Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Sucralfate in Dermatological Base   4%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    sucralfate  1 g  TAB   
    Dermatological base (Atlas, Dermabase, Taro or Glaxal Base)       
Recipe Total Quantity:
Final Quantity Desired: g

Directions: 1. In a mortar, grind tablets to a fine powder.
2. In another mortar, gradually add the powder to the dermatological base until creamy and homogenous. For large amounts, use an electric mixer at slow speed.
3. Transfer to ointment jar and label.

Notes May use sucralfate powder instead of tablets.

Since no stability data available, assign beyond use date using NAPRA Guidance Document For Pharmacy Compounding Of Non-Sterile Preparations:
Water-containing topical/dermal, mucosal liquid and semi-solid formulations The BUD is not later than 30 days.

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use or physician/pharmacy experience.

Packaging:  Ointment Jar

Auxiliary Labels: For External Use Only
  Store at Room Temperature

Storage/Expiry:Room Temperature: 30 days

Last Date Revised: 20-Aug-21

References:Pharmacy Department, IWK Health Centre, Halifax, NS. Revised June 2001.
*Note: This recipe is no longer on the IWK Compounding Formulas website* (Aug 18, 2021)
  Water-containing topical/dermal, mucosal liquid and semi-solid formulations The BUD is not later than 30 days.
National Association of Pharmacy Regulatory Authorities (NAPRA). Guidance Document For Pharmacy Compounding Of Non-Sterile Preparations. Ottawa, ON: National Association of Pharmacy Regulatory Authorities (NAPRA); 2018.
Available at: https://napra.ca/sites/default/files/documents/Mdl_Stnds_Pharmacy_Compounding_Nonsterile_Preparations_Guidance_June2018_FINAL.pdf

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


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