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Dose titration in psychiatry involves the gradual adjustment of medication doses to achieve the desired therapeutic effect while minimising side effects. However, there are several challenges associated with dose titration in psychiatric medicine, and compounding can offer solutions to some of these challenges:

Individual Variability
Patients can vary widely in their response to psychiatric medications. Factors such as age, weight, metabolism, and genetics can influence how an individual responds to a specific dosage. Compounding allows for the creation of customized dosages tailored to the individual patient’s needs, helping to address variability in drug response.

Limited Commercial Formulations
Some psychiatric medications are only available in specific strengths or dosage forms. This can make it challenging to find the optimal dosage for a particular patient. Compounding pharmacies can create medications in a variety of strengths and forms, providing more flexibility in dose titration.

Specialised Dosage Forms
Patients may have difficulty swallowing pills or may prefer alternative dosage forms. Compounding pharmacies can prepare medications in liquid, sublingual, or transdermal forms, making it easier for patients to adhere to their treatment plans and facilitating dose adjustments.

Combination Therapies
In psychiatry, combination therapies with multiple medications are common. Commercially available combination products may not always match the specific needs of a patient. Compounding allows for the creation of customized combination therapies in a single dosage form, enhancing convenience and potentially improving adherence.


Medicating children can be difficult. Some resist medicines due to the taste; others find it difficult to swallow pills or are afraid of injections. In addition, many medications are only formulated for adults, so don’t come in paediatric dosages. To combat this, we create custom paediatric suspensions and solutions in a variety of flavours. Conditions we commonly compound for include reflux, eczema, nail-biting and autism.

Discontinued Medicines

Sometimes a commercial medication that has proven effective in treating a specific health condition may be discontinued, recalled or out of stock. When this happens, in many cases, we can compound and prepare a prescription for it to facilitate continued patient care.