Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
rifAMPin Oral Suspension   20 mg/mL *Note Strength*
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    rifampin  300 mg  CAP   
    Simple syrup      qs ad 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Empty capsules carefully into a GLASS mortar and triturate to a fine powder.
2. Gradually levigate powder with simple syrup until a liquid is formed.
3. Pour into a graduated cylinder.
4. Rinse mortar and qs to final volume with simple syrup.
5. Transfer to final container and label.

Notes May substitute Simple Syrup with any of the following vehicles:
- Ora-Plus®/ Ora-Sweet® (1:1)
- Ora-Plus®/ Ora-Sweet SF® (1:1)
- Ora-Blend®
- Ora-Blend SF®
- Cherry Syrup; please note recipe requires the ready-to-use cherry syrup and NOT the cherry syrup concentrate. If your site uses the concentrate, it MUST be diluted before using in the recipe.

Ora-Sweet SF® and Ora-Blend SF® should not be used in neonates less than or equal to 28 days corrected age.

See MSDS sheet for rifampin.
- May cause irritation to eyes, skin, and upon inhalation.
- The use of an approved dust mask is recommended. Wear rubber gloves, safety glasses, and protect exposed skin.

Recommend to clean glassware with 70% alcohol and let sit for a few minutes, then rinse with hot water.

THIS RECIPE is based on information from both references (see Reference section).

Packaging:  Amber Plastic Bottle

Auxiliary Labels: Can be stored at room temperature or refrigerated
  Note Strength
  Shake Well

Storage/Expiry:Refrigerator or Room Temperature: 28 days

Last Date Revised: 30-May-13

References:Allen LV, Erickson MA. Stability of bethanechol chloride, pyrazinamide, quinidine sulfate, rifampin, and tetracycline hydrochloride in extemporaneosly compounded oral liquids. Am J Health-Syst Pharm 1998; 55: 1804-1809.
  Recommended a stability of 30 days at room temperature or refrigerated with simple syrup.
McCrea J, Rappaport P, Stansfield S, Baker D, Dupuis LL. James G., Extemporaneous oral liquid dosage preparations. 1st ed. Toronto, ON: Canadian Society of Hospital Pharmacists; 1988.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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