Areas Of Compounding

At StMary Pharmacy, our compounding services span a wide spectrum of health needs – from gastroenterology to dental care, and everything in between. Whatever your condition, we’re here to provide tailored solutions that help you get the treatment you need.

Gastrointestinal

We offer tailored compounding solutions to support a wide range of gastrointestinal conditions, particularly when commercially available treatments are unsuitable, unavailable, or not well tolerated. Our custom formulations include:

  • Paromomycin, Nitazoxanide, Levofloxacin, Tetracycline, and Rifaximin for managing infectious or parasitic GI conditions
  • Bismuth salts for H. pylori eradication or chronic diarrhoea
  • Loperamide for symptomatic relief of diarrhoea
  • Prochlorperazine, Metoclopramide, and Ondansetron suppositories for managing nausea and vomiting, especially when oral administration is not possible
  • Topical calcium channel blocker creams, including Nifedipine and Diltiazem, for anal fissures-providing targeted local relief with minimal systemic side effects

Nutraceutical

At StMary Pharmacy, we provide a comprehensive nutraceutical compounding service that enables prescribers to create targeted, patient-specific formulations using high-quality vitamins, minerals, and amino acids. These customised blends are used to address a wide range of clinical needs, including:

  • Nutrient deficiencies
  • Hormonal support
  • Skin and hair health
  • Chronic fatigue
  • Metabolic and mitochondrial dysfunction
  • Nutritional support following bariatric surgery

Ingredients We Commonly Compound

We stock a wide range of nutraceutical ingredients, readily available for formulation into capsules, powders, or oral liquids:

Water-Soluble Vitamins & Cofactors

  • Vitamin C
  • B1 (Thiamin)
  • B2 (Riboflavin)
  • B3 (Niacinamide)
  • B6 (Pyridoxine)
  • B12 (Cyanocobalamin)
  • B9 (Folic Acid)
  • Pyridoxal-5-Phosphate (Activated B6)
  • Biotin (Vitamin H)

Trace Minerals & Essential Elements

  • Zinc, Selenium, Copper
  • Chromium, Molybdenum, Boron
  • Manganese, Iron, Silica
  • Magnesium, Calcium

Amino Acids

  • L-Methionine
  • Tyrosine

Fat-Soluble Vitamins (Lipid-Soluble)

  • Vitamin A, Vitamin D3, Vitamin E, Vitamin K2
    These are particularly important for patients with fat malabsorption issues, such as those recovering from bariatric surgery, where lipid-soluble vitamin support is critical for long-term health.

Pain

With a continually expanding ingredient library, Karrinyup St Luke Pharmacy is well-equipped to support prescribers in delivering precision nutraceutical care for a wide range of clinical scenarios

Compounds For Chronic Pain Relief

Chronic pain can be a complex and frustrating condition. Many standard treatments-like opioids, NSAIDs, and systemic anticonvulsants-can bring unwanted side effects. At Karrinyup St Luke Pharmacy, we offer a multi-modal, compounded approach, delivering targeted relief with fewer systemic risks.

Featured Compounds

  • Ketamine Troches & Creams
    Sublingual troches deliver low-dose ketamine for systemic analgesia, while topical ketamine creams are used for nerve-related pain, including post-herpetic neuralgia, CRPS, or lumbar radiculopathy. Compelling evidence supports effective local relief without systemic absorption.
  • Low-Dose Naltrexone (LDN)
    Known for its immune-modulating and anti-inflammatory effects, LDN can be compounded into capsules, lozenges, creams, or suspensions to suit patient needs.
  • Palmitoylethanolamide (PEA)
    A naturally occurring compound with neuroprotective and anti-inflammatory properties, PEA can help alleviate neuropathic and chronic pain (e.g., post-herpetic neuralgia).

Multi-Ingredient Pain Relief Creams

  • We compound customised topical creams that combine multiple active ingredients to target pain through different pathways. These synergistic formulations may include:

    • Gabapentin
    • Amitriptyline
    • Clonidine
    • Baclofen
    • Magnesium and Guaifenesin
    • Pregabalin

    By combining some or all of these agents into a single topical base, we provide prescribers with a flexible option to address neuropathic pain, muscular tension, and inflammation especially for Orthopedic pains-all while minimizing systemic exposure.

Podiatry

Medications that only comes in tablets can be formulated into liquid or other dosage forms – notable examples are pregabalin suspensions and clonidine liquids.

Athlete's Foot (Tinea Pedis)

  • Ketamine Troches & Creams
    Sublingual troches deliver low-dose ketamine for systemic analgesia, while topical ketamine creams are used for nerve-related pain, including post-herpetic neuralgia, CRPS, or lumbar radiculopathy. Compelling evidence supports effective local relief without systemic absorption.
  • Low-Dose Naltrexone (LDN)
    Known for its immune-modulating and anti-inflammatory effects, LDN can be compounded into capsules, lozenges, creams, or suspensions to suit patient needs.
  • Palmitoylethanolamide (PEA)
    A naturally occurring compound with neuroprotective and anti-inflammatory properties, PEA can help alleviate neuropathic and chronic pain (e.g., post-herpetic neuralgia).

Onychomycosis (Fungal Nail Infections)

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    Compounded combinations designed to improve drug penetration through the nail plate:

    • Ketoconazole / Urea / Ibuprofen
    • Terbinafine / Urea / Ibuprofen
    Urea softens the nail, while ibuprofen may help reduce inflammation in the nail bed, potentially improving local absorption and comfort.

Warts (Plantar & Cutaneous)

  • Potent wart formulations for professional use or patient-applied regimens:

    • Cantharidin, Salicylic Acid, Podophyllum Resin
    • Also available: Podophyllum in Compound Benzoin Tincture (APF) for improved adherence to plantar skin.

Cracked Heels & Thickened Skin

  • Hydrating and keratolytic creams to restore heel integrity and comfort:

    • Urea-based creams (10-40%)
    • Urea + Lactic Acid combinations for deeper exfoliation and moisture retention

Psychology

Compounding allows highly tailored treatments in mental health care, giving prescribers flexibility that commercial medicines can’t offer. This ensures precise dosing, flexible delivery forms, and allergen-free formulations to better support patient needs.

Depression & Anxiety

Commercial antidepressant options often lack flexibility, especially when tapering or tailoring doses. Compounded medicines provide alternatives:

Custom Doses for Safe Tapering

Desvenlafaxine: Compounded into slow-release capsules as low as 5 mg (vs only 50 mg and 100 mg available commercially).

    • Duloxetine: Prepared in low-strength slow-release capsules (vs only 30 mg and 60 mg available).
    • Bupropion: prepared in SR preparations in variety of doses that are not commercially available.
    • Fluoxetine: Available in 10 mg capsules, or compounded as an oral suspension (not commercially available).
    • Sertraline: Compounded into an oral suspension (not commercially available).

Modified Excipients for Sensitive Patients

Amitriptyline: Prepared without colouring or starch, making it suitable for patients with sensitivities or allergies.

Smaller Doses for Clinical Flexibility

Aripiprazole: Compounded into smaller dosage forms for gradual titration or tapering when standard tablets are too strong.

ADHD & Related Conditions​

ADHD treatments can also be adapted through compounding to suit individual dosing and formulation needs:

Stimulants​​

  • Dexamfetamine: Gluten-free capsules in immediate-release or slow-release form capsules in strengths from 5mg-45mg SR capsules.
  • Lisdexamfetamine (Vyvanse®): Compounded into oral liquid formulations (not commercially available).
  • Methylphenidate (Ritalin®): Compounded into immediate-release oral liquid (not commercially available).
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Alternative Non-Stimulants

  • Clonidine: Compounded as oral liquid for flexible dosing (not commercially available).
  • Guanfacine (Intuniv®): Immediate-release liquid formulations (not commercially available).
  • Atomoxetine (Strattera®): Immediate-release liquid formulations (not commercially available).
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Adjunctive Sleep Support

  • Melatonin: Compounded into liquids, troches or gummies in varying strengths and flavours, especially useful for children or patients who cannot tolerate commercial products.

Key Advantages of Compounded Psychiatry Medicines

  • Precise, non-standard dosing – ideal for titration and tapering.
  • Custom release rates – immediate-release or slow-release tailored to patient needs.
  • Multiple actives in one capsule – simplifies regimens.
  • Allergen-free options – gluten-free, lactose-free, dye-free, or preservative-free.
  • Flexible formulations – capsules, suspensions, and gummies for better adherence.

Our compounding service allows clinicians to optimise therapy for conditions like depression, anxiety, ADHD, insomnia, and behavioural disorders, improving patient safety and adherence when commercial options fall short.

Cosmetic and Anti-Aging Preparations

At StMary Pharmacy, we create customised dermatology formulations designed to target pigmentation, uneven tone, scarring, and the visible signs of skin aging. By combining clinically supported actives in precise concentrations, we give prescribers the freedom to design treatment plans that simply aren’t possible with standard, off-the-shelf skincare.

Kligman-Inspired Brightening Formulas

We prepare modern versions of the classic Kligman formula, refined for improved tolerability and enhanced with antioxidants. These blends are ideal for managing melasma, sunspots, and post-inflammatory hyperpigmentation (PIH), while supporting overall skin health.

Pigmentation & Tone Correction Actives

  • Azelaic Acid – Helps reduce uneven tone, redness, and inflammation, while remaining gentle on sensitive skin.
  • Tranexamic Acid – Inhibits excess melanin production and calms inflammation to fade stubborn pigmentation.
  • Kojic Acid – Naturally suppresses melanin formation, brightening dull or uneven skin.
  • Niacinamide – Strengthens the skin barrier, improves clarity, and reduces redness.
  • Vitamin C (Ascorbic Acid and stable derivatives) – A potent antioxidant that helps fade dark spots and defend against environmental damage.
  • Cysteamine a skin-lightening agent used in the treatment of hyperpigmentation disorders

Hydration & Skin Renewal

  • Sodium Hyaluronate – Deeply hydrates, plumps fine lines, and supports skin repair.
  • Amino Acids & Antioxidants – Encourage collagen production and improve elasticity.
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Scar Treatment Gels

We compound scar gels to soften, flatten, and fade scars from acne, surgery, or injury. These may combine silicone bases with actives such as ascorbic acid, tranexamic acid, kojic acid, niacinamide, and sodium hyaluronate to improve both colour and texture.

Anti-Aging Focus

Our anti-aging formulations are designed to:

    • Smooth fine lines and wrinkles
    • Improve firmness and elasticity
    • Brighten dull skin and even tone
    • Reduce age spots and sun damage
    • Support long-term collagen health

Why Choose Compounded Skincare from Us?

  • In-house manufacturing of complex creams, gels, creme-gels, and ointments for optimal active-excipient compatibility.
  • Clinically supported ingredients selected in collaboration with dermatologists.
  • Freshly compounded for maximum potency, stability, and effectiveness.

Whether your goal is to reduce pigmentation, improve scarring, or address signs of aging, our pharmacists work closely with prescribers to deliver high-performance, personalised skincare solutions that go far beyond standard products.

Dental

At StMary Pharmacy, we offer a complete range of compounded mouthwashes – from the well-known Magic Mouthwash blends to highly specialised therapeutic rinses – all customised to your exact clinical needs. Whether the aim is to relieve oral pain, treat infections, reduce inflammation, control bleeding, or promote healing, we can tailor the ingredients, strength, flavour, and base to suit each patient.

Popular Mouthwash Formulations

  • Magic Mouthwash – Available in multiple variations to address pain, infection, and inflammation in conditions such as oral mucositis, ulcers, or post-dental surgery recovery. Possible active ingredients include:

    • Antihistamines: Diphenhydramine
    • Antibiotics: Tetracycline, Minocycline, Metronidazole, Erythromycin
    • Antifungals: Nystatin, Amphotericin B, Clotrimazole
    • Antivirals: Acyclovir
    • Anaesthetics: Lidocaine viscous, Benzocaine
    • Anti-inflammatories & Steroids: Dexamethasone, Hydrocortisone
    • Coating / Protective Agents: Sucralfate, Kaolin-pectin, Aluminium/magnesium hydroxide
    • Other Additives: Sodium bicarbonate, Benzydamine, Glycerin

Other Specialised Mouthwashes We Compound

  • Tranexamic Acid Mouthwash – For bleeding control in gum disease, post-surgery, or clotting disorders
  • Dexamethasone Mouthwash – For severe inflammatory oral conditions such as erosive lichen planus or chemotherapy-induced mucositis
  • Thymol Mouthwash – For gingivitis, with natural antiseptic action
  • Xylitol Mouthwash – For xerostomia (dry mouth), supports saliva production and helps protect teeth

Why Choose Our Compounded Mouthwashes?

  • Tailored formulations matched to your diagnosis and sensitivity
  • Alcohol-free & sugar-free options for gentler use
  • Custom flavouring to improve compliance
  • Freshly compounded for maximum potency and shelf life

With our expertise in multi-ingredient mouth rinses, we provide prescribers and patients with truly personalised solutions for complex oral conditions – made fresh, every time.

Additional Dental Compounding Solutions

We also prepare high-strength flavoured numbing gels for dental and gum pain, using one or a blend of:

  • Lidocaine
  • Tetracaine
  • Prilocaine

Antiseptic agents such as chlorhexidine can be incorporated into gels, mouthwashes, or rinses for extra antimicrobial support. We also compound:

  • Metronidazole dental Gel formulations – for gum infections and dental abscesses
  • Super-saturated citric acid solutions – used in dental procedures for root canal cleansing and conditioning

Ear, Nose, and Throat (ENT)

Post-Tonsillectomy Care

  • When oral medicines are difficult to take – for example in children who are vomiting, struggling to swallow, or unconscious – suppositories provide an essential alternative.

    • Custom Paracetamol Suppositories: During the recent nationwide shortage, we supported families by preparing tailored strengths to help manage pain and fever.
    • Ibuprofen Suppositories: Our most commonly requested preparation for children after tonsillectomy, valued for its quick onset and ease of use. (Classified as a Pharmacist-Only Medicine, available without a prescription.) 
    • Dexamethasone gargles for post-operative care
    • Tranexamic acid rinses, gargles, and suspensions
    • Ondansetron suspensions for nausea and vomiting control

Throat-specific preparations

For children with reflux or airway conditions such as tracheomalacia, compounded omeprazole suspensions allow accurate dosing when commercial products are not available.
We also prepare the well-known “Pink Lady” (antacid + viscous lignocaine suspension) for symptomatic relief under prescriber instruction.

Nasal & Ear Preparations

  • We also provide a wide range of nasal and ear treatments tailored to patient needs, including:

    • Atrovent® (Ipratropium) nasal spray compounded in custom volumes or strengths
    • Mupirocin nasal preparations for ENT-directed us
    • Previously unavailable Locacorten®-Vioform ear drops (Flumetasone pivalate + Clioquinol), was prepared on request
    • Custom combination ear drops to meet specialist preferences
    • Antibiotic/steroids nasal preparations for ENT-directed us
    • Boric acid 5% ear drops
    • Ketoconazole 1% and 2% ear drops for fungal ear conditions

Endocrinology

At StMary Pharmacy, we work closely with prescribers to create customised endocrine therapies when commercial products aren’t suitable.
From thyroid support to lipid management and hormone replacement, our compounds are designed for precise dosing, optimal delivery, and excipient compatibility.

Thyroid Compounding

    • Desiccated Thyroid Extract (DTE) – customised strengths for patients requiring specific T4/T3 combinations outside standard doses.
    • T3 (Liothyronine) – micro-dosed, slow-release capsules for fine titration, with dye-free and lactose-free options.

    Available formats: immediate-release or slow-release capsules; coloured or colour-free; vegan (cellulose) or gelatin capsules.

Lipid & Metabolic Support

    • Nicotinic Acid (Niacin) – custom-strength capsules, immediate- or slow-release, for prescriber-directed cholesterol management.
    • Red Yeast Rice (RYR) & Berberine – practitioner-grade compounds to support healthy lipid and glycaemic profiles.

    Available formats: standard or slow-release capsules; can be combined with supportive nutraceuticals such as CoQ10 or Vitamin D3 when prescribed.

Bioidentical Hormone Replacement

    • Oestrogens (Estradiol, Estriol)
    • Progesterone
    • Testosterone
    • DHEA
    • Pregnenolone

    Custom strengths and ratios tailored for peri- and post-menopause, hormonal imbalance, and androgen deficiency. Available formats: transdermal creams or gels, sublingual troches, oral capsules, and vaginal creams or pessaries.

Out of stock and Discontinued Medications

Compounding for Discontinued & Unavailable Medicines At StMary Pharmacy, we recreate discontinued or hard-to-find medicines so patients can continue their treatment without interruption.
We can prepare custom equivalents of many products no longer available in Australia, including:

  • Condalyne® (podophyllotoxin solution)
  • Wartec® (podophyllotoxin cream)
  • Cafergot® (ergotamine, caffeine)
  • Adalat® 10 Tablets (nifedipine)
  • Zinnat® susp (cefuroxime)
  • Eryacne® (erythromycin 2% gel)
  • Isotrex® (isotretinoin gel)
  • Stieva-A® 0.025% (tretinoin cream)
  • Thymol Mouthwash
  • Atrovent® nasal spray (Ipratropium)

We also help bridge supply gaps during national medicine shortages – historically compounding items such as:

  • Zithromax® suspension (Azithromycin)
  • Klacid® suspension (clarithromycin)
  • Duac® cream (Benzoyl peroxide + Clindamycin)
  • Hand sanitiser gels during the COVID-19 pandemic

  • Locacorten®-Vioform (Flumetasone pivalate, Clioquinol)

  • Daktarin® Oral Gel (Miconazole)
  • Septrin®, Bactrim® suspensions (trimethoprim-sulfamethoxazole)
  • Ausfam® (Famotidine)

All compounded products are prepared to prescription, using high-quality ingredients, with strength, dosage form, and excipients tailored to the patient’s needs.