Clinical Services

Customicro
Clinical Services

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Customicro Clinical Services offers programs focused on antibiotic stewardship.

Our PharmD i3 Service is an intervention to address the patient's underlying infection, often present in a biofilm, and the microenvironment needing support to remove it. Our clinical services are focused on the education of our patients and providers of programs available to offer strategies to clear the difficult to treat or recurrent infection.

Service Scope: The scope of each clinical service is focused on a specific body site or condition, offering targeted support through molecular diagnostics, clinical interpretation, and pharmacist-guided recommendations.

Biofilm resistance

Customicro's PharmD i3 Service prioritizes topical interventions to support biofilm management.  Anti-biofilm strategies combat biofilm resilience that arises from multiple factors:

  • Physical barrier: Biofilms form a protective matrix that shields bacteria from antibiotics and the immune system.
  • Altered metabolism: Bacteria within biofilms can enter a slow-growing state, reducing antibiotic effectiveness.
  • Genetic exchange: Biofilms facilitate the transfer of resistance genes between bacteria.

Given these challenges, the topical targeting of biofilms is essential for effective infection control.

i3 PharmD clinical services logo

Identification

Partner microbiological laboratories perform molecular diagnostics to streamline testing and reporting of clinical samples, support rapid diagnostic testing, and provide expertise for interpretation of microbiological tests.

Interpretation

Our pharmacists are a reliable source of healthcare information, offering clinical interpretations of molecular diagnostics to support medication therapy management, screen for potential drug interactions and allergies, and educate patients on the proper use of antibiotics and expected side effects.

Intervention

Upon request from the provider, our pharmacists offer individualized recommendations for topical anti-biofilm TargetedRx Therapy. The recommendations are based on pathogenic bioburden and resistance genes identified through molecular diagnostics, as part of our comprehensive programs.

Why target biofilms?

Targeting biofilms is crucial for effective infection management due to their role in antibiotic resistance and persistent infections. Strategies to combat biofilms include breaking down the extracellular polymeric substance (EPS) matrix to enhance antibiotic effectiveness, inhibiting their initial formation, and utilizing specialized agents designed to eliminate biofilm-associated bacteria. Addressing biofilms directly not only improves patient outcomes but also helps curb the spread of antibiotic-resistant infections.

- Sarah Simmers, PharmD

Customwound | Clinical Services logo

Complex, nonhealing wounds require a targeted approach to microbial burden, biofilm, and impaired tissue repair. Our pharmacists interpret wound diagnostics and collaborate with providers to inform individualized antimicrobial strategies and support the wound-healing process.

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Vaginalrestore | Clinical Services logo

Recurrent vaginal infections may be associated with microbial imbalances, resistant organisms, or disruptions in the vaginal microbiome. Our pharmacists interpret diagnostic findings to help identify contributing factors and guide individualized, evidence-informed treatment strategies.

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Reliefsinus | Clinical Services logo

Recurrent sinus infections may be associated with persistent microbial communities, structural factors, or underlying inflammation. Our pharmacists interpret diagnostic findings to help identify contributing factors and guide individualized, targeted treatment strategies to support sinus health.

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Customnail | Clinical Services logo

Persistent nail infections can be difficult to resolve due to limited treatment penetration and the presence of organisms that may be resistant to standard therapies. Our pharmacists interpret diagnostic findings to help identify the causative organism and guide targeted treatment strategies based on the infection and patient-specific needs.

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Customgut | Clinical Services logo

Persistent GI symptoms associated with SIBO, dysbiosis, and microbial imbalance call for a targeted, individualized approach. At Customicro, our pharmacists apply the 5R framework—Remove, Replace, Reinoculate, Repair, and Rebalance—to develop personalized therapies that support a healthier gut environment and long-term digestive wellness.

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Customicro Pharmacy Programs

Customicro Pharmacy Programs offer a comprehensive, on-going initiative to remove and prevent biofilms, treat an infection with a topical TargetedRx, and restore any imbalance to the microenvironment.

Program Scope: The scope is broader including patient and provider education, supplements, and prescription medications to both prevent and offer treatment strategies necessary for ongoing infection management and microenvironment restoration.

BioFactor Wound Hygiene logo

Biofilm management to clear an infection is the most common and preventable challenge in wound healing. The BioFACTor Wound Hygiene Program offers a systematic approach to wound chronicity management.

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Vaginalrestore logo

Recurrent vaginal infections are often driven by biofilm that standard treatments fail to clear. The Vaginalrestore Program provides a pharmacist-guided, personalized approach to restoring balance to the vaginal microbiome.

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Reliefsinus Program logo

Chronic rhinosinusitis complicated by biofilm rarely resolves with antibiotics alone. The Reliefsinus Program delivers personalized compounded therapy through nasal spray, atomization, or irrigation to address infection, inflammation, and biofilm together.

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Duo-Step Nail Program logo

Onychomycosis is among the most persistent nail conditions, often protected by biofilm that topical treatments cannot reach. The Duo-Step Nail Program addresses infection in two steps: a compounded cleansing formula to break down debris, followed by a TargetedRx therapy to treat the underlying pathogens.

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Customgut | Gut Health Program logo

Gut dysbiosis, SIBO, and biofilm-protected pathogens are common contributors to persistent GI symptoms. The Customgut Program pairs TargetedRx therapy with dietary support to remove harmful organisms and restore a healthy gut environment.

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OralRestore logo

Oral dysbiosis can involve pathogenic microorganisms, altered microbial activity, and inflammatory processes that affect oral health. OralRestore combines TargetedRx therapy with an individualized maintenance program to address identified microbial imbalances and support a healthier, more balanced oral environment over time.

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JustAsk Bugs + Drugs logo

Clinical guidance at the intersection of microbiology and pharmacology. JustAsk connects providers with pharmacist expertise on infection management, antibiotic selection, and TargetedRx therapy.

Patient consulting with a doctor

Connect with us

Customicro Clinical Services is partnered with Customedico Pharmacy + Wellness, an independently owned compounding pharmacy dedicated to the provision of personalized medications to meet the unique needs of our patients.

Reach out to learn how Customicro Clinical Services can support your patients.

10900 N. Scottsdale Rd #403, Scottsdale, AZ 85254

480-946-9477

480-946-1345

[email protected]

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