Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Nystatin Oral Popsicles   100,000 units/15 mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    nystatin  100,000 units/mL  SUSP   
    Flavouring agent    PO SOLN  Banana preferred 
    Sorbitol 70%       
    Water, sterile        
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Accurately weigh/measure ingredients.
2. Combine ingredients and mix well.
3. Measure 15 mL into each 4 dram plastic vial.
4. Use pediatric tongue depressors for popsicle sticks.
5. Freeze until frozen firmly.

Notes Package popsicles in sealed plastic bags.

450 mL makes 30 popsicles.

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use, or physician/pharmacy experience.

Packaging: 4 drams medicine cup / dram vial

Auxiliary Labels: Keep Frozen
  Protect From Light

Storage/Expiry:Freezer: 30 days in sealed plastic bags

Last Date Revised: 21-Sep-20

References:Trissel LA. Trisselís stability of compounded formulations. Second ed. Washington, DC, USA: American Pharmaceutical Association; 2000.

Formulations: Nystatin Popsicles. International Journal of Pharmaceutical Compounding 1997 (Mar/Apr); 1(2):109.

Dobbins JC. A frozen nystatin preparation. Hospital Pharmacy 1983 (Sept); 18:452-453.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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