Contemporary Prescription Compounding
Contemporary Prescription Compounding is a 16 hour course.
The overall goal of this program is to provide the pharmacist who has minimal or no experience in contemporary prescription compounding with a theoretical and practical basis on which to build a successful non-sterile prescription compounding practice that complies with Good Compounding Practices (GCPs) espoused by the National Association of Boards of Pharmacy and which leads to enhanced pharmaceutical care.
Upon completion of this program, the participant should be able to:
· perform basic pharmaceutical calculations required to accurately compound various non-sterile dosage forms
· describe and differentiate “compounding” and “manufacturing”
· discuss the appropriateness of compounding drug products that are available commercially
· describe and discuss the records that compounding pharmacists are required to maintain
· differentiate the labeling requirements for compounded drug products and dietary supplements
· accurately and appropriately use an electronic prescription balance
· compound these dosage forms using acceptable techniques:
▪ solutions ▪ troches ▪ lip balms ▪ topical creams ▪ PLO gels
▪ Carbopol™ gels ▪ oral suspensions ▪ capsules ▪ suppositories
Women’s Health Compounding
Women’s Health Compounding is a 16 hour course. The overall goal of this program is to further prepare pharmacists to strengthen their knowledge base in caring for women patients. Participants will be able to demonstrate a deeper understanding of a number of women’s issues, medications used to treat these issues, clinical guidelines for the treatment of women’s health issues, and side effects of these medications.
Upon completion of this program, the participant should be able to:
· identify three natural estrogenic hormones
· list the typical ratio of compounded tri-est
· describe the steps involved in the conversion of cholesterol to estrogen
· state the equivalency of conjugated equine estrogen to tri-est in milligrams
· list three benefits of testosterone in the female
· list three benefits of DHEA in the female
· describe what happens to FSH when estrogen levels fall especially at menopause
· state six symptoms associated with menopause
· identify three synthetic and three natural hormones used in menopausal therapy
· identify the routes of drug administration and their benefits and risks of hormone replacement
· compound oral dosage forms of estrogen compounds in quick release or extended release dosage forms
· compound topical, sublingual and troche dosage forms of estrogen and androgen compounds
Pain Management Compounding
Hospice Care & Pain Management is a 16 hour course. This course will provide the participant expertise in compounding medications that meet the needs of the pain management patient. Compounding of unique dosage forms, such as rectal suppositories, solutions, gels, and capsules, will contribute to the quality of life of patients dealing with chronic pain in various settings. This course will give pharmacists the ability to provide a vital service to the pain management patient.
Upon completion of this program, the participant should be able to:
· define pain and summarize the anatomy of pain, approaches of pain control, pharmacology, opoid, non-opoids, adjuvants, patient assessments, and the special needs of patients with pain
· demonstrate the proper use of certain specialized pharmacy equipment; ie. balances, rectal molds, capsules, and techniques used in compounding medications in pain management
· compound dosage forms using acceptable techniques
High Risk Sterile Compounding
High Risk Sterile Compounding is a 16 hour course. This course represents a great need in health care and will provide the participants with the knowledge of preparation and quality control tests for sterile products, such as validation testing, membrane filtration, pyrogen tests, BET (bacterial endotoxin test) and others. This course will also examine wet heat sterilization in the Autoclave, as well as dry heat sterilization/depyrogenation, and filter integrity. Also covered will be the USP <797> guidelines. This course will train pharmacists in the technique and preparation of sterile drug products.
Upon completion of this program, the participant should be able to:
· perform high risk aseptic processing
· validate a dry heat depyrogenation validation utilizing bacterial endotoxin test (BET) to prove a 3 log reduction
· perform a filter integrity test on sterilizing filters by determining the water or alcohol bubble point as appropriate
· complete a high-risk media fill process simulation devised for each individual to represent their compounding practices
· develop strategies for compliance with USP Chapter 797
· perform a media fill challenge appropriate for the level of aseptic compounding
· understand and perform the USP Sterility Test
· understand the validation necessary to assure sterilization by steam
· validate a steam sterilization cycle using data loggers and biological indicators
Compounding for Pharmacy Technicians
Compounding for Pharmacy Technicians is a 16 hour course.
This course will introduce participants to pharmacy compounding and is designed to provide the pharmacy technician who has minimal or no experience in prescription compounding with a theoretical and practical basis that complies with Good Compounding Practices (GCPs) espoused by the National Association of Boards of Pharmacy and which leads to enhanced pharmaceutical care.
Upon completion of this program, the participant will be able to:
· differentiate between manufacturing and compounding
· describe ways pharmacy compounding can impact pharmaceutical care
· perform calculations necessary for compounding
· demonstrate the ability to accurately weigh and measure
· demonstrate how to properly use and care for equipment utilized in compounding
· identify components, equipment, and techniques necessary to compound specific dosage forms
· demonstrate the ability to accurately compound a variety of oral and topical dosage forms
· describe how to determine beyond use dates for compounded preparations
· describe documentation that should be recorded for compounded preparations
· identify quality checks for compounded preparations
· recognize the need for standard operating procedures in compounding
· discuss the role of the Pharmacy Compounding Accreditation Board in providing standards for pharmacy compounding
Basic Veterinary Compounding Course Outline
Basic Veterinary Compounding is a 14 hour course
This course is designed to introduce participants to veterinary pharmacy compounding. This program provides the fundamental techniques for compounding medications for animals, as well as establishing and marketing a veterinary pharmacy practice.
Upon completion of this program, the participant will be able to:
· differentiate between food and companion animals
· describe how a pharmacist could be perceived by a veterinarian to be a competitor
· identify flavoring options for various animal species and compounded preparations
· demonstrate knowledge of regulatory requirements and professional standards that affect veterinary compounding
· cite examples of drugs that are contraindicated or must be used with caution in specific animal species
· demonstrate the ability to perform calculations necessary to compound veterinary preparations
· identify equipment and supplies commonly required to compound veterinary preparations
· discuss how to prepare a patient education leaflet for a veterinary patient
· discuss the use of PLO gels in veterinary compounding
· demonstrate the ability to compound a variety of veterinary preparations
· identify information resources that would be useful to a pharmacist compounding veterinary preparations
· demonstrate knowledge of animal diseases where a compounding pharmacist can impact animal medication compliance
Aseptic Technique in Veterinary Pharmacy
Aseptic Technique in Veterinary Pharmacy is a 15.5 hour course
This course is designed to provide training in the aseptic processing of sterile veterinary preparations including vials, ophthalmic and infusion solutions. Participants will receive training in aseptic technique, facility requirements, environmental monitoring, filtration, quality control and filter integrity testing, sterility and sterility assurance and the proper use of equipment and supplies used to prepare sterile preparations.
Upon completion of this program, the participant will be able to:
· demonstrate knowledge of legal, regulatory and professional requirements affecting compounding of veterinary preparations
· identify facility requirements necessary for compounding sterile veterinary preparations
· describe operational requirements of laminar airflow workstations
· demonstrate proper technique necessary to compound sterile veterinary preparations
· describe methods for monitoring the environment in which sterile veterinary preparations are compounded
· identify quality control tests for sterile veterinary preparations
· discuss methods of sterilization
· demonstrate the ability to integrity test a sterilizing filter
· prepare sterile injectible and ophthalmic preparations for veterinary use