Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Cholestyramine Resin Ointment   5%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    Cholestyramine Resin light (sugar free)   4 grams resin/ 5 grams powder    resin  
    Aquaphor     UNG   
    Water, sterile        
Recipe Total Quantity:
Final Quantity Desired: g

Directions: 1. Mix cholestyramine with water.
2. Gradually levigate cholestyramine solution into Aquaphor ointment.
3. Transfer to ointment jar and label.

Notes NOTE:
Use cholestyramine light (sugar free) 5 gram powder = 4 grams of cholestyramine resin; Do not substitute.

Packaging:  Ointment Jar

Auxiliary Labels: For External Use Only
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 11-Aug-16

References:White CM. Gailey RA. Lippe S. Cholesyramine ointment to treat buttocks rash and anal excoriation in an infant. Annals of Pharmacotherapy 1996 (Sept): 30(9): 954-956.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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