Stasinos Chr. Sikalias · The science of compounding

Batch worksheet: Lidocaine hydrochloride 2% w/v oromucosal topical solution

CGR-BR-015 · Blank fields for controlled execution

Historical source editionCGR-BR-015Brazil

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-015 · Monograph 4.0 · Web 4.0 · 10.09.2026

Local master ID / versionBatch / date

Materials and actual quantities

MaterialSourceLocal targetActual amountLot / expiry / check
Lidocaine hydrochloride2 g
Sodium saccharin0.1 g
FNFB paraben concentrate2.5 g
Purified waterq.s. ad 100 mL

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