RX #: 278390 1/4/2010 LWP MD
CYLCOBENZAPRINE HCL #3 GM
LOT: 292090707 HEALTH: 2
MFG: APOTHECARES FIRE:1
NDC: 37803-0368-08 REACTIVITY:0
BATCH #: 01041004 CAS:6202-23-9
RX #: 267654 11/10/2009 LWP MD
MAGNESIUM OXIDE POWDER HVY #60 GM
LOT: YP0232 HEALTH: 2
MFG: SPECTRUM FIRE:0
NDC: 49452-4260-02 REACTIVITY:0
BATCH #: 11100901 CAS:1309-48-4
- RX Only
For Prescription Compounding Only
Cyclo/Mag Kit
Cyclobenzaprine HCl and Magnesium Oxide Compound Kit
Description
Each Cyclo/Mag Kit is comprised of 3 grams of cyclobenzaprine hydrochloride powder, USP and
60 grams of magnesium oxide heavy powder.
Certificate of Analysis on File
Cyclo/Mag Kit also contains 60 grams of Lactose Monohydrate (Spray dried) powder and 0.15 grams of
riboflavin USP powder. When compounded, the final product provides a homogeneous product of 300
capsules each capsule containing 10mg of cyclobenzaprine and 200mg of magnesium oxide.
Equipment
Required supplies needed to compound this kit
Equipment
Item
| Quantity
|
Cyclobenzaprine HCl (Included)
| 3 grams
|
Magnesium Oxide Heavy Powder (Included)
| 60 grams
|
Lactose Monohydrate Spray Dried Powder ( Included)
| 60 grams
|
Riboflavin Powder (Included)
| 0.15 grams
|
Red 1 Capsules ( Required Not Included)
| 300 Capsules
|
|
|
Equipment
Recommended supplies not included in this kit
Equipment
Item
| Quantity
|
16 oz Glass Mortar and Pestle
| 1 each
|
300 Capsule Machine Number 2 Notch
| 1
|
Scraper ( Recommended Not Included)
| 1
|
Tamper (Recommended Not Included)
| 1
|
Capsule Locker (Recommended Not Included)
| 1
|
|
|
Directions
1. Using a 16 oz mortar and pestle triturate powders well to reduce particle size until uniform. Do not use metal bowls or spatulas while
compounding this product.
2. Using a 300 capsule machine encapsulate triturate powder mixture into number 1 red capsules
Prior to compounding, store Cyclo/Mag Kit at room temperature. Store the final product at room temperature.
Final product for oral use only. Keep out the reach of children. Compounded product, as dispensed,
is stable for at least 180 days or the time remaining on the expiration date of any given ingredient,
which ever is shorter.
Living Well Pharmacy, Inc.