Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Aluminum Acetate Powder for Aqueous Dilution    .
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    aluminum sulfate    PWD   
    calcium acetate     PWD   
Recipe Total Quantity:
Final Quantity Desired: PKG

Directions: 1. Weigh out required amount of each ingredient.
2. Blend powders until they are uniformly mixed.
3. Package and label.

Notes Store in tight light resistant container.

Contents of each packet should be dissolved in 16 ounces (approximately 480 mL) of warm water prior to use. Solution should be made fresh and any remaining solution should be refrigerated and discarded after 12 hours.

Packaging:  Vial, Amber

Auxiliary Labels: For External Use Only
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 17-Jun-13

References:Aluminum Acetate Powder Packet (Sachet) for Aqueous Dilution formula from
Lexi-Comp [database on the Internet]. Hudson, OH: Lexi-Comp Inc. c.1978 - [current date]. Available from:

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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