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The PCCA Membership

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The PCCA Membership Commonly Requested Compounding Ideas Commonly Requested Compounding Ideas for Dental Patients (cont’d) for Dental Patients Commonly Requested General Formulas with MucoLox™ MucoLox™ is a water-soluble PCCA Formula # 11089 Oral Rinse ‐ General Formula (MucoLox™) mucosal delivery system that PCCA Formula # 11189 Carboxymethylcellulose Sodium 1.75% Gel (MucoLox™) can be used with various active PCCA Formula # 11451 Carboxymethylcellulose Sodium 1% Gel (MucoLox™) pharmaceutical ingredients (APIs) PCCA Formula # 11364 Popsicle, General Formula, MucoLox™ in formulations. It contains a PCCA Formula # 12548 Oral Spray - General Formula (MucoLox™) polymer network that provides a unique bond to the mucosa ‒ Commonly Requested Formulas for Patients with Mouth Ulcers or Mucositis thus creating the coating effect ‒ (Post-Chemotherapy/Radiation) long lasting moisturization and PCCA Formula # 12208 Dexamethasone 0.5 mg/5 mL Oral Rinse (MucoLox™) adhesion properties. This helps to (FormulaPlus™ BUD Study) create the gradual and continued PCCA Formula # 11132 Lidocaine HCl 2% Oral Rinse (MucoLox™) release of the API leading to PCCA Formula # 11133 Misoprostol 0.0024%/Diphenhydramine HCl 0.1%/ improved contact time of the API Lidocaine HCl 1% Oral Rinse (MucoLox™) to the mucosa. MucoLox an ideal PCCA Formula # 11134 Misoprostol 0.0024%/Ketoconazole 1% Compound Oral Rinse choice for use in oral dental (MucoLox™) preparations such as swish and PCCA Formula # 11138 Dexamethasone 3.3 mcg/mL/Tetracycline HCl 13.5 spit or spot treatments. mg/mL/Nystatin 16,667U/mL/Diphenhydramine HCl 1.25 mg/mL Mouthwash (MucoLox™) PCCA Formula # 11120 Beta Glucan 0.5%/Dexpanthenol 1%/Vitamin E Acetate 2% Oral Rinse (MucoLox™) PCCA Formula # 11431 Morphine Sulfate 2% Oral Rinse (MucoLox™) PCCA Formula # 11143 Roentsch Mouthwash #5, Alternate (MucoLox™) PCCA Formula # 1687 Oral Adhesive Paste PCCA Formula # 0522 Tetracycline HCl 125 mg/Nystatin 60417 units/Diphenhydramine HCl 12.5 mg/Hydrocortisone 2.3 mg Base A Troche PCCA Formula # 11144 Stanford Modified Mouthwash (MucoLox™) PCCA Formula # 11145 Stanford Mouthwash (MucoLox™) PCCA Formula # 0093 Polyox 301 Bandage See Patient Instructions for Use of Oral Mucosal Bandage, PCCA Document #97763. The 30 mL Collapsible Bottle (PCCA #35-1283) is used for this dosage form. Commonly Requested Formulas for Patients with Dry Mouth PCCA Formula # 11151 Pilocarpine HCl 10 mg/mL Oral Drops (MucoLox™) (FormulaPlus™ BUD Study) PCCA Formula # 11768 Xylitol 10%/Beta Glucan 0.5%/Olive Oil 2% Oral Rinse (MucoLox™) PCCA Formula # 11149 Artificial Saliva Gel (MucoLox™) PCCA Formula # 11150 Electrolyte Saliva Gel (MucoLox™) PCCA Formula # 1330 Electrolyte Base A Troche PCCA Formula # 0206 Saline/Glycerin Oral Suspension PCCA Formula # 5414 Pilocarpine HCl 5 mg Sorbitol Lollipop™ Base PCCA Formula # 1433 Pilocarpine HCl 2 mg Base A Troche PCCA Formula # 11086 Malic Acid 1% Oral Spray PCCA Formula # 12096 Herbal Oral Rinse (MucoLox™) PCCA Formula # 3061 Sodium Chloride 8.8 mg/Potassium Chloride 3.1 mg/Calcium Chloride 3.4 mg Base A Troche PCCA Formula # 10775 Sorbitol 300 mg Polyglycol Troche Tel: 800.331.2498 │ Fax: 800.874.5760 │ pccarx.com Please contact PCCAʼs Pharmacy Consulting Department with questions regarding the formulations. Page 1 of 4 01/02/18 Commonly Requested Compounding Ideas for Dental Patients (cont’d) Commonly Requested Formulas for Patients with Halitosis PCCA Formula # 11137 Chlorophyllin Sodium Copper 0.2% Mouthwash (MucoLox™) PCCA Formula # 11929 Green Tea Extract 5% Mouth Rinse (MucoLox) PCCA Formula # 11140 Mouthwash With Natural Flavors (MucoLox™) Commonly Requested Formulas for Patients with Burning Mouth Syndrome PCCA Formula # 11128 Doxepin HCl 0.5% Mouthwash (MucoLox™) (FormulaPlus™ BUD Study) PCCA Formula # 11127 Amitriptyline HCl 2%/Gabapentin 6%/Lidocaine HCl 0.5% Oral Rinse (MucoLox™) PCCA Formula # 11411 Ketamine HCl 3%/Dexamethasone 3.3 mcg/mL/Tetracycline HCl 13.5 mg/mL/Nystatin 16,667 U/mL/Diphenhydramine HCl 1.25 mg/mL Mouthwash (MucoLox™) PCCA Formula # 11412 Ketamine HCl 3%/Amitriptyline HCl 2%/Gabapentin 6%/Lidocaine HCl 0.5% Oral Rinse (MucoLox™) PCCA Formula # 11127 Amitriptyline HCl 2%/Gabapentin 6%/Lidocaine HCl 0.5% Oral Rinse (MucoLox™) PCCA Formula # 11421 Cyclosporine 1% Oral Rinse (MucoLox™) PCCA Formula # 10893 Salicylic Acid 0.3% Mouthwash (MucoLox™) PCCA Formula # 3327 Capsaicin 0.25 mg Base A Troche Commonly Requested Formulas for Patients with Angular Chelitis/Angular Chelosis PCCA Formula # 11156 Clotrimazole 2%/Ibuprofen 2%/Tea Tree Oil 1% Topical Gel (MucoLox™/VersaBase®) PCCA Formula # 11450 Mupirocin 2%/ Nystatin 30,000 U/Gm/Lidocaine 1% Topical Ointment (PracaSil®-Plus) PCCA Formula # 9443 Miconazole 2%/Ibuprofen 1%/Tea Tree Oil 1% Topical Cream Commonly Requested Formulas for Patients with Oral Lichen Planus PCCA Formula # 11749 Tacrolimus 0.03% Oral Rinse (MucoLox™) PCCA Formula # 11135 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Rinse (MucoLox™) PCCA Formula # 7399 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Adhesive Paste PCCA Formula # 7402 Tretinoin 1 mg/Clobetasol Propionate 0.5 mg Polyglycol Troche PCCA Formula # 3210 Triamcinolone 0.1% Oral Adhesive Paste Commonly Requested Formulas for Patients with Oral Candida PCCA Formula # 11141 Nystatin 100,000 U/mL Oral Suspension (MucoLox™) (FormulaPlus™ BUD Study) PCCA Formula # 11227 Amphotericin B 100 mg/mL Oral Suspension (SuspendIt™) (FormulaPlus™ BUD Study) PCCA Formula # 5954 Amphotericin B 100 mg Gelatin Troche PCCA Formula # 11408 Amphotericin B 50 mg/mL Oral Rinse (MucoLox™) PCCA Formula # 11129 Clotrimazole 1% Oral Rinse (MucoLox™) Commonly Requested Formulas for Patients with Oral Herpes/Viral Infections PCCA Formula # 11157 Acyclovir 5%/Lidocaine HCl 1%/Deoxy-D-Glucose (2) 2% Oral Rinse (MucoLox™) PCCA Formula # 4963 Acyclovir 2%/Deoxy-D-Glucose (2) 0.2% Lip Balm PCCA Formula # 2266 Acyclovir 10% Flavored Lip Ointment PCCA Formula # 4962 Acyclovir 2%/Deoxy-D-Glucose (2) 0.2% Oral Polyox Bandage PCCA Formula # 11381 Acyclovir Popsicles (MucoLox™) PCCA Formula # 12045 Acyclovir 5%/Lidocaine 1%/Oxybenzone 2.5% Lip Gel (MucoLox™) Commonly Requested Formula for Patients Requesting Teeth Whitening PCCA Formula # 12639 Hydrogen Peroxide 10% (W/V) Dental Gel Tel: 800.331.2498 │ Fax: 800.874.5760 │ pccarx.com Please contact PCCAʼs Pharmacy Consulting Department with questions regarding the formulations. Page 2 of 4 01/02/18 Commonly Requested Compounding Ideas for Dental Patients (cont’d) Commonly Requested Formulas for Patients with a Sensitive Gag Reflex PCCA Formula # 11150 Electrolyte Saliva Gel (MucoLox™) PCCA Formula # 3811 Electrolyte Polyglycol Troche™ Base Lollipop PCCA Formula # 1330 Electrolyte Base A Troche PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base Commonly Requested Formulas for Patients with Pre-Procedure Anxiety PCCA Formula # 2672 Midazolam 12.5 mg Sorbitol Lollipop™ Base PCCA Formula # 11259 Midazolam 2 mg/mL Oral Suspension (SuspendIt™) PCCA Formula # 5413 Ketamine 50 mg Sorbitol Lollipop™ Base Commonly Requested Formulas for Patients Needing Anesthetics PCCA Formula # 11153 Lidocaine HCl 10%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel (MucoLox™) (FormulaPlus™ BUD Study) PCCA Formula # 9957 Lidocaine HCl 10%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel (FormulaPlus™ BUD Study) PCCA Formula # 9201 Lidocaine HCl 20%/Tetracaine HCl 4%/Phenylephrine HCl 2% Dental Gel PCCA Formula # 9849 Lidocaine HCl 10%/Phenylephrine HCl 2%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel PCCA Formula # 10279 Lidocaine HCl 2%/Epinephrine 1:50,000 Dental Injection Solution (PF) PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base Commonly Requested Formulas for Patients Requiring a Non-Caine Anesthetic PCCA Formula # 7440 Dyclonine HCl 1% Oral Dental Solution PCCA Formula # 2841 Dyclonine HCl 1% Oral Gel Commonly Requested Formulas for Patients with Nausea PCCA Formula # 12375 Promethazine HCl 12.5 mg/Gm to 25 mg/Gm Topical Lipoderm® (FormulaPlus™ BUD Bracketed Study) PCCA Formula # 8986 Ondansetron 4 mg/0.1 mL Topical Lipoderm ActiveMax® Commonly Requested Formulas for Patients Requiring a Root Canal PCCA Formula # 4767 Nitrofurazone 0.2%/Sulfadiazine Sodium 5% Dental Solution PCCA Formula # 10160 EDTA 17% Dental Solution, Alternate Commonly Requested Formulas for Patients with Dry Sockets PCCA Formula # 11541 Tranexamic Acid 4.8%/Phenytoin 2%/Clindamycin 1%/Sodium Hyaluronate Poloxamer Dental Gel PCCA Formula # 11385 Benzocaine 16.7% Dry Socket Gel (MucoLox™) PCCA Formula # 10263 Benzocaine 20%/Iodoform 15.8%/Eugenol 13.7% Dental Paste PCCA Formula # 11777 Beta Glucan 0.5%/Phenytoin 2%/Lidocaine HCl 5% Dry Socket Gel (MucoLox™) PCCA Formula # 2349 Benzocaine/Eugenol Dressing PCCA Formula # 1438 Benzocaine 4% Compound Socket Liquid PCCA Formula # 0523 Lidocaine HCl 15%/Prednisolone 0.5%/Eugenol Compound Socket Paste PCCA Formula # 1954 Hydroxyquinoline Sulfate 0.1%/Thymol 0.5%/Prednisolone 0.5%/Lidocaine HCl 15% Dental Paste PCCA Formula # 5560 Guaiacol/Chlorobutanol/Eugenol Compound Dry Socket Paste PCCA Formula # 4393 Tetracycline HCl 5%/Hydrocortisone 2% Dental Ointment Tel: 800.331.2498 │ Fax: 800.874.5760 │ pccarx.com Please contact PCCAʼs Pharmacy Consulting Department with questions regarding the formulations. Page 3 of 4 01/02/18 Commonly Requested Compounding Ideas for Dental Patients (cont’d) Commonly Requested Formulas for Patients Requiring Periodontal/Endodontic Treatments PCCA Formula # 10116 Doxycycline 1%/Metronidazole 0.625% Poloxamer Dental Gel PCCA Formula
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