Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Procarbazine Oral Liquid   10 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    procarbazine  50 mg  CAP   
    glycerin  100%  PO SOLN   
    Cherry syrup      QS (RTU) 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: HAZARDOUS - CYTOTOXIC
Prepare in BSC and refer to the AHS Hazardous Medication Handling Guide for more information.

1. Empty the contents of the required number of procarbazine 50 mg capsules into a mortar.
2. Add the required amount of glycerin and mix to a thick uniform paste.
3. Add 10 mL cherry syrup in incremental proportions; mix until uniform.
4. Transfer the mixture to an amber glass bottle and rinse mortar with small amounts of syrup; add rinses to the bottle in sufficient quantity to make up the total volume.
5. Wipe product(s) down with suitable cleaning agent prior to removal from the BSC.

Packaging:  Amber Glass Bottle

Auxiliary Labels: CHEMOTHERAPY Dispose of Properly
  KNOWN Hazard Medication - Follow PPE Guide
  Protect From Light
  Shake Well
  Store at Room Temperature

Storage/Expiry:Room Temperature: 7 days

Last Date Revised: 22-Jul-19

References:1. Matulane® data, Sigma Tau Pharmaceuticals (product monograph)
2. Lexicomp Extemporaneously Prepared Procarbazine

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   6-Dec-2021         


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