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Over the years, students have brought my attention to what they see as questionable practices by a small but significant number of independent pharmacists, whom I will call "compounding pharmacists." These pharmacists make their own drugs or modify manufactured drugs and offer their services primarily to pediatricians and physicians attending the elderly. It has been reported that over 3000 pharmacies are involved in these compounding practices (Scrip Magazine. February 1995:6-8), and one can estimate that more than 30 000 pediatricians are using their services. These services include masking or changing flavors; making the drug in the form of lollipops, lozenges, or popsicles; and making special-strength solutions for inhalation. These may seem desirable services, but the driving motive is not the well-being of the patient but increased profit for the pharmacist and all too frequently for the pediatrician who may have a special business relationship with the compounding pharmacist (Scrip Magazine
Perrin JH. Pediatrician and Compounding Pharmacist: A Dangerous Liaison. Arch Pediatr Adolesc Med. 1996;150(2):224–226. doi:10.1001/archpedi.1996.02170270106020
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