Extemporaneous Formulations for Pediatric, Geriatric, and Special Needs Patients

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The go-to guide for treating patients who require any of the 80% of medications not commercially available in appropriate forms or dosages for pediatric, geriatric, or special needs. Now even more comprehensive, the fourth edition provides the same evidence-based formulation in easy-to-follow “recipes.”

Since its first publication, Extemporaneous Formulations, by Rita K. Jew, Winson Soo-Hoo, Elham Amiri, and Jamie M. Gomes, has been the go-to guide for treating patients who require any of the 80% of medications not commercially available in appropriate forms or dosages for pediatric, geriatric, or special needs.

Now even more comprehensive, the fourth edition provides the same evidence-based formulation in easy-to-follow "recipes" for 312 formulations, 129 of which are new.

Each "recipe" includes: 

  • Ingredients
  • Preparation details and instructions
  • Storage conditions
  • Special instructions
  • Alternatives
  • Expiration dates
  • References
  • Documented stability data

An invaluable resource for practitioners, Extemporaneous Formulations also includes a list of standardized concentrations for compounded oral liquids from ASHP’s Standardize 4 Safety initiative. 

Compiled by experts in the field, it's the best guidance you can get for the care you want to give.

Rita K. Jew, PharmD, MBA, BCPPS, FASHP

Rita K. Jew is Vice President of Operations at the Institute for Safe Medication Practices (ISMP). She has more than 30 years of experience leading pharmaceutical care services. Prior to joining ISMP, she served as Principal of RKJ Health Partners, where she provided consulting services related to medication safety, pharmacy operations, pharmacy finance, specialty pharmacy, and sterile compounding. She also provided coaching and leadership training and advised technology start-ups. Before starting her own consulting business, Dr. Jew held leadership positions at well-known acute care institutions, including University of California San Francisco (UCSF) Health, Children’s Hospital of Orange County, and Children’s Hospital of Philadelphia.

Dr. Jew received her Doctor of Pharmacy from University of California at San Francisco, completed an ASHP-accredited residency in clinical pharmacy at Thomas Jefferson University Hospital, and earned a MBA from the Wharton School of the University of Pennsylvania. She is a board-certified pediatric pharmacy specialist. 

Dr. Jew has published and presented on a wide range of issues. She has held leadership positions at local, state, and national pharmacy organizations, serving as Chair of the Executive Committee of the Section of Clinical Specialists and Scientists (SCSS) at ASHP, Director-at-Large of the Pennsylvania Society of Health-System Pharmacists Board, and President of the Delaware Valley Society of Health-System Pharmacists (DVSHP). Her many honors and awards include a Children’s Hospital Association Honorable Mention in the Race for Results for improving patient safety by optimizing smart pump utilization, Friend of Nursing Award from the Association of California Nurse Leaders, Distinguished Service Award from ASHP’s SCSS, and the Jonathan Roberts Award from DVSHP.


Winson Soo-Hoo, RPh, MBA

Winson Soo-Hoo is Senior Director of the Department of Pharmacy at The Children’s Hospital of Philadelphia, PA, since 1990, and a Residency Preceptor with the pharmacy residency program. He received his Bachelor of Science in Pharmacy from the Philadelphia College of Pharmacy & Science, Philadelphia, and his MBA at Drexel University. He routinely consults with healthcare institutions on pediatric pharmacy systems and service. 

Soo-Hoo has lectured at various forums on controlled substance security and diversion programs, lean management principles, and pharmacy automation and technology-IV robot technology. He received the Innovation and Collaborative Practice Award from the Pennsylvania Society of Health-System Pharmacists in 1998.


Elham Amiri, CPhT, BS

Elham Amiri is a Technician Supervisor in the Department of Pharmaceutical Services at UCSF Medical Center at Mission Bay. She received a BS from San Francisco State University, with an emphasis in physiology, and earned a national certification from PTCB. Ms. Amiri has 18 years of experience in healthcare and the pharmaceutical industry with a wide scope of specialties including inpatient, retail, and biotechnology.  Her healthcare experience is enhanced by a background in human resources stemming from involvement with two international start-up companies, and she has obtained her Human Resources Management Certification from Employers Group. 

At UCSF Medical Center, Ms. Amiri is a project manager, particularly in the areas of pediatrics and sterile and non-sterile compounding. She is involved in personnel training emphasizing USP <797>, standard work review, and quality improvement initiatives.  She establishes and performs operational evaluations and was heavily involved in operationalizing pharmaceutical services at the newly opened UCSF Medical Center at Mission Bay, including Benioff Children’s Hospital. Alongside her project management responsibilities, Ms. Amiri has oversight of all technician staff at the Mission Bay Campus.


Jamie M. Gomes, PharmD, BCPS

Jamie M. Gomes is a Residency Preceptor with the Pharmacy Residency Program, and the Medication Order Review Process Supervisor at Children's Hospital of Philadelphia (CHOP). She earned her PharmD from Ernest Mario School of Pharmacy at Rutgers, the State University of New Jersey, Piscataway, New Jersey. Dr. Gomes completed a PGY1 pharmacy practice residency at the Peninsula Regional Medical Center, Salisbury, Maryland, and a PGY2 drug information specialty at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Prior to her current role, Dr. Gomes was a Clinical Pharmacy Specialist in Drug Information and Clinical Informatics at CHOP. She was involved with drug information services, clinical decision support committee, and medication safety. She managed pharmacy-driven changes to the electronic health record and maintained the smart pump libraries at CHOP.

“This exceptional, high-quality reference is crucial for those who perform extemporaneous compounding as this specialized area of pharmacy continues to evolve. It stands alone in its completeness and accuracy.” 

Jennifer L. Colon, PharmD, MS, MBA