Podiatrist Newport Beach

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Podiatry! Podiatrists in Newport Beach can use compounded medications for better results:

NewportCenter Compounding Pharmacy has the best podiatrist in Newport Beach, specializing in compounded solutions for Podiatrists. Our Newport Beach pharmacy has years of experience and is committed to providing the specialty medications that podiatrists and their patients require. Because we know that every patient is unique, we offer specially formulated drugs suited to certain podiatric disorders.

As one of the Newport Beach podiatrists, we offer efficient remedies that conventional pharmaceuticals may not always fully address, ranging from topical pain relief creams to specialist wound healing formulas.

Onychomycosis nail fungus

Several commercial products are available to treat onychomycosis, including griseofulvin, itraconazole, Terbinafine, as well as ciclopirox 8% nail lacquer (Penlac). It takes 10 to 18 months for griseofulvin to work and has poor cure rates. Podiatry Oral therapy with itraconazole and Terbinafine also present problems with drug interactions and liver toxicity.

A patient with compromised liver function and a GERD patient on a PPI will not qualify for oral itraconazole.

For patients who cannot use antifungals, Penlac is the only commercial topical treatment available. However, Penlac reportedly has only a 14% cure rate after several months of use.

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Having a compounded prescription medication from a compounding Pharmacy may overcome these problems and avoid the need for extensive liver monitoring.

Antifungals can be dissolved in dimethylsulfoxide (DMSO) which has superior nail penetration and can be delivered directly to the infection site. Terbinafine and azole antifungals are examples of antifungals that can be compounded in DMSO.

Possible formulas -

Itraconazole 1%/Ibuprofen 2% in DMSO nail polish
Itraconazole 1%/Undecylenic Acid 17% in Tea Tree Oil-DMSO nail polish
Itraconazole 1%/Undecylenic Acid 17%/Salicylic Acid 10% in Tea Tree Oil-DMSO nail polish
Ketoconazole/Tea Tree Oil/DMSO Antifungal Solution, and
Terbinafine 1.67% Topical Solution

Warts

The classic treatment for warts is salicylic acid, used topically. Our experienced compounding podiatrist in Newport Beach, can prepare some unique treatments for warts involving Cimetidine, trichloroacetic acid, and 5-fluorouracil. A dose of 40 mg/kg orally of cimetidine has been used to treat multiple warts that are recalcitrant.

Possible formulas -

Cimetidine 5%/DDG 0.2%/Tea Tree Oil 10%/Ibuprofen 2% transdermal
Salicylic Acid 40% Ointment
Salicylic Acid Compound Collodion, and
Salicylic Acid 28% Polymeric Substrate, and
Trichloroacetic Acid 2%/Salicylic Acid 60%

Non-Surgical Nail Removal

You can find a compounded preparation in a podiatrist In Newport Beach that will allow for non-surgical nail removal that may be required for non-dermatophytic fungal infections.

Possible formula

Urea 40% ointment Diabetic Neuropathy

Numerous medications are commercially available to treat diabetic neuropathy and help return sensitization. Some drugs used to treat diabetic neuropathy are amitriptyline, baclofen, ketamine, gabapentin, and clonidine.

These medications, which are not commercially available, can be combined topically to benefit diabetic patients. Combinations of topical medications have the advantage of fewer adverse effects as well as using one medication rather than several.

Possible formulas -

Baclofen 5%/Ketoprofen 10%/Lidocaine 5%/Gabapentin 5% transdermal
Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Lidocaine 2% transdermal
Ketamine 10%/Gabapentin 6%/Clonidine 0.2%/Nifedipine 2% transdermal
Gabapentin 6%/Clonidine 0.2% transdermal
Clonidine 0.2%/Gabapentin 6%/Ketamine 10% transdermal

Hyperhidrosis of the Feet and Foot Odor

Aluminum, atropine, scopolamine, formaldehyde, methenamine, and glycopyrrolate form the basis of many products prepared to treat hyperhidrosis feet.

Methenamine is a pro-drug that is converted to the active drug formaldehyde. Many over-the-counter antiperspirants contain aluminum chlorohydrate.

Possible formulas -

Methenamine 5% Clear Lotion/Gel
Methenamine 5% Deodorant Stick
Methenamine 5%/Benzalkonium Chloride 2%
Aluminum Chlorohydrate 5% and 10% Topical Antiperspirant Cream
Aluminum Chlorohydrate 5% Topical Powder
Aluminum Chlorohydrate 7.7% Topical Paste
Formaldehyde Roll-on Deodorant
Glycopyrrolate 0.25%/Tea Tree Oil 2.5% Deodorant/Antiperspirant

Inflammation and Pain

Most topicals for inflammation and pain due to sprains and strains can be made from various NSAIDs in PLO containing ketoprofen. NSAIDs have the most clinical support of all the medications used topically in podiatry. We can combine the NSAIDs with a muscle relaxer and topical anesthetic at our Newport Podiatry center if required.

Possible formulas -

Ketoprofen 10%/Cyclobenzaprine 1-2% transdermal
Ketoprofen 10%/Lidocaine 5%/Bupivacaine 2% transdermal

Wound Healing and Circulation Improvement

Nifedipine is used in concentrations of 0.2% to 10% PLO gel in an effort to enhance circulation in areas of ischemia. Our podiatrist in Newport beach, uses higher concentrations, but the lower doses are a better starting point due to the hypotensive properties of this drug.

The vaso-dialation properties that make it work well orally in diseases such as hypertension, angina pectoris, and Raynaud’s syndrome could also work well as an agent to rub on ischemic areas and diabetic ulcers to increase blood flow. Despite its light sensitivity, transdermal nifedipine PLO should be dispensed in an amber bag. During the preparation, patients’ blood pressure should decrease, and wounds should be monitored for signs of healing (redness, vascularization, and dryness around the wound).

For more diabetic formulations from our Pharmacy, click here.

Possible formulas -

Nifedipine 4-16% transdermal
Pentoxifylline 5% Lipoderm

Additional preparations for Podiatrists -

Decubitus ulcers
Transdermal anti-inflammatory agents
Treating calluses
Skin softeners & moisturizers
Transdermal treatments for neuropathy
Keratinolytic agents
Wound Care
Plantar fasciitis (Heel Spurs)
Antifungal foot powders
Muscle & joint pain

Find the Best Cure for Ailments with Compounded Medicines

If you are looking for customized compounding solutions to address the unique needs of your patients, Newport Beach Pharmacy is here to assist you. Contact us today to learn more about how our specialized podiatry compounding services can benefit your practice and your patient’s well-being.