Wound Care


Wound Care Compounding

Per a prescription order, a formulation can be compounded to contain the proper combination of active ingredients, in the most appropriate base, to treat a specific type of wound. We customize medications to meet each individual’s specific needs.

For example, the choice of cream, ointment, or gel can be clinically significant. Each time a wound needs to be cleaned, there is the potential for disruption of new tissue growth. Gels, which are more water soluble than creams or ointments, may be preferable for wound use because a gel can be rinsed from the wound by irrigation. Ointments may contain polyethylene glycol (PEG), which can be absorbed from open wounds and damaged skin. If the wound is quite large and too much PEG is absorbed, it can lead to renal toxicity.

Another useful dosage form is the polyox bandage – which can be puffed onto a wound and will adhere even if exudate is present. A polyox bandage can be compounded to contain the active ingredient(s) of your choice.

Odor Control

Odor from malignant cutaneous wounds, ulcerated tumors, some pressure ulcers, and fungating tumors can cause great distress and embarrassment for patients. Topical metronidazole is one medication that has been used to eliminate this odor, greatly improving the patient’s quality of life. Exudate and associated cellulitis may also decrease significantly with appropriate topical therapy.

Ostomy Wound Manage 1997 Jan-Feb;43(1):56-60, 62, 64-6

Malignant Cutaneous Wounds: a Management Protocol

Haisfield-Wolfe ME, Rund C

Johns Hopkins Oncology Center, Baltimore, MD, USA.

Malignant cutaneous wounds are emotionally traumatic and difficult to manage lesions which occur secondary to infiltration of cancer into the skin. They occur in patients with end-stage disease and are highly exudative, malodorous, and bleed easily. Quality of life is the goal for treatment, which includes radiation, chemotherapy, surgery, and local wound care. Odor is addressed with varying levels of success through wound cleansing, external deodorizers, charcoal-impregnated dressings, topical antimicrobial therapy, and metronidazole. Exudate is managed with highly absorbent dressing materials, topical steroids or hyoscine (a drying agent). Light bleeding is controlled with local pressure and hemostatic dressings; heavier bleeding may require ligation or cauterization. Cosmetic appearance and other psychosocial issues must be assessed on an ongoing basis. Creative dressing techniques can help restore the look of symmetry to the patient’s body. Effective wound management, debridement, and antimicrobial theray can reduce the risk of infection. Wound cleansing, through irrigation or flushing, should not cause pain, further trauma or bleeding. Dressings should maintain a moist wound environment and not traumatize the wound upon removal. A protocol is included which can be individualized to the needs of each patient and addresses assessment, interventions, patient teaching, documentation, and expected outcomes.

PMID: 9087066

Skin Irritation

Numerous topical preparations containing cholestyramine or sucralfate (creams, adhesive pastes, enemas, suppositories) have been used for their protectant properties or for treatment of a variety of dermatologic and mucosal problems, including oral and esophageal ulcers, peristomal and perineal excoriation, decubitus ulcers, and radiation-induced rectal and vaginal ulcerations, and second and third degree burns.

Ann Pharmacother 1996 Sep;30(9):954-6

Cholestyramine ointment to treat buttocks rash and anal excoriation in an infant.

White CM, Gailey RA, Lippe S.
Albany College of Pharmacy, NY 12208, USA.

Click here to access the PubMed abstract of this article.

Dis Colon Rectum 1987 Feb;30(2):106-7

Cholestyramine ointment in the treatment of perianal skin irritation following ileoanal anastomosis.

Moller P, Lohmann M, Brynitz S.

Click here to access the PubMed abstract of this article.

Clin Exp Dermatol. 2000 Nov;25(8):584-8

Topical sucralfate in the management of peristomal skin disease: an open study.

Lyon CC, Stapleton M, Smith AJ, Griffiths CE, Beck MH.
Dermatology Centre, University of Manchester, and the Pharmacy and the Department of Stoma-Care, Hope Hospital, Salford, UK.

Click here to access the PubMed abstract of this article.

Burns. 2001 Aug;27(5):465-9

Topical use of sucralfate cream in second and third degree burns.

Banati A, Chowdhury SR, Mazumder S.
Department of Plastic Surgery and Burns Research Unit. Institute of Post Graduate Medical Education and Research, 220, Acharya Jagadish Chandra Bose Road, -700 020, Calcutta, India.

Click here to access the PubMed abstract of this article.

Custom Prescription Dosage Forms

Health Dimensions clinical pharmacists are problem solvers in the community, working with patients and physicians to gain positive outcomes. With our expertise in custom preparing medications, Health Dimensions, Inc. can compound any of the following dosage forms:

  • Capsules: immediate release or slow release
  • Drops: ear and nasal
  • Injectables: intravenous, subcutaneous, intra muscular, intra spinal
  • Nutritional and herbal therapies – vitamin powder, natural vitamin supplements and more
  • Pellets
  • Sprays: nasal, inhalers, topical ear and oral
  • Suppositories: rectal and vaginal
  • Transdermals: cream, gel ointment, powder

Don't just take our word for it. Hear it from our customers!

  • The customer service is top notch. They are patient as well as professional. When you walk into the building you know that it is at the highest standards of cleanliness. I was able to observe a young lady in the process of combining some properties and she had on a gown, gloves and cap. They even gave me a free ink pen! I would highly recommend this pharmacy for any of your needs.

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  • Our child has multiple food and drug allergies in addition to a few medical conditions. We would be lost without the services Health Dimensions provides in sourcing and compounding safe medications for our son. They are professional, knowledgeable, and very caring. They have thorough steadfast procedures in place that ensure his safety. We are very blessed to have Health Dimensions on our family’s health care team.

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  • I have been dealing with Health Dimensions Compounding Pharmacy on County Club Drive in Farmington Michigan since 1985. Everyone that I have had to talk to has been overly pleasant. I have walked in and even if the representative was very busy they acted as if they had nothing to do until I got there. I would recommend this establishment with a definite five star rating. J. C.

    Jim Avatar
  • Health Dimensions has always provided me with amazing customer service. The communication is great and my prescriptions are always ready on time or even early. Hanan is so professional and a pleasure to speak with every time I call! Thanks Health Dimensions for the great customer service!

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  • Health Dimensions Compound Pharmacy is a wonderful alternative to traditional medicines, especially when the traditional medicines don't work. It's very comforting when a compound is made up specifically for your needs and also very effective. The personnel are warm and caring. They go out of their way to accommodate you. They will do any research necessary to satisfy your needs. Kudos to Ian for such a fantastic job!!! I know he will go out of his way to guarantee satisfaction.

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