Page 33 - A Guide to Dosage Form 1
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PAGE 1




 COMPOUNDING WORKSHEET



      Dose/Amount/Concentration
 Ingredient   Quantity used   Physical State   Solubility   Use in the prescription
    Used             Accepted range

                  Equivalent of novobiocin:
 Novobiocin calcium   5.16 g         516 mg/dose    Active ingredient (poison)
                   250 mg – 500 mg/dose
 Compound tragacanth   3 g         3 g   1-3% w/v   Suspending agent
 powder
 Syrup BP   20 mL         20 mL   20-25% v/v   Flavouring agent/sweetening agent
 Apple Green 1% solution   1 mL         1 mL   0.5 – 1% v/v   Colouring agent

 Distilled water   q.s ad. 100 mL                       Vehicle



 INCOMPATIBILITY/OVERDOSE (if any):                     LABELLING (Please include auxillary labels, if any):
 none
                                 100 mL Novobiocin Mixture B.P.C
 CONTAINER:
                     10 mL (two teaspoonful) to be taken two (2) times a day for five days
 Amber, non-fluted bottle           Shake the bottle before use
                                Keep refrigerated, protected from light
 EXPIRY DATE:              Please discard any remaining portion after 2 weeks.

 Two weeks after preparation        Patient’s Name: John Epkin
                                  Dispensing Date: 1 / Feb / 2018

                                   Keep out of reach of children
                             SCHOOL OF PHARMACEUTICAL SCIENCES, USM
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