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Dermatology Compounding

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Dermatology Compounding Pharmacy

Pavilion Compounding Pharmacy, located in Atlanta Georgia, has been compounding dermatological preparations for over two decades. Our experience and access to thousands of bases, chemicals, and drugs provide treatment options for many skin conditions. We have one of the largest inventories of active drugs used in a variety of skin conditions. Our relationship with PCCA(Professional Compounding Centers of America) affords us the ability to offer the widest range of compounding options in our Atlanta market. Pavilion Compounding Pharmacy works with many Dermatologists, Skin Specialists, Aestheticians, and MedSpas who rely on our expertise to assist their compounding options for their patients.

Pavilion compounding pharmacists have the ability to compound a complete range of topical compounds including foams, ointments, gels, creams, lotions, lip balms and solutions. Choosing an appropriate dermatological delivery option can be the difference between successful treatments outcomes for various skin conditions. Each type of base has characteristics unique to the preparation and we can help select, with your practitioner, the best option for your condition. Bases such as Xematop®, provided by PCCA gives us the option to use a natural, well-researched formulation, that has proven to be a formidable arsenal in our choices. Xematop® is useful for psoriasis, eczema, inflammatory skin conditions where nature has proven to be helpful. Another very useful base is Natacream® and has several characteristics we find appealing. Natacream is an all-natural formulation, non-comedogenic, moisturizing, non-irritating, and is paraben-free. The skin feel is superior to many other cheaper bases and we find patient acceptance is very positive.

Compounding requires having the proper equipment and technique. Our compounding lab is equipped with all the necessary tools to compound a pharmaceutically elegant product, including an electronic mortar and pestle (Unguator), and an ointment mill which reduces particle sizes and provides a smooth final product. Our Resonant Acoustic Mixer (RAM) provides state of the art mixing capability to provide a uniform product mix.

Commonly Requested Dermatological Preparations

Below is a short list of many of the most commonly requested dermatological preparations. While this is certainly not a comprehensive list, this represents a good starting point:

  • 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
  • …and many others

Common Uses of Dermatology Compounding

Bleaching Creams (Also Known as Tri-Hydro-Ret)

These usually consist of hydroquinone + retinoic acid + triamcinolone,hydrocortisone,or various other steroids. Pavilion Compounding Pharmacy has 100’s of variations of this popular skin whitener. Percentages of hydroquinone range from 2% up to over 12%. We can also include kojic acid, green tea, and others depending on your doctor’s requirements.

For those of you looking for Dr. Isaac Willis’ popular Tri-Hydro-Ret formulations, our compounding pharmacists have obtained the formulas and have been making this for several years. We mourn the loss of Dr. Willis and acknowledge the contribution Dr. Willis made to dermatology. We compound all formulas including Trihydroret in regular and extra strengths. Another popular bleaching agent, Tri-Luma®, currently on manufacturing delay, is also compounded with the exact active ingredients.

Acne Preparations

For this area of dermatology, your prescriber has tremendous options. Most common are compounds using retinoic acid, clindamycin, erythromycin, benzoyl peroxide, azelaic acid, steroids, dapsone, and clotrimazole. All of the above can be custom blended for your specific type of acne. We can work closely with your dermatologist to formulate your preparation. Many times the cost of our compound is far below the commercial products on the market. Call for our prices and ability to include multiple drugs in one compound. If your doctor is looking for a non-antibiotic acne treatment a suggestion is to use a niacinamide/lipoic acid cream or gel. We have had a lot of success with a 4% Niacinamide combined with Ascorbic acid for acne relief. Don’t forget the Probiotics in your acne therapy, many times, including the probiotic is the key for helping acne. At Pavilion Compounding Pharmacy we have our favorites so give us a call for a FREE acne consultation and recommendation.

Eczema or Psoriasis

Steroids are the most commonly used in various percentages and potencies of the active drug. With pediatric patients, we have seen very good results from a cyancobalamin (vitamin B-12) cream combined with oil of evening primrose. If you want to avoid the use of steroids for your child, you will be amazed at the healing power of the above formulation.

XemaTop is a cream base that is the ideal choice in dermatological compounds for patients with eczema, psoriasis, and xerosis (dry skin).


  • Replenishes the lipids within the skin
  • Nourishes the skin’s structural integrity
  • Helps restore the skin’s barrier and prevent water loss
  • May improve the delivery of common APIs

Again, introducing Probiotics, reducing dairy and sugar are just as important to help with many skin conditions. A healthy Gastro Tract is very important to the overall health of the skin.

Anesthetics (Numbing Compounds)

These include benzocaine, lidocaine, prilocaine, tetracaine or BLT, in many different concentrations and forms. When your procedure calls for a block on pain we can provide the necessary compound. Different bases can be used to enhance penetration and also to work better with laser therapy. Ask our pharmacists which would be the best type of base for your procedure.

Scar Formulations and Scar prevention

PracaSil-Plus is the only compounding base created for scar therapy. Due to the base’s proprietary blend of ingredients, including silicones (in a semipermeable polymer network that’s ideal for healing) and Pracaxi oil (which is rich in skin-friendly fatty acids and lipids), it’s been helping make a huge difference for patients with scars, including keloid and acne scars.



Co-Q-10-Green Tea-DMAE-Lipoic Acid

Wound Management

Phenytoin, Gentamicin, Misoprostol, Sucralfate, Polyox Bandage, Aloe Vera.

Diaper Rash

Zinc oxide, Sucralfate, Miconazole, Mupirocin, White Petrolatum, Cholestyramine, Nystatin, Happy Hiney, Butt Paste.

Hair Loss

Vitamin Capsules: formulated specifically for hair loss may include biotin, folic acid, zinc gluconate, magnesium, thiamine, riboflavin, pyridoxine, calcium pantothenate, B12· Minoxidil, finasteride, Tretinoin, Azelaic acid, Biotin, Progesterone: topical/scalp shampoos, solutions, creams, or gels.


Methoxsalen (Oxsoralen™), currently on manufacturer backorder can be compounded in both the Topical Solution, as well as the oral capsule.


Ketoconazole, Clotrimazole, Fluconazole, Miconazole, Econozole, Nystatin.

All-Purpose Nipple Ointment (APNO)

As discussed by Dr. Jack Newman consisting of antifungals – Clotrimazole, Miconazole, or Nystatin – antibiotics usually Mupirocin (Bactroban™), and a steroid most commonly used is Betamethasone Valerate (Valisone™).

Compounding Options with XemaTop

Compounding Options with PracaSil Plus

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