Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Potassium Citrate/ Sodium Citrate (POLYCITRA; TRICITRATE) Oral Solution   provides 1 mEq/mL of potassium and sodium
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    potassium citrate monohydrate    PWD   
    sodium citrate dihydrate    PWD   
    Citric acid monohydrate, USP    PWD   
    Water, sterile        
    Simple syrup      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Weigh out powders and place in mortar.
2. Dissolve powder in a portion of the water.
3. Gradually add the remaining amount of water.
4. Pour into a graduated cylinder.
5. Rinse mortar and qs to final volume with simple syrup.
6. Transfer to final container and label.

Notes Final concentration provides:
- Potassium 1 mEq/mL ( = 1 mMol/mL)
- Sodium 1 mEq/mL ( = 1 mMol/mL)
- Bicarbonate 2 mEq/mL

This is not POLYCITRA-K.

See MSDS sheet for potassium citrate monohydrate.

Packaging:  Amber Plastic Bottle

Auxiliary Labels: DO NOT FREEZE

Storage/Expiry:Refrigerator: 14 days

Last Date Revised: 19-Sep-11

References:Formulations: Citric Acid, Potassium Citrate and Sodium Citrate Solution. International Journal of Pharmaceutical Compounding 2011 (Jul/Aug); 15(4):335.

Taketomo CK, Hodding JH, Kraus DM. Pediatric Dosage Handbook. 7th Ed. Hudson:Lexi-Comp In Print; 2000-01.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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