Student's Death Sparks Concerns About Compounded Preparations

From the American Society of Health System Pharmacists

[March 1, 2005, AJHP News]

BETHESDA, MD, 14 February 2005 — Pharmacy compounding came under the spotlight in North Carolina in January when a 22-year-old college student died after having an adverse reaction to a potent anesthetic gel prepared by a pharmacy and sold to a so-called medical spa, which resold the product to the patient without a prescription.

Shiri Berg had a seizure in her car on December 28, 2004, after applying a topical gel containing 10% lidocaine, 10% tetracaine, and an unknown amount of phenylephrine, said Gail Campbell, a nurse employed by Kirby & Holt, a Raleigh law firm founded by former Senator John Edwards.

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