Conditions We Support Through Compounding
These complex chronic conditions often call for combination formulations, alternative delivery methods, and pediatric-friendly dosing that aren't available commercially.
- PANDAS/PANS: Custom antimicrobial, anti-inflammatory, immunomodulatory, and IVIG-adjunct formulations.
- Mold Illness (CIRS): Compounded binders (such as cholestyramine and clay-based options), VIP nasal spray, antifungal formulations, and detox/drainage support.
- Tick-Borne Illness: Long-course antibiotic combinations, pulsed dosing protocols, herbal antimicrobial blends, and biofilm-disruption agents.
- MCAS & Immune Dysregulation: Mast cell stabilizers, low-dose naltrexone, oral/nasal cromolyn sodium, and custom antihistamine combinations.
- Autism & Folate Transport: Folinic acid (leucovorin), methyl-B12 injections, custom nutrient blends, and mitochondrial support formulations.
- POTS / Dysautonomia: Autonomic support agents, custom electrolyte blends, low-dose fludrocortisone, and propranolol suspensions.
Pediatric-Friendly Delivery & Provider Coordination
Many of these protocols involve pediatric patients, so we prioritize precise, weight-based dosing and delivery forms that are easier for kids to take.
- Flavored oral liquids, suspensions, capsules, and powder blends dosed to exact provider specifications, with custom flavoring to support pediatric compliance.
- Topical, transdermal, and nasal spray formulations as alternatives to oral dosing.
- Suppositories for GI-sensitive patients, and injectable preparations (such as B12, LDN, and peptides) when prescribed.
- Dye-free, sugar-free, gluten-free, and allergen-free bases for sensitive patients.
- Direct, ongoing communication with your child's treating provider on formulation changes.
Why Providers Choose Franwin
We work as an extension of your care team, giving prescribers the flexibility to treat complex, multi-system conditions beyond what commercial products allow.
- Pediatric dose precision — exact mg/mL formulations for every weight and age.
- Sourcing and compounding of unavailable or discontinued medications.
- Combination formulas that simplify complex, multi-agent regimens.
- Allergen-free bases for sensitive neuro-immune patients, with rapid turnaround and direct provider communication.
Behavioral & Sensory Symptom Support
Many of our neuro-immune patients also work with a prescriber to manage co-occurring behavioral, attention, or anxiety-related symptoms. Pharmacotherapy for these symptoms is targeted and individualized — these medications address co-occurring symptoms and do not treat the underlying neuro-immune or developmental condition itself. We compound many of these existing medications into pediatric-friendly liquid, chewable, or flavored forms for children who have difficulty swallowing pills.
- Attention & Hyperactivity: Compounded liquid or chewable forms of stimulant and non-stimulant medications as prescribed by your child's provider.
- Anxiety & Restricted/Repetitive Behaviors: Flavored liquid formulations of commonly prescribed anxiety and mood-support medications, compounded for easier administration.
- Sleep Support: Compounded melatonin and other sleep-support formulations tailored to your child's prescribed dose.
Commonly Compounded Agents
Compounded formulations for complex chronic conditions require a valid prescription from a licensed healthcare provider as part of an individualized treatment protocol. Compounded preparations are custom-prepared for individual patients and are not FDA-approved. This page describes our compounding capabilities and does not constitute medical advice or a diagnosis.