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Therapeutic Specialty

Anti-Infectives

Compounded topical anti-infective formulations for wound care, chronic infections, sinus conditions, and antifungal treatment customized to each provider's protocol and each patient's plan.

For Patients

Formulations Matched to Your Condition

Your provider may prescribe a compounded anti-infective when a commercially available product does not come in the right form, strength, or combination. Each formulation is made to your provider's specifications.
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For Prescribers

Culture-Guided Compounding

Our pharmacists review culture and sensitivity results, including DNA identification, and work with you to design targeted topical formulations. Whether the approach calls for an ointment, irrigation, soak, powder, or saturated gauze, we compound the preparation at the concentration your clinical picture requires.

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Anti-Infective Formulations

Our pharmacies prepare custom anti-infective formulations across a range of infection types and wound care scenarios. Ask your provider or one of our pharmacists about compounded options for the following:

Chronic Sinusitis
Chronic Wound Infections
Diabetic Foot Ulcers
Drug-Resistant Infections (MRSA)
Fungal Nail Infections (Onychomycosis)
Fungal Skin Infections
Nasal Vestibulitis
Non-Healing Wounds
Osteomyelitis (Topical Support)
Post-Operative Wound Care
Pressure Ulcers
Skin and Soft Tissue Infections
Surgical Site Infections
Venous Leg Ulcers

Anti-Infectives Focus Areas

Topical Wound Care

Every wound is different and requires a different topical application method. Our pharmacies compound targeted antibiotic and antimicrobial formulations in multiple delivery methods, from direct-apply ointments and powders to saturated gauze and soaks. Prescribers can specify exact active ingredient combinations and concentrations based on culture and sensitivity results for each patient.

Popular Wound Care Forms:

  • Direct Apply Ointment
  • Direct Apply Powder
  • Saturated Gauze
  • Soak

Sinus & ENT Anti-Infectives

Our pharmacies compound anti-infective solutions designed for use with nasal nebulizers, sinus rinse devices, and spray irrigation systems. Prescribers can specify active ingredients and concentrations for preparations intended to be applied directly to the sinus cavity and nasal passages.

Sinus Delivery Methods:

  • Nasal Nebulizer
  • Sinus Rinse
  • Spray Irrigation

Antifungal Formulations

Fungal infections of the skin, nails, and mucous membranes often require targeted concentrations or combination formulations not available commercially. Our pharmacies prepare custom antifungal preparations using agents such as itraconazole, voriconazole, terbinafine, and clotrimazole in topical ointments, solutions, and powders at strengths specified by the prescriber.

Popular Antifungal Forms:

  • Topical Ointment
  • Topical Solution
  • Direct Apply Powder
Active ingredients

Most Commonly Prescribed

Our network of pharmacies compounds a wide range of active ingredients for anti-infective formulations. Availability of specific formulations varies by pharmacy.

Ceftriaxone
Cephalosporin
Ciprofloxacin
Fluoroquinolone
Clindamycin
Lincosamide
Clotrimazole
Antifungal
Doxycycline
Tetracycline
Gentamicin
Aminoglycoside
Itraconazole
Antifungal
Levofloxacin
Fluoroquinolone
Mupirocin
Topical Antibiotic
Streptomycin
Aminoglycoside
Terbinafine
Antifungal
Tobramycin
Aminoglycoside
Vancomycin
Glycopeptide
Voriconazole
Antifungal

Looking for a specific ingredient or formulation?

Your Revelation pharmacy can confirm current availability and discuss options with your provider.

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* Controlled Substance Note: Ketamine is a Schedule III controlled substance. Tramadol and Chloral Hydrate are Schedule IV controlled substances. All are regulated under the DEA Controlled Substances Act. Prescriptions for controlled substances require additional documentation and are subject to applicable federal and state regulations. Contact your Revelation pharmacy for details.

Delivery methods

Available Dosage Forms

Compounded anti-infective formulations are available in specialized delivery methods designed for targeted application. Below are the anti-infective delivery methods available across our network. Contact your Revelation pharmacy for location-specific availability.

  • Direct Apply Ointment
  • Direct Apply Powder
  • Nasal Nebulizer
  • Saturated Gauze
  • Sinus Rinse
  • Soak
  • Spray Irrigation

Compounded for Anti-Infectives: What to Know

Culture and sensitivity results, including DNA identification, help prescribers identify which organisms are present and which active ingredients to target. Our pharmacists review these results and work with the prescriber to compound a formulation with the appropriate agents at the appropriate concentrations for each patient’s specific clinical picture.

Compounded anti-infective formulations can be prepared as direct-apply ointments, direct-apply powders, saturated gauze, soaks, spray irrigations, and nasal delivery systems including nebulizers and sinus rinse devices. The prescribing provider determines which method is appropriate based on the wound type, location, and clinical requirements.

Yes. Compounding allows the prescriber to combine multiple antibiotic, antifungal, or antimicrobial agents into a single preparation at custom concentrations based on culture results and the patient’s clinical needs.

Yes. All compounded medications require a valid prescription from a licensed prescriber. Anti-infective formulations are prepared based on an individual prescription as part of a provider-directed treatment plan.

Why Compounding for Anti-Infectives?

01

Culture-Guided Formulations

Our pharmacists review culture and sensitivity results to support the prescriber in selecting the right agents and concentrations.

02

Multiple Application Methods

From ointments and powders to saturated gauze, soaks, and spray irrigations, the delivery method matches the wound or infection site.

03

Combination Formulations

Multiple antibiotic, antifungal, or antimicrobial agents in a single preparation at custom concentrations as directed by the prescriber.

04

Custom Concentrations

Strengths calibrated to each patient's prescription, beyond what's available in standard commercial products.

05

Sinus Delivery Systems

Formulations prepared for use with nasal nebulizers, sinus rinse devices, and spray irrigation systems, designed for application to the sinus cavity and nasal passages.

06

Clinical Pharmacist Support

Our Doctor of Pharmacy team provides consultation, prescribing templates, lab interpretation, and care plan development.

Disclaimer

All compounded medications require a valid prescription from a licensed prescriber. This content is intended for educational purposes only. It is not medical advice and is not a substitute for a provider’s independent clinical judgment. Compounded preparations require a prescription, and any treatment decision should be based on the individual needs of the patient.