Fungal Skin Infections

Fungus can cause many infections like athlete’s foot, ringworm, jock itch, and others. Many over the counter and prescription treatments are available, but as resistant strains are found a new treatment may need to be used. The combination of the usual antifungal and ibuprofen has been shown to be a successful alternative. Antifungal activity of ibuprofen alone and in combination with fluconazole against Candida species.

Head Lice

Common treatments of head lice use a pediculicide that works as a neurotoxic agent against the lice to kill them.  This treatment can both raise concerns for the patient being treated and can be ineffective against resistant populations. Compounded products that work in a different way can offer new alternatives. Pediculosis capitis: new insights into epidemiology, diagnosis and treatment.

Effectiveness of lotions based on essential oils from aromatic plants against permethrin resistant Pediculus humanus capitis.

Molluscum Contagiosum

This skin condition is currently rarely treated as it is usually a self-limiting infection. Sometimes an infection can cause secondary skin infections, or the infection may not go away on its own if the patients immune system is weak. In these cases treatment may be necessary. Treatment of molluscum contagiosum with silver nitrate paste.

Nail Removal

Commonly nails that need to be removed due to trauma or infection are removed surgically. Compounded, non-surgical options may be a more comfortable and desired option for many patients. Urea ointment in the nonsurgical avulsion of nail dystrophies.


The treatment of nail fungal infection usually has very low success rates, has high relapse rates, and often has many side effects since usually it is treated with an oral antifungal.  Newer methods that can be made with compounding can decrease or eliminate the side effects of traditional oral therapy while also achieving good results. New therapeutic options for onychomycosis.

Treatment of toenail onychomycosis with 2% butenafine and 5% Melaleuca alternifolia (tea tree) oil in cream.

A comparative evaluation of combination therapy of fluconazole 1% and urea 40% compared with fluconazole 1% alone in a nail lacquer for treatment of onychomycosis: therapeutic trial.

Plantar Warts

Plantar Warts can be not only very painful and bothersome to a patient, but can also be difficult to treat.  Compounded prescriptions and iontophoresis can be a successful method of treatment. Treatment of plantar verrucae using 2% sodium salicylate iontophoresis.