Specialty Compounding

A specialty compounding pharmacy prepares custom medications for one specific patient — you — from your provider's prescription, instead of manufacturing them in advance for general sale. It's where providers turn when an off-the-shelf product doesn't fit, across areas like GI, autoimmune care, eye care, and pain. Your provider decides what's right for you; we're the compounding pharmacy (a 503A pharmacy) that prepares it.

From a compounding pharmacy, with a prescription. Low Dose Naltrexone (LDN) is prepared at a low, patient-specific dose by a compounding pharmacy from your provider's prescription — it isn't sold over the counter. The Chemist Shop compounds LDN and is listed with the LDN Research Trust. Use our directory to find a provider near you who prescribes it.

Any licensed prescriber — an MD, DO, nurse practitioner, or physician assistant — can prescribe Low Dose Naltrexone when they judge it appropriate for you. It's often prescribed within functional, autoimmune, GI, or integrative practices. Your provider decides; we're the compounding pharmacy that prepares it.

Providers prescribe compounded Low Dose Naltrexone in a range of clinical scenarios — including autoimmune conditions, certain GI conditions such as Crohn's disease and IBS, and some metabolic situations — based on their clinical judgment. These are off-label uses (uses beyond a product's original FDA-approved label); LDN is not an FDA-approved product for them and is not a cure, and your provider decides whether it's appropriate for you. We prepare it to their prescription.

Only your provider can decide. Some clinicians prescribe compounded Low Dose Naltrexone in autoimmune and thyroid-related scenarios — including Hashimoto's, lupus, and psoriasis — when they judge it appropriate. It's an off-label use, LDN is not an FDA-approved product for these uses, and it is not a cure — never something to start on your own. For hormone-related care, see our BHRT / Women's Health specialty.

A range your physician can prescribe — preservative-free preparations, anti-inflammatory and antibiotic combinations, low-concentration atropine, cyclosporine, and post-surgical formulations, among others — always per your physician's prescription and prepared to sterile standards. Your eye doctor decides what's right for you; we compound it to their order.

Autologous serum eye drops are made from a small sample of your own blood serum, compounded into sterile drops under your eye doctor's prescription — used in some ocular-surface cases when standard products aren't enough. They're prepared to sterile standards, per your physician's order. Your eye doctor decides if they're appropriate; ask our team about current availability.

We do — but only for valid, patient-specific prescriptions written by licensed providers for clinically-appropriate uses, never for office stock. The FDA has issued public warnings about compounded ketamine prescribed outside established clinical protocols. Here, ketamine is strictly prescription-based and overseen by your provider. We do not compound opioids.

Yes. We're accredited by PCAB and ACHC, certified by LegitScript, a PCCA and APC member, and listed with the LDN Research Trust. Our ACHC accreditation covers sterile compounding to USP <797> standards — which matters for eye-drop preparations — and USP <800> where it applies. All of it is independently verifiable.

This content is for informational purposes only and does not constitute medical advice. Compounded medications are prepared based on a prescription from a licensed healthcare provider. Consult your healthcare provider before starting any new treatment.

If your provider has mentioned LDN, here's the plain version. Low Dose Naltrexone is naltrexone prepared at a much lower dose than the standard product — which is exactly why it has to be compounded for one patient at a time, from a prescription. Always off-label and never a cure, compounded LDN is something providers may consider — based on your full history — in clinical scenarios that include GI conditions such as Crohn's disease, ulcerative colitis, and IBS; autoimmune and inflammatory conditions including Hashimoto's, lupus, multiple sclerosis, fibromyalgia, and psoriasis; and some metabolic situations. "Off-label" means a use beyond what the original product was FDA-approved for — it is not an FDA-approved product for these uses, and whether it's right for you is a decision only your provider can make with your full history in view. We prepare it to their order; we're listed with the LDN Research Trust as a pharmacy that compounds it. For weight-related LDN, see our Weight Management specialty; for thyroid and women's-health autoimmune contexts, see BHRT / Women's Health.

This content is for informational purposes only and does not constitute medical advice. Compounded medications are prepared based on a prescription from a licensed healthcare provider. Consult your healthcare provider before starting any new treatment. 

This is delicate, sterile work, and it's prescription-driven from start to finish. Ophthalmologists and optometrists turn to compounding when a commercial eye drop doesn't fit a patient's needs — for dry eye and ocular-surface conditions, glaucoma, post-surgical recovery, and more. The preparations a provider may prescribe include autologous serum eye drops (made from a small sample of your own blood serum), compounded cyclosporine, low-concentration atropine for managing the progression of nearsightedness (myopia) in some children — an off-label use a pediatric eye specialist decides on carefully, drop by drop — combination post-operative drops, and fortified antibiotic drops. Each is compounded per your physician's prescription, and the sterile ones are prepared to USP <797> standards under our ACHC accreditation. Your eye doctor determines what, if anything, is right for your eyes — we prepare exactly what they write.

This content is for informational purposes only and does not constitute medical advice. Compounded medications are prepared based on a prescription from a licensed healthcare provider. Consult your healthcare provider before starting any new treatment.

If your provider has mentioned a compounded option for chronic pain, here's the plain version. For patients and providers who'd rather avoid or reduce systemic medication, providers may prescribe compounded topical formulations — such as amitriptyline/gabapentin/lidocaine combinations, or diltiazem- and nifedipine-based rectal creams that sit at the border of GI and pain care — when they judge a topical approach appropriate for a patient's situation. Each is prepared per your provider's formulation; we make no claim about how well any formula works — that's between you and your prescriber, and any pain relief is as prescribed by your provider. Compounded ketamine for pain is prescription-only, and the FDA has cautioned against its use outside established clinical protocols; we acknowledge that context directly. Where a provider determines it is appropriate, we compound ketamine only against a valid, patient-specific prescription — never office stock — with the clinical decision and oversight resting with your provider. The Chemist Shop does not compound opioids. Your provider and your prescription label are the authoritative sources for how to use any medication — never adjust based on general information. When you're ready, use our Find a Provider page to be connected with a partnered provider near you.