Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Disopyramide Oral Suspension    10 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    disopyramide  100 mg  CAP   
    Cherry syrup      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

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

Notes DO NOT use EXTENDED RELEASE capsules.

Packaging: 100 mL Amber Glass Bottle

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

Storage/Expiry:Refrigerator or Room Temperature: 28 days

Last Date Revised: 20-Aug-15

References:Mathur LK. Lai PK. Shively CD. Stability of disopyramide phosphate in cherry syrup. Am J Hosp Pharm 1982; 39:309-310.
Nahata MC, Pai VB. Pediatric drug formulations. 6th ed. Cincinnati, Ohio: Harvey Whitney Books Company; 2011.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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