Compounding Services

Compounding Pharmacy

When a prescriber needs a non-commercial strength, dosage form, base, flavour, or ingredient combination, our compounding lab can prepare the prescription for an individual patient.

Call (204) 233-3469

What is Compounding?

Compounding is the practice of preparing a medication for an individual patient when a commercially available option is not appropriate or not available in the needed strength, dosage form, flavour, base, or ingredient profile.

At Taché Pharmacy, our compounding lab prepares medications in a range of forms: topical creams and gels, capsules, suppositories, sublingual drops, oral suspensions, lollipops, ear and eye drops, and other prescribed preparations.

Compounded prescription medications are available by prescription only. The prescriber determines the ingredients, strength, quantity, directions, and follow-up plan; the pharmacy prepares the prescription and counsels on use, storage, beyond-use dating, and refill timing.

Our Process

We no longer mix by hand. Our compounding lab uses electric Unguator mixing machines — sealed-jar mixers that replace the traditional mortar and pestle. Each batch is prepared inside a single-use jar with a disposable sealing disc, and the machine's propeller blends the ingredients inside that sealed container.

Because the mixing cycle is timed and repeatable, each batch follows the selected mixing speed and duration. That gives the pharmacy a controlled process for preparations that are appropriate for this equipment.

We run multiple Unguator machines in parallel. That means we can prepare several compounds at once without sharing equipment between preparations, which helps reduce the risk of cross-contamination and shortens turnaround when you come to pick up a refill.

HOW WE HELP

Practical Support Around the Prescription

Compounding is not just the preparation. It also includes clarifying prescription details, counselling on use, and helping patients plan refills.

Prescription-Specific Preparations

Creams, capsules, suppositories, sublingual drops, lollipops, and liquid preparations can be made in the strength and directions selected by the prescriber.

Ingredient and Base Review

When allergies, intolerances, texture, flavour, or inactive ingredients matter, we can review practical options with the patient and prescriber.

Refill Planning

Compounded prescriptions may have beyond-use dates, storage requirements, and preparation time. We help patients plan refills before they run out.

Pickup and Delivery

Patients can ask about pickup, delivery, storage requirements, and whether a preparation needs special handling during transport.

Prescriber Clarification

If a formulation detail is missing or unclear, we can contact the prescriber before the preparation is made.

Counselling and Follow-Up

We explain use, storage, beyond-use dating, refill timing, and what questions should go back to the prescriber.

OUR COMPOUNDING CATALOG

What We Compound

Common categories and examples from our compounding catalog. If you do not see the preparation your prescriber discussed, contact the pharmacy.

Pain Management

Topical pain creams and gels prepared to the prescriber's specifications. A topical route may be requested when the care plan calls for localized application and a non-commercial preparation.

Medication	Available Forms
Diclofenac Topical Pain CreamRx	Pump bottle, Ointment jar, Tube, Syringe applicator
Combination Topical Pain CreamsRx	Pump bottle, Ointment jar, Diclofenac/DMSO/Tetracaine combinations, Baclofen/Diclofenac/DMSO/Tetracaine combinations

Oral Preparations

Mouthwashes, oral rinses, and liquid suspensions. These preparations can help when a patient cannot swallow tablets, needs a measured liquid, or requires a formulation selected by the prescriber.

Medication	Available Forms
Magic MouthwashRx	Oral rinse solution
Chlorhexidine Oral RinseRx	Oral rinse solution
Sulfamethoxazole/Trimethoprim SuspensionRx	Flavored oral suspension

Eye Care

Compounded ophthalmic drops for myopia control, dry eye, and other conditions when prescribed. Preparations are made in the appropriate compounding environment, with preservative-free options when requested by the prescriber.

Medication	Available Forms
Atropine Eye DropsRx	Sterile ophthalmic solution
Acetylcysteine Eye DropsRx	Sterile ophthalmic solution
Autologous Serum Eye DropsRx	Sterile ophthalmic solution

Women's Health

Vaginal suppositories, creams, and capsules for prescriber-led care plans. Preparations can be made in the prescribed strength, base, and dosage form for an individual patient.

Medication	Available Forms
Boric Acid SuppositoriesRx	Vaginal suppository capsules, 300 mg vaginal suppository capsules when prescribed
Estriol Vaginal CreamRx	Vaginal cream (applicator syringe), Vaginal cream (tube)
Estradiol Vaginal Cream or GelRx	Vaginal cream, Vaginal gel
Progesterone Vaginal SuppositoriesRx	Vaginal suppository
Sildenafil Vaginal SuppositoryRx	Vaginal suppository
Amphotericin B Vaginal SuppositoryRx	Vaginal suppository
Nystatin Vaginal SuppositoryRx	Vaginal suppository
Clomiphene CapsulesRx	Capsules
Diazepam Vaginal SuppositoryRx	Vaginal mini suppository, 5 mg or 10 mg vaginal mini suppository when prescribed
All-Purpose Nipple OintmentRx	Topical ointment
Hydroxyquinoline / Boric Acid Vaginal JellyRx	Vaginal jelly, Hydroxyquinoline sulfate 0.025% with boric acid, Other strengths when prescribed

Specialty Compounds

Formulations that do not fit neatly into other categories, including low-dose naltrexone, anti-nausea preparations, urinary tract symptom preparations, and capsules requested during manufacturer shortages.

Medication	Available Forms
Low Dose Naltrexone (LDN)Rx	Capsules, 0.5 mg, 1 mg, 1.5 mg, 2 mg, 3 mg, 4.5 mg, Other strengths when prescribed
Scopolamine Transdermal CreamRx	Topical cream (1 mL syringes)
Phenazopyridine CapsulesRx	Capsules (100 mg, 200 mg)
Hydroxyurea CapsulesRx	Capsules (500 mg, other strengths on request)
PB2 Peanut Protein CapsulesRx	Capsules (various precise doses)
Aminopyridine 4-AP CapsulesRx	Capsules, 5 mg capsules when prescribed, Other prescriber-directed strengths when appropriate
Sesame Protein CapsulesRx	Capsules in measured protein doses, Custom strengths set by the allergist's up-dosing schedule
Probenecid CapsulesRx	Capsules, Probenecid 500 mg, Other strengths when prescribed

Ear Care

Otic preparations for ear infections and inflammation. Compounded as alternatives when commercial ear drops are unavailable or contain ingredients a patient cannot tolerate.

Medication	Available Forms
Acetic Acid Hydrocortisone Ear DropsRx	Otic solution (ear drops)
Clotrimazole Otic SolutionRx	Sterile otic solution, Clotrimazole 1%, Other strengths when prescribed

Hormone Therapy

Hormone preparations including creams, capsules, and topicals. Compounded prescription medications are prepared at the strength, dosage form, and directions selected by the prescriber.

Medication	Available Forms
Bi-est CreamRx	Topical cream (Topi-Click applicator), Topical cream (pump bottle or jar)
Progesterone CapsulesRx	Capsules (25 mg to 300 mg), Topical cream (2% to 6%), Vaginal suppositories
Testosterone Topical CreamRx	Topical cream (Topi-Click applicator), Topical cream (pump bottle or jar)
Progesterone Topical CreamRx	Topical cream in metered applicator, Topical cream in pump bottle, Topical cream in jar
DHEA CapsulesRx	Oral capsules
Compounded Thyroid (T4 / T3) CapsulesRx	Capsules (immediate or modified release), Combination T4 / T3 (e.g. T4 80 mcg / T3 25 mcg, T4 27 mcg / T3 6 mcg), Liothyronine (T3) alone (e.g. 7.5, 10, 15, 20 mcg), Custom strengths and ratios when prescribed

Erectile Dysfunction

Injectable and other non-oral preparations for erectile dysfunction when prescribed. These are medical preparations that require prescriber direction, counselling, storage guidance, and follow-up planning.

Medication	Available Forms
ED Injections (Trimix & Quadmix)Rx	Injectable solution (vials)
Trimix Intraurethral GelRx	Intraurethral gel (pre-loaded syringes)

Dermatology

Topical creams, gels, solutions, and other skin preparations when a prescriber wants a non-commercial strength, base, or ingredient combination.

Medication	Available Forms
Hydroquinone CreamRx	Topical cream
Hydroquinone Fluocinolone Tretinoin CreamRx	Topical cream
Minoxidil Topical Solution	Topical spray
Scar Treatment CreamsRx	Topical cream
Oral Minoxidil CapsulesRx	Capsules, 0.625 mg when prescribed, 1 mg when prescribed, 1.25 mg when prescribed, 2.5 mg when prescribed, 5 mg when prescribed
Balsam of Peru in Ihle's PasteRx	Topical paste, 5% balsam of Peru in zinc oxide paste when prescribed
Cholesterol / Simvastatin CreamRx	Topical cream, Cholesterol 2% / simvastatin 2% in an anhydrous base, Other strengths and bases when prescribed
Metformin Topical LotionRx	Topical lotion, Metformin 30% in Versabase lotion, Other strengths and bases when prescribed
Clindamycin / Glycolic Acid Acne SolutionRx	Topical solution or lotion, Clindamycin 2% in glycolic acid 8%, Clindamycin 1% and other base strengths when prescribed

GI & Rectal

Rectal suppositories and ointments for hemorrhoids, fissures, and other gastrointestinal concerns when prescribed. The prescriber selects the ingredients, strength, and directions.

Medication	Available Forms
Nifedipine OintmentRx	Rectal ointment (30 g tube), Default Vaseline base, Nifedipine or diltiazem smooth-muscle relaxant options when prescribed
Rectal RocketsRx	Rectal suppository

Veterinary

Medications for pets and large animals in forms and flavours they will accept. Flavoured suspensions, transdermal gels, and treats. Your veterinarian can fax or call prescriptions directly to us.

Medication	Available Forms
Dog Ear Infection TreatmentRx	Poloxamer-based ear gel, Veterinarian-directed ingredient combinations
Pet Medications — Flavored SuspensionsRx	Flavored oral suspension, Methimazole oral suspension or transdermal preparation when prescribed, Telmisartan oral suspension, Buprenorphine oral suspension, Fluoxetine oral suspension, Prednisolone oral suspension, Cisapride oral suspension, Ursodiol oral suspension
Telmisartan SuspensionRx	Oral suspension, Chicken-flavored option when prescribed
Buprenorphine SuspensionRx	Oral suspension, 0.2 mg/mL when prescribed, 0.8 mg/mL when prescribed, Chicken-flavored option when prescribed
Ursodiol SuspensionRx	Oral suspension, OraBlend base when prescribed, Bubble-gum flavor when appropriate
Prednisolone SuspensionRx	Oral suspension, Chicken-flavored option when prescribed
Fluoxetine SuspensionRx	Oral suspension, Chicken flavor for dogs when prescribed, Fish flavor for cats when prescribed
Methimazole Suspension or TransdermalRx	Chicken-flavored oral suspension when prescribed, Transdermal ear-tip cream when prescribed

Pediatric

Measured liquid preparations and other child-focused dosage forms when a prescriber needs a non-commercial strength, flavour, base, or administration format.

Medication	Available Forms
Clobetasol/Nystatin Oral SuspensionRx	Oral suspension, Sugar-free version when prescribed, Flavored version when appropriate
Hydrochlorothiazide SuspensionRx	Oral suspension, OraBlend base when prescribed
Baclofen SuspensionRx	Oral suspension, 1 mg/mL when prescribed, 5 mg/mL when prescribed, OraBlend base when prescribed
Omeprazole SuspensionRx	Oral suspension, Cherry SyrSpend base when prescribed
Valproic Acid SuspensionRx	Oral suspension, Sugar-free option when prescribed
Levetiracetam SuspensionRx	Oral suspension, OraBlend base when prescribed, Veterinary preparation when prescribed
Glycopyrrolate SuspensionRx	Oral suspension, OraBlend base when prescribed
Clobazam SuspensionRx	Oral suspension from tablets, OraBlend base when prescribed
Metformin SuspensionRx	Oral suspension, Sugar-free OraBlend option when prescribed
Rifampin SuspensionRx	Oral suspension, Rifampin 25 mg/mL, Rifampin 50 mg/mL, Other concentrations when prescribed
Caffeine SuspensionRx	Oral suspension, Caffeine 10 mg/mL, Other concentrations when prescribed

Nasal & Sinus

Medication	Available Forms
Compounded Nasal Spray (Decongestant + Steroid)Rx	Nasal spray, Decongestant: xylometazoline 0.1% or oxymetazoline 0.05%, Steroid: triamcinolone 55 mcg, budesonide 64 mcg, or beclomethasone 50 mcg, Other combinations and ratios when prescribed

Compounding Support

Keep compound refills easier to follow

Request refills for ongoing prescriptions
Follow pickup or delivery updates
Keep pharmacy messages in one place
Set reminders before refills run low

COMMON QUESTIONS

Have Questions?
Compounding Questions

Compounded prescription medications are available by prescription only. Some non-prescription preparations may not require a prescription, but prescription ingredients and prescription strengths require direction from a Canadian prescriber.

Timing depends on the preparation, ingredients, dosage form, checks required, and current lab workload. The pharmacy can give you a preparation estimate when the prescription is received or reviewed.

Sometimes. It depends on whether the active ingredient can be sourced, whether the preparation is appropriate to compound, and whether the prescriber provides the required prescription details.

Yes, when prescribed by a veterinarian. Veterinary preparations may involve flavoured liquids, capsules, transdermal gels, or other dosage forms selected by the veterinarian.

Coverage depends on the insurance plan, ingredient, dosage form, and prescription details. We can submit the claim or help you understand what information your insurer may request.

Often, yes. Bring the prescription and tell us about dyes, preservatives, fillers, flavours, bases, or other inactive ingredients that have caused problems so the options can be reviewed.

The prescription should include the active ingredients, strength, dosage form, quantity, directions, patient information, prescriber details, and any base, flavour, packaging, or allergy requirements.

Don't see your medication?

The catalog is a starting point. If your prescriber discussed a preparation that is not listed, call the pharmacy so we can review what information is needed.