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
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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
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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
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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 # 4135 Metronidazole 25% Dental Gel (MucoLox™) PCCA Formula # 11136 Hydrogen Peroxide 15 mg/mL Oral Rinse (MucoLox™) PCCA Formula # 11131 Hydrogen Peroxide 1.5%/Sodium Fluoride 0.5 mg/mL Oral Rinse (MucoLox™) PCCA Formula # 4350 Minocycline 2% Periodontal Gel PCCA Formula # 9604 Metronidazole 45.5%/Ciprofloxacin HCl 45.5%/Minocycline 9% Dental Paste PCCA Formula # 11130 Coenzyme Q-10 1% Oral Rinse (MucoLox™)
Commonly Requested Formulas for Patients Requiring a Hemostatic PCCA Formula # 11148 Tranexamic Acid 4.8% Oral Rinse (MucoLox™) PCCA Formula # 12195 Aminocaproic Acid 5% Oral Rinse (MucoLox™) PCCA Formula # 8636 Epinephrine HCl 8% Dental Solution
Commonly Requested Formulas for Patients Needing Chlorhexidine (Alcohol-Free and Flavored Alternatives) PCCA Formula # 12563 Chlorhexidine Gluconate 0.12%/Dyclonine HCl 1% Dental Rinse (MucoLox™) PCCA Formula # 10889 Chlorhexidine Gluconate 0.12% Oral Rinse (MucoLox™) PCCA Formula # 10890 Chlorhexidine Gluconate 0.12% Oral Rinse (Lemon Flavor) (MucoLox™) PCCA Formula # 10891 Chlorhexidine Gluconate 0.12% Oral Rinse, Alternate (MucoLox™) PCCA Formula # 10894 Chlorhexidine Gluconate 0.2% Oral Rinse (MucoLox™) PCCA Formula # 10892 Chlorhexidine Gluconate 0.2% Oral Rinse, Alternate (MucoLox™)
Commonly Requested Formulas for Patients with Temporomandibular Joint Disorder (TMJ) PCCA Formula # 11096 Ketoprofen 10%/Cyclobenzaprine HCl 2% Topical Lipoderm ActiveMax® (FormulaPlus BUD Study) PCCA Formula # 9380 Ketoprofen 5%/Cyclobenzaprine HCl 0.5%/Lidocaine HCl 5%/Bupivacaine HCl 1% Topical Lipoderm® PCCA Formula # 9237 Potassium Chloride 6%/Potassium Citrate 6%/Potassium Nitrate 6% Topical Gel
The formulas and/or statements listed are provided for educational purposes only. They are compounding ideas that have commonly been requested by physicians, and have not been evaluated by the Food and Drug Administration. Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
Tel: 800.331.2498 │ Fax: 800.874.5760 │ pccarx.com Please contact PCCAʼs Pharmacy Consulting Department with questions regarding the formulations. Page 4 of 4 01/02/18