Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Lactose Oral Liquid   20%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    lactose    PWD   
    Water, sterile       QS 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Weigh lactose monohydrate powder and place in an appropriate size pyrex container.
2. On low heat, add approximately 80% of the total amount of sterile water to dissolve the lactose monohydrate powder and stir until clear.
3. QS to final volume with sterile water.
4. Transfer to final container and label.

Notes Lactose 25 g = Lactose monohydrate 26.3g.

Assign expiry date using USP 795 guidelines, since no stability data available.
USP 795 guidelines - For Water-Containing Oral Formulations:
The BUD is not later than 14 days when stored at controlled cold temperatures.

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use or physician/pharmacy experience.

Packaging:  Amber Plastic Bottle

Auxiliary Labels: Refrigerate

Storage/Expiry:Refrigerator: 7 days

Last Date Revised: 25-Jun-19

References:Alberta Children's Hospital - anecdotal

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

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