal area can become extremely irritated. This makes a normal diaper rash even worse.

Compounded topical ointments containing cholestyramine can be used to treat this problem. This kind of topical ointment compound with cholestyramine can result in complete resolution in a matter of days. Cholestyramine itself is a sequestrant of a bile acid; this means it is a resin that binds naturally with bile acid in the body. When applied topically it binds with bile and relieves the irritation to the skin.

Topical Anesthesia for Pediatrics

Even infants sometimes need topical anesthesia; it is often used in administration of vaccinations and other shots, to numb local areas for circumcisions, suturing, venipuncture, and wound cleaning. Ideally, topical anesthetics for infants provide the desired anesthetic effect without pain in the application, have a strong safety profile, and are free of narcotics and controlled substances. This can be achieved with compounded topical anesthetics containing lidocaine and prilocaine, or other combinations that may include benzocaine, lidocaine, and tetracaine (BLT) or adrenaline, lidocaine, and tetracaine (LAT). These compounds sometimes also include epinephrine. They are painless to apply and typically are compounded in gel form.

Suspensions for Reflux

We already discussed the ways that gastric reflux can make your infant miserable when it comes to diapers. But reflux itself can also disturb your baby’s typical resting and feeding schedule, and is often irritating. For these reasons many doctors treat reflux in infants. Compounded suspensions treat the condition safely without any “extras,” and can be made sugar-free, additive free, or to other specifications. Commonly used active ingredients in reflux suspensions for infants include safe yet effective antacids, like lansoprazole and ranitidine.

Compounded Cradle Cap Remedies

Scalp seborrheic dermatitis includes basic dandruff and cradle cap. Cradle cap itself is usually not irritating to babies — if your child has a very itchy rash it may be something else, like eczema — but serious cases are sometimes treated. Compounded topical treatments that include zinc and pyrithione are usually used to treat cradle cap. In extreme cases in which the dermatitis is causing inflammation, compounded hydrocortisone can be used.

Pediatric compounding is the ideal way to address the needs of sensitive patients like infants and the valid concerns of their parents. It is easy to understand why so many health care providers use the services of compounding pharmaceutical professionals to meet the special needs of their tiniest patients while avoiding any “extras” that might be harmful to them. This increased interest makes compounding topical diaper rash treatments, reflux suspensions, and other special medications for infants an ideal focus area for your business.

Compounding topical treatments for rash and irritation, and other specialty medications for infants is an area of growing interest for parents who want to ensure that their children receive the medical attention they need — and nothing unnecessary along with it. Fortunately, you have the ability to purchase your products and receive information from a reliable source. For more about pharmaceutical compounding and purchasing bulk APIs, please contact Pharmaceutica North America, your trusted compounding resource.


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