Page 27 - A guide to dosage form 1_full v3

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Dose/Amount/Concentration
Ingredient Quantity used Physical State Solubility Use in the prescription
Given Accepted range
Each ingredient and the The physical state and These columns are used This is to specify the

function of each
quantity (poison/non- solubility of each to compare between the ingredient in the

given dose and the
poison/excipients) have ingredient have to be
written. This accepted range (can be formulation

to be detailed out here.

information can be found in the reference
obtained from reference book)
books
(BPC/BP/Martindale)

COMPOUNDING WORKSHEET

INCOMPATIBILITY/OVERDOSE (if any): LABELLING (Please include auxillary labels, if any):

_Note here if there is any incompatibility or overdose_____________

CONTAINER:
You are required to paste a label here. The same
label as the one your placed on your product that
_Specify a suitable container________________________________ you dispensed. Make sure that the label is
complete.

EXPIRY DATE:

_Specify the expiry date for your product______________________

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