BackTable / Urology / Podcast / Episode #87
Integrating Compounding Into Your Practice
with Dr. Jordan Grant and Aaron Schneider, PharmD
In this episode of BackTable, Dr. Jose Silva interviews Dr. Aaron Schneider, a pharmacist, and Dr. Jordan Grant, a urologist, about compounding pharmacies and their uses in providing medications to treat urological conditions.
BackTable, LLC (Producer). (2023, March 15). Ep. 87 – Integrating Compounding Into Your Practice [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. Jordan Grant
Dr. Jordan Grant is a practicing urologist in Paris, Texas.
Aaron Schneider, PharmD
Dr. Aaron Schnieder is a pharmacist and co-founder of ReviveRX.
Dr. Jose Silva
Dr. Jose Silva is a board certified urologist practicing in Central Florida.
First, the doctors define compounding, which is the process of creating special treatments for unique populations of patients. Compounding a medication can involve a multitude of actions, such as removing an allergen, eliminating a preservative, changing typical route of administration, and more. Dr. Grant and Dr. Schneider explain how in 2016, ReviveRX, their compounding pharmacy, realized the need for compounding urologic medications, especially to treat infertility, erectile dysfunction, and low testosterone. Additionally, the doctors explained how ReviveRX provides a unique type of intracavernosal injection that is freeze dried to help increase the shelf life and distribution efficiency of the product. Although insurance companies may not cover the cost of compounded medications, some patients with allergies to medications have seen great improvement in side effects with medication compounded to their unique needs.
Next, Dr. Grant discusses his testosterone replacement therapy regimen for patients with low free testosterone levels. He explains how he integrates hCG and FSH into the treatment plan if patients have concerns about declining fertility. Then, Dr. Schneider provides an overview of the history of hCG use and regulations in commercial and compounding pharmacies.
Finally, the doctors wrap up by explaining how other doctors can order from ReviveRX and steps they can take to ensure the quality of products from compounding pharmacies.
[Aaron Schneider, Pharm D]
We do a unique form of compounding that includes freeze-drying or lyophilization. That process removes the moisture or water from that product. Once it's filtered and sterilized and dispensed into a vial, goes through the process of sublimation. In that unique program that we've designed with the freeze dryer that we use in our clean room, by removing that moisture, stabilizes that product. It can ship in various temperature changes without impacting the efficacy of the product. Not only does it help from a cost standpoint, we can produce more vials and keep them ready to ship on the shelf versus your traditional format for a pharmacy making pre-mixed formulations that require the product to be frozen or refrigerated.
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