Recipe - Compounding Worksheet
Unauthorized distribution, copying or disclosure prohibited.
These recipes are intended for use by the pharmacy manufacturing departments only.
Hydrocortisone 1% and Clotrimazole 1% and Zinc Oxide 15% Cream   1:1:1
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    hydrocortisone  1%  CRM   
    clotrimazole  1%  CRM   
    zinc oxide  15%  UNG   
Recipe Total Quantity:
Final Quantity Desired: g

Directions: 1. Levigate creams and ointment together until a uniform mixture is obtained.
2. Transfer to ointment jar and label.

Notes Assign expiry date using USP 795 Guidelines, since no stability data available:
USP 795 guidelines - For Water-Containing Topical/Dermal and Mucosal Liquid Semisolid Formulations - "The BUD is not later than 30 days."

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use or physician/pharmacy experience.

Packaging:  Ointment Jar

Auxiliary Labels: For External Use Only
  Store at Room Temperature

Storage/Expiry:Room Temperature: 30 days

Last Date Revised: 11-Feb-20

References:USP 34 NF 29, 2nd Volume 1. Chapter 795: Pharmaceutical compounding Nonsterile preparations. Rockville, MD, USA: United States Pharmacopeial Convention; 2010

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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.