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PCCA Compounding Pharmacist of the Month: October 2018
Jennifer Burch, PharmD, RPh, CDE Of Central Compounding Center South in Durham, North Carolina
Years in Compounding: 30
Path to Compounding: I grew up in the pharmacy that my parents owned, so I had exposure to independent and compounding pharmacy all my life. I learned about compounding from my father, Bill Burch.
I contemplated other fields of medicine but always came back to pharmacy as my passion. I remember making progesterone capsules by hand and weighing them individually on a two-pan balance when I was working at the pharmacy during summer breaks from college.
When I got out of pharmacy school, my dad told me I could work at the pharmacy until I got a job. I ended up working on areas to help grow the business, which included growing compounding. We expanded into topical pain, BHRT and veterinary.
I find it very rewarding to work with patients and practitioners to come up with a formula for a particular condition, and then hear back from the patient that this formula has worked better than anything they have tried so far. Then they are forever a fan of compounding!
Favorite Formulas: PCCA Formula #7836 – Nasal Spray (PCCA members can access the formula here.) This formula has been fantastic for numerous patients with pain or depression. It is a simple, effective way to deliver medications, too.
PCCA Formula #12487 – Veterinary Oral Suspension in PCCA-Plus™ and PCCA Syrup Vehicle™ (This formula has a FormulaPlus™ extended beyond-use date study. PCCA members can access the formula and the BUD study here.) This FormulaPlus formula allows us to provide more than a 30-day supply to cat owners.
PCCA Formula #9448 – Topical in PCCA Lipoderm® (This formula has a FormulaPlus™ extended beyond-use date study. PCCA members can access the formula and the BUD study here.) While we still use PLOs some, we prefer the Lipoderm formulation now. Ketoprofen gel was an early compound that we marketed to orthopedists and gastroenterologists as a great transdermal starting formula for patients in pain.
Success Stories: I worked with a young woman in her late 20s to balance her hormones. She was exhausted and just didn’t feel good. Her salivary hormone testing showed low cortisol, low progesterone and low testosterone. I worked with her and her physician to get her progesterone and testosterone up as well as get her on some adrenal support. After about three months, she was feeling so much better that she and her husband decided to start trying to get pregnant. She was successful, and had a healthy pregnancy.
In another case, we worked with a physician who prescribed ketamine nasal spray for a 28-year-old man who has suffered from severe depression for a long time. He lives with his parents, who are still his caregivers. He started the ketamine nasal spray, and his life has changed! His father initially picked up his prescriptions, but now he comes in and picks them up.
Advice for New Compounders: Get educated so that you can be a resource for patients and providers.
The views and therapies expressed in the above article are those of the interviewee and may not be endorsed by PCCA. The statements are provided for educational purposes only. They have not been evaluated by the Food and Drug Administration, and are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
Central Compounding Center South is owned by Jennifer Burch, PharmD, RPh, CDE.