Otolaryngology
Physician Prescribing Formulations
| Classes of drugs for compounding ENT prescriptions |
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| Analgesics | Antibiotic | Antifungal |
| Antiviral | Anti-inflammatory | Antihistamine |
| Decongestant | Mucolytic | Steroid |
Examples of Compounded Preparations for Otolaryngology:
| Nasal Preparations |
| Gentamicin 180mg/L nasal solution - Patients generally flush each nostril with 20cc of gentamicin in normal saline which has the benefit of the anti-biotic plus the movement of the salt water thru the nares will clear debris that can be contributing to allergies. |
| Polymixin 200-500 MU/L with or without bacitracin 50-100 MU/L - Antibacterial. |
| Vancomycin Nasal Solution - For suspected MRSA infection of the nares. |
| Amphoterecin B 100mg/L - as a nasal flush (voriconazole and fluconazole also available) - for suspected nasal colonization of fungus for patients with a long history of using nasal steroids. |
| Oral Preparations |
| Nystatin, Fluconazole or Ketoconazole mouthwash - For patients with resistant thrush. |
| Magic Mouth Wash (contains Biotene, diphenhydramine, lidocaine, aluminum hydroxide with or without steroid (+/- suspected fungal colonization) - for patients with mouth sores. |
| Glycerin 5%/Aloe 2% Aqueous - Entertainer's Secret Throat Relief Spray |
| Otic Preparations |
| Dexamethasone Sodium Phosphate Preservative Free - For intratympanic injection used for patients experiencing significant hearing loss due to an inflammatory process. |
The following medicinals, stabilizers, and excipients can be compounded alone or in combination into solutions & suspensions (sterile & non-sterile), sprays, lollipops, popsicles, troches, creams, ointments, gels, and powders, for ear, nose, mouth, and throat conditions.
Call and speak to a Mark Drugs Pharmacist for additional prescribing information.
(800) 776-4378
| Anti-infective (Antibiotic, Antiseptic)/Antifungal |
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| Amphotericin | Benzalkonium Chloride | Boric acid | |
| Cefazolin | Ceftazadime | Cetylpyridinium Chloride | |
| Chloramphenicol | Chloroxylenol | Diflucan | |
| Enrofloxacin | Fluconazole | Gentamicin | |
| Ketoconazole | Mupirocin | Neomycin | |
| Polymyxin B | Sulfanilamide | Tobramycin | |
| Anti-Inflammatory |
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| Betamethasone | Budesonide | Dexamethasone | |
| Estradiol | Fluocinolone Acetonide | Hydrocortisone | |
| Triamcinolone | |||
| Analgesic |
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| Antipyrine | Ibuprofen | ||
| Anesthetics |
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| Benzocaine | Lidocaine HCl | Pramoxine HCL | |
| Tetracaine HCL | |||
| Astringent |
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| Zinc Acetate | |||
| Antihistamine |
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| Promethazine | |||
| PH Acidifier |
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| Ascorbic Acid | |||
| Excipients & Preservatives |
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| Glycerine | Hydrochloric Acid | Normal Saline | |
| Sodium Hydroxide | Sodium Phosphate | Sodium Phosphate Dibasic | |
| Sorbitol | |||
| Decongestant |
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| Phenylephrine | |||
| Other |
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| Trolamine Oleate (ear wax removal) | |||
