Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
LORazepam Oral Suspension (LOW STRENGTH)   0.4 mg/mL
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    lorazepam  2 mg  TAB   
    Simple syrup       qs to  
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. In a mortar, crush tablets and triturate to a fine powder.
2. Gradually levigate powder with simple syrup until a liquid is formed.
3. Pour into a graduated cylinder.
4. Rinse mortar and qs to final volume with simple syrup.
5. Transfer to final container and label.

Notes Lorazepam solutions should not be stored in polyvinyl chloride (plastic) bottle or polypropylene (oral syringes) for longer than 24 hours.

Packaging:  Amber Glass Bottle

Auxiliary Labels: Note Strength
  Refrigerate
  Shake Well

Storage/Expiry:Refrigerator: 30 days (one month)

Last Date Revised: 17-Jun-14

References:Fax from Mark Pomerantz, Senior Medial Information Associate, Wyeth-Ayerst Canada, to Provincial Drug Information. Topic: Extemporaneous compounding of a lorazepam oral suspension. June 7, 1999.

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


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