Factors in Sterile Compounding
1. O'Brien Pharmacy compounds solutions in concentrations and combinations that are not commercially available.
A. Equivalent milligrams of commercial solutions are frequently 50% to 300% more expensive, and the volume required prohibits use.

2. Sterile solutions from raw materials are considered the highest risk category by the USP and ASHP.
A. As such we meet, but mostly exceed, USP, ASHP and Board of Pharmacy regulations, and have the policies and procedures and documentation to verify.

3. Individual parameters include:
A. Compatibility
B. Solubility
C. Sterility
D. Pyrogenicity
E. Endotoxins
F. pH
G. Isotonicity

4. Our equipment and training are state of the art and consistently updated.

5. Examples of maximum concentrations include:
A. Fentanyl 1,750mcg/ml
B. Bupivacaine 30mg/ml
C. Clonidine 3,000mcg/ml
D. Baclofen 3,000mcg/ml
E. Morphine 100mg/ml (Potential drug concentrations/combinations are too numerous to list)