Urology

Introduction

SandsRx compounding pharmacy near Dallas, Fort Worth, and the entire DFW metroplex offers expert custom compounding for all your urology prescription needs. Our goal is to help improve the quality of life of our patients and to make your experience with our pharmacy as easy and efficient as possible.

What is Urology?

Urology is the branch of medicine that deals with the diagnosis and treatment of disorders of the urinary tract and urogenital system. Urology specialists at a compounding pharmacy are trained in the treatment and management of these disorders. Common urological conditions that require compounded medications include kidney stones, urinary incontinence, erectile dysfunction, and conditions that cause urinary obstruction. Many urological conditions can be effectively managed with the proper medications, and in some cases, urologists may work with a compounding pharmacy to prepare custom dosage forms for their patients. Ed treatment, for example, may involve the use of customized delivery methods that are not commercially available. By working with a compounding pharmacy, urologists can ensure their patients receive the best possible care. SandsRx compounding pharmacy partners with urologists to treat a variety of conditions such as:

  • Erectile Dysfunction
  • Bladder/Urinary Tract Infections
  • Prostate Infection
  • Interstitial Cystitis
  • Hyposexual Desire Disorder (HSDD)
  • Benign Prostate Enlargement
  • Prostate Cancer
  • Bladder Control Problem
  • Bladder Leakage (Incontinence)
  • Bladder Cancer
  • Testicular Cancer
  • Kidney Stones
  • Kidney Cancer

Why Choose SandsRx Compounding Pharmacy for your Urology Medications?

At SandsRx, we treat our customers like family. Our compounding pharmacies in the Dallas-Ft Worth area will work closely with your urologist to develop a custom medication that will fit your precise needs. It is critical that you choose a compounding pharmacy like SandsRx that has the operational expertise and experience to provide you with the highest quality sterile compound. We take our compounding operations very seriously; we’ve put in the effort to achieve multiple accreditations in our field and a Board-Certified Compounding Sterile Pharmacist oversees our operations. Our compounding pharmacies are in Wylie, Frisco, and McKinney, TX, but we serve patients throughout Dallas, Fort Worth, Plano, and all of Texas. We are also licensed to ship medications to most of the 50 states.

Urology Medications Testing and Quality Assurance

We are committed to ensuring that our sterile and non-sterile compounded medications for urology are safe, effective, and meet the highest quality standards. We use a combination of peer-reviewed literature and our own stability studies to support the integrity of our medications. Our Quality Control and Quality Assurance programs include product verification, routine testing, in-process controls, and a rigorous inspection process by our specialized sterile compounding pharmacy team. We will prepare your medication in the correct dosage, concentration, and form.

Compounded Urology Medication Dosage Forms

  • Capsules
  • Creams
  • Solutions
  • Nasal Sprays
  • Gels
  • Oral Liquids
  • Rapid Dissolve Tablets
  • Troches
  • Suppositories

Commonly Prescribed Compounded Urology Medications

To help treat ED, low testosterone, kidney stones, bladder infections, andropause, and more, SandsRx helps compound the following:

  • Trimix Injection
  • Bi-Mix Injection
  • Tadalafil Capsules
  • Tadalafil Oil Suspension
  • Tadalafil Rapid Dissolve Tablets (Troche)
  • Testosterone Cypionate in Ethyl Oleate Oil (Injection)
  • Testosterone Cream
  • Oxytocin Nasal Spray
  • Oxytocin Troches
  • Bremelanotide Troches
  • Bremelanotide Nasal Spray

How to Prescribe a Compound with us

  1. Fax the Rx to our compounding pharmacy team: (855) 385-9990 (Fax)
  2. Send us an e-Prescription through your EMR System (See Instructions below)
  3. Call our Compounding Team Directly: (972) 805-8685 (Phone)

e-Prescription Instructions through your Electronic Medical Record System

1. Locate the correct SandsRx Compounding Pharmacy location in Texas
  • In your EMR system look for this SandsRx Pharmacy location as identified below:
  • SandsRx, 4 Regency Drive, Wylie, TX 75098 (972) 535-2020

 

2. Select Medication and Provide Dosing Instructions
  • Search for one of the ingredients of the compound (“Trimix” for Papaverine-Phentolamine-PGE1 ) and select compound from EMR list (if the formula is loaded into your EMR System). If the formula is not loaded in your EMR system, please refer to our Prescription Referral Form.
  • Select correct Quantity to be used
  • Provide instructions for use (ie: Inject X units(s) by intracavernosal route as directed. May titrate up by X unit intervals to MAX does X units.)

 

3. Include Pharmacy Notes

Please include in the “Notes to the Pharmacy Field”:

  • Dispense SandsRx Compound (ie: “TRI-MIX (PAPAVER-PHENTOL-PGE1) 150MG-5MG-50 MCG INTRACAVERNOSAL SOLN (VIALS(S) OF 1”) Needed only if formulation cannot be selected in EMR. For more information, please refer to our SandsRx Prescription Referral Form.
  • Medical Necessity: (ie: patient cannot tolerate commercial formulation, etc.)

 

Please note: financial/economic reason is not valid *Required

  • Patient Allergies *Required
  • Ship to Patient or Doctor, Bill to Patient or Doctor *Required
  • Start Date

HRT for Men

What is HRT For Men & Natural Hormone Replacement Therapy?

Feel like you’re losing your edge as you get older? You’re certainly not alone. Millions of men experience a decline in testosterone levels as they age. But the good news is you can do something about it. HRT for Men offers a safe and effective way to improve your testosterone levels with natural hormone replacement therapy.

 

With HRT for Men, you can enjoy all the benefits of increased testosterone levels – including improved muscle mass, energy, and libido. Plus, you’ll feel stronger and have more confidence.

 

The goal of HRT for men with natural hormone replacement therapy (HRT) is to restore and maintain hormone balance with hormones that have similar chemical structures to the hormones produced by the human body.

 

HRT for men with Natural Hormone Replacement Therapy involves the use of natural, plant-derived hormones. These hormones that occur naturally in the body cannot be patented. Manufacturers lack the financial incentive to commercially market these substances.

 

While more and more U.S. physicians are becoming aware of these natural hormones, European physicians have been prescribing them for many years. These hormones can be custom compounded to match each patient’s individual needs and body chemistry, instead of the “one size fits all” approach used with off-the-shelf hormones.

 

HRT for men requires appropriate testing, examination, and discussion of symptoms with a healthcare practitioner. As a trusted compounding & specialty pharmacy in DFW, we can help you find a practitioner who has experience with HRT for men and natural hormone replacement therapies near Dallas, Fort Worth, or throughout the United States.

 

Andropause Therapy “Male Menopause” & Low T Treatment

Just as women go through menopause, which causes a decrease in hormones, SO DO MEN.

 

Male Menopause, also called ANDROPAUSE, is not nearly as dramatic as the female version. Some men may actually go through a rather sudden change in testosterone levels that might correlate with the hormonal changes that women experience during menopause. However, most men experience a slower and often more subtle hormone decline.

 

When hormones are replaced or restored to physiologic levels considered normal for younger males, older men may experience a dramatic reversal of many of the changes caused by aging.

 

Natural HRT for men involves the use of the hormone Testosterone. Please note that natural Testosterone should not be confused with synthetic derivatives. Testosterone deficiency in males has been an unrecognized syndrome for many years, possibly because the blood levels of testosterone in men decrease over time.

 

Andropause Replacement Therapy may also include the addition of Pregnenolone, DHEA (Dehydroepiandrosterone), Aromatase Inhibitors, Chrysin, Dihydrostestosterone, Zinc, Selenium, and other supplements.

There are many symptoms of testosterone deficiency that are sometimes referred to as the “grumpy man syndrome.”

Testosterone deficiency may consist of a variety of signs and symptoms including:

  • Reduced libido or the reduced desire for sex
  • Fatigue or a decrease in physical stamina
  • Difficulty in maintaining erections
  • Decrease in mental sharpness, or memory impairment
  • Weight gain
  • Feelings of depression and anxiety
  • Heart disease
  • Reduced muscle mass
  • Irritability
  • Weakness
  • Disturbed sleep
  • Osteoporosis
  • Atherosclerosis
  • Low sperm count
  • Slow wound healing

SandsRx compounding pharmacy will work together with you and your physician to decide which dosage form may be best suited to your natural hormone replacement therapy needs.

Some Compounded HRT Dosage Forms include:

  • Transdermal: Testosterone is absorbed into the skin from creams and gels that can be applied to the body. No shaving is needed and the cream/gel absorbs rapidly thru the skin.
  • Sublingual: (under the tounge) or Buccal – This is a good choice for rapid absorption. This includes sublingual drops, sublingual or buccal troches (gelatin or wax lozenges), which are absorbed through the oral mucosa. This unique dosage form can be flavored.
  • Oral Capsules: an alternative dosage form when either topical or sublingual cannot be used.

Here are many of the possible benefits of HRT for men:

  • Improvement in psychological well-being and mood
  • Improvement in erectile dysfunction
  • Improvement in libido
  • Increased muscle mass
  • Increased strength and stature
  • Preservation of bone mass
  • The ability to re-establish a hormonal balance

Compounding Pharmacy For HRT For Men Near Dallas-FT Worth, TX

Contact one of our compounding pharmacies in the Dallas-Ft Worth area to learn more about how we can help you with HRT for men today. We have locations in Wylie, Frisco, and McKinney, TX, but we are also proud to serve patients with natural hormone replacement therapy needs throughout the state of Texas and the United States. Our caring staff is waiting to help, so please contact us today with any questions on our dedicated treatment plans.

Hormones & Hormone Imbalances

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  • Hormones
  • Hormone Imbalances
  • Premenstrual Syndrome (PMS)
  • Infertility
  • Postpartum Depression
  • Menopause and Perimenopause
  • Female Sexual Dysfunction
  • Testosterone Deficiency
  • Osteoporosis
  • Chronic Fatigue
  • Endometriosis
  • Andropause
  • Hypothyroidism
  • Hypoadrenalism

Hormones

Estrogens

  • Estrogen refers to a group of similar hormones produced in the body.
  • The main three are estrone, estradiol, and estriol.
  • Estradiol is produced mainly by the ovaries and, of the three; it is most stimulating to the breast tissue.
  • Estrone is most prevalent after menopause, and is produced by conversion of adrenal DHEA in fat cells. It is also formed from the conversion from estradiol.
  • Estriol is produced in large quantities in pregnancy and is also the main circulating estrogen in young women according to research by Dr. Jonathan Wright.
  • Estriol is made from estrone and estradiol and is less stimulating.
  • Estrogens are helpful in relieving hot flashes as well as helping the urinary tract, breasts, skin, blood vessels, and keeping the uterus toned and flexible.
  • Estrogens may slow the development of osteoporosis by slowing down the rate of bone loss.

Progesterone

  • Progesterone is primarily produced by the corpus luteum in the ovary just prior to and after ovulation.
  • It is also produced in large quantities by the placenta during pregnancy, while produced all the time by the adrenal glands.
  • Progesterone may enhance estrogen activity while also moderating symptoms of estrogen excess such as water retention, fat accumulation, uterine bleeding, and mood swings.
  • Progesterone helps promote thyroid activity, and may also stimulate cells (osteoblasts) necessary for bone building.

DHEA

  • DHEA is made by the adrenal glands. Once DHEA enters the cells, it may be converted to testosterone, and estrogens.
  • DHEA enhances the immune system to help protect against infection, injury, and illness.
  • DHEA may also be helpful in enhancing energy and muscle strength.
  • DHEA may be beneficial in treating autoimmune disorders such as Crohn’s, lupus, multiple sclerosis, fibromyalgia, and rheumatoid arthritis.

Pregnenolone

  • Pregnenolone is produced in the adrenal glands.
  • It is also produced in the brain, liver, ovaries, testicles, and myelin sheath.
  • Other hormones such as DHEA, cortisol, progesterone, testosterone, and estrogens are made from pregnenolone.
  • Pregnenolone may enhance mood, energy, and memory
  • Pregnenolone may be helpful for individuals dealing with autoimmune disorders, chronic fatigue, and depression.

Thyroid

  • Thyroid refers to a group of hormones produced in the body.
  • The two main thyroid hormones are thyroxine or T4, and triiodothyronine or T3.
  • T4 is produced by the thyroid gland. It is the inactive thyroid hormone in the body.
  • T3 is produced by the thyroid gland and in the brain and liver via the conversion of T4. It is the active thyroid hormone in the body.
  • Thyroid hormones are involved in regulating the body’s metabolism, increasing energy, and regulating the menstrual cycle.

Hydrocortisone

  • Hydrocortisone is produced by the adrenal glands.
  • Hydrocortisone helps boost the immune system to assist in recovery from infections, illness, or stress.
  • Hydrocortisone may be beneficial in treating autoimmune disorders such as Crohn’s, multiple sclerosis, lupus, fibromyalgia, and rheumatoid arthritis

Hormone Imbalances

  • Premenstrual Syndrome (PMS)
  • Infertility
  • Postpartum Depression
  • Menopause and Perimenopause
  • Female Sexual Dysfunction
  • Testosterone Deficiency
  • Osteoporosis
  • Chronic Fatigue Fibromyalgia
  • Endometriosis
  • Andropause (Male Menopause)
  • Hypothyroidism
  • Hypoadrenalism

Premenstrual Syndrome (PMS)

PMS affects close to 70% of all women in their reproductive years. It is characterized by symptoms that usually occur during the 7 to 10 days before menses, the most common being:

  • Water retention
  • Breast tenderness
  • Irritability
  • Emotional instability
  • Headaches

 

There are many theories on what causes PMS including things like poor nutrition, low levels of progesterone and/or the estrogen hormones, and thyroid disease. Ideally, a healthcare practitioner will conduct a complete physical examination and full medical history to eliminate other conditions such as endometriosis or ovarian cysts. Keeping track of a patient’s menstrual symptoms and how they correlate with their menstrual cycle helps to differentiate PMS from other medical conditions.

 

PMS treatment options often require multiple solutions, including Natural Hormone Replacement Therapy (HRT), dietary changes, and other lifestyle modifications.

Infertility

Infertility is the inability to conceive a child and could be due to many different factors. One cause of infertility is luteal phase defect. This is inadequate progesterone production during the luteal phase of the cycle. Progesterone prepares the uterine wall for the implantation of a fertilized egg and supports the egg throughout a full-term pregnancy. Research indicates that natural progesterone can potentially help raise the body’s progesterone level and help women to conceive and carry a full-term pregnancy. When progesterone is low, there may be inadequate support for the fertilized egg which can result in a miscarriage.

Postpartum Depression

Postpartum depression (PPD) can often occur after the birth of a child. PPD is characterized by frequent teariness or more extreme feelings of being unable to cope, rage, or the mother’s fear that she may hurt herself or her baby. These feelings can occur anytime within the first year following childbirth. PPD has different levels of severity ranging from the “baby blues'' to psychosis. Having the “baby blues” is characterized as a short period of anxiety and weepiness due to the shift in hormones immediately after birth. In the most severe case of PPD psychosis, mothers can experience extreme rage, severe depression, and delusions.

 

The treatment for these women may include a complete assessment of the individual’s needs, including specific lab evaluations, psychiatric assessment, education, therapy, support, and medications, including natural hormones, as needed.

Menopause and Perimenopause

Menopause is a gradual, natural life transition from the reproductive years to the post-reproductive years. Some women pass through this stage with few symptoms, while others may find the symptoms debilitating. Symptoms may begin during perimenopause, the time prior to or around menopause, which is officially diagnosed only after the final menstrual period. The most common symptoms include:

  • Hot flashes
  • Night sweats
  • Insomnia
  • Loss of libido
  • Vaginal infections and dryness
  • Dry skin
  • Mental fogginess
  • Headaches
  • Mood changes

 

As women age, the ovaries begin to decrease production of estrogens and progesterone, the menstrual cycles become more irregular. Eventually, ovulation and menstruation ceases and production of estrogens and progesterone declines dramatically. This process can last anywhere from 2 to 10 years.

 

During this transition, treatment may vary greatly, depending on the severity and duration of symptoms. Options typically include combinations of herbal and non-herbal remedies, dietary changes, exercise, yoga, meditation, and hormone replacement therapy (Natural or conventional hormone supplements).

 

Menopause can also be artificially induced if one or both ovaries is impaired or removed (oophorectomy), or as a result of chemotherapy or radiation to the pelvic area.

Female Sexual Dysfunction

At some point in their lives, many women experience a loss of interest or pleasure in sexual activity. Female sexual dysfunction occurs if these problems recur or persist to the extent that they cause distress.

 

There are many causes of sexual dysfunction and most are readily treatable. A thorough pelvic exam will reveal if there are physical changes that may be affecting sexual pleasure. Hormonal shifts, like those occurring after pregnancy and during menopause, can also lead to sexual dysfunction. While the role of estrogens is well known, imbalances in thyroid hormone, progesterone and testosterone can also affect sexual function.

 

Other causes include health conditions such as sleep apnea, diabetes, and depression. Also, many common medications dampen sexual response, including antidepressants and blood pressure drugs. Symptoms may include:

  • Little or no desire for sex
  • Inability to become or remain aroused
  • Failure to achieve orgasm despite significant arousal
  • Painful sex

 

Treatments typically target the known or suspected cause of the sexual dysfunction, and include natural hormone therapy, medication changes, lifestyle modifications, sexual therapy, relaxation techniques and pelvic exercises.

Testosterone Deficiency

Even though a woman’s “normal” amount of testosterone is only a minute fraction of that of a man’s, it is still vital for both sexes. Aside from its obvious roles in sexuality, testosterone is also essential for maintaining strong muscles and bones, and is important to cardiovascular health.

 

As we age, testosterone levels diminish, which can be particularly problematic for women because it is far less abundant to begin with. Common signs of a potential testosterone deficiency include:

  • Decreased libido
  • Vaginal dryness
  • Lack of energy, vitality and motivation
  • Loss of muscle tone, coordination and balance
  • Leaky bladder
  • Weight gain
  • Depression or anxiety

 

Women typically begin to experience these symptoms after menopause, as their hormone levels decline. However, pre-menopausal women can also be deficient in testosterone due to childbirth, endometriosis, or substance abuse. Even some medications, such as birth control pills, chemotherapy, and antidepressants, can interfere with the body’s ability to make use of the testosterone available.

 

Testosterone replacement therapy requires careful testing and monitoring because it typically involves other hormones as well. Natural testosterone supplements are available as custom-compounded therapies in capsules, tablets, lozenges, injections, creams, gels and other forms.

Osteoporosis

Osteoporosis is a progressive disease of the skeletal system in which bone density decreases and bone structure deteriorates. Eventually, bones become so brittle and porous that they can fracture from even mild stress. There are no tests to measure bone quality, so osteoporosis is diagnosed by measuring bone mineral density, usually through x-rays of the hip or spine.

 

While some illnesses and medications (especially corticosteroids) can cause bone loss, most people develop osteoporosis as a result of the aging process. In women, bone loss accelerates with menopause due to decreased production of estrogens and other hormones that contribute to bone health.

 

In early stages of osteoporosis, there are no symptoms. As bones become weaker, symptoms may begin to appear, including:

  • Gradual loss of height, accompanied by a stooped posture
  • Arthritis-like pain in the bones and joints
  • Fractures, especially of the wrists, hips and spine
  • Back pain, which can be severe if it results from fractured or collapsed vertebrae
  • Treatments that can slow down or even reverse bone loss include weight-bearing exercise, supplements, natural hormone replacement therapy and medications that inhibit bone breakdown.

Chronic Fatigue

As its name implies, chronic fatigue syndrome is a condition characterized by persistent, debilitating fatigue that doesn’t improve with rest, and may worsen with physical or mental exertion. Women are two to four times more likely to develop this condition, which can persist for years.

 

Symptoms typically start after an infection, viral illness, or stressful event. However, the syndrome can begin gradually without any obvious trigger.

 

Diagnosis is made only after all other causes of severe fatigue are ruled out, and if four or more of the following symptoms persist or recur for at least six months in a row:

  • Sore throat
  • Painful, mildly enlarged lymph nodes in the neck or armpits
  • Unexplained muscle soreness
  • Pain that moves from one joint to another without any swelling or redness
  • Headache of a new type, pattern or severity
  • Memory loss or trouble concentrating
  • Sleep disturbances
  • Extreme exhaustion lasting 24 hours after normal exercise

 

Although there is no cure for chronic fatigue syndrome, treatments that may help relieve symptoms includes exercise, massage, diet and lifestyle changes, counseling to address depression, antidepressants, pain relievers and natural hormone therapies.

Endometriosis

Endometriosis is a condition where the endometrial tissue normally found inside the uterus is found outside the uterus. These cells then implant themselves onto other organs in the pelvic area, where they grow and cause pain, infertility, and other problems. There are various treatments for endometriosis. Depending on the severity of the condition, where the endometriosis is located, and the age of the individual, treatment may include surgery, medications and natural hormone replacement therapy, as needed.

Andropause

Andropause, more commonly referred to as “Male Menopause,” is the gradual, age-related decline of hormonal function in men. The most dominant of the male hormones (or androgens) is testosterone, which plays a key role in many aspects of overall health. The androgens also include dehydroepiandrosterone (DHEA), androstenedione, and other hormones.

 

With the decline in testosterone and other androgens, men typically begin to notice changes around the age of 40, including but not limited to:

  • Decline in sexual function
  • Decrease in muscle strength and stamina
  • Increase in body fat, especially abdominal fat
  • Loss of hair on arms and legs
  • Lack of initiative or drive
  • Indecisiveness
  • Increased moodiness or inability to concentrate

 

Treatment of andropausal symptoms often includes different combinations of herbal and non-herbal remedies, an exercise regimen, dietary changes, and/or Natural Hormone Replacement Therapy (HRT).

Hypothyroidism

Hypothyroidism is a condition in which the thyroid is under active. There are various symptoms of low thyroid function with the most common being:

  • Dry skin
  • Weight gain
  • Fatigue
  • Cold hands and feet
  • Low basal temperature

 

The treatment may include HRT, nutritional supplementation, and changes in diet and lifestyle.

Hypoadrenalism

Hypoadrenalism is low production of hormones from the adrenal glands or an imbalance among these hormones. The steroidal hormones primarily produced by the adrenal glands are cortisol (hydrocortisone) and DHEA. Some causes of hypoadrenalism could be immune system damage to the adrenal gland, or an insufficient amount of stimulation by pituitary hormones. Some of the more common symptoms associated with hypoadrenalism include:

  • Fatigue
  • Nervousness and irritability
  • Depression
  • Weakness
  • Salt and sweet cravings
  • Inability to concentrate
  • Allergies

 

A health practitioner may take a complete history, thorough physical examination, and lab tests to rule out other medical imbalances or conditions. Treatment for hypoadrenalism may include diet, nutrition, education, and HRT.