Prescriber Resources
Prescription templates, patient handouts, and compounding reference material from the previous site, organized for prescribers and clinic teams.
Find the Right Resource Faster
Start here when you need a prescription template, patient handout, current topic page, or a pharmacy conversation about a compounded preparation.
Find a prescription template
Browse fax sheets and template PDFs by topic, then confirm current details when needed.
Open patient handouts
Find information sheets that can support counselling after a prescription is written.
Review current topic pages
Use site pages to see how we explain common topics to patients and families.
Ask about custom Rx sheets
Prescriber accounts can support typed, standardized sheets with clinic details prefilled.
How to Use These Files
Standard sheets are easier for clinics to send and easier for the pharmacy to read.
Many prescribers have used these documents as a practical shortcut. The next step is to make the prescription sheets cleaner, more consistent, and more legible after printing, scanning, or faxing.
Custom Rx Sheets
Prescriber accounts can support custom sheets with clinic details, prescriber information, and letterhead included.
Typed Details
Typed patient, prescriber, formula, quantity, and direction fields reduce interpretation problems on returned faxes.
Prescription Templates and Reference PDFs
Grouped for easier browsing. Some files were migrated from the previous site and will be standardized in a later pass. Each PDF opens in a new tab.
Prescription Templates
Print-ready prescription templates, grouped by common compounding topics. Open a template, check the formula and strengths, then print or fax the completed sheet.
Common Pain Preparations Template
Two-page checklist of topical pain preparations by condition: joint pain, lower back pain, post-herpetic neuralgia, neuropathic pain, radiation burns, Raynaud’s, chemo-induced neuropathy, and anal fissures.
Topical Pain Template
Build a custom topical pain compound from the full ingredient list with strength checkboxes.
Topical Anal Fissure Template
Topical treatment and rectal rocket suppository options with ingredient and strength checkboxes.
All-Purpose Nipple Cream Template
Seven checkable nipple ointment and cream formulations with base, refill, and frequency options.
Mouthrinse Template
Popular mouthrinse combinations plus a build-your-own ingredient table with swish-and-spit or swish-and-swallow directions.
Topical Urticaria & Pruritus Template
XemaTop-based formulas for itch-related prescribing with optional add-on ingredients.
Oral Suspensions Template
Two dozen standard compounded suspension concentrations with checkboxes, plus an any-medication row with concentration confirmation.
Otic Drops Template
Acetic acid/hydrocortisone (compounded Vosol-HC equivalent) and sterile clotrimazole otic options with ear, frequency, and duration fields.
Scopolamine Topical Gel Template
Single-preparation sheet for palliative secretion management with measured topical dosing and care-team options.
Bioidentical Hormone Preparations Template
Testosterone, estriol, estradiol, Bi-est, and progesterone strengths with base options and progesterone capsule checkboxes.
Hair Loss Preparations Template
Low-dose oral minoxidil capsules plus topical minoxidil and finasteride/minoxidil scalp solution options.
Phenazopyridine Template
Compounded 100 mg and 200 mg urinary analgesic capsules — the commercial product is discontinued in Canada.
Skin Lightening (Melasma & Sunspots) Template
Hydroquinone, kojic acid, vitamin C, tretinoin, steroid, and tranexamic acid strength checkboxes for melasma, sunspots, and hyperpigmentation — with a short-course safety reminder.
Condition-Specific Templates
Templates tied to pages already being rebuilt on the current site.
Low-Dose Naltrexone Template
LDN capsule strengths with quantity, refill, and direction options. Other strengths can be compounded on request.
Low-Dose Naltrexone Prescriber Information
Background information on low-dose naltrexone for prescribers, including dosing references.
Atropine Eye Drops Template
Low-dose atropine ophthalmic drop strengths with quantity and refill options for eye-care prescribers.
Topical Scar & Stretch Marks Template
Pracasil-Plus formulas for scars, stretch marks, and acne scarring with add-on options.
Topical Peyronie’s Template
Verapamil in Vanpen preparation with strength, quantity, and refill options.
ED and Urology
Medical preparation and device resources. Dose changes and treatment decisions stay with the prescriber or urology team.
ED Injection Template
Bimix, Trimix, and Quadmix injectable preparations with refill options and standing syringe and swab supply orders.
Trimix Injection Patient Instructions
Patient instructions for ED injection preparations, including technique, dosing records, and safety warnings.
Trimix Gel Template
Intraurethral trimix gel preparation with syringe quantity and refill options.
Trimix Gel Patient Instructions
Printable patient counselling page for prescribed intraurethral gel handling, insertion, response tracking, and urgent symptoms.
Vacurect OTC User Guide
Device guide from the previous site’s urology resource set.
Vacurect OTC Brochure
Legacy brochure for device-related prescriber and patient questions.
Patient Handouts
Legacy patient information sheets that can be linked from condition and medication pages after review.
All Purpose Nipple Cream Patient Instructions
Patient instructions for APNO use during breastfeeding, including application after feeding, missed doses, side effects, and storage.
Anal Fissure Ointment Patient Instructions
Patient instructions for nifedipine or diltiazem fissure ointment, including application technique, the bowel regimen, and side effects.
Rectal Rockets Patient Instructions
Patient instructions for rectal rocket suppositories, including insertion, storage, pregnancy warnings, missed doses, and when to call.
Applying Topical Estrogen Patient Instructions
Patient instructions for topical estrogen creams and gels, including application sites, transfer precautions, and side effects.
Atropine Eye Drops Patient Instructions
Parent instructions for low-dose atropine myopia-control drops, including instilling drops in children and what to expect.
Acetic Acid Hydrocortisone Ear Drops Patient Instructions
Patient instructions for compounded acetic acid and hydrocortisone otic drops, including drop placement, ear wick notes, and when to call.
Autologous Serum Eye Drops Patient Instructions
Patient instructions for autologous serum eye drops, including blood draw steps, cold-chain storage, bottle handling, and when to call.
PB2 Peanut Protein Capsules Patient Instructions
Caregiver instructions for prescriber-directed peanut oral immunotherapy capsules, including daily dosing routines and emergency planning.
Boric Acid Suppositories Patient Instructions
Patient instructions for boric acid vaginal suppositories, including treatment and prevention schedules, side effects, and safety warnings.
Vaginal Suppository Patient Instructions
General patient instructions for prescribed vaginal suppositories, including insertion, leakage, storage, missed doses, and when to call.
Compounded Oral Liquid Patient Instructions
Patient instructions for compounded suspensions, including shaking, measuring in mL with an oral syringe, storage, and beyond-use dates.
Low Dose Naltrexone Patient Instructions
Patient instructions for LDN, including the bedtime step-up schedule, opioid interaction warning, and thyroid cautions.
Magic Mouthwash Patient Instructions
Patient instructions for compounded mouth rinses, including swish-and-spit or swish-and-swallow directions, side effects, and storage.
Scopolamine Topical Gel Caregiver Instructions
Caregiver instructions for palliative secretion management, including gloved wrist application and what to expect.
Transdermal Pain Cream Pump Patient Instructions
Patient instructions for pump-style topical pain creams, including priming, the rub-in technique, side effects, and storage.
STI Program
Order sheets and patient counselling pages for the STI treatment and post-exposure kits we assemble for clinics, nursing stations, and public health teams.
STI Treatment Kits Order Sheet
Pre-assembled treatment kits by indication — gonorrhea, chlamydia, syphilis, PID, LGV, chancroid — with delivery options.
HIV PEP Kits Order Sheet
28-day post-exposure prophylaxis kits (standard, renal, pediatric) with exposure timing and STAT delivery fields.
STI Treatment Patient Instructions
Patient counselling page: the 7-day rule, partner treatment, course completion, side effects, and retesting.
HIV PEP Patient Instructions
Patient counselling page: the 72-hour window, 28-day adherence, early side effects, interactions, and follow-up testing.
Reference and Presentations
Older reference material that should be reviewed before being treated as current guidance.
Popular Transdermal Preparations
Legacy reference sheet for transdermal preparation examples.
Tools and Tricks in Palliative Care
Palliative care presentation from the old prescriber resource library.
Penile Rehabilitation
Legacy urology presentation for prescriber-side review.
New Templates, Announced as They Ship
The template library grows based on what Manitoba prescribers actually order. Two ways to stay ahead of it.
Subscribe to the newsletter
When we release a new prescription template or patient instruction page, the newsletter is where it gets announced — along with formulation updates and preparation changes worth knowing about before your next fax.
Sign up at the bottom of this pageRequest a template
If your clinic writes the same compounded prescription repeatedly, ask us to build a template for it — with the formulations and strengths you actually use. Call (204) 233-3469, fax (204) 231-1739, or send the request through the contact page and we will draft it for your review.
Contact the pharmacyNeed a current template checked?
Call or fax the pharmacy before relying on an older document. We can confirm whether the preparation is still handled the same way.