Recipe - Compounding Worksheet
Unauthorized distribution, copying or disclosure prohibited.
These recipes are intended for use by the pharmacy manufacturing departments only.
Chocolate Cherry Syrup    .
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    Simple syrup        
    Cherry flavouring concentrate       
    Chocolate syrup      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Measure simple syrup into a graduated cylinder.
2. Add the cherry flavouring to the simple syrup.
3. QS to final volume with chocolate syrup. Stir well.
4. Transfer syrup mixture to bottle and label.

Packaging:  Plastic Bottle

Auxiliary Labels: Shake Well
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 20-Aug-15

References:SickKids Compounding Service. Toronto, ON: The Hospital for Sick Children. Recipe last updated April 2007.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   6-Dec-2021         


This content is provided for general information purposes only. It is not intended to replace consultations with a health care professional or to provide medical advice, diagnosis or treatment. Always seek the advice of a physician or other qualified health care provider with any medical or health questions. Alberta Health Services accepts no responsibility for any modification or redistribution of this document and is not liable for any actions taken by individuals based on the information provided, or for any inaccuracies, errors, or omissions in the information in this document. These recipes are to be used as a reference and are not intended to be master formulation records. Not all recipes may be compliant with NAPRA or other standards.