Apparently there are shortages of the liquid version of Tamiflu, so the CDC has published a handy recipe for whipping up a batch for your kid that has issues swallowing pills.
I find this interesting because it already takes, starting from scratch, six years of study nowadays to become a pharmacist in the US. While they them may be able to technically compound at that point, I believe that many go on and take on additional training to specialize in that branch of practice.
In fact, if I had to wager, I’d bet that compounding without a licence was illegal, (but I don’t carry two lawyers around in my pocket along with the entire US and Maryland state code, so don’t take this as legal or medical advice)
The Brotherhood and Sisterhood of the Collective Compounding Pharmaceutics weigh in:
I originally got wind of this story via Lifehacker, where there’s this comment from a member of the Pharmacist Guild:
@idleuser: I completely agree. I’m a pre-pharm student that works part time as a pharm tech and there’s no way we would recommend patients make their own Tamiflu suspensions. Half the time they can’t even take the correct amount of pills. None of the chain pharmacies around our area compound though. Our store and maybe a couple other local pharmacies do regular compounding. I would urge people to find local pharmacies that can compound Tamiflu for them instead of taking risks with their health or the health of their kids.
here’s a more useful comment further on down the page:
Alot of the Tamiflu coming from pharmacies is in capsule form from the Strategic National Stockpile. These are 75mg capsules only. For most kids under age 10, 75mg is too much; so the above method doesn’t work for them.
For patients mixing Stockpile-supplied drug from home, my state’s Health Department recommends mixing the powder from a full bottle of ten 75mg Tamiflu capsules with 50mL fruit juice. This makes a 15mg/mL solution.
I’d say that if you can’t multiply 75 mg times 10 and then divide the results by 50 mL, if you were never any good at word problems and don’t have or can’t purchase something to measure liquid in cubic centimeters, then perhaps you should leave the math and mixing to a compounding Pharmacist.
Cranky Consumer
Also, someone at Consumerist is angry that a chain pharmacy didn’t volunteer information that they can actually do compounding inhouse right off the bat. I’d say the guy was lucky he was offered that as a solution at all. I once took a prescription that required compounding to a pharmacy on a Friday before a holiday weekend and was not only told they did not do the compounding there, but that the one store that they did do the that was already closed for the holiday. I was more upset at my physician that handed me a Rx that I could not read. Had I done so, I’d have asked her to allow the pharmacy to give me two tubes of ointment and a stir stick. I eventually got my ointment, and I was just charged my usual copay instead of an expected premium.
Additional link
N.J. pharmacists face shortage of liquid Tamiflu, offer alternative