Commonly Requested Wound Care Compounding Ideas

Treatment of Wounds Without Infection

• Phenytoin 5%/Misoprostol 0.0024% Topical Gel
• Phenytoin 2%/Misoprostol 0.0024%/Lidocaine 2%/Bupivacaine HCI 0.2%/Diphenhydramine HCI 1%/Aloe Vera 0.2% Polyox Bandage
  Polyox Bandage is a good base for oozing wounds.
• Ketoprofen 2%/Lidocaine 2%/Misoprostol 0.0024%/Phenytoin 2%/Aloe Vera 0.2% Topical CreamAsk the pharmacist about the healing properties of phenytoin.

Treatment of Infected Wounds

• Misoprostol 0.0024%/Phenytoin 5%/Metronidazole 2% Topical Gel
• Misoprostol 0.0024%/Phenytoin 5%/Gentamicin 0.2% Topical Gel

Treatment of Wounds with Pain

• Morphine Sulfate 1 mg/mL Topical GelTopical morphine is an option for wound pain and is usually requested after someone has had minimal success with lidocaine.

Additional Information to Consider

• To help increase blood flow, consider nifedipine or pentoxifylline in or around the wound.
  • Phenytoin 5%/Misoprostol 0.0024%/Nifedipine 2% Topical Gel (VersaBase®) Ask the pharmacist for additional formulations.
• Consider using PCCA VersaBase® Gel or VersaBase® Cream as a hypoallergenic base for wound care.