COMPOUNDING SPIRONOLACTONE
​BULK ORAL SUSPENSION

INSTRUCTIONS FOR FLOAT 1 PHARMACIST
1) Obtain 5 tablets of Spironolactone 25 mg tablets, bottle of Simple Sugar, 60 ml Rx Bottle, RX crusher, EnFit Pouch and 10 ml Enfit Syringe
2) Make MILT labels
3) Don PPE:
  • 2 pairs nitrile gloves
  • Chemo gown
4) Place a chemotherapy prep mat on pharmacy counter
5) Draw up 10 ml of Simple Sugar in and EnFit syringe then attach the syringe to the Enfit Pouch
6) Crush the tablet with the platform, then crush the tablet with the roller moving the Enfit Pouch until desired consistency is reached
7) Inject 10 ml of Simple Sugar into the Enfit Pouch to dissolve the tablet. When the tablets are dissolved
Draw the solution out of the pouch and place in RX bottle. QS Rx bottle with the rest of Simple Sugar (15 ml).
8) Wipe RX bottle with HD Clean Wipes
9) Remove outer gloves and label the stock bottle with MILT label and place in empty bag for checking.
Place empty tablet packages in another empty bag for checking
10) Clean pharmacy counter with HD clean wipes and RX crusher with soap and water, then dispose all PPE and trash in chemo trash can ante room
11) Wash hands with soap and water.
12) Have a 2nd Pharmacist check stock bottle in MILT computer and place bottle in blue lidded bin on the
NIOSH designated shelf.
13) Place empty Spironolactone packages in Black Hazardous bin
14) Follow re-packaging instructions for Reproductive Risk oral syringes.