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Children's Hospital Of Eastern Ontario MASTER FORMULA SHEET NON-STERILE MANUFACTURING PRODUCT:

Date Prepared: EXPIRY DATE: INGREDIENT MANUFACTURER LOT # MAN. EXPIRY DATE FORMULA QUANTITY 30 QUANTITY USED MFG BY CHK BY

Baclofen 5 mg/ml Oral Suspension


FINAL PRODUCT CHECKED BY: _____________________

Baclofen 10 mg tablets

APOTEX

Glycerin Liquid Simple Syrup Paddock STABILITY

3 ml Qs to 60 ml

EQUIPMENT - mortar and pestle - graduated cylinder - oral syringe to measure glycerin MANUFACTURING DIRECTIONS - Place tablets into mortar and grind into a fine powder with pestle - Add enough glycerin to make a fine paste - Gradually add about 45 ml (2/3 of the total volume needed) of simple syrup in 3 equal additions, mixing well each time - Transfer suspension to the cylinder and QS to the final volume

Refrigerated, 35 days Amber glass container

REFERENCE(S) Am J Health-sys Pharm. 1993; 50:2353-55 Alberta Health Services Formula, accessed Nov 2011 Hospital for Sick Children formula , accessed Nov 2011 Re-formulated Nov 2011 as the 10 mg/ml was very thick and unpleasant

Revision Dates: Nov 2011_ Final Approval By: ab_/cm Signatures: ab_/cm
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