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KAMURAROOTED IN WELLNESS
Compounded medicines

Understand what’s
in your prescription.

Explore the ingredients, understand what the evidence applies to and prepare useful questions for your prescriber.

Start here

Find what you were prescribed.

Search the name on your prescription or choose a category. Every guide separates ingredient evidence from formulation evidence.

5 guides

The basics

Questions worth answering first.

What is a compounded medicine?

A medicine mixed by a pharmacy for one person, rather than manufactured in batches and packaged by a pharmaceutical company. The pharmacist combines the active ingredients into a cream, capsule, vial or solution at a strength written on that prescription.

Why does compounding exist?

For real clinical reasons: a dose that is not manufactured, an allergy to a filler in the commercial product, difficulty swallowing a tablet, a discontinued medicine, or a combination not sold ready-made. Hospital and dermatology pharmacies have compounded for decades.

So what is different about it?

A manufactured medicine is tested batch by batch, comes with an approved leaflet, and carries evidence from trials of that exact product. A compounded preparation is made to order. It is not individually trial-tested, and the strength you absorb can vary more. That is an accepted trade-off when there is a reason for it — and an unnecessary risk when there is not.

Does "bioidentical" or "natural" mean safer?

No. "Bioidentical" describes the molecule being structurally identical to one your body makes — which is also true of several regulated, manufactured products. It says nothing about whether the preparation was made accurately, and it does not remove the risks of the hormone itself.

How do I know the pharmacy is legitimate?

Ask which authority licenses the pharmacy and verify that directly. Ask for ingredient, concentration, storage, expiry and quality information for your preparation.

Before you start anything

Five questions that
work for any compounded medicine.

  1. What is each ingredient intended to do?
  2. Why this formulation rather than a manufactured option?
  3. Which research matches my situation?
  4. How and when will we review the result?
  5. What quality and storage information should I have?

Use these guides to prepare questions and check the sources. Discuss changes to a prescription with the clinician who knows your history.

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