Cardiac and Antiarrhythmic
Pediatric cardiac patients often require precise dosing at concentrations unavailable commercially.
We prepare:
- Metoprolol oral suspension
- Flecainide capsules and suspension
- Nadolol oral suspension
Pediatric Compounding
Pediatric Compounding
Built Around Your Patient, Not the Other Way Around
Children deserve medications that are built for them — the right dose, the right form, without ingredients they don’t need. At Voshell’s Pharmacy, our pediatric compounding program is designed to address the gaps that commercial products simply cannot fill: wrong concentrations, oversized tablets, unavailable liquids, and formulations that no child will willingly take.
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
Compounds
Compounds We Prepare
GI and Metabolic
For infants and children with gastrointestinal and metabolic needs:
- 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
Gentamicin preparations across multiple delivery forms for infection management in pediatric patients, including:
- 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
Pediatric eye preparations including:
- 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
Conditions Commonly Addressed
ADHD and Behavioral Health
Many children on ADHD medications struggle with swallowing tablets or capsules, or require a dose that falls between available commercial strengths. Compounded formulations allow prescribers to match the dose precisely to the child’s response — and deliver it in a form the child can manage.
Endocrine and Hormonal Conditions
Children with thyroid disorders, growth hormone concerns, precocious puberty, or adrenal conditions often require medications at concentrations far below what commercial products provide. Pediatric compounding allows endocrinologists and pediatricians to prescribe exact doses in child-friendly forms.
Dermatological Conditions
Pediatric skin conditions — including eczema, psoriasis, contact dermatitis, and fungal infections — often 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.
Allergies and Immunological Conditions
Children with multiple drug allergies or sensitivities may need formulations that are free of specific dyes, preservatives, or excipients present in commercially available products. Compounding allows us to build a clean formulation from the active ingredient up.
Dental 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.
Rare Diseases and Specialized Conditions
For children with rare diseases, orphan conditions, or diagnoses where no commercial pediatric product exists, compounding may be the only path to appropriate therapy. Voshell’s Pharmacy works closely with specialty prescribers and children’s healthcare teams to support these complex cases.
Delivery Forms for Children
Making medication approachable for children is as important as making it effective. We offer a full range of pediatric-friendly delivery forms:
- 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: for older children who can swallow, often with gentler inactive ingredient profiles than commercial options
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.
Insurance and Coverage
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.
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.