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Variability in Practices of Compounding Budesonide for Eosinophilic Esophagitis
Sagar Joshi1, Joel H Rubenstein2,3, Evan S Dellon4
1Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Introduction:
Little is known about the use of compounded steroids for eosinophilic esophagitis (EoE).
Methods:
We conducted a telephone survey of all compounding pharmacies in Michigan and queried about practices and costs of compounded budesonide for EoE.
Results:
Of 68 Michigan pharmacies, 93% responded, and 20 (29%) offer compounded budesonide suspension for EoE. Formulations, dose, and instructions for use varied across pharmacies. The mean cost for a 30-day supply was $74.50.
Discussion:
Although few compounding pharmacies offer budesonide suspension and there are substantial variations in formulations, this may be a significantly more affordable treatment option for many.
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