Custom-compounded skincare
When standard treatments fall short, our custom dermatology compounds can be tailored to your prescriber's plan.
Understanding Dermatology
Your skin is unique, and your treatment should be too. Our compounded dermatology medications combine multiple active ingredients in customized strengths to address your specific skin concerns. We work with dermatologists to create formulations that are more effective than commercially available options, often combining ingredients that aren't available together in standard products.
Key Benefits
Scientific Foundation
Studies in the Journal of Dermatological Treatment show that customized topical formulations can be significantly more effective than standard treatments, particularly for conditions like melasma, rosacea, and resistant acne.
Creating Your Perfect Formula
Our pharmacists work with your dermatologist to design a treatment that addresses all your skin concerns in one elegant formulation.
- 1Dermatologist evaluates your skin and determines treatment goals
- 2Prescription specifies active ingredients and desired strengths
- 3Our pharmacists select the ideal base for your skin type
- 4Medication is compounded fresh in our sterile lab
- 5Follow-up allows for formula adjustments as needed
Conditions We Address
Acne
From teenage breakouts to adult hormonal acne, we create targeted treatments.
Common symptoms:
- •Blackheads and whiteheads
- •Inflammatory papules
- •Cystic lesions
- •Post-acne scarring
- •Oily skin
Melasma & Hyperpigmentation
Stubborn dark spots and uneven skin tone require specialized lightening compounds.
Common symptoms:
- •Dark patches on face
- •Sun spots
- •Post-inflammatory marks
- •Uneven skin tone
- •Age spots
Eczema & Psoriasis
Chronic inflammatory conditions that benefit from customized anti-inflammatory formulas.
Common symptoms:
- •Red, itchy patches
- •Dry, scaly skin
- •Skin thickening
- •Cracking and bleeding
- •Burning sensation
Rosacea
Facial redness and inflammation requiring gentle yet effective treatment.
Common symptoms:
- •Facial flushing
- •Visible blood vessels
- •Bumps and pimples
- •Skin sensitivity
- •Burning or stinging
Don't see your condition listed? Contact us to discuss how personalized compounding might help you.
Get in touch →Frequently Asked Questions
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Available Treatment Options
Our pharmacists can customize these medications to meet your specific needs. All prescriptions require consultation with your healthcare provider.
Ketoconazole and Fluticasone Cream
Ketoconazole and fluticasone cream is a compounded prescription that combines an antifungal medicine with a corticosteroid. Your prescriber should explain why both medicines are needed. Steroid-containing creams are generally avoided for ringworm, athlete’s foot, and jock itch because steroids can worsen these infections. The cause of a rash should be checked first. Use only on the prescribed area and follow the treatment length on your label. Report a spreading rash or worsening symptoms. The need to continue both ingredients should be reviewed at follow-up.
Triamcinolone | Hydroquinone | Tretinoin Cream
A compounded topical cream that contains triamcinolone, hydroquinone, and tretinoin. This combination is used under the direction of a licensed healthcare provider for certain skin conditions involving dark spots, uneven tone, and irritation. Because this is a compounded medication, it should be used exactly as prescribed and only for the condition for which it was ordered.
Hydroquinone | Tretinoin | Kojic Acid | Niacinamide | Hydrocortisone Cream
A compounded topical cream that may be prescribed to help improve the look of dark spots and uneven skin tone. It combines ingredients that reduce excess skin pigment, increase skin cell turnover, calm irritation, and support the skin barrier. This medication should be used only under the direction of a licensed healthcare provider because it contains high-strength hydroquinone and a topical steroid.
Vegan Tetracycline Capsules
Vegan tetracycline capsules contain an antibiotic that prescribers may use for certain bacterial infections or as part of an acne treatment plan. A compounded capsule may be considered when a patient's needs cannot be met by a manufactured product. Your prescriber chooses the strength and length of treatment based on your condition and health history. For acne, this medicine may be paired with skin care or other prescribed treatments. Keep follow-up visits so your prescriber can review whether continued antibiotic treatment is needed.
Lidocaine | Tetracaine | Epinephrine Gel
Lidocaine, tetracaine, and epinephrine gel is a compounded topical numbing medicine used on the skin to help reduce pain and discomfort from certain medical procedures. Lidocaine and tetracaine numb the area, and epinephrine helps reduce blood flow at the site to help limit redness and swelling and may help the numbing last longer. This product should only be used exactly as prescribed by a licensed healthcare provider. It is for external use on intact skin unless your prescriber tells you otherwise.
Triamcinolone | Hydroquinone | Tretinoin | Kojic acid Cream
Triamcinolone | Hydroquinone | Tretinoin | Kojic acid Cream is a compounded topical medication used under a prescriber’s direction to help improve the look of dark patches on the skin (hyperpigmentation), such as melasma. It combines an anti-inflammatory steroid (triamcinolone), pigment-reducing agents (hydroquinone and kojic acid), and a vitamin A–type medicine (tretinoin) that helps skin cells shed and renew. This product is made by a compounding pharmacy and is not an FDA-approved finished drug product.
Salicylic Acid | Trichloroacetic Acid (TCA) Solution
Salicylic Acid and Trichloroacetic Acid (TCA) topical solution is a compounded chemical peel used by trained healthcare professionals to exfoliate the outer layers of skin. It may be used in-office for cosmetic skin resurfacing concerns such as uneven texture and the look of blemish-prone or sun-damaged skin. This product is for topical use only and should be applied only as directed by a licensed clinician due to the risk of burns, pigment changes, and scarring.
Tretinoin 0.4% Solution
Tretinoin Solution is a prescription topical medicine used to help treat acne and skin damage from sun exposure. It can help unclog pores, reduce blackheads and whiteheads, and improve uneven skin tone and rough texture over time. This product contains tretinoin 0.4% and is for external use only.
Spironolactone Cream
Spironolactone cream is a compounded prescription that is sometimes used for acne, including breakouts linked to hormone signals in the skin. It contains spironolactone in a cream base for application to the areas your prescriber selects. Your clinician may consider it when a particular skin formulation is needed and will review your other acne treatments. Research on topical spironolactone is limited, and responses can differ. Keep follow-up visits to discuss irritation, changes in your skin, and whether the treatment plan should continue.
Coal Tar Cream
Coal Tar Cream 10% is put on the skin to help calm itching, scaling, and flaking seen with psoriasis, eczema, and seborrheic dermatitis. It slows the rapid growth of skin cells, reduces redness, and eases discomfort so skin can heal.
Calcipotriene | Fluorouracil Cream
Calcipotriene | Fluorouracil Cream combines a vitamin D-like medicine (calcipotriene) with a cancer-fighting medicine (fluorouracil). Together they target rough, sun-damaged spots on the skin called actinic keratoses. Calcipotriene helps your immune system recognize damaged cells, while fluorouracil destroys those cells so new, healthy skin can grow. This prescription cream is applied to affected skin as directed by your healthcare provider.
Metformin Cream
Compounded topical metformin cream is prepared by a licensed pharmacy for skin conditions such as acne, rosacea, eczema, and psoriasis when your healthcare provider believes standard treatments are not enough or not well-tolerated. It is not an FDA-approved product for skin use, but it is made under pharmacy compounding regulations for individual patients with a valid prescription.
Bimatoprost (Latisse®) Eyelash Solution
Bimatoprost ophthalmic solution 0.03% is used to help people with sparse eyelashes grow longer, thicker, and darker lashes. It is applied to the skin at the base of the upper eyelashes once each day. Results appear gradually over 4–16 weeks and last only while you keep using the medicine.
Hydrocortisone | Dexpanthenol | Niacinamide Gel
A soothing topical gel that blends a mild steroid (hydrocortisone 2.5%) with skin-restoring vitamins (dexpanthenol 5% and niacinamide 4%). It is designed to calm redness, itching, and irritation after cosmetic procedures such as laser, microneedling, or chemical peels. The formula helps reduce swelling while supporting the skin barrier and speeding visible recovery. For external use only under the direction of a licensed healthcare provider.
Acyclovir | Lidocaine Lip Balm
Acyclovir | Lidocaine Lip Balm is a compounded topical treatment used to ease pain and speed healing of cold sores (herpes labialis) on or around the lips. Acyclovir fights the virus that causes cold sores, while lidocaine gently numbs the area to reduce burning, itching, and pain. This product is made in a pharmacy under strict quality standards and is only available with a prescription.
Hydroquinone | Kojic Acid | Tretinoin | Hydrocortisone Cream
This compounded cream is used to lighten dark spots on the skin such as melasma, sun spots, and post-inflammatory hyperpigmentation. It combines four active ingredients that work together to slow down pigment production, speed skin turnover, and calm irritation, helping the skin look more even over time.
Salicylic Acid | Lactic Acid |
This compounded solution contains salicylic acid, lactic acid, and trichloroacetic acid to soften and break down thick, wart-infected skin. The acids work together to remove layers of the wart a little at a time while helping prevent the virus from spreading. It is meant for external use on common warts or plantar warts as directed by a licensed healthcare provider.
Hydroquinone | Tretinoin | Hydrocortisone Cream
This compounded cream helps fade dark spots, melasma, and uneven skin tone. It combines a skin-lightener (hydroquinone), a vitamin A derivative (tretinoin), and a mild steroid (hydrocortisone) to brighten skin, speed cell turnover, and calm irritation. The formula is made in a pharmacy and used under a prescriber’s guidance.
Tretinoin | Hyaluronic Acid Cream
This compounded face cream blends tretinoin with hyaluronic acid to smooth wrinkles, fade dark spots, and deeply hydrate the skin. Two strength options let your skincare provider choose the best starting level: 0.05% | 0.2% for sensitive or first-time users, and 0.1% | 0.5% for those who need a stronger effect. Most people notice softer, brighter, and plumper skin after 8–12 weeks when the cream is used every night and paired with daily sunscreen. The medication is dispensed in a 30 g tube for easy, once-daily application.
Hydroquinone | Tretinoin | Kojic Acid | Azelaic Acid | Hydrocortisone
This compounded cream combines five commonly used dermatology ingredients to help reduce dark spots, calm inflammation, and even skin tone. Hydroquinone and kojic acid work together to lighten areas of excess pigment. Retinoic acid speeds up skin cell turnover, which can smooth texture and improve acne. Azelaic acid helps fight redness and bacteria, while a low dose of hydrocortisone eases irritation. Your healthcare provider may prescribe this formula for conditions such as melasma, post-inflammatory hyperpigmentation, or stubborn acne marks.
Hydroquinone | Tretinoin | Kojic Acid
This compounded skin-lightening cream combines three commonly used ingredients to help fade dark spots, melasma, and other areas of uneven skin color. Hydroquinone blocks the formation of skin pigment, Retinoic Acid speeds up skin cell turnover, and Kojic Acid further slows pigment production. Your prescriber will tell you how long to use it and when to check progress. The formula is prepared in a smooth, easy-to-apply cream base and is dispensed in a 30-gram container.
Lidocaine | Tetracaine | Prilocaine Ointment
This is a high-strength topical anesthetic gel containing lidocaine 23%, tetracaine 7%, and prilocaine 2% in a plasticized base. It is applied to intact skin to numb the area before minor dermatology or cosmetic procedures such as laser treatments, injections, or tattoo removal. The gel helps reduce pain by blocking nerve signals close to the skin surface. It is for professional or supervised home use only and should be used exactly as directed by a healthcare provider.
Lidocaine | Tetracaine | Phenylephrine Ointment
This compounded plasticized ointment contains lidocaine 23%, tetracaine 7%, and phenylephrine 2%. It is used on intact skin to numb the area before minor dermatology or cosmetic procedures. The lidocaine and tetracaine block pain signals, while phenylephrine tightens blood vessels to reduce redness and bleeding. The plasticized base helps the medication stay in place and work longer.
Lidocaine | Tetracaine Ointment
Compounded high-strength topical anesthetic ointment that combines 23% lidocaine and 7% tetracaine in a plasticized base. It is applied to intact skin before dermatology, laser, or minor cosmetic procedures to numb the area and reduce pain.
Lidocaine | Prilocaine | Phenylephrine Ointment
This topical ointment combines two strong local anesthetics (lidocaine 23% and prilocaine 10%) with a small amount of phenylephrine 0.5%, a medicine that narrows blood vessels. Together, they numb the skin fast and cut down on bleeding or swelling during minor procedures or painful skin conditions. It is used by healthcare providers to make treatments like injections, laser work, or wound care more comfortable.
Hydroquinone | Retinoic Acid | Hyaluronic Acid | Ascorbic Acid (Vitamin C)
This prescription-strength cream combines four commonly used skin-brightening and anti-aging ingredients to target dark spots, uneven tone, and fine lines. Hydroquinone 8% helps lighten stubborn hyperpigmentation. Retinoic acid 0.05% speeds up skin cell turnover for smoother, fresher-looking skin. Hyaluronic acid 0.2% draws in moisture to plump and hydrate, while ascorbic acid (Vitamin C) 2% provides antioxidant protection and a healthy glow. The formula is intended for short-term, supervised use under a licensed healthcare provider.
Tretinoin | Hyaluronic Acid | Ascorbic Acid (Vitamin C)
This prescription cream combines tretinoin 0.05%, hyaluronic acid 0.1%, and ascorbic acid (vitamin C) 2%. Together they help smooth fine lines, brighten dull skin, and improve moisture balance. It is designed for mild photo-aging, uneven tone, and dry or rough texture.
Kojic Acid | Hyaluronic Acid | Ascorbic Acid Cream
This compounded cream combines kojic acid 5%, hyaluronic acid 0.5%, and ascorbic acid (vitamin C) 2% to brighten uneven skin tone, deeply hydrate, and protect skin from free-radical damage. It is designed for daily use on the face or other small areas with discoloration. The formula targets dark spots, fine lines, and dullness while maintaining skin moisture. Patients typically see a more even, radiant complexion within 4–8 weeks of consistent use.
Retinoic Acid | Clindamycin Cream
This compounded cream combines retinoic acid 0.1% with clindamycin 2% to help treat active acne, calm inflammation, and refresh skin texture. The dual formula targets acne-causing bacteria while speeding up skin cell turnover for smoother, clearer skin.
Hydroquinone Cream
Hydroquinone Cream is a prescription skin-lightening medicine used to fade dark spots, melasma, age spots, and other areas of unwanted pigment. It is made in a smooth cream base that spreads easily and absorbs quickly. Regular use as directed can help even out skin tone in about 8-12 weeks. The cream is for short-term use on small areas of normal, unbroken skin.
Benzocaine | Lidocaine | Tetracaine Ointment
This is a compounded topical cream containing benzocaine, lidocaine, and tetracaine used for numbing specific areas of the skin. It may be used to help relieve pain and discomfort from procedures or minor injuries.
Important Information
• All medications require a valid prescription from a licensed healthcare provider.
• Compounded medications are not FDA-approved and should only be used when FDA-approved drugs cannot meet medical needs.
• Individual results may vary. Consult with your healthcare provider before starting any new treatment.
• The information provided is for educational purposes only and is not intended as medical advice.
• Kare Pharmacy is a licensed 503A compounding pharmacy operating in compliance with all applicable regulations.
These statements have not been evaluated by the Food and Drug Administration. Compounded products are not intended to diagnose, treat, cure, or prevent any disease.