PHARMACY PRACTICE / ETHICS LABORATORY

Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

Instructions:
1.) Prepare, sign-off and complete the label for the following prescription.
2.) Place all answers in the spaces provided (math answers must be in the box to receive credit).
3.) A portion of this assignment will be evaluated by an instructor, the remainder will be self-evaluated
by the student.

Rx #1293
OFFICIAL NEW YORK STATE PRESCRIPTION
Guy Berryman, MD
587 Coldplay Lane
Glenmont, NY 12123
(518) 555-3826
LIC. 2419857
PRACTIONER DEA NUMBER

Patient Name _____________________________________________________________

Address_____________________________________ Date ________________________

City ______________________ State _________ Zip_________ Age _____ Sex M F

℞ Menthol
Menthol
Camphor ACP Stock
Thymol aa 4% Lot NA Exp NA
Rx 1292 Sulfur USP 3g
4/1/06 White Petrolatum qs 48g Camphor ACP Stock
48g INITIALS Lot NA Exp NA

Sig: aaa tid ud Thymol ACP Stock

Lot NA Exp NA
Sulfur, USP White petrolatum, USP
LaFayette Laboratories Fougera Mineral Oil, USP
Lot: J050706 Exp 2/08 Lot: S058 exp 01/10 Humco
MAXIMUM
Lot: 32489 Exp 04/08
DAILY DOSE

Prescriber Signature X_____________________________________________________________________

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES daw IN BOX BELOW

REFILLS
None
040206 01
Refills: ______
Dispense as Written |||||||||||||||||||||||||||||||||
PHARMACIST
TEST AREA
 PHARMACY PRACTICE / ETHICS LABORATORY
Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

For the following questions, you must show all Albany College of Pharmacy
106 New Scotland Ave
calculations to receive credit. Albany, NY 12208
Enter your answers inside the boxes provided.
Mineral Oil SG = 0.8 Rx 1293 4/2/06
Christopher Martin
136 Parachute Drive
Auxiliary Label(s): Glenmont, NY 12123
External Use Only
Apply to affected area three times daily as directed.

Weight of jar with ointment _________ Menthol 4%/Camphor 4%/Thymol 4%/ Sulfur USP 6.25% Ointment
Weight of jar without cap __________ 48g
Weight of ointment __________
Two refills Initials Dr. Guy Berryman, MD

1. Calculate the amount of menthol in milligrams required for this prescription.

If we need 4% of menthol for this Rx,

4g = x
100g 48g x = 1.92g of menthol (1920mg) 1920mg
Answer: menthol

2. Calculate the amount of camphor in milligrams required for this Rx?

If we need 4% of camphor for this Rx,

4g = x 1920mg
Answer:
100g 48g x = 1.92g of camphor (1920mg) camphor
3. Calculate the amount of thymol in grams required for this Rx?

If we need 4% of thymol for this Rx, 1.92g

Answer: thymol
4g = x
100g 48g x = 1.92g of thymol

4. Calculate the percent of sulfur USP required for this prescription?

If we need 3g of sulfur USP,

3g = x
48g 100g x = 6.25%
Answer : 6.25%
sulfur USP
 PHARMACY PRACTICE / ETHICS LABORATORY
Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

5. Calculate the amount of white petrolatum in grams required for this Rx?

48g total
- 5.76g (menthol, camphor, and thymol, 1.92g each) Answer: 38.04g
- 1.2g mineral oil (SG 0.8 sol 1ml = 0.8g)
- 3g sulfur USP
= 38.04g of white petrolatum (depending on how much
mineral oil used, 38g is for 30gtts, or 1.5ml.)
6. Write the method for compounding this prescription.

1. Weigh 38.04g of white petrolatum. Label and set aside.

2. Weigh 3g of sulfur USP. Label and set aside.
3. Weigh 1.92g each of menthol, thymol, and camphor using a plastic spatula. Label and set aside.
4. Combine the menthol, camphor, and thymol on an ointment tile to form a uniform eutectic mixture.
5. Incorporate the eutectic mixture into a small amount of white petrolatum.
6. Levigate the sulfur USP powder with enough mineral oil (40gtts or 2ml) to form a uniform product using a
metal spatula. Incorporate this product into a small amount of white petrolatum.
7. Incorporate the eutectic/white pet product into the rest of the white pet using geometric dilution.
8. Incorporate the sulfur USP/petrolatum mixture via geometric dilution into the eutectic/white petrolatum
product until a uniform product is formed.
9. Pack the ointment into a clean 2 oz. ointment jar ensuring pharmaceutical elegance.
10. Label, affix an “External Use Only” label and any other appropriate auxiliary labels to the jar, and dispense.

Tip: It is preferred to incorporate or levigate your “drugs” into the purest form of base first. In this case, both dr
were incorporated into the base first, then the rest of the base incorporated with one or the other, and
Lastly, the drugs were incorporated together. The last step should be to incorporate your piles of drug pastes toget
after each one has been combined with remaining base. The least preferred method was to combine
the eutectic with the sulfur before combining either into any base.

afppe06
 PHARMACY PRACTICE / ETHICS LABORATORY
Name: ____________________________________ Date: _____________ Section: _______ Station #: ______