Download Dentistry - My Compounding Shop

COMPOUNDING SHOP PHARMACY
Established 1982
www.compoundingshopinc..com
11851A Wilcrest Drive
Houston, TX 77031
Phone: 281-495-2230
Fax: 281-495-2232
DENTISTRY
ANY OF THESE MEDICATIONS CAN BE MODIFIED TO YOUR PREFERENCE
MEDICATION
( ) Dyclonine 1%
FORMS
Solution
(Tutti-Frutti or Tropical Punch)
ACTIONS/USES
QUANTITY
Gargle for anesthesia, pre-injection, 60ml ea
block gag-reflex
( ) Lidocaine/Prilocaine/Tetracaine Gel
Anesthetize crown and gum
30ml or 60ml
( ) Polyphenol Sulfonic Acid
Solution
Aphthous ulcer/canker sore
4ml
Suspension
Mouth wash for irritation/infection
480ml
(formerly Negatan, Negatrol)
( ) Magic Mouth Wash
(tetracycline, nystatin, Benadryl, Maalox, lidocaine, hydrocortisone, etc.)
( ) Tetracycline 3%
Ointment
Dental implants
30gm
( ) Metronidazole 25%
Gel
Dental gel
20gm
Syrup
Pre-op, pre-surgery anesthesia
240ml
+/- Minocycline 0.8%
( ) Meperidine 25 mg/5ml
+ promethazine 12.5 mg/5ml
(Regular or blue-berry) (good for children; need triplicate)
( ) Whitening 15% 20%
Gel
Teeth whitening
60ml
( ) Sargenti’s
Powder
Root canal paste
60ml
(with or without paraformaldehyde or lead)
( ) Eugenol
Oil
To be used with Sargenti’s
60ml
( ) Tetracaine 1%
Lollipop
Local anesthesia
1ea
( ) Ketoprofen 20%/Lidocaine 10%/ Transdermal TMJ pain
30gm or 60gm
Gabapentin 6%/Cyclobenzaprine 1%
Direction for use or OFFICE USE:___________________________________________________________
____________________________________________________________________
Refills:_________
Comments:_______________________________________________________________________________
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Doctor’s Name ___________________________ Doctor’s Signature _________________________
Doctor’s Address ________________________________
Doctor’s Phone # _______________________________
Patient’s Name ________________________
Patient’s Phone #_______________________