Physicians


Custom transdermal formulations for treating neuropathic pain and inflammation

SoBe Apothecary is a high-tech compounding pharmacy that specializes in pain control. As a leading developer and provider of custom topical treatments for debilitating pain conditions,SoBe Apothecary is the answer for patients who are not ideal candidates for commercial pharmaceuticals, oral medications or surgery.

Our proprietary transdermal formulations have extensive research, testing and proven experience behind them, and are the best option for patients whose indications may respond better to a localized pain treatment.

Our compounding experts extensively study pain paths, the effects of medications and delivery methods to create specialized formulations that target neuropathic pain and inflammation at the source.

The ingredients and components that make up every formulation are specifically selected for their synergistic qualities and collaborative effect on certain pain modalities. We have invested in state-of-the-art equipment and developed detailed processes that ensure our products are formulated consistently and precisely to patient needs and limitations.

Since every prescription is made to order, SoBe Apothecary can customize treatments and address the unique characteristics of pain in each condition and circumstance. It also allows SoBe Apothecary to remain responsive to your preferences, as well as to new findings and advancements in pain management.

Learn more about compounding,indications, efficacy application and studies.

How to Prescribe

With SoBe Apothecary, prescribing a compound is simple. Your local representative will provide you a comprehensive list of our formulations and you select the indications that are prevalent in your patient base. We can also customize a prescription pad for you. Simply fax the prescription form to our pharmacy, along with your patient’s personal and insurance information, and we take care of the rest.

First, we will call the patient’s insurance company to check their plan benefits. We then call the patient to review their coverage and discuss allergies and other information pertinent to filling their order.

Once we fill their prescription, we ship it free-of-charge. One of our customer service representatives will follow up with your patient to ensure that they are using it as directed, to answer any questions they may have, and to verify that they are experiencing the desired results from SoBe Apothecary. Our pharmacist will then call your office to discuss the patient’s feedback so you can adjust the prescription if needed. Please note that some of our formulations include a Class III Controlled Substances (Ketamine)  and require a written prescription.

Experience and Service You Can Trust

At SoBe Apothecary, our certified compounding pharmacists have over 30 years of compounding experience. We continually consult with our Advisory Board, which is comprised of a PhD chemist, several medical doctors and a pharmacist. We have a professional sales force that isdedicated to helping you achieve optimal outcomes for your patients and listening to your needs.

To keep abreast of the latest research and developments in the pharmacy compounding profession, our pharmacists are affiliated with the Pharmacist Compounding Centers of America (PCCA)  and theInternational Academy of Compounding Pharmacist (IACP).

Our goal is to make the prescribing process as streamlined and efficient as possible so your patients can get the pain relief they deserve. Our entire staff is committed to developing an ongoing relationship with you and your patients, which includes continuous communication. A SoBe Apothecary pharmacist is always available for consultation

To learn more about SoBe Apothecary and how we can help your patients achieve pain relief, call our compounding pharmacy at 866-570-1375.

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Compounding

Before the mass production of pharmaceuticals, pharmacists prepared medications from scratch through a process called compounding. Through compounding, SoBe Apothecary can customize medications to help meet the unique needs of patients and physicians. Our goal in preparing custom-compounded medications is to help physicians and patients achieve a more positive therapeutic outcome. To learn more, call us at 866-570-1375.

  • Why SoBe Apothecary Is Effective
  • Why Use SoBe Apothecary Over Traditional Pharmaceuticals
  • Compounding versus Manufacturing
  • Compounding Equipment We Use
  • Safety and Quality Assurance in the Compounding Pharmacy
  • Drugs for Transdermal Compounding
  • White Papers

Why SoBe Apothecary Is Effective

Every prescription from SoBe Apothecary is mixed specifically for each patient, based on their condition and what you request. The ingredients and components that make up every formulation are specifically selected for their synergistic qualities and collaborative effect on certain pain modalities. Since every prescription is made to order, SoBe Apothecary can address the unique characteristics of pain in each condition and circumstance. Learn more about efficacy.

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Why Use SoBe Apothecary Over Traditional Pharmaceuticals

The topical application of a custom compounded cream has many advantages, including: 

• Delivers relief directly to pain receptors
• Minimizes absorption into the blood stream
• Blocks portions of the inflammatory cascade 
• Quickly provides measurable and identifiable pain relief
• Greater effectiveness and results 
• Produces fewer side effects
• Reduces the possibility of adverse drug interactions
• Formulations are non-addictive
• Minimizes oxidative stress
• Reduces organ toxicity
• Improves patient compliance and outcomes
• All medicinal ingredients are FDA approved Other Benefits of Compounded Medications

  • Some people are allergic to certain inactive ingredients in a medication, such as a preservative or dye. With our specially prepared creams, we can eliminate allergic ingredients.
  • For those who have difficulty swallowing pills, capsules or tablets, the topical application of a cream increases the likelihood patients will comply with treatment.
  • If a patient has a hard-to-treat condition that doesn’t respond to off-the-shelf prescriptions, or the strength of the medicine they need is not commercially available, we can customize a formulation.

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Compounding versus Manufacturing

Manufacturing

  • Mass produced, not customizable
  • No specific patient in mind when drug is produced
  • Prescriber must match patients to the product available
  • Economic considerations limit choices in drug dosages and dosage forms

Compounding

  • Drugs created on patient-by-patient basis
  • Customizable formula is matched to each patient’s needs
  • Treatment is administered directly to the area of pain in the most effective dosage form available
  • Ingredients and dosages can be combined and adjusted for maximum effectiveness

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Compounding Equipment We Use

At SoBe Apothecary, we use the latest state-of-the-art equipment to formulate our custom transdermal creams:

  • Electronic (Digital) Balance

This device is absolutely necessary for efficient and accurate compounding.

  • Electronic Mortar & Pestles

The electronic and electro mortar and pestles provide pharmacists with the modern way to compound creams, gels and ointments.

  • Ointment Mill

The ointment mill reduces particle size of powders, crystals and creams into a smooth, finished, elegant, and odorless compound.

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Safety and Quality Assurance in the Compounding Pharmacy

At SoBe Apothecary, safety and quality are of the utmost importance in compounding. We take all necessary precautions to offer maximal protection for both the compounder and the patients who will receive the compounds:

  • Formulas are thoroughly read and discussed prior to compounding.
  • Calculations are double-checked when preparing a formula.
  • The finished compound is labeled immediately in order to confirm the identity of the compound prior to dispensing.
  • Compounds are worked on one at a time to avoid confusion and possible mislabeling of a product.
  • All chemicals used in a formula are triple-checked throughout the compounding process. They are scanned into inventory and scanned for accuracy during compounding.
  • An electronic balance attached directly to our compounding lab computer and PK Software is used to confirm proper identification and weighing of chemicals (within + or – 1%).
  • A workstation hood is used to provide maximum protection when compounding. These countertop hoods are designed for manipulating potent powders such as hormones, for mortar and pestle compounding, and for encapsulating powders.
  • Consistency is maintained by adding helpful notes to formulas to assist the pharmacist and his/her staff in the future.
  • Customized log forms are created for compounded products. Clear identification of final products (lot # and expiration date) and patients who received them is important in the case of a recall or complaint.
  • A training program regarding hazard codes and recommended safety equipment for handling bulk chemicals is established.
  • Procedures for cleaning chemical spills are well-known by all members of the pharmacy team.
  • Proper safety clothing, including masks, gloves, lab coats and hair bonnets, are worn when compounding.

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Drugs for Transdermal Compounding

Below are the classes of drugs used in our custom compounded formulations:

  • NSAIDs
  • Anticonvulsants
  • Anesthetics
  • Muscle Relaxant
  • Tricyclic Antidepressants
  • Calcium Channel Blockers
  • NMDA-Ca Channel Blockers
  • Gaba Agonist
  • Mu Agonist
  • Substance P

For more information, call SoBe Apothecary at 866-570-1375.

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White Papers

Below you will find links to white papers the pharmacists at SoBe Apothecary recommend regarding certain conditions, compounding and pain management.

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Efficacy

Compounding vs. Oral Medications

1.   Description of compounding
Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are “made from scratch” – individual ingredients are mixed together in the exact strength and dosage form required for the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customize a medication to meet the patient’s specific needs. 

Everyone experiences some sort of pain in their lives. It can take the form of a stress-induced headache, a muscle group strained from sports activities, or the result of an injury at work or an automobile accident. For some, pain can be chronic in nature and something they live with on a daily basis. Struggling through chronic pain or the side effects of pain medication does not have to be a daily activity. Pharmacy compounding offers patients customized options for pain medication. It provides valuable benefits to those for whom pain management has become a way of life.

2.   Completely CUSTOMIZED medication for patients with targeted ingredients
Many patients experience stomach irritation or other unpleasant side effects from taking pain medication. Some have difficulty taking the medication in its commercially available form. Pharmacy compounding can provide alternate methods of delivery to make the process easier. Instead of a capsule or tablet, pain medications often can be compounded as dosage forms such as:

  • A topical gel, cream or spray form that can be applied directly to the site of the pain and absorbed through the skin.
  • A custom-flavored troche that dissolves under the tongue, a nasal spray, or a suppository.
Such dosage forms may bypass the gastrointestinal tract, providing optimal results with less GI irritation, and help patients who have difficulty swallowing pills, removing yet another source of aggravation.

3.   Localized increased effectiveness
Pain can be debilitating, whether it’s acute muscle or nerve pain resulting from an accident, or a chronic condition such as arthritis or fibromyalgia. Pharmacy compounding may help improve a patient’s quality of life by providing relief with potentially fewer side effects and less overall medication.  The ingredients are all FDA approved chemicals, and we provide an alternative way to deliver them to them.   Many of our patients have found relief that they haven’t found before.

4.   Side effects Minimized
Since a lower dosage of medication is used and applied topically, the blood levels are fractions of what is seen following oral dosing.  Due to this, the number and severity of side effects is limited as well as the potential for organ toxicity. Additionally, our transdermal creams are non-opioid so they are non-addicting. 

5.   Formulations are tested for shelf life and potency.  
A portion of our actual formulations are sent to an independent lab where they are tested for their potency and shelf life.  In addition, many of our formulas are guided by various BUD (beyond-use-dating) studies run on common formula through our compounding partners at PCCA.

6.   Synergistic Components  
Our transdermal pain creams have several ingredients that work together to provide unique and synergistic action with a low side effect profile. For example, for Musculoskeletal Pain and Inflammation, our KLCB formula contains a non-steroidal anti-inflammatory medication, Ketoprofen; a local anesthetic, Lidocaine; a muscle relaxant, Cyclobenzaprine; and a anti-spasmodic, Baclofen. For Neuropathic Pain, our KGLC formula contains Ketamine, a NMDA- calcium channel blocker; Gabapentin, an AMPA-Na Channel blocker; Lidocaine- a muscle relaxant; Clonidine- an Alpha-2 agonist that produces some peripheral and spiral chord analgesia as well as potentiating the neuropathic pain relieving action of Ketamine. 

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Application

Patient Instructions for Application of SoBe Apothecary Transdermal Creams

  1. Before each application, clean and dry affected area.
  2. Do not apply cream to open wounds.
  3. The person rubbing in the cream should wash hands before and after application. For best results, start with cool water and soap, lather and rinse with warm water. If someone else is helping you apply the cream, it is suggested that person wear a glove or finger cot.
  4. Apply cream using the dispenser. Do not open jar and use fingers to scoop out cream.
    a. 100g/200g/240g: Dispense cream from spout by pushing up on the plunger located on the underside of the container. TIP: slowly push up on the plunger so the cream does not dispense too quickly.
    b. 300g: Slowly turn the base counter-clockwise until the desired amount of cream has been dispensed from the spout.
  5. Apply small amount of cream to affected area and rub in well for 2-4 minutes, or as directed by your physician. CAUTION: AFTER APPLYING CREAM, DO NOT TOUCH EYES OR MOUTH UNTIL
    YOU HAVE WASHED YOUR HANDS. CAN CAUSE BURNING AND IRRITATION.
  6. Do not wash area where cream was applied for at least one (1) hour.
  7. Do not cover area with an occlusive bandage, such as plastic wrap.
  8. Cream and/or gel may feel cool or tingly when applied, which is normal.
  9. Rub SoBe Apothecary transdermal cream into the affected area three (3) times a day, or as prescribed by your physician. Massage into skin thoroughly for at least 2-4 minutes.
  10. Store at room temperature. Do not refrigerate.

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Studies

Below you will find links to studies the pharmacists at SoBe Compounding Apothecary recommend regarding certain conditions, compounding and pain management.

The following case studies can be opened with Adobe 6.0 or higher. These articles can be read online, but cannot be printed or reproduced due to copyrights.

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Reader for free by clicking on the icon below.

adobe reader

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How To Apply

Your SoBe Apothecary formulation is a topical cream, which limits absorption into the blood stream and helps reduce side effects, drug interactions and organ toxicity that may be associated with oral medications. To apply, simply massage directly into the area of your body affected by pain. For more information, download the form below.

  • Transdermal Cream Patient Instructions

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Reader for free by clicking on the icon below.

TRANSDERMAL CREAM PATIENT INSTRUCTIONS

Your doctor has recommended and prescribed a compounded medication that will be made to treat your specific needs. Every prescription from SoBe Apothecary is mixed specifically for you, based on your condition and what your doctor has requested. 

SoBe Apothecary creams are developed based on advanced scientific research/data and patient feedback. The cream prescribed for you has been proven to be an effective topical pain treatment for your indication. However, as every person experiences pain differently, SoBe Apothecary may need to adjust the formulation for it to be effective for you. 

As such, a SoBe Apothecary representative will contact you prior to compounding your prescription to discuss allergies and information pertinent to filling your order. The pharmacy will contact your insurance provider to verify your coverage and co-pay, and will provide this information to you at that time. 

A customer service representative will also follow up with you 7 – 10 days after you receive your prescription to ensure that you are using it as directed, to answer any questions that you may have, and to verify that you are experiencing the desired results from SoBe Apothecary. The pharmacist will provide feedback to your physician, who can adjust your prescription if needed. 

It is important that you use SoBe Apothecary as directed so that you may experience its maximum benefits. Please follow the instructions below, and contact SoBe Apothecary to speak with a pharmacist if you have any questions. Our toll-free number is 866-570-1375.

  1. Before each application, clean and dry affected area.
  2. Do not apply cream to open wounds.
  3. The person rubbing in the cream should wash hands before and after application. For best results start with cool water and soap, lather and rinse with warm water. If someone else is helping you apply the cream, it is suggested that person wear a glove or finger cot.
  4. Apply cream using the dispenser. Do not open jar and use fingers to scoop out cream.
    1. 100g/200g/240g: dispense cream from spout by pushing up on the plunger located on the underside of the container. TIP: slowly push up on the plunger so the cream does not dispense too quickly.
    2. 300g: slowly turn the base counter-clockwise until the desired amount of cream has been dispensed from the spout.
  5. Apply small amount of cream to affected area and rub in well for 2-4 minutes, or as directed by your physician. CAUTION: AFTER APPLYING CREAM, DO NOT TOUCH EYES OR MOUTH UNTIL YOU HAVE WASHED YOUR HANDS. CAN CAUSE BURNING AND IRRITATION.
  6. Do not wash area where cream was applied for at least one (1) hour.
  7. Do not cover area with an occlusive bandage, such as plastic wrap.
  8. Cream and/or gel may feel cool or tingly when applied, which is normal.
  9. Rub SoBe Apothecary into the affected area three (3) times a day, or as prescribed by your physician. Massage into skin thoroughly for at least 2-4 minutes.
  10. Store at room temperature. Do not refrigerate.
  11. If you have any questions, please call our toll-free number: 866-570-1375.

SoBe Apothecary will be delivered directly to you in an unmarked package for privacy purposes. It will be shipped to the address on file with your physician. If you prefer your shipment to be received at a different location, please provide the pharmacist with that address. There is no charge to you for shipping the medication.

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Insurance

Prescriptions for SoBe Apothecary formulations are covered by most commercial insurance plans. While our compounded prescriptions are not covered by Medicare or Medicaid, we will gladly arrange an affordable payment plan for your patients.

Once we receive a prescription from you, along with the patient’s insurance information, we will call the insurance company to check their plan benefits. We then call the patient to review their coverage and discuss allergies and other information pertinent to filling their order. 

To learn more about SoBe Apothecary and how we can help you or your patients achieve pain relief, call our compounding pharmacy at 866-570-1375.

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Prescribe

Prescribing a custom compounded treatment from SoBe Apothecary is simple. One of our sales representatives will supply you with our prescription form, or we can customize a prescription pad for you. Simply fax the prescription form to our pharmacy, along with your patient’s personal and insurance information, and we take care of the rest.

*Some of our formulations include a Class III Controlled Substance (Ketamine) and requires a written prescription.

To meet with your local representative, please call SoBe Apothecary at 866-570-1375.


OUR PARTNERS
SoBe Compounding Apothecary was founded by my family in 1963. We are generations of skilled, educated Compounders and Pharmacists. We create the medications you need based on the prescription provided by your Physician. The health of you, your family and pets is our main concern.

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SoBe Apothecary Miami, Florida
Phone: 1-866-570-1375 Fax: 1-888-979-7981
E-mail: info@sobeapothecary.com
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