Stasinos Chr. Sikalias · The science of compounding

Batch worksheet: Chlorhexidine digluconate 0.1% w/v mouth rinse

CGR-BR-012 · Blank fields for controlled execution

Historical source editionCGR-BR-012Brazil

HISTORICAL SOURCE EDITION — compare with the current edition before use.

Companion batch worksheet. Use with the full monograph and a locally approved master record. This is not a standalone recipe. Complete by hand after printing.

Full monograph PDF

CGR-BR-012 · Monograph 4.0 · Web 4.0 · 10.09.2026

Local master ID / versionBatch / date

Materials and actual quantities

MaterialSourceLocal targetActual amountLot / expiry / check
Chlorhexidine digluconate 20% w/v solution0.5 mL
Compound flavourq.s.
Polysorbate 201 mL
Aspartame0.1 g
Colourq.s.
Purified waterq.s. ad 100 mL
pH adjuster if required, unspecified in sourceq.s. pH 7.0

Local batch size, units, calculations and independent check

Line clearance, equipment, calibration and cleaning

Stages, times, actual parameters and observations

Yield, losses and reconciliation

QC: samples, methods, limits and actual results

Deviations, investigation and decision

Packaging, label, storage and actual BUD justification

Operator, reviewer and releasing pharmacist — signatures / dates