Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Water with Sodium Benzoate (Preserved Water)    0.1%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    sodium benzoate    PWD   
    Water, sterile       qs to  
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Weigh out sodium benzoate powder.
2. QS to final volume with sterile water.
3. Stir well until dissolved.
4. Transfer to final container and label.

Notes Wear mask and gloves when handling sodium benzoate.

A shorter expiry date was assigned for this recipe than in the reference, based on pharmacy experience (see Storage/Expiry and Reference Section).

Packaging:  Amber Glass Bottle

Auxiliary Labels: Note Strength
  Store at Room Temperature

Storage/Expiry:Room Temperature: 2 months (sealed). 30 days (once opened)

Last Date Revised: 8-Jun-11

References:
  Preserved Water (Water with Sodium Benzoate) 0.1% recipe (last updated Oct 2007).
Assigned a stability of 6 months at room temperature (sealed) and 30 days at room temperature (once opened).
SickKids Compounding Service [online recipes]. Toronto, ON: The Hospital for Sick Children. c1999 [current date]. Available from: http://www.sickkids.ca/Pharmacy/Compounding-Service/index.html

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   29-Nov-2021         


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