Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Dapsone Oral Suspension in Simple Syrup    2 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    dapsone  100 mg  TAB   
    Citric acid, anhydrous USP    PWD   
    Water, sterile        
    Simple syrup       qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. In a mortar, crush tablets and triturate to a fine powder.
2. Dissolve citric acid in water.
3. Gradually levigate powder with citric acid solution until a liquid is formed.
4. Pour into a graduated cylinder, rinse mortar and qs to final volume with simple syrup.
5. Transfer to final container and label.

Notes Refrigerated storage is preferred.

Packaging:  Amber Plastic Bottle

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

Storage/Expiry:Refrigerator or Room Temperature: 91 days

Last Date Revised: 21-Nov-11

References:Nahata MC. Morosco RS. Trowbridge JM. Stability of dapsone in two oral liquid dosage forms. Annals of Pharmacotherapy 2000; 34:848-850.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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