Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Sucralfate in Petrolatum Ointment   4%
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    sucralfate  1 g  TAB   
    petrolatum  100%  UNG   
Recipe Total Quantity:
Final Quantity Desired: g

Directions: 1. In a mortar, grind tablets to a fine powder.
2. In another mortar, gradually add the powder to the petrolatum ointment until homogenous. For larger amounts, use an electric mixer at slow speed.
3. Transfer to ointment jar and label.

Notes May use sucralfate powder instead of tablets.

Since no stability data available, assign beyond use date using NAPRA Guidance Document For Pharmacy Compounding Of Non-Sterile Preparations:
Non-aqueous formulations The BUD is not later than the time remaining until the earliest expiry date of any API or 6 months, whichever is earlier.

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use or physician/pharmacy experience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: 6 months

Last Date Revised: 20-Aug-21

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
  Non-aqueous formulations The BUD is not later than the time remaining until the earliest expiry date of any API or 6 months, whichever is earlier.
National Association of Pharmacy Regulatory Authorities (NAPRA). Guidance Document For Pharmacy Compounding Of Non-Sterile Preparations. Ottawa, ON: National Association of Pharmacy Regulatory Authorities (NAPRA); 2018.
Available at: https://napra.ca/sites/default/files/documents/Mdl_Stnds_Pharmacy_Compounding_Nonsterile_Preparations_Guidance_June2018_FINAL.pdf

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist
   29-Nov-2021         


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