Since 1st Feb 2018 new sterile compounding guidelines took effect in Australia whereby all sterile compounding pharmacies must abide by USP797 standards. We hear from our customers almost daily how many other compounders around the country are ignoring these requirements and continue to supply sterile products that do not adhere to these standards. If they do not adhere to these standards then the quality of injections they supply would be questionable and possibly dangerous.
Compounding Guidelines forbid us to prepare products in anticipation of a sale so they can only be compounded once we receive a prescription. If you order sterile products and they are immediately available then they are being supplied in breach of the guidelines. Once compounded if a sterile product has an expiry date beyond 24hrs at room temperature, 3 days in the fridge or 45 days in the freezer, it is required to undergo a sterility test which takes 14 days for the results and they should not be released until the results are back which means there is at least a 14 day delay before your injections are ready to be collected. Therefore if your sterile injections have expiry date beyond these limits and you receive them a day or two after ordering them then they have not been sterility tested and possibly dangerous. We recommend you report these compounders to the authorities as they give the industry a bad name. Sterility testing is not the only aspect that is ignored by many compounders. Endotoxins are another issue. We endotoxin test every new batch of raw material to ensure they are safe for sterile compounding. Our suppliers inform us that there are very few Compounders who are purchasing materials for endotoxin testing so it seems it is also being ignored by many.
Our compounding pharmacy has been involved in sterile compounding for nearly 20 years so is one of the most experienced sterile compounding pharmacies in the country. We are one of only a very few in Australia equipped with a NATA certified state of the art ISO Class 7 sterile room and an adjacent ISO Class 8 ante room which are required for the production of sterile preparations. We have two NATA certified GERMFREE ISO Class 5 sterile laminar flow Barrier Isolators which are located in the ISO 7 sterile room in which all sterile preparations are made. This set up exceeds the requirements set by USP 797. These ensure that we exceed the high standards required for sterile production so that products produced by are us are indeed sterile and safe to inject.
Our sterile laboratory is equipped with a validated depyrogenation oven to sterilize and depyrogenate all glassware and utensils involved in the compounding process to prevent contamination of bacteria or pyrogens. We also use commercially available sterile and pyrogen free water for injections, vials and filters in all our sterile products to minimize any potential source of contamination.
We have a variety of methods for sterilization available including validated dry heat oven, autoclave and various sterile 0.2 micron filters which enables us to sterilize a variety of products which all require different methods of sterilization. We also
Our sterile rooms undergoes daily bacteriocidal and weekly sporacidal cleaning to maintain a sterile environment. We also monitor the environment at intervals which exceed USP standards with weekly air sampling of the rooms and inside the sterile cabinet using a microbial sampler to ensure no bacteria are present. We also perform weekly glove finger dab plate tests in addition to weekly surface testing to ensure our sterile environment remains sterile. We also monitor non-viable airborne particals weekly to ensure we exceed USP 797 standards.
We perform our own in-house sterility and endotoxin testing which have been validated for various products. Sterility testing involves incubating injection samples in various growth media in an incubator for 14 days to ensure the absence of any microbial growth. We also perform bubble point testing on our sterile filters to validate their integrity which ensures their ability to sterilize heat sensitive mixtures. We perform endotoxin testing on our raw materials to eliminate all sources of potential contamination.
Dr Michael Serafin, our chief compounding pharmacist, has nearly 20 years experience in sterile compounding and prior to that in the 1990’s he had been involved in sterile work at the Department of Cancer Medicine Sydney University. In the early 2000’s he completed a Sterile Compounding Training Program with The American Society of Health-System Pharmacists and later in 2015 completed the Essential Elements of Compounding Sterile Preparations Course by Medisca. He is one of Australia’s most experienced compounding pharmacists in sterile compounding.
Our facility is USP797 compliant.
Sterile preparations individually compounded by our laboratory and available with a valid doctors prescription include:
Erectile Dysfunction Injections – TRIMIX, BIMIX, QUADMIX and a range of other injections for the treatment of erectile dysfunction.
Hormones – Estradiol valerate Injection, Progesterone Injection, Testosterone Cypionate injections.
Nasal Sprays – HCG, oxytocin, glutathione, methylcobalamin, lidocaine
Eye Drops – NAC eye drops, hypertonic eye drops, 0.01% Atropine Eye Drops
Nutritional Injections – NAD+Infusions, methylcobalamin, lipoic acid, pyridoxyl-5-phosphate, carnitine, phosphatidylcholine, dexpanthenol, etc. Refer to our Vitamin Therapy page for details.
Hormone Pellet Therapy – estradiol pellets
Nebulsing Solution – 20% N-Acetyl Cysteine Solution, Glutathione solution.
Other – DMSO/lidocaine/heparin/hydrocortisone Bladder irrigations used in urology
– Arginine injections for vet
In order to arrange to have any sterile compounding done for you please contact us.