Natural Hormone Replacement Therapy
During the past several decades, women have had no other choice but to use synthetic products for replacement therapy.  Most women taking these products say that they do feel better, but unfortunately, conventional therapy can cause many unwanted side effects such as bleeding, fluid retention, bloating, headaches, breast tenderness and irritability.  Today, women have alternative-natural hormones. 

Natural hormones (NHRT area) are not herbal supplements, rather they are bio-identical in structure to the hormones that circulate in a women’s body during her reproductive years.  Natural estrogens, testosterone, and progesterone provide all the benefits of the synthetic forms only without the unwanted side effects. 

Fifth Avenue Pharmacy specializes in compounding all the natural hormones in various dosage forms and strengths upon each individualized prescription from your physician.  

A one-on-one consultation session may be scheduled by appointment.
Fee: $25.00    Time: Approximately 1 hour   Session includes:

Ø     Patient’s medical and personal history.

Ø     Pharmacist will explain benefits of hormone replacement therapy, how natural hormones differ from synthetic hormones, and the functions of each of the hormones.

Ø     Pharmacist will discuss personal goals for the patient.

Pharmacist will try to answer any questions the patient may have.

Specialty Compounding

Veterinarian Therapies
Have you ever tried to convince a Great Dane to take medication that he doesn’t think he needs?  We have several options that will allow you to keep all of your fingers intact. We can prepare a variety of flavors and delivery forms for each specific pet.  Among our patients are cats, dogs, parrots, macaw’s, turtles, salamanders, parakeets, iguanas and ferrets. 

Neuropathy Pain Management
Gels and creams can often be prepared by incorporating potent medications that can be applied on the surface of the skin and penetrate to an affected muscle, joint or nerve.  Diabetic neuropathic pain and/or burning of the feet are one of our specialties.

Dermatological
We have been preparing dermatologic creams, gels, lotions and ointments for over twenty-five years. Our formula list exceeds four thousand combinations.

Fertility
We have over twenty years experience in preparing various hormonal medications to enhance fertility and/or maintain pregnancy.

Alternative Dosage Forms
Commercially available prescriptions may not always fit the needs of a specific patient.  As compounding pharmacists, we have the ability to prepare many oral drugs into a more appropriate dosage form, if the need arises.  Alternative dosage forms are prepared on the order of a physician to treat an “individual.”

Patient Education Programs 

Diabetes Education Management – 3 Components
Component #1 – Blood Glucose Monitoring

Ø      Includes detailed instruction on blood glucose monitoring

Ø     Assessment of patient needs to “best fit” a particular blood glucose monitor to a patient

Ø     Detailed letter sent to your doctor explaining training session as well as result of blood glucose level taken during the session

Ø     Follow-up phone calls every 2 days for one week to ensure proper blood glucose monitoring technique

Ø     Cost is $20

Component #2 – All about Diabetes including Survival Skills

Ø       What is Type I diabetes and how is it managed

Ø       What is Type II diabetes and how it is managed

Ø       On hands approach to insulin injections

Ø       Role of Diet and Exercise

Ø       Specifically tailored to your questions and concerns

Ø       Includes Component #1

Ø       Cost is $40

Component #3 – Do you suffer from painful, burning, or tingling sensations in your feet?

Ø     Visit or call us for information on compounded gels currently being used to successfully treat these conditions

Ø     Includes referrals to doctors treating these conditions

Ø     Cost is $150.00

Stop Smoking Program
Smoking Cessation – Includes four sessions along with 16 follow-up phone calls
Session #1 – Understanding why you smoke and how it affects you

Ø      Detailed patient information and smoking history report

Ø     Smoking facts

Ø     Changes your body goes through after you quit

Ø     Methods used to quit including current medications to aid in smoking cessation

Ø     Review and evaluation for the appropriateness of these medications for each individual

Session #2 – What to expect after your quit date and how to manage the first few cigarette-free days

Ø     Withdrawal symptoms

Ø     How to manage cravings

Ø     Relaxation techniques/Stress Management

Ø     Specific counseling on technique chosen to aid in smoking cessation

Ø    ENCOURAGEMENT

Session #3 – Lifestyle changes

Ø       Evaluation of smoking log from the past week

Ø       Guidance to maintain control of your weight

Ø       Low calorie ways to manage cravings

Session #4 – Evaluation of progress and techniques to avoid and manage relapse

Ø       Progress evaluation

Ø       Reasons for relapse

Ø       Management of relapse

Ø       Tips for staying smoke free

Ø       Ripple effects of quitting

Sessions #5-20

Ø       Follow-up phone calls are made twice per week for two months to provide guidance and encouragement 

Asthma Management
Session 1.  ALL ABOUT ASTHMA – SURVIVAL SKILLS 

·       Complete patient asthma history

·       Overview of asthma including categories of asthma based on severity and goals of therapy

·       Discuss possible triggers

·       Cost $40.00

Session 2.  MEDICATIONS USED IN TREATMENT OF ASTHMA

·      Discussion of long-term control medications and quick relief medications.

·      Proper use of inhalers and accessory devices – including demonstration and evaluation of technique.

·       Administration of medications through a nebulizer

·       Cost $35.00

Session 3.  ONGOING MONITORING & MANAGEMENT OF ASTHMA

·         Demonstration of Peak flow meter

·         Use of log chart to record values

·         Further assessment of symptoms

·         Progress and goals

·         Cost $35.00