Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Triamcinolone ACETONIDE Mouthwash Solution   0.1%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    triamcinolone acetonide    PWD   
    menthol  n/a  CRYSTAL   
    Ethanol (ethyl alcohol)  100%  SOLN   
    Propylene glycol liquid       
    glycerin  100%  PO SOLN   
    saccharin sodium    PWD   
    sodium metabisulfite    PWD   
    edetate disodium (EDTA)    PWD   
    Water, sterile        
    Sorbitol 70%      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Dissolve triamcinolone acetonide and menthol in ethanol.
2. Add propylene glycol, glycerin and about 10% of the total quantity of sorbitol.
3. Dissolve saccharin sodium, sodium metabisulfite and edetate disodium (EDTA) in water.
4. Add the aqueous solution to the drug mixture and mix well.
5. QS to final volume with sorbitol.
6. Transfer to final container and label.

Notes Modified from original recipe which employed 95% ethanol (ethyl alcohol).

Packaging: 100 mL Amber Plastic Bottle

Auxiliary Labels: Shake Well
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 3-Oct-17

References:Formulations: Triamcinolone Acetonide 0.1% mouthwash solution. International Journal of Pharmaceutical Compounding 2006; 10(3):229.

Unghaiboon S, Nittayananta W, Vuddhakul V, Maneeuan D, Kietthubthew S, Wongpoowarak W, et al. Formulation and efficacy of triamcinolone acetonide mouthwash for treating oral lichen planus. Am J Health-Syst Pharm 2005; 62:485-491.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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