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-Pediatric medications need to be prepared in a manner that is more acceptable to kids.-Some medications are not very stable and require preparation and dispensing every few days.USP Compounding Guidances – a comprehensive section on veterinary compounding, sections on food ingredients, flavorings, and colorings; information and resources to helpreduce medication errors and enhance patient safety; legal statutes and regulatory information applicable to pharmacy compounding.-<795> Pharmaceutical Compounding of NONSTERILE Preparations -<797> Pharmaceutical Compounding of STERILE Preparations-<1075 Good Compounding Practices-<1160> Pharmaceutical Calculations in Prescription Compounding-<1163> Quality Assurance in Pharmaceutical CompoundingCLICKER: Which chapter in the USP provide information for compounding STERILE preparations. <795> ; <797>; <1075> ; <1160> ; <1163>True/False:A compounding production does need record – TRUEManufacturing is not required to be performed by licensed practioners – TRUE OR FALSE (Circle)Requirement for cGMP are listed in the Code of Federal Regulations (CFR) – TRUEUSP administration issued cGMP guidance – FALSE; the FDA didLecture #2
When processing a prescriptionThe pharmacist should never guess at the meaning of an indistinct word or unrecognized abbreviationPrescription accuracy and appropriatenessTherapeutically appropriate for patient.Correct DoseDispensed correct strength/dosage formCorrectly labeled with complete instructionsGiven to the correct patient at the correct time, rate, and route of administration.Labeling – term designated all labels and other written, printed, or graphic matter upon an immediate container of an article or upon, or in, any package or wrapper in which it is enclosed, except the outer shipping container; the term LABEL designates that part of labeling upon the container-NABP defines “labeling” as “the process of preparing and affixing a label to any drug container exclusive, however, or the labeling by a manufacturer, packer, or distributor of a non-prescription drug of commercially packaged legend drug or device”Information on a labelName and Address of PharmacyName of patientName of prescriberDate dispensedSerial number of prescriptionInitials or name of dispensing pharmacistName of drug (proprietary, generic, and manufacturer) and strengthDirections for use (as stated on the prescription)Quantity dispensedNumber of refillsExpiration or beyond-use dateCautionary statements – auxiliary labels
Expiration Date – the date put on the label of a drug product by the manufacturer or distributor of the product-USP “the expiration date identifies the time during which the article may be expected to meet the requirements of the Pharmacopeia monograph, provided it is kept under the prescribed conditions; -It LIMITS the time during which the article may be dispensed or used;- It is stated in month and year and is good until the last day of the stated monthBeyond Use Date – the date put on the dispensing container by the pharmacist-