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The compounding helpdesk contains more than 1500 questions and answers on various galenic topics, all provided by Prof. R. Kinget.
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Given that a neurologist has requested the preparation of Tegretol suppositories for a patient currently taking CR tablets twice daily, is there data comparing the release of the rectal form versus the oral controlled-release (CR) form of Tegretol, and what is the best method for preparing these suppositories?
What is the correct preparation method for an emulsion containing 240 mg betamethasone valerate, 10 g salicylic acid, 6 g Lanette SX, 6 g medicinal peanut oil, and water up to 300 ml, given that attempts to dissolve the salicylic acid in boiling water, alcohol, or a TMF-based formula with hydroxypropylcellulose and 60 ml isopropyl alcohol resulted in white flakes or precipitation upon the addition of water?
How can the dilemma be resolved when preparing a 4% erythromycin cream in Beeler Basis, given that the best stability is achieved at a pH of approximately 8 while optimal activity occurs at a pH of approximately 5: should the cream be alkalinized with a substance like NaOH for stability, should an extra amount of erythromycin be added to compensate for degradation to maintain activity, or is there a better proposal?
How can a suspension containing 1700 mg of chloramphenicol and excipient up to 100 ml be successfully prepared for a child with a risk of meningitis, given that previous attempts to suspend the chloramphenicol using xanthan gum resulted in sedimentation?
What is the correct conversion for a woman who needs to take Steovit D3 1000 mg/880 IU but has undergone a gastrectomy and takes Pantomed, given that calcium citrate is preferred for its pH-independent absorption and that 1 g of calcium in Steovit D3 is present as 2.5 g of calcium carbonate, when the Merck Index suggests 2.5 g of calcium carbonate corresponds to approximately 12.5 g of calcium citrate while the MFK indicates 1 g of carbonate is equivalent to nearly 5 g of citrate?
How can the separation in clobetasol propionate lotion TMF be prevented, given that following the preparation method described in the book causes the hydroxypropyl cellulose (HPC) to clump and form film-like structures as soon as water is added to the alcoholic solution, even when the HPC is pre-wetted?
Can deferoxamine be used as a topical cream or lotion to treat brown spots on a patient's legs that appeared after sclerotherapy with aethoxysclerol, presumably due to iron deposits, given that the only known form is Desferal ampoules for injection?
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