Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Ketamine Oral Solution (prepared from powder)    10 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    ketamine USP     PWD   
    Water, sterile        
    Cherry syrup      qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. In a mortar, triturate ketamine powder to a fine powder and dissolve in water.
2. Pour into a graduated cylinder.
3. Rinse mortar and qs to final volume with cherry syrup.
4. Mix well, transfer to final container and label.

Notes This recipe should be compounded instead of the recipe prepared from injection whenever there is a limited supply/shortage of ketamine injectable.

Packaging:  Amber Plastic Bottle

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

Storage/Expiry:Refrigerator or Room Temperature: 30 days

Last Date Revised: 24-Feb-15

References:Haines DR. Gaines SP. N of 1 randomised controlled trials of oral ketamine in patients with chronic pain. Pain 1999; 83:283-287.

Gupta VD. Stability of ketamine hydrochloride injection after reconstitution in water for injection and storage in 1-mL tuberculin polypropylene syringes for pediatric use. Int J Pharm Comp 2002; 6(4): 316-317

Note: Recipe stability data from these references.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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