Dermatology Compounding Pharmacy & Custom Solutions

Located in Atlanta Georgia, Pavilion Compounding Pharmacy has been compounding drugs and dermatological products for more than 20 years. Our access to various bases, chemicals, and drugs, allows us to maintain one of the largest inventories of active drugs for skin conditions. Dermatologists, skin specialists, aestheticians, and MedSpas rely on our expertise to provide a wide range of dermatology compounding options.

Drugs can only work if they reach the cells and tissues that need them.

When it comes to treating types of skin conditions through the use of dermatological drugs, delivery is everything. Choosing the right dermatological medications can be the difference between a successful treatment for a skin condition and an unsuccessful outcome.

Pharmaceutical compounders use a number of bases to deliver various drugs into the skin.

These bases include:

  • Topical Creams
  • Ointments
  • Gels
  • Solutions
  • Lotions

A medication’s base plays an important role in the effectiveness of the drug. Certain steroids using an ointment base may be more potent than those using a cream base, for example. The difference in potency depends on a number of factors. These factors include how well it is absorbed into the skin and its ability to prevent water from evaporating out of the skin.

Because each type of base provides unique characteristics to the preparation, choosing the right base can be complex.

Working with your practitioner, Pavilion Compounding Pharmacy can help each patient choose the best preparation for his or her condition. 

About Dermatology Compounding

Dermatology compounding requires the use of proper equipment and advanced techniques. The Pavilion Compounding Pharmacy lab is equipped with the sophisticated tools needed to compound a pharmaceutically elegant product. These tools include an electronic mortar and pestle and an ointment mill that reduces particle sizes to create a smooth product. We use a Resonant Acoustic Mixer (RAM), which boasts a state-of-the-art mixing capability, to provide a uniform product mix.

Commonly Requested Dermatological Preparations

The most commonly requested dermatological preparations include:

  • Trihydroret, a mixture of hydroquinone, tretinoin, and triamcinolone or hydrocortisone
  • Azelaic acid
  • DMAE
  • Clindamycin
  • Benzoyl Peroxide
  • Fluocinolone
  • Monobenzone Fluconazole
  • Acyclovir
  • Cantharidin
  • Squaric Acid
  • DNCB
  • Ketoconazole
  • Erythromycin
  • Doxepin
  • 5-flurouracil
  • Minoxidil
  • Menthol
  • Camphor
  • Phenol
  • Methoxsalen
  • Brimonidine
  • Hydroquinone
  • Salicylic acid
  • Metronidazole
  • Lidocaine
  • Benzocaine
  • Tetracaine
  • Prilocaine
  • DMSO pharmaceutical grade
  • Hydrocortisone
  • Fluticasone
  • Neomycin

 Common Uses of Dermatology Compounding

Bleaching Creams

Bleaching creams are skin-lightening products that treat age spots, acne scars, discoloration related to hormones and other skin discolorations. Bleaching creams, also known as Tri-Hydro-Ret, usually contain triamcinolone, hydroquinone and retinoic acid, along with hydrocortisone or other steroids. 

Hydroquinone is the active skin-lightening component of bleaching creams. Retinoic acid helps fade hyper-pigmentation of skin, stimulates collagen to keep skin elastic, and helps skin stay hydrated. Triamcinolone reduces redness and relieves skin irritation, itching, and dryness.

Pavilion Compounding Pharmacy has hundreds of variations of this popular skin whitener. Percentages of hydroquinone in our skin whitening products range from 2% up to over 12%. We can also include kojic acid, green tea, and other skin lighteners in compounded preparations, depending on your doctor’s requirements.

Dr. Isaac Willis’ formulation of Tri-Hydro-Ret was a widely popular bleaching cream prior to his death. Both dermatologists and his patients mourn his loss and acknowledge the important contributions Dr. Willis made to dermatology. Fortunately, our pharmacists obtained the formulas several years ago and have been making this formulation ever since.

We also offer another product, Tri-Luma®, which has the exact active ingredients as the popular bleaching agent, 

Acne Preparations

A large number of acne preparations are available. The most common acne preparations are compounds that use retinoic acid, benzoyl peroxide, steroids, clindamycin, erythromycin, azelaic acid, dapsone, and clotrimazole. Compounding pharmacies can custom blend these preparations to address each patient’s specific type of acne.

Pavilion Compounding Pharmacy works closely with dermatologists to formulate each patient’s preparation for optimal results. Compounding pharmacists can even include multiple drugs in one compound for patients who have acne in addition to other skin conditions. Compounded acne treatments can also address the inflammation that often accompanies acne.

In many cases, the cost of our compound is far below the cost of commercial acne preparations available on the market. Call us today to find out if it’s possible to include multiple drugs in a single compound.

Non-Antibiotic Acne Treatments

Doctors who want to provide non-antibiotic acne treatments often look for formulas that use a niacinamide/lipoic acid cream or gel. Niacinamide helps preserve microscopic structures in the skin and acts as an antioxidant that fights free radicals. Lipoic acid, also known as alpha-lipoic acid or ALA, has anti-inflammatory effects and reduces visible redness and blotchiness.

Clinicians also look for formulas containing ascorbic acid, also known as vitamin C, for the treatment of acne. Ascorbic acid is an anti-inflammatory, and it promotes wound healing and prevents hyper-pigmentation that often follows inflammation.

Compounds that contain 4% niacinamide combined with ascorbic acid provide prompt acne relief. Compounded acne therapies that contain beneficial bacteria, known as probiotics, are also highly effective. Probiotics such as Lactobacillus Acidophilus, displace the bacteria that can cause acne.

Custom Acne Formulations

Our experts can help doctors and patients choose the right formulation based on their needs. This can reduce the appearance of acne, decrease skin inflammation, and help prevent discoloration resulting from acne. Call Pavilion Compounding Pharmacy for a FREE acne consultation and recommendation.

Eczema or Psoriasis

Eczema and psoriasis are common skin conditions that cause red, itchy rashes. Doctors often recommend corticosteroid creams to treat eczema and psoriasis. This is because they contain man-made versions of the hormones produced by the adrenal glands.


Compounding pharmacies create corticosteroid creams in various percentages and potencies of the manmade hormone. Compounding allows patients and doctors to control the number of steroids in the treatment. 

This helps improve the effectiveness of the treatment by adding other active ingredients into the cream. This is particularly important for those with severe eczema or psoriasis who need stronger treatments. It is also effective for children and others who want to avoid the use of steroids.

Vitamin B12 with Evening Primrose Oil

Many patients with eczema or psoriasis, especially pediatric patients, benefit from treatment with vitamin B12 combined with evening primrose oil. Research shows that both vitamin B12 and evening primrose oil decrease the symptoms of eczema in adults and in children. Pavilion Compounding Pharmacy offers personalized compounds for anyone with eczema or psoriasis who wants to avoid products containing steroids.


XemaTop™ is the ideal dermatological compounds for patients with eczema, psoriasis, and xerosis (dry skin). Its cream base helps replenish lipids and play a crucial role in maintaining the strength of the skin’s protective barrier. Lipids also play an important part in aiding the skin’s natural repair process.

XemaTop™ benefits:

  • Replenishes the skin’s lipids
  • Nourishes and strengthens the structural integrity of skin
  • Helps restore the skin’s protective barrier and prevent water loss
  • May improve the delivery of active pharmaceutical ingredients

Anesthetics (Numbing Compounds)

Anesthetics numb the skin. Pavilion Compounding Pharmacy makes a number of numbing compounds, such as benzocaine, lidocaine, prilocaine, and tetracaine (BLT). All products are available in different concentrations and forms to block skin pain. Numbing the skin is helpful for the treatment of certain skin conditions but is particularly important during medical procedures. 

Pavilion uses a variety of bases to enhance penetration of the active ingredients. This improves the effectiveness of these active ingredients during laser therapy and other dermatological procedures. Doctors can work with Pavilion Compounding Pharmacy pharmacists to determine the best type of base for specific procedures.

Scar Formulations and Scar prevention

PracaSil-Plus is making a significant difference in the lives of people with various types of scars. PracaSil-Plus features a highly effective proprietary blend of active ingredients that are ideal for skin healing.

PracaSil-Plus benefits skin conditions including:

Wound Management

Wound management is an important aspect of dermatology, as proper wound care prevents infection and other complications. Wound care also speeds up healing while reducing the risk of scarring. Pavilion Compounding Pharmacy offers a number of compounds with a wide variety of active ingredients, including:

  • Phenytoin
  • Gentamicin
  • Misoprostol
  • Sucralfate
  • Aloe Vera

Pavilion Compounding Pharmacy also offers medicated Polyox Bandages to treat skin ulcers. Polyox Bandages are powders that are puffed into a wound; the powder then adheres to the skin to form a cover.

Diaper Rash

Diaper rash is an uncomfortable dermatological problem for babies. Pavilion Compounding Pharmacy creates compounds with the active ingredients to treat diaper rash, including:

  • Zinc oxide
  • Sucralfate
  • Mupirocin
  • Miconazole
  • Cholestyramine
  • Nystatin
  • White Petrolatum

Pavilion Compounding Pharmacy also offers the Happy Hiney Diaper Rash Treatment and Butt Paste.

Hair Loss

Hair loss affects approximately 35 million men and 21 million women. Dermatologists treat hair loss with a variety of compounded products that contain:

  • biotin, folic acid, magnesium, thiamine, riboflavin, pyridoxine, zinc gluconate, vitamin B12, Minoxidil, calcium pantothenate, finasteride, Tretinoin, Azelaic acid, and Biotin.

In some cases, a dermatologist may recommend progesterone treatment with topical/scalp shampoos, solutions, gels, or creams.


Phototherapy is the use of ultraviolet light for the treatment of skin diseases. Dermatologists often recommend the use of methoxsalen (Oxsoralen™) topical solution to enhance the therapeutic effects of phototherapy.


Antifungals help dermatologists treat a number of minor and severe fungal infections of the skin, such as ringworm and nail fungus. Dermatologists rely on compounded products from Pavilion Compounding Pharmacy for effective antifungals that contain:

  • Ketoconazole
  • Clotrimazole
  • Miconazole
  • Fluconazole
  • Nystatin
  • Econozole

All-Purpose Nipple Ointment (APNO)

Sore nipples can make breastfeeding uncomfortable. In fact, the discomfort of sore nipples is one of the main reasons many mothers stop breastfeeding early. To help reduce sore nipples, breastfeeding expert Dr. Jack Newman created All-Purpose Nipple Ointment. This ointment contains three active ingredients: antifungals, antibiotics and a steroid.

Customized Dermatology Compounding Solutions

We offer a wide variety of products and dermatology compounding services that help heal skin conditions and keep skin healthy. No one is better at creating customized medical and topical treatments to treat dermatological skin conditions.

For more information on our compounded medications and the benefits of a compounding pharmacy, contact our experts today. 

Dermatology Compounding Options with XemaTop

Dermatology Compounding Options with PracaSil Plus