Recipe - Compounding Worksheet
Unauthorized distribution, copying or disclosure prohibited.
These recipes are intended for use by the pharmacy manufacturing departments only.
Lisinopril Oral Suspension - Sugar Free    1 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    lisinopril  20 mg  TAB   
    Water, sterile        
    Modified Shohl's Solution        
    Ora-Sweet® Sugar Free    SYRUP   
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Combine tablets and water in a bottle, cap and shake for one minute.
2. Add Modified Shohl's solution and shake bottle again.
3. Add Ora-Sweet® SF and shake to thoroughly mix contents.

Notes See recipe for Sodium Citrate/ Citric Acid (Modified Shohl's Solution).

Ora-Sweet SF® should not be used in neonates less than or equal to 28 days corrected age.

Packaging:  Amber Plastic Bottle

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

Storage/Expiry:Refrigerator or Room Temperature: 4 weeks

Last Date Revised: 2-Jun-14

References:Thompson KC et al. Characterization of an extemporaneous liquid formulation of lisinopril. Am J Health-Syst Pharm 2003 (Jan); 60:69-74.

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.