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Content 7


ear, nose, throat, ent compounding
Photo shows models, not actual physician or clients

Physician Prescribing Formulations

Classes of drugs for compounding ENT prescriptions
Analgesics Antibiotic Antifungal
Antiviral Anti-inflammatory Antihistamine
Decongestant Mucolytic Steroid
Examples of Compounded Preparations for Otolaryngology:

Nasal Preparations

Gentamicin 180mg/L nasal solution - Patients generally flush each nostril with 20cc of gentamicin in normal saline which has the benefit of the anti-biotic plus the movement of the salt water thru the nares will clear debris that can be contributing to allergies.
Polymixin 200-500 MU/L with or without bacitracin 50-100 MU/L - Antibacterial.
Vancomycin Nasal Solution - For suspected MRSA infection of the nares.
Amphoterecin B 100mg/L - as a nasal flush (voriconazole and fluconazole also available) - for suspected nasal colonization of fungus for patients with a long history of using nasal steroids.

Oral Preparations

Nystatin, Fluconazole or Ketoconazole mouthwash - For patients with resistant thrush.
Magic Mouth Wash (contains Biotene, diphenhydramine, lidocaine, aluminum hydroxide with or without steroid (+/- suspected fungal colonization) - for patients with mouth sores.
Glycerin 5%/Aloe 2% Aqueous - Entertainer's Secret Throat Relief Spray

Otic Preparations

Dexamethasone Sodium Phosphate Preservative Free - For intratympanic injection used for patients experiencing significant hearing loss due to an inflammatory process.

The following medicinals, stabilizers, and excipients can be compounded alone or in combination into solutions & suspensions (sterile & non-sterile), sprays, lollipops, popsicles, troches, creams, ointments, gels, and powders, for ear, nose, mouth, and throat conditions.
Call and speak to a Mark Drugs Pharmacist for additional prescribing information.
(800) 776-4378


Anti-infective (Antibiotic, Antiseptic)/Antifungal
Amphotericin Benzalkonium Chloride Boric acid

Cefazolin Ceftazadime Cetylpyridinium Chloride
Chloramphenicol Chloroxylenol Diflucan
Enrofloxacin Fluconazole Gentamicin
Ketoconazole Mupirocin Neomycin
Polymyxin B Sulfanilamide Tobramycin

Betamethasone Budesonide Dexamethasone

Estradiol Fluocinolone Acetonide Hydrocortisone

Antipyrine Ibuprofen  


Benzocaine Lidocaine HCl Pramoxine HCL

Tetracaine HCL    

Zinc Acetate    




PH Acidifier
Ascorbic Acid    


Excipients & Preservatives
Glycerine Hydrochloric Acid Normal Saline

Sodium Hydroxide Sodium Phosphate Sodium Phosphate Dibasic



Trolamine Oleate (ear wax removal)    


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mark drugs vet wound gel treatment

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