Cost-Effective Compounded Options to Support Skin Cancer Treatment

Hello again from the Compound Lab!

Today, I want to highlight a treatment approach that may be considered for a specific type of skin condition known as superficial basal cell carcinoma (BCC).

As its name suggests, this form of BCC is typically limited to the outermost layers of the skin and is often linked to UV exposure from sunlight or tanning beds. When diagnosed with BCC, a healthcare provider may recommend a variety of treatment options—most commonly surgical removal, photodynamic therapy, or the use of a topical chemotherapy agent such as fluorouracil (5-FU).

Surgery is usually considered the first-line treatment. However, depending on the individual case, it may not always be the preferred option. Photodynamic therapy is another approach that some patients and providers consider, though it is not FDA approved for the treatment of BCC. Fluorouracil, on the other hand, is FDA approved for treating superficial BCC and offers the benefit of being a non-invasive topical treatment. That said, the cost can be a barrier—many patients report insurance copays of $100 or more.

For patients whose providers have recommended fluorouracil but who are concerned about affordability or tolerability, compounded fluorouracil may be an option. When commercially available formulations are not suitable, we can compound fluorouracil at the same concentration, and—at a prescriber’s direction—include a moisturizing B vitamin to support skin hydration and comfort.

If you or someone you know is exploring alternative topical treatment options for skin conditions like superficial BCC, we’d be happy to work with your provider to see if a compounded solution might be appropriate.

We’re in the lab Monday through Friday, 9 AM to 5 PM, or you can reach me anytime at brandon.ladage@belewdrugs.com.

Until next time,

Brandon

For more information on compounding, click here:

Compounding

*Compounded medications are prepared by prescription to meet the individual needs of patients and are not evaluated or approved by the FDA. This content is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult your licensed healthcare provider before making decisions about treatment or medications.