Compounding

Gastrointestinal

Two problems, one principle: put the medicine on the tissue that needs it. Fissure ointments relax the muscle and carry a local anesthetic straight to the site. GI cocktails arrive premixed in the ratio you ordered, so nobody is combining three bottles at a bedside.

Download order form Send a prescription
Sample preparation for gastrointestinal compounding
Dosage forms

What we prepare.

Rectal and topical ointments
Diltiazem, nifedipine and nitroglycerin, alone or with lidocaine, in a base that stays where it is put.
Oral suspensions
GI cocktails mixed to a set ratio and dispensed ready to pour.
Custom percentages
When the strength you want is not one a manufacturer sells.
Applicator tubes
For rectal preparations, on request.
Using it

How to take it.

  • Measure the dose. A fingertip is not a dose, and more ointment does not work faster.
  • Use a finger cot or a glove, or wash your hands immediately afterward.
  • Headache is common with nitroglycerin, most often in the first week. Tell your prescriber if it does not settle.
  • Do not use a nitroglycerin preparation with sildenafil, tadalafil or any other erectile dysfunction medicine. Together they can drop your blood pressure dangerously.
  • Shake a GI cocktail before every dose and measure it with the cup or syringe we supply.
Storing it

How to keep it.

  • Room temperature unless the label tells you otherwise.
  • Keep the cap on, and roll a tube up from the end.
  • Note the beyond use date on the label. Compounded preparations do not carry a manufactured shelf life.

This page describes the preparations we make and how they are handled. It is not medical advice and it does not replace the label on your prescription or the instructions your prescriber gave you. Call us at 910-748-0243 with any question about your own medicine.

For prescribers

What to put on the prescription.

  • The active and its percentage strength.
  • Whether you want lidocaine in it, and at what percent.
  • For a GI cocktail, the ratio and the components.
  • Total grams or millilitres, and the sig.

The order form has all of it.

Every field above is already on the gastrointestinal order form. Fill it in, fax it to 910-748-0245, and there is nothing for us to call you back about.

Download order form

Or e-prescribe to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305, with the formula in the free text field.

Also compounded here
Send a prescription

Send it and we will read it back to you.

Prescriber, patient, or facility. Tell us what you need and a pharmacist will call you back.

Phone910-748-0243
Fax910-748-0245
Emailtravin@tworiversrx.com RefillsRefill a prescription online TransferMove your prescriptions to us Visit101 Broadfoot Ave, Fayetteville, NC 28305
E-RxSend to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305
HoursMonday to Friday, 9:00am to 5:30pm. Closed Saturday and Sunday.

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