At Maida Pharmacy Compounding and Wellness, we recognize the benefits and challenges of drug classes used in psychiatry. We offer options for personalizing drug therapy. Whether you are trying to avoid side-effects, slowly increase or decrease a dose at a comfortable pace or are starting a novel therapy, we have personalized treatment options.
Novel Drug Therapy
Ketamine is a promising treatment in the pharmacological management of treatment resistant depression, post-traumatic stress disorder, and various chronic pain syndromes. The majority of literature has evaluated the use of ketamine intravenously in an inpatient setting. However, this is an expensive and invasive form of delivery. An exciting frontier in the use of ketamine is the use of dosage forms other than the intravenous route. At Maida Pharmacy Compounding and Wellness, we compound ketamine in various dosage forms such as nasal sprays, lozenges, sublingual solutions, and rapid dissolving tablets.
There is much to be learned about ketamine, especially in an outpatient setting. As compounding pharmacists, we’re experts in formulating medications on a patient by patient basis. We’re here to serve as a resource in the decision-making process of choosing a ketamine preparation including dose, dosage forms, route of administration, and frequency of administration.
Patient’s response to drugs used in psychiatry can vary greatly. Some patients may be more likely to positively respond to medications, others may be more likely to experience side-effects. This may be related to genetic variations from person to person. Pharmacogenomic testing assesses how a person’s genetics affects their response to drugs. It’s an emerging field quickly finding place in clinical settings, especially psychiatry. For some patients with genetic polymorphisms, a personalized dose may be beneficial. Maida Pharmacy Compounding and Wellness formulates medications at patient specific doses.
Drug classes linked to genetic polymorphisms
Fluoxetine, Sertraline, Paroxetine, Fluvoxamine, Citalopram, Escitalopram
Aripiprazole, Clozapine, Olanzapine, Risperidone
Many drug classes used in psychiatry are difficult, even dangerous, to stop abruptly. These medications carry a risk of withdrawal if discontinued suddenly. Our compounding pharmacists can work with you and your provider to establish a dose tapering plan you are comfortable with. Common classes of medications we assist patients in titrating off of include the benzodiazepines, SSRI’s, and SNRI’s.