Custom-Compounded Acne Treatments


Clearer Skin Starts With Personalized Dermatology Care

Acne doesn’t care if you’re 14 or 44.

It pops up during high-stress weeks, during hormonal chaos, after long flights, and sometimes for no clear reason at all—and it can derail your mood, your plans, and your self-confidence.

And while standard treatments work for some, many people cycle through creams, gels, and antibiotics that irritate the skin or simply don’t address their biology.

At Alpine Compounding Pharmacy, we help you break that cycle with custom-formulated acne medications, tailored to your skin type, sensitivity, acne severity, and provider’s treatment plan.

Whether you struggle with persistent breakouts, cystic acne, mask-induced irritation, or stubborn hormonal flare-ups, we create precise formulations that your skin can actually tolerate and respond to.

Explore all Dermatology Compounding →

Why Compounded Acne Treatments Make a Difference

No two people experience acne the same way. Your triggers, whether hormonal, bacterial, stress-related, or sensitivity-based, are unique. But most commercial acne medications come in fixed strengths, preservatives, or combinations that may be too harsh, too weak, or simply unavailable.

Custom compounding changes that.

Benefits of Choosing Personalized Acne Formulations

✔ Tailored strengths for sensitive, resistant, or combination skin
✔ Multi-ingredient blends that simplify routines and improve adherence
✔ Options for patients who cannot tolerate commercial products
✔ Preservative-free or hypoallergenic bases
✔ Access to medications in the exact percentages your dermatologist recommends
✔ Child, teen, and adult-friendly formulas

Every dermatology medication we compound is made in a USP-compliant facility with pharmaceutical-grade ingredients for safety and consistency.

The Acne Medications We Compound

We prepare topical and oral custom acne treatments that address inflammation, bacteria, clogged pores, hormones, and scarring.

  1. Topical Antibiotics (Custom Strengths)
  • Clindamycin
  • Erythromycin
  • Metronidazole (for acne + rosacea overlap)
  1. Benzoyl Peroxide (BPO) – Customised Percentages

Commercial BPO is only available in fixed strengths.  We compound a wide range and lower-irritation blends for sensitive skin.

Fixed-dose combinations of adapalene 0.1%/benzoylperoxide 2.5% may also help. 

  1. Retinoids

Custom strengths to reduce irritation while improving results:

  • Tretinoin 0.0125%, 0.025%, 0.05%, 0.1%
  • Adapalene custom %
  • Tazarotene low-strength options
  1. Compounded Oral Acne Medications
  • Low-dose doxycycline
  • Spironolactone capsules (for hormonal acne)
  • Zinc + anti-inflammatory blends
  1. Scar, Pigmentation & Post-Acne Support
  • Kojic acid blends
  • Tretinoin for collagen remodelling
  • Skin-brightening formulation blends

For help with other conditions linked to cycles, PCOS, postpartum changes, or hormonal imbalance, you may find helpful support on our Women’s Health page. 

Conditions Treated with Magic Mouthwash

Unlike store-bought rinses, compounded mouthwashes can contain 2–5 active ingredients in one formula. These are chosen to target multiple aspects of your oral condition:

  • Anaesthetics (e.g., lidocaine, dyclonine, benzocaine): Numb painful tissues and provide fast-acting relief.
  • Antihistamines or anticholinergics (e.g., diphenhydramine): Reduce inflammation and irritation, often used in mucositis management.
  • Antifungal/antibacterial agents (e.g., tetracycline, nystatin, acyclovir): Prevent or treat infections that worsen mouth sores.
  • Corticosteroids (e.g., hydrocortisone, dexamethasone): Decrease swelling and help control severe inflammation.
  • Antacids or coating agents (e.g., aluminium hydroxide, magnesium hydroxide, sucralfate): Help the rinse and coat the inner lining of the mouth, gums, and teeth, increasing contact time and soothing the area. 

Every formula is pharmacy-compounded under strict quality standards to ensure stability, safety, and effectiveness.

The Acne Medications We Compound

We prepare topical and oral custom acne treatments that address inflammation, bacteria, clogged pores, hormones, and scarring.

1. Topical Antibiotics (Custom Strengths)
Clindamycin Erythromycin Metronidazole (for acne + rosacea overlap) multiple active ingredients to relieve pain, inflammation, and infection.
2. How quickly does it work?
Most patients experience relief within minutes. The duration depends on the ingredients and severity of symptoms.
3. Is it safe for long-term use?
Typically, magic mouthwash is prescribed for short-term symptom relief (days to weeks). Long-term use may be adjusted under a dentist’s supervision.
4. Can you flavour the rinse to make it easier to use?
Yes! We offer options like mint, berry, or bubblegum, especially helpful for children.
5. Can it be swallowed?
Some formulations are swish-and-spit only, while others are swish-and-swallow if prescribed for throat or oesophageal issues.
6. What if I’m allergic to one of the ingredients?
Our pharmacists can exclude or substitute allergens, ensuring the formulation is safe for you.
7. Do I need to refrigerate it?
Storage requirements vary by formulation. Some require refrigeration, while others are stable at room temperature. We provide clear instructions with every prescription.
8. How long does it take to prepare?
Most compounded mouthwashes are ready within 2–3 business days. Complex prescriptions may take slightly longer.

How to Use Magic Mouthwash?

Your dentist or physician will provide specific instructions, but common guidelines include:

  • Swish-and-Spit: Most formulations are held in the mouth for 1–2 minutes, then spit out.
  • Swish-and-Swallow: Some prescriptions require swallowing to treat deeper throat or oesophageal lesions 
  • Frequency: Typically used every 4–6 hours (3–6 times daily), depending on the condition.
  • Duration: Relief is often felt within minutes, with effects lasting up to a few hours.

Important: Always use magic mouthwash exactly as prescribed. Do not share it with others, as formulations are highly individualised.

Safety & Considerations

  • Prescription Required: Magic mouthwash is only available with a prescription from your dentist or physician.
  • Side Effects: Temporary numbness, tingling, or altered taste may occur. Severe side effects are rare when compounded correctly.
  • Children & Elderly: Dosages can be adjusted and flavours added for easier compliance.

Allergy-Friendly Options: We can exclude alcohol, dyes, or specific allergens if required.

FAQs: Magic Mouthwash Pain Relief

1. How is Magic Mouthwash different from regular mouthwash?
Standard mouthwashes focus on hygiene and fresh breath. Magic mouthwash is a prescription oral rinse that combines multiple active ingredients to relieve pain, inflammation, and infection.
2. How quickly does it work?
Most patients experience relief within minutes. The duration depends on the ingredients and severity of symptoms.
3. Is it safe for long-term use?
Typically, magic mouthwash is prescribed for short-term symptom relief (days to weeks). Long-term use may be adjusted under a dentist’s supervision.
4. Can you flavour the rinse to make it easier to use?
Yes! We offer options like mint, berry, or bubblegum, especially helpful for children.
5. Can it be swallowed?
Some formulations are swish-and-spit only, while others are swish-and-swallow if prescribed for throat or oesophageal issues.
6. What if I’m allergic to one of the ingredients?
Our pharmacists can exclude or substitute allergens, ensuring the formulation is safe for you.
7. Do I need to refrigerate it?
Storage requirements vary by formulation. Some require refrigeration, while others are stable at room temperature. We provide clear instructions with every prescription.
8. How long does it take to prepare?
Most compounded mouthwashes are ready within 2–3 business days. Complex prescriptions may take slightly longer.

Why Choose Alpine Compounding Pharmacy for Magic Mouthwash?

  • Collaborative Care: We work directly with your dentist or physician for a precise formula.
  • Expert Compounding: Pharmacists trained in dental formulations.
  • Quality Ingredients: Every rinse is made with pharmaceutical-grade components.
  • Patient Experience First: From flavouring to allergen-free options, your comfort is central.
  • Fast Turnaround: Most prescriptions are prepared within days.

 Looking for a trusted dental compounding pharmacy? We personalize medications for pain relief, dry mouth, ulcers, and more. Explore all Dental Formulation services →


Get Relief Today

Don’t let oral pain disrupt your life. At Alpine Compounding Pharmacy, our custom-compounded magic mouthwash provides targeted relief so you can eat, speak, and live more comfortably.

Contact us today to ask your dentist about prescribing a custom oral rinse designed for your needs.