Made-to-order quality can vary
Poor preparation of a custom medicine can leave germs in it or an incorrect amount of the working ingredient, warns FDA, the U.S. drug agency.
That part is called the active ingredient. Preparing a custom medicine is known as compounding.
As of September 2026, FDA lacked enough information from use in people to judge harm from some proposed peptide injections, including BPC-157.
Source AA confusing label is a question for the pharmacy
As checked in September 2026, FDA had reports of some people needing hospital care after dose errors with custom-made semaglutide.
Ask the pharmacy to read the label with you and match it to the prescription. Leave any unclear amount for the person who prescribed it to explain.
Source BDoes this medicine need to stay cold?
Some peptide drugs need to be kept cold; some do not.
For injected semaglutide, FDA advises against using a warm shipment when the medicine needs to be kept cold.
Ask the pharmacy how to store the product and what to do if it arrives warm.
Source CPregnancy questions need a personal discussion
The FDA label for semaglutide (Wegovy) notes possible harm to an unborn child during pregnancy, as checked in September 2026.
Custom-made drugs have no equivalent FDA-reviewed pregnancy details, as of September 2026.
Tell the prescriber if you are pregnant, are breastfeeding or plan a pregnancy. Ask about the drug by name.
Source DSome symptoms call for urgent help
A serious allergy reaction may develop rapidly and put a life at risk, according to MedlinePlus.
For severe signs such as trouble breathing or a swollen tongue, MedlinePlus calls for emergency help.
Get help for severe symptoms right away.
Source EReport a medicine problem or a care concern
MedWatch lets you send the FDA a report about a problem with a drug.
IDFPR, Illinois’s licence agency, takes complaints about health professionals and pharmacies.
For a bill dispute or misleading health ad, Illinois’s Attorney General has a Health Care Bureau.
It can help with those concerns but cannot act as your own lawyer.
Source FNotes behind the answers
Source A — FDA: How a custom drug is made
FDA on compounding qualityFDA on peptide ingredient concernsBack to answer ASource B — FDA: Mistakes with drug amounts
FDA custom-drug alertBack to answer BSource C — NIH and FDA: Keeping a drug cold
NIH storage notesFDA weight-medicine concernsBack to answer CSource D — FDA label and custom-drug notes
Drug label on DailyMedFDA compounding explanationBack to answer DSource E — MedlinePlus: When to get help
MedlinePlus on when to get helpBack to answer ESource F — FDA and Illinois: Who takes reports
FDA MedWatch explanationIllinois professional complaint pageIllinois health-billing helpBack to answer F