Posted by chdurie2 on October 27, 2000, at 23:28:38
In reply to Re: Selegeline Patch - Update?, posted by AndrewB on October 27, 2000, at 19:29:08
> Deborah,
>
> A compounding pharmacist formulates drugs into forms that are not available over the counter such as a capsule of a med at a strength a doctor has specified, a nasal spray dilution of a drug, or a transdermal gel.
>
> It is a bit of a long-shot that a compounding pharmisist can make a selegiline patch.
>
> To find names of compounding pharmcacies, do a google search engine search using the keywords 'compounding pharmacy'.
>
> AndrewBAndrew-
au contraire, i've had no problem finding a compounding pharmacist to make a selegeline gel for me, but i have no need.
Mike Webber from Family Pharmacy in Sarasota, Florida will do it with a prescription, and his work is high-quality. A local NJ guy would do it, but I don't trust his stuff. I would think Wellness Pharmacy in Birmingham, Ala., and College Pharmacy in Boulder, Colorado would do it, cuz they do sophisticated compounding stuff. College has frequently screwed up my orders (late in sending out, etc.) and they make good by sending out free duplicates, but it's a hassle.
A study done, I believe, by Johns Hopkins, and reported in, I believe, the January 2000 issue of Neurology concluded there was no advantage in patch/gel. i found this in a medline search.
my p-doc says only reason for gel is if nausea or stomach stuff is a problem. had to use a gel for piracetam/hydergine combination touted in the Dean & Morganthaler book, Smart Drugs.
My p-doc wanted to keep selegeline out of this gel because he wanted greater control of the selegeline, given my history of a near-fatal hypertensive incident with a minor dietary abuse with Parnate, even with my low blood pressure. my current p-doc said he saw no reason for incident unless i was predisposed to such, and this happened 15 years ago with a different p-doc.
consequently, my current p-doc approached my request for selegeline with great trepidation, and only reluctantly agreed when it seemed there was no alternative for me. I now take 30 mgs/daily and do not need to observe the dietary restrictions, although several doctors gave differing opinions on this.
i also now just take Eldapryl for quality-control purposes, because I noticed varying degrees of quality among the various selegelines (generics.)
caroline h.
poster:chdurie2
thread:46818
URL: http://www.dr-bob.org/babble/20001022/msgs/47581.html