Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
clomipRAMine Oral Suspension   5 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    clomipramine  50 mg  TAB   
    HSC suspending vehicle       qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. In a mortar, crush tablets and triturate to a fine powder.
2. Gradually levigate powder with HSC vehicle until a liquid is formed.
3. Pour into graduated cylinder.
4. Rinse mortar and qs to final volume.
5. Transfer to final container and label.

Notes See recipe for HSC Suspending Vehicle.

Simple Syrup can be used instead of HSC vehicle.

Packaging: 100 mL Amber Plastic Bottle

Auxiliary Labels: Protect From Light
  Refrigerate
  Shake Well

Storage/Expiry:Refrigerator: 30 days

Last Date Revised: 11-Aug-16

References:Blanchard C & Donnelly R. Clomipramine suspension formulations. Can J Hosp Pharm 1989; 42:248.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   6-Dec-2021         


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