As patients become more complex, physicians are turning to pharmaceutical compounding to accommodate each patient’s unique needs.  

At The Medicine Shoppe – Salisbury, we are proud to be a locally owned, independent pharmacy that compounds prescription medications.  We do this on-site via two labs that are complaint with United States Pharmacopeial (USP) standards.

What is pharmaceutical compounding?

Pharmaceutical compounding is the science responsible for the creation of customized medication. Compounded medications are created by combining individual ingredients in the exact strength and dosage form required for the patient’s exact needs. 

 A lot of creativity and precision goes into personalized medicine.  Compounding is not just diluting existing medications or mixing powders with bases. Pharmacists must consider the physical and chemical attributes of each active and inactive ingredient to prepare a safe, customized medication with the desired taste, color, fragrance, viscosity, uniformity, texture, and stability.

All that biochemistry pays off!

When is compounding needed?

Compounding is often necessary for medical reasons; some patients require a particular non-essential ingredient to be removed from their medication to prevent an allergic reaction. A prime example of this is that now, more than ever, we have seen an increase in food intolerances and food sensitivities because of compromised immune systems.  It is important to be able to provide consumers a product that will help them – not harm them.  Additionally, The Medicine Shoppe offers numerous digestive supplements to help augment your digestive health.

Others require compounded medication to acquire an exact dosage amount unique to their personal needs, which may not be accessible with available marketed drugs. An example of this is bioidentical hormone replacement therapy – most frequently estrogen, progesterone, and testosterone.  Providers understand that “one size does not fit all,” and quite frequently, a pharmacist is called upon to fit the hormones dose to the patient’s needs. 

Another great example for using compounded medication is for pain control.  We have seen the damage that the opioid epidemic has done to the United States and beyond.  However, pain is a real etiology that should be treated appropriately – not ignored.  Physicians have turned to transdermal pain gels to find success in alleviating pain without the risks associated with narcotics.  At The Medicine Shoppe, we compound medications such as a ketamine 5%, gabapentin 5%, and lidocaine 5% combination treatment to help adequately treat pain without using addictive substances.

A personalized, cost-effective approach to patient care 

At The Medicine Shoppe – Salisbury, we share a similar mission and approach to care as Bream Medical.  We believe in an individualized, non-corporate approach to patient care, and by utilizing pharmaceutical compounding, we can customize care for every patient’s unique needs.  

Lastly, one of the most important parts of treatment is affordability.  No medicine is successful if you cannot afford it.  Often compounded medications, in addition to being tailored exactly to the patient’s needs, are much cheaper than the alternatives offered at other retail pharmacies.  

If you are in need of compounded medication or just looking for a friendly local pharmacy to suit all of your needs, call The Medicine Shoppe – Salisbury at 704.637.6120 or visit for more information!

Located at 1357 West Innes Street The Medicine Shoppe – Salisbury is a third generation, independently owned pharmacy.  Our team does more than you fill your medication.  The Medicine Shoppe Salisbury offers: 

  • Prescription Services
  • 24/7 Refill Requests on our App
  • Compounding
  • Veterinary Compounding 
  • Vitamins & Supplements
  • High-quality CBD
  • Delivery within an eight-mile radius
  • Dispill® Multi-Dose Packaging
  • Immunizations
  • COVID testing

 – Teresa Casmus, Pharmacist – Owner, The Medicine Shoppe – Salisbury 


Bream Medical is an all-inclusive, non-corporate practice that provides urgent care, primary care, and direct primary care services in Salisbury, Stokesdale, and Edenton, NC, and provides telemedicine consultation anywhere in North Carolina.  We provide excellent healthcare by prioritizing patients care – not profits.  To learn more about Bream Medical, visit or call 704.216.1263.

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