For Children
Pediatric Compounding
Built Around Your Patient, Not the Other Way Around
Children often need medications prepared specifically for them — a prescribed dose in a strength that isn't commercially available, or a form a young child can manage. At Voshell's Pharmacy, our pediatric compounding program prepares individualized formulations to a prescriber's exact order: tailored concentrations, child-friendly delivery forms, and the option to leave out inactive ingredients a particular child should avoid.
Our goals are to address drug shortages, narrow the gaps in compliance, and strengthen therapeutic outcomes for every pediatric patient.
What Makes Pediatric Compounding Different
Children are not simply smaller patients. Their metabolism, organ maturity, and physiology change significantly from infancy through adolescence — and so does the way their bodies process medication.
Pediatric compounding addresses these differences through:
- Weight-based dose precision: formulations calibrated to the child's actual body weight, not a nearest-available commercial tablet
- Age-appropriate delivery forms: liquids and suspensions for infants, chewables and gummies for toddlers and school-age children, capsules for older kids
- Flavoring and palatability: medications that children will actually take, reducing missed doses and treatment failure
- Preservative-free options: for neonates, immunocompromised children, or patients with known sensitivities
- Dye-free and allergen-free formulations: removing inactive ingredients that may cause reactions in sensitive children
Our Formulary
Compounds We Prepare
Cardiac and Antiarrhythmic
Your child's heart medication has to be exactly right — the right drug, the right dose, the right form. When the commercial version doesn't exist at the concentration your child's doctor prescribed, we build it from scratch.
We compound:
- Metoprolol oral suspension
- Flecainide capsules and suspension
- Nadolol oral suspension
GI and Metabolic
When your infant or child needs a medication that doesn't come in a form they can actually take — the right suspension, the right concentration, the right dose for their weight — we build it from the ground up.
- Omeprazole oral suspension — for GERD and acid-related conditions
- Lithium suspension — for pediatric mood disorders requiring liquid form
- Leucovorin injection and oral solution — for oncology rescue and metabolic support
- Methylcobalamin injection — for neurological and metabolic support
- Hydroxocobalamin injection — for metabolic disorders and detoxification protocols
Infection Management
Pediatric infection protocols often require delivery routes that don't exist commercially — inhalation, irrigation, custom IV concentrations. We compound Gentamicin and Vancomycin preparations across every form your patient's protocol calls for.
- Gentamicin inhalation solution
- Gentamicin in sodium chloride and normal saline (IV formulations)
- Gentamicin saline irrigation
- Combination bladder irrigation: Gentamicin / Heparin / Oxybutynin / Sodium Bicarbonate
- Vancomycin 500 mg enema — for C. difficile and GI infection protocols
Ophthalmic
If your child's eye doctor prescribed atropine drops to slow their myopia, the concentration they need likely isn't on any commercial pharmacy shelf. We compound it — at the exact strength prescribed, formulated for pediatric use.
- Atropine ophthalmic solution 0.01%, 0.02%, 0.025%, 0.05%, and 0.2% — for myopia control and cycloplegia
- Cyclosporine ophthalmic suspension — for pediatric ocular inflammatory disease
Where Compounding May Make a Difference
Clinical Areas for
01ADHD and Behavioral Health
Many children on ADHD medications may struggle with swallowing tablets or capsules, or may require a dose that falls between available commercial strengths. Compounded formulations may allow prescribers to match the dose precisely to the child's response — and deliver it in a form the child can manage.
02Endocrine and Hormonal Conditions
Children with thyroid disorders, growth hormone concerns, precocious puberty, or adrenal conditions may require medications at concentrations far below what commercial products provide. Pediatric compounding may allow endocrinologists and pediatricians to prescribe exact doses in child-friendly forms.
03Dermatological Conditions
Pediatric skin conditions — including eczema, psoriasis, contact dermatitis, and fungal infections — may require topical preparations at concentrations gentle enough for developing skin. Compounded topical creams and ointments can be prepared without the fragrances, preservatives, or irritants found in some commercial products.
04Allergies and Immunological Conditions
When a patient's allergy or sensitivity profile requires exclusion of specific dyes, preservatives, or excipients, we build the formulation from the active pharmaceutical ingredient — selecting each component to your clinical specification.
05Dental and Oral Health
Pediatric dental compounding includes topical anesthetics, antimicrobial rinses, fluoride preparations, and post-procedural pain management formulations suited to children's smaller mouths, lower tolerances, and compliance challenges.
06Rare Diseases and Specialized Conditions
When no commercial pediatric formulation exists for a patient's diagnosis — rare diseases, orphan conditions, complex multi-drug protocols — we work directly with the prescribing team to formulate what the commercial market doesn't carry.
Delivery Forms for Children
When a child struggles with a medication — refusing the taste, gagging on the tablet, or reacting to an ingredient — it isn't always about the medicine. Sometimes it's about the form it comes in. We prepare pediatric prescriptions in a full range of delivery forms, so the medication fits your child, not the other way around.
- Flavored oral liquids and suspensions: precise weight-based dosing in flavors children enjoy — grape, strawberry, bubblegum, watermelon, and more
- Chewable tablets and gummies: for children who can manage soft chewables and prefer them to liquids
- Lollipops and troches: dissolve slowly in the mouth — useful for oral and throat conditions and for children who resist other forms
- Topical creams and ointments: for skin conditions, pain management, and local anesthesia
- Suppositories: when oral administration is not possible — fever, nausea, or post-operative care
- Capsules: available in small sizes for older children; we formulate with only the inactive ingredients your child needs
A Note for Parents
We know how hard it is to watch your child struggle with a medication — whether they're spitting it out, gagging, or refusing outright. If that's your experience, it's worth asking your child's prescriber whether a compounded formulation might make a difference. Our pharmacists are happy to speak with you directly about what options might be available for your child's specific prescription.
Billing
Insurance and Coverage
We accept some third-party insurance plans, though coverage for compounded medications varies by plan. Our team can help clarify coverage options for your patients.
Next Steps
Ask your child's prescriber about a compounded formulation
Compliance Note
Pediatric compounded medications are prepared based on prescriptions from licensed prescribers. All formulations are individualized and are not FDA-approved drug products. Compounded medications may not be appropriate for all pediatric patients. Parents and caregivers should discuss the risks and benefits of compounded medications with their child's healthcare provider.