Accepted answer
Start with the regulatory basis, because compounding is permitted under specific conditions and those conditions are the whole subject.
A compounded preparation has no marketing authorisation, no batch release by a qualified person and no pharmacovigilance obligation attached to it. That is the structural difference from a licensed product.
Regulators generally prohibit compounding what is essentially a copy of a commercially available product, with a shortage listing being the usual exception that permits it temporarily.
Prohibitions on compounding essential copies of commercially available products are explicit in the relevant regulatory frameworks, with shortage listings as the usual exception.
A compounded preparation is unapproved by definition, which is a statement about the framework rather than about the facility.
Ask which salt form. A different salt is a different active moiety.
6Sharing records with the usual clinician is the advice I ignored and should not have. – Dr_Rosalind_Achebe 3 months ago 5Thank you — treating this as a paperwork problem with a paperwork solution reframed it for me. – micron22 27 days ago add a comment