femara tablets for sale norvasc without rx xeloda tablets 500mg what is the cost of generic femara buy trileptal 20 yasmin pill cost australia viramune xr package insert buy serophene with no rx motilium mims generic yagara in usa side effects of coming off levlen ed female pink viagra over the counter asthma inhaler walgreens order erection packs 2 from buy drugs comprar viagra online sem receita order remeron tablets periactin suppliers overseas 150 mg clomid success stories shorai lithium battery australia buy lopid mexican pharmacies generic nitroglycerin uk paypal buspar buy online where to buy alli diet pill 2012 aldactone generic cost where to buy lisinopril online without rx where to buy auto rx treatment cooper pharma tadalafil review novolog prices pharmacies voveran sr 100 mg order levitra no script vasotec drugs online purchases sarafem suppliers overseas donde comprar clomid estrace generic release date skelaxin medicine used us pharmacy online zestril modalert india pharmacy purchase zovirax cheap prescription generic lov cost flovent buy oxytrol australia sibutramine hydrochloride capsules what does atarax allergic histamine zofran brand positioning are alligators as old as dinosaurs famvir recommended dosage medication interactions alphagan p citalopram brand order list of pharmacies in ontario canada beconase aq next day yellow promethazine syrup cipro side effects fatigue purchase suhagra pills buy phenergan online overnight delivery discount code for ventolin cozaar prescription drug pcm pharmacy murray augmentin best price post cycle therapy clonidine non generic tamoxifen is metronidazole cream over the counter clomid rx list cheap car insurance for new drivers can you take benadryl daily while pregnant medicine for abortion of 3 month pregnancy glucotrol xl 40 mg pharmacy viagra cialis levitra online pharmacy my topamax coupons half price unisom the online drugstore caverta mail order triamterene online ditropan over counter purchase topical erythromycin side effects of keppra in young children what does leukeran proscar generic release date voltaren pharmacy coupons how to prevent depakote weight gain can you buy diskus generic advair canadian buying famvir online micronase comprar motilium dosage to increase milk supply is nexium a prescription drug dosage bupropion hydrochloride high best place to buy viagra online in canada where can i buy alli diet caverta from usa pharmacy tetracycline treatment for chlamydia buy tetracycline perth australia lisinopril hydrochlorothiazide rxlist ordering promethazine trazodone from anti depressant social anxiety when will generic actos be available pioglitazone celebrex express canada european journal hospital pharmacy canadian online pharmacy nolvadex no prescription cipro xr 500 bula zocor dosage too high atrovent roche precio argentina cheap ampicillin pricelist pharmacy alavert to buy in england alesse low dose wyeth hydrochlorothiazide tablets used for cephalexin tablets 150 mg amoxicillin capsules 500mg dosage methotrexate medication dosage cheap kamagra no prescription buy lotensin australia nexium weight gain symptoms cheap all rights buy avodart online pharmacy imitrex daily use reviews generic brand for zyban buy emsam mg zanaflex prescription assistance luvox cr maximum dose canada pharmacy differin to buy pariet in uk fake viagra websites cialis jelly on line purchase craigslist usa california iphone canadian pharmacy haldol generic shatavari safe how much benadryl to take for hives bestrxonlinepharmacy generic for amaryl best generic citalopram review cephalexin pills smell domperidone 10mg dosage moduretic no prescription compare prices luvox dosage range genuine nizagara 100mg online aciclovir with no prescription diet pills phentermine side effects what symptoms does metformin treat cheap pravachol pills what does zantac pills look like buy micronase online from usa side effects of entocort ec buy omeprazole uk boots waterloo order of battle allied cavalry cost proventil inhaler what is acai berry and what does it do minocycline discount viagra jelly sale prescription 100mg deltasone tablets purchase on line get pyridium toronto periactin weight gain forum ortho tri-cyclen order in the us buy naprosyn lowest price buy canada no prescription for diamox el antiflu des para que sirve overseas pharmacy no prescription aciclovir vytorin tab 10- 20 mg safe topamax no precription famvir once a day letrozole femara price alli pills online uk can methotrexate cause you to gain weight erythromycin dosage bnf albenza dosage children non prescription pletal cabgolin for sale uk best viagra super active prices cialis 100mg 1 direction games tetracycline online to orer buy cialis sublingual online no prescription us buy valtrex in india online tinidazole drug in mexico pharmacy augmentin shipping overseas synthroid tablets information prednisone for daily use canada fucidin buy online pyridium stores buying azithromycin zithromax what is tenormin pills used for are there any long term side effects of lexapro amantadine how to buy roacutan donde lo puedo comprar best medication for anxiety uk avandamet drug class cheap clavamox no prescription buy bactroban no prescription lotrisone otc can you get high off clonidine hydrochloride buy hydrochlorothiazide with paypal levlen from mexico generic and brand name for aspirin comprar elimite en argentina calan over the counter canada saroten retard 25 mg nebenwirkungen order generic himcolin clomiphene citrate 50mg tablets best price atorlip-20 cialis sublingual weight gain buy elimite with proscar pas cher is prozac better than generic fluoxetine cytotec and abortion buy minocin from mexico online caverta tablets 40mg olanzapine generic buy minoxidil 15 eurax delivery arimidex for men propecia where can i buy it where can i get desyrel roxithromycin 150 side effects generic pravachol switzerland prescription drug arimidex paxil dosage information can u buy xenical over counter there generic sinemet best generic liv review buy toradol online from usa metformin tablets for polycystic ovaries can yasmin be bought over the counter triamterene western australia pharmacies amoxil prescription antibiotics www.24hourcanadapharmacy where is zantac made best price for viagra professional finasteride 5mg hair loss cut emsam shortage 2012 free coupon for eurax pulmicort brands india cafergot spain does unisom make you tired the next day comprar proventil pela internet ordering prazosin here in canada prevacid solutab coupon cipro for overseas travel prilosec amazon uk himcolin supplier in uk warner chilcott asacol hd price increase non persciption zyloprim orlistat en mexico does cassava pills work prevacid prescription vs over the counter how many mg of trazodone does it take to overdose valtrex 100 review combivent nebuliser side effects ordering low dose advair diskus viagra roche precio argentina albenza discount voucher india viagra order tadacip pill abana tablets himalaya side effects of low dose amitriptyline ginseng where to purchase buy levothroid online reviews what is evecare used for is there a generic for aricept liv 52 order by phone actoplus met from usa pharmacy withdrawal from diovan buy nizagara online canada no prescription tetracycline mode of action pdf lamictal online sales buy neurontin online us pharmacy buy percocet no prescription needed colchicine gout attack cabgolin delivery london viagra generico pre“şo rj zocor fort 40 mg 28 film tablet to buy yasmin in uk long time side effects snovitra super power buy 40 mg cialis zyvox drug store online furosemide infusion acute renal failure premier league stats 12/13 geriforte pill shortage what does serevent look like alli shortage buy flomax astrailia keflex dosage pediatric generic allegra liquid donde puedo comprar tamoxifeno lisinopril tablets from buy flovent coupons 2012 online pharmacy uk brand advair diskus brafix daily use reviews how much does singulair cost without insurance cleocin dose pediatric order desyrel lowest price cheapest zoloft online buy bactrim paypal rosuvastatin generic australia accutane buy online isotretinoin beat way to order prednisone urispas online ordering how much will silagra cost keftab 20mg tab order norvasc online canada kamagra 100 7 tablets all types himcocid pills generic seroflo cost bula serophene 50 mg generic benzaclin cost ajanta pharma ltd wiki where can i buy nizoral in canada mircette birth control pills review buy amoxicillin no prescription fda checked pharmacy how much is vasotec tablets promethazine dm shelf life generic benfotiamine cost how long does zoloft take to work for panic attacks authentic cialis online pharmacy what is the medicine cephalexin atorlip-5 pharmacy order cheap antibiotics online review acquisto bupron sr sicuro online what is allegra drug bactrim ds tablet and alcohol haldol in croatia meds from mexico cheap strattera shopping calan catch can for sale side effects of voltaren emulgel can you order retin a? what is rogaine 2 pills used for prozac and weight loss stories where to get cytotec pct canada drugs orlistat with prescription order aciphex online with visa antibiotics to purchase from canada gout flare up while on allopurinol allegra over counter date what are the best diet pills on the market emsam cost without insurance tegretol prolonged release retard can you buy inderal online buy hyzaar tablets cialis en farmacias sin receta health canada xalatan cuvarlix review glucotrol xl tablets 40mg buy prevacid with no rx side effects of fexofenadine rocaltrol online pay paypal where can i buy liquid clomid comprar procardia original india buy actoplus met where to buy aciclovir pharmacy keftab on the internet estrace cream dosage instructions active ingredient in the prescription drug zithromax can we trust fertomid online genuine extendaquin best price original isoptin online can we buy medicines online in india order levitra cheap liverpool fc tickets 2011 where duphalac canada drugs no perscripition prescription drugs without a prescription usa picture of doxycycline tablets prednisolone medication overnight delivery cabgolin max dose cordarone comprare current price nitrofurantoin best place buy saw palmetto pct aldactone buying doxycycline in asia zovirax dose iv pure acai co uk reviews overseas pharmacy no prescription cozaar coumadin shelf life viagra melbourne australia buy atrovent hong kong zofran odt 8 mg tablet buy zantac 75 order cialis without giving email address nolvadex canada buy trazodone hydrochloride dosage l-tryptophan shopping generic dulcolax uk paypal fastest requip uk delivery doxycycline canada pharmacy losartan side effects weight gain side effects of wellbutrin xl in men guardian pharmacy singapore head office solu medrol dose iv sarafem medicine online what does etodolac make you feel like overstock drugstore discount code mail order generic claritin is methotrexate available in canada depakote side effects weight gain xanax highest mg desconto para comprar lexapro side effects of prednisone 20 mg for dogs best foundation for dry skin 2012 allure indian generics online keftab levaquin without perscription kamagra (sildenafil citrate) uk zyrtec online buy creighton university online pharmacy degree cheap generic ethionamide generic flagyl 400 mg doxycycline dose equine lyme discount rhinocort insurance checklist template proventil spain over counter asacol generic launch aciclovir tablets uses oxytrol order arimidex online sales la voz de maria padre chelo biaxin order by phone buy cheap kamagra jelly online uk 100mg buy prescription drugs from canada no prescription albuterol sulfate nebulizer side effects actos plus metformin medication cheap generic mirapex use of letrozole tablets aristocort no prrescription buy genuine finax uk buy generic tetracycline online with prescription motrin coupons prilosec vs prevacid for infants estrace to purchase without a prescription finpecia 1mg uk seroxat 30mg used clavamox ok for humans indocin generic for zocor sale buy orlistat pills in the canada purchase tenormin online pharmacies prescription order abana what is a good viagra for women low cost overnight avalide acticin dosage too high rogaine 5 uk online prozac and alcohol hangover alesse online coupon code mail order betapace online cialis jelly drugstore.com online cheap order viagra risperdal quicklet side effects order crestor online canadian pharmacy evista for men sale in uk taking 2 claritin pills why has vantin been discontinued where to Purchase actos online canadian pharmacy iai arava-101 order accutane cheap prinivil pills sweat side effects of stopping cardura buy uroxatral in ireland cialis soft online pay paypal prednisone medrol dose pack dosage arimidex canadian source quickest bupropion depression affective order dried acai berries baclofen on line pharmacy sample viagra online viagra 25 mg tablet purchase coumadin asthma inhalers blue and orange buy purim new zealand online one month pregnancy abortion pills in india buy finax in uk buying combivent for dogs omnicef 20mg tab how to get floxin on line should prednisone be discontinued before surgery levitra cialis and viagra comparison what is the generic for benicar hct how to order dipyridamole what is the cost of lipitor without insurance Purchase accutane 20mg online cheap albendazole sale discount zyrtec over the counter antihistamines buy lioresal cheap tadacip wanted online review evista canada drugs clozaril discounts codes generic parlodel cost low cost ranitidine do you need rx aldactone best online generic viagra isoniazid express canada over the counter aspirin products paxil no prescription cheapest drug innopran xl is there a generic form of crestor maximum dosage of carafate accutane indian pharmacy canadian viagra fake or real haldol side effects schizophrenia prograf generic equivalent accutane acne treatment 2010 citalopram dosage bnf zithromax buy no prescription mobic where to get roxithromycin shortage 2012 canadian pharmacy epivir-hbv diflucan 200 mg tablets buy chloroquine tablets online buy cardizem uk generic drugs news today liv 52 syrup online actoplus met italiano toprol xl 100mg tablets Purchase flagyl 500mg online half price clomid voveran in croatia baclofen billig kaufen how to buy drugs online safely etodolac abuse high where to get clomid privately buy albendazole+400mg zyrtec 40 mg diamox medicine children crestor without prescriptions order plavix on line usa discount cyklokapron mg donde puedo comprar ampicillin minocycline acne buy online cephalexin 500mg in india depakote in italia where to buy sleeping pills in canada himcolin in the uk buy elavil in india online how to import live tropical fish what does lamictal do to dopamine average salary for pharmacy technician in canada costco pharmacy toradol price naprosyn withouth prescription mail order generic methotrexate what is vantin drug buy minocycline mg online buy desyrel tablets online brand levitra 40 mg dose albendazole ( 400 mg pills) albendazole india brand name xenical sold over counter diltiazem pharmacy order buy lasix online no prescription yagara from usa what class of drugs is lisinopril healthy gingerbread man cookie recipes buy himalaya speman india ciprofloxacin without prescription cefixime tablets us online prograf billig kaufen purchase zaditor cheap can glucophage help you get pregnant acheter xbox live gold pas cher uk version of antabuse buy wellbutrin sr cheap safe ginseng buy nimotop tablets online buy doxycycline in usa voveran sr cheap buy generic viagra gel prescription calan with no rx liv 52 usa sale can i take 20 mg of singulair kamagra oral jelly suppliers overseas lopressor dosage for atrial fibrillation actonel buy canada cialis dose blog adalat dosage information non prescription forzest pharmacy how to take haldol mg florinef refills doryx going generic carafate weight loss reviews buy online viagra discounts buy cialis professional in usa ivermectin for horses paste benzac over the couter acheter tricorne overnight delivery trazodone no prescription viagra with dapoxetine wiki viagra sublingual reviews and dosage levaquin online without rx what kind of medication is zoloft does estrace make you gain weight med cab zithromax pfizer viagra price in malaysia buy amitriptyline 10mg drugstore elavil online side effects of luvox in men buy viagra professional online safely rumalaya forte uk buy discount prednisone lithium side effects women cytotec pastillas quality rx online pharmacy glucophage vs generic metformin best online pet medication store viagra sale australia escitalopram lexapro reviews best place to buy remeron in canada levitra coupon card prescription where to get yasmin cheap voltaren gel no prescription needed where to buy roaccutane uk best price rumalaya forte list of all prescription pain pills prescription painkillers without aspirin methotrexate ectopic pregnancy hcg levels diovan pharmacy coupon cabgolin pharmacies in long term use prednisone side effects dogs nizoral echeck brahmi mg price levlen looking for lamictal tablet sale top 10 online ortho tri-cyclen sites motrin doctors online shampoo better than nizoral hyzaar order on web trazodone buy uk seroquel xr 200 mg tablet ethinyl estradiol contraceptive cafergot discounted propecia 5mg vs 1mg free samples of viagra in uk lipitor us sales 2009 how to buy finax in london allegra-d 12 hour allergy and congestion how to tell real viagra ginseng medication side effects evista 100mg cheap low cost overnight isoniazid tetracycline dosage purchase aygestin pills synthroid dose based on weight beat way to order antabuse ordering cialis professional 20mg dilantin cost nimotop pill shortage viagra pharmacy canada metronidazole tablets what are they for paroxetine hcl 20 mg tablet prilosec wildberry ingredients avandamet mg tablet amoxicillin 500mg capsules dosage advair diskus for men sale in uk alli mail order india when will a generic version of propecia be available how to take depakote mg birth control pills tadapox buy toradol usa brahmin tote bags sale erythroped erythromycin medicine singulair to buy from europe purchase levitra online no prescription medication called augmentin cheap flagyl norvasc without prescription is there a generic for maxalt-mlt viagra in den usa kaufen order lantus online omeprazole offshore anafranil on line in the canada buying arjuna using paypal buy trandate online with no prescription where to get mevacor pct generic vardenafil in the u.k health canada triamterene buy propranolol without a script buy generic lexapro with bonus endep paypal best pharmacy to order carafate non generic propranolol where to buy tetracycline uk acne viagra and cialis at the same time canadienpharmacy24 motrin in the uk cytotec misoprostol 200 mcg generic uk paypal lipitor nike air max mens buying micardis in manchester lanoxin suppositories buy paroxetine on line in the uk buy trileptal fast shipping triamcinolone acetonide cream usp 0.1 allegra drugstore com sneezing rosuvastatin website pill identifier side effects professional no prescription pill levitra online pharmacy indian pharmacy ventolin doxycycline pharmacy coupons cephalexin 250 mg for dogs dosage atacand 8 mg tabletas domperidone buy online the online drugstore stromectol what kind of inhaler is flovent best prices vitamin b benfotiamine mg doxycycline medicine online generic from cholestoplex why can;t i buy alli azithromycin how long side effects last buy naprosyn what does atarax do to you 25mg tretinoin 0,025 brand positioning acai berry sale canada switching from rx hcg to homeopathic comprar revatio online buy terramycin ophthalmic ointment online where can i buy erythromycin online lopressor side effects lungs capoten sublingual generic trandate in usa sarafem dose prevacid capsules shortage calcium carbonate supplier in uk abilify uk buy altace online store accutane buy online uk propranolol mg uk nike air max men do you need rx synthroid what types of cialis soft are there side effects of zoloft medication where is alligator alley located how to by famvir online comprar purim en argentina voltaren online in us how many dramamine should i take to trip buy chloramphenicol 200 viagra with prescription doxycycline 20mg tablets common side effects of lisinopril buy endep uk baclofen from europe wo einkaufen online viagra aciclovir pill shop discount code comprar prometrium original amoxicillin and clavulanate potassium tablets 875 mg 125 mg is dulcolax better than ex lax yasmin birth control in the uk what does feldene do azathioprine spc emc zyvox over the couter kamagra oral jelly tablets us online effects of nitroglycerin pills buy half inderal online order valtrex cheap pain pills for gout how many cytotec pills for abortion nitrofurantoin maximum dosage astelin cost canadian cialis generic sarasota buspar medication pregnancy buying atorlip-20 from canada no prescription zovirax 400 mg tabs cheapest liverpool taxi strattera 100 mg dosage generic estrace cream maximum safe dosage viagra tricor hong kong wiki generic plavix cost walmart prilosec medicine children norco sight 2 review impuesto actos juridicos documentados vivienda usada buy adalat no prescription pharmacy rumalaya gel uk next day delivery real brand name viagra costco pharmacy snovitra super power price generic oxycontin pill identifier chloramphenicol 10 mg cost orlistat with paypal payment can you buy zaditor over the counter cipla ltd kurkumbh pune bactrim 200 40 mg endikasyonlar” can buy imuran online ou acheter acai berry france what is the drug altace for buy flagyl in canada buy erexin-v mg online i pill cholestoplex website delivery cheap antabuse prescription uk order terramycin without prescription how long after taking doxycycline can i try to get pregnant order zanaflex from india walgreens mail order online pharmacy prozac generic name fluoxetine cheap buspar india list of tesco stores selling cymbalta side effects of nexium 20 mg canada buy zantac without prescription ampicillin non generic antabuse delivery uk best site to buy tadapox buy generic colchicine what does methotrexate how much does otc zyrtec cost metformin hcl er generic buy lasix with no rx prescription biaxin nizagara 10 mg best fertility drugs for multiples zestril blood pressure tablets Purchase abilify mexico pharmacy mirapex lowest price lamisil not generic med-rx suction catheters hoodia comprar buy viagra super active buy midamor usa nizoral 2 shampoo canadian pharmacy meclizine tablets for sale glucophage online order floxin dosage uti buy viagra soft with visa how do i buy things on ebay with paypal aricept from europe mail order florinef dilantin tablet sale diflucan vs generic fluconazole online sale of diltiazem how long does it take for doxycycline to get out of your system order cheap online generic bystolic what type of medication is ventolin what is trazodone mg used to treat generic tretinoin 0,025 us how to take clomid after steroid cycle pfizer pharmaceuticals viagra antibiotics to buy online midamor medicine is cialis for women safe suhagra or sildenafil side effects more cheap zocor uk the best 1000 games over counter rogaine 5 cost of prednisolone for horses brand himcolin buy meridia prevacid tablets 15 mg stromectol pills sweat purchase aciclovir in usa levaquin annual sales cheap tinidazole uk metformin and pregnancy 2012 what is the generic for ditropan non generic prednisolone donde comprar chloroquine lincocin generic canada seroquel canada companies only buy xalatan new zealand online ophthacare brand positioning costco pharmacy betapace price order isoptin online buy generic aceon compazine drug store online clomiphene pregnancy test buy lady era without a script buy chloroquine in ireland brand amoxil spain buy shallaki uk round blue pill abg 100 metoclopramide refill pack cost of ciprofloxacin at walgreens order tricor tablets buying asacol for dogs best pharmacy to order aleve adalat buy can i buy viagra in australia arimidex sales 2010 overnight pharmacy diclofenac gel buy 100 mg lasix sinequan for sale philippines rogaine 5 mg buy hydromorphone 2 mg street price bentyl in usa over the counter 300mg avapro mg buy cost of prednisolone without insurance mail order coumadin ayurslim costco best place buy vermox pct viagra professional overseas lozol for sale philippines zetia birth control online canada generic uk paypal indocin compare prices wellbutrin sr cheap cialis sale uk ordering glucophage online generic worldwide pharmacy capoten alli 120 count best price canadian alliance of physiotherapy regu where to triamterene generic florida prednisolone buy moduretic online usa femara online in uk buy amoxil online no prescription canada does tetracycline make you gain weight cheap abilify 100 mg buying augmentin using paypal buy over the counter diltiazem online order protonix over the counter order trazodone uk pharmacy over the counter medicine amaryl serpina to buy in england lov cost deltasone vente de mobic au quebec prescription drugs without a prescriptions cymbalta coupons printable what family of drugs is zithromax buy zebeta without a prescription from canadian pharmacy side effects of buspar 5 mg where can i buy combivent in canada periactin available in the uk metronidazole cream boots abilify through prescription rxassist buy doxycycline online overnight delivery lexapro precio mexico taking too much synthroid side effects seroquel online shipping purchase aciphex europe pharmacy canadian pharmacy no persciption lortab 5 500 claravis vs accutane side effects can you buy hydrochlorothiazide over the counter when can i buy generic lexapro how long does baby motrin take to work propranolol order in the us flomax fast mexico lexapro online pharmacy shipped to canada lithium grease emsam patch weight gain ventolin 100 inhaler cfc free boots pharmacy cardiff queen street celexa weight loss 2011 buy zithromax cheap cymbalta and diet pills yasmin and other medication prope discoverer ipad walkthrough is mail order acivir pills safe cialis vs viagra forum compound paracetamol and amantadine hydrochloride capsules is it safe to order periactin how long does it take to become a pharmacy technician what does diovan hct cost cabgolin order buy voveran sr for daily use meridia skyrim bug montair generic singulair side effects antibiotics online usa gabapentin 300mg canadian medicines ltd net buy maxaman online cheap generic oxytrol buy canada where can i buy sildenafil citrate over the counter reviews on imuran uk pharmacies online that sell differin erythromycin gel rxlist can i get dipyridamole ed medications for sale on line what is the dosage for propranolol can buy cialis super active online zocor uk is lipothin legal in uk tulasi sold over counter hyzaar usa aldactone weight gain seroflo purchase in canada no prescription liquid mobic review buy kytril pills online canada drugs viagra with prescription how much will acivir pills cost ventolin australia prescription detrol lawsuit canada lioresal pharmacy i pill ginseng website buy sumycin uk cheapest levitra less side effects than viagra is there a generic brand for levitra purchase cheap catalog fincar no prescription uk use fucidin acne propecia cost canada acivir pills buy canada buy risperdal 2 mg 1 pound fish man bbc eutirox 25 mgs buy nitroglycerin uk buy liposafe in india online information on zocor medication generic dulcolax suppository ciproxin hc dose ou acheter du baclofene over the counter medicine trial erection packs 3 can i order vpxl no prescription in the usa legit online drug stores pharmacy that sells etodolac generic uk paypal retin-a 0,05 canadian alliance of physiotherapy regulators plar best price for cytoxan vitamin d deficiency erectile dysfunction when will cfc free primatene mist be available buy unisom online with mastercard nexium 20 mg 28 tablet lamisil over the counter pills buy effexor xr perth australia side effects of long-term aspirin usage how to order cytotec astelin ships from india motrin medication information tretinoin 0,025 usa sale where can i purchase alli in canada buy micardis overseas vasotec brands india ordering brand cialis on line maximum dosage of paxil promethazine 40 mg pharmacy dilantin generic available buy prilosec with drugstore canadian can i make detrol femara letrozole tablets 2.5mg brand name lipothin online mercaptopurine side effects back pain trial erection packs 2 no prescription liposafe no prescription fastest decadron uk delivery alesse birth control weight gain avodart cheap price lexapro comprar orlistat dose recomendada furosemide 40 mg tablets bp diltiazem 360 price dapoxetine costco where can i buy phentermine hcl 37.5mg buy nizoral antifungal cream canadian select pharmacy reviews hoodia 10 mg cost kamagra gold discounts codes crestor generic for buy purinethol online overnight avalide legal in england generic speman uk paypal my canadian pharmacy phone what is the dosage for albendazole methocarbamol alcohol interactions where can i buy nolvadex (tamoxifen citrate) purchase evista online no prescription community pharmacy jobs meloxicam dosage for cats lawsuit against accutane in canada purchasing minipress online lithium carbonate msds sildenafil citrate sublingual tablets 100mg no prescription cialis sublingual sale where to get alliance mounts accutane journal 2012 ephedraxin online overnight propranolol drugstore generic zocor non persciption synthroid is lynoral a prescription drug brand viagra discount code 10 mg buy accutane online cialis 5 mg precio colombia can i order keflex online nexium from canadian pharmacy avapro australia pharmacy presentacion clorfenamina vademecum spironolactone pcos weight loss mentat no prescription compare prices antabuse dosage mg generic viagra with prescription aceon tablets for purchase amitriptyline and low blood pressure effects female pink viagra wiki fast renagel deleviery order rumalaya liniment overnight best price fertomid phenergan anti nausea medication where can i purchase sominex buy plavix inhaler canada xanax wikipedia pl buy emsam from mexico online wellbutrin sr discounts mifepristone and misoprostol cost uk optimmune eye ointment side effects viramune not generic original zenegra online buy estradiol implant where purchase carbozyne is yasmin a low dose birth control pill order clomiphene citrate paxil reviews for panic attacks top 10 online malegra dxt sites anacin price xeloda how to buy lipitor cheap generic without prescription ventolin dosage atacand in india naprosyn canadian pharmacy ciproxin 250 mg tablets order lanoxin is atorlip-20 available over the counter buy indocin online usa buy minipress without rx generic chloroquine in usa mirapex australia price best place to buy maxaman where ampicillin ditropan to purchase without a prescription the online drugstore retin-a 0,025 pharmacies buy biaxin online cheap cheap generic buspar us online pharmacy no prescription didronel nexium 80mg tac dung thuoc medrol normal lopressor dosage how many types of viagra pastillas amsa fast orlistat betnovate locion capilar costo buy floxin otic solution 0.3 long time side effects prinivil zovirax dose for herpes zoster cheap pills acai order where can i order calan elavil dosage insomnia order tenormin pill advair uk name rash from protonix leukeran dose cats pet meds online canada is viagra legal in south korea etodolac reviews and dosage post cycle therapy brand levitra where can i get some ampicillin depakote noprescrition needed usa online pharmacy lipothin lawsuit settlements cvs pharmacy online applications celexa reviews is the canadian online pharmacy legitament buy water pills walmart lady era capsules how to take singulair granules how to buy drugs online without getting caught half price lotrisone purchasing florinef online uk buspar 50mg tablets diltiazem online uk buying proventil from canada no prescription battery lithium grease generic liv 52 us can you buy viagra on ebay legal buy remeron online canada current price zyrtec buy levitra professional inhaler canada order deltasone canada buy pravachol australia safe aldactone buy generic oxytrol cost do puerto rico rincon buy evecare patch xenical over counter big mistake diet cialis super active discount torsemide next day shipping where to buy alphagan ointment naprosyn medicine online is there a generic equivalent for nexium aspirin allergy bracelet coumadin canada drug store zanaflex capsules side effects zofran injection cpt code keftab by mail lotensin no prescription weakest to strongest hands in poker can you buy celadrin cream inflameaway lamisil order by phone cipro where can i buy it cialis pills for sale why is there a shortage of zoloft cost of levaquin at walmart best place to order glucotrol xl in us actonel shopping buying prescription drugs online from india where do i proscar in australia mestinon tablets myasthenia gravis online schools pharmacy technician degree prozac side effects adults buy topamax online without prescription google stats 2012 buy epivir-hbv mg online meds onlineno rxs cost of augmentin at walmart yasmin lawsuit update 2013 ciplox next day shipping acheter viagra jelly florida zetia cheapest femcare haloperidol haldol dosage generic zanaflex in usa buy lamisil low cheap price hbp meds cheap uk fast shipping synthroid for men in usa viagra professional sale 100mg buy yagara quick where to buy alesse price increase proventil sinemet by mail precio del vermox plus how to take dutas lowest price brafix canadian lamisil tablet very cheap lamictal order penegra canada non prescription evista pharmacy side effects of flovent inhaler in children cleocin wanted online review benfotiamine dose neuropathy buy pulmicort in ireland genuine dulcolax best price endep 50mg tablets comprar trazodone portugal purchase actoplus met in uk generic propecia online consultation online pharmacies canada no prescription list of tesco stores selling viagra super active no prescription benzac sale clomiphene citrate dose for men buy haridra online from usa buy bactrim without rx hydrochlorothiazide dose range flovent hfa pediatric dose voltaren no prescription fedex ups over the counter clomid substitute manufacturing cost of lithium ion batteries uk version of lithium is aspirin legal in uk generic atrovent cost best place to buy amoxil in usa what infections does cephalexin treat how to order celebrex viagra plus online bestellen levitra orodispersible online kaufen preise von. cialis in der apotheke albendazole pharmacokinetics buy liv 52 visa best viagra soft prices pharmacy use lanoxin coupon online cardura buy online us ordering low dose zyvox zerit dosage instructions where can i get endep generic viagra buy uk celebrex generic name celecoxib can you buy imitrex over the counter lexapro vs. celexa vs. prozac obagi tretinoin cream 05 prices health canada atarax mupirocin nasal spray side effects how to use imitrex stat dose acheter pas cher dramamine nizagara sale pharmacy buy brand quibron-t erythromycin buy online comprar cialis jelly original antabuse prescriptions how to get lotensin on line buy lexapro online from mexico buy asacol 80 mg online lasix cost comparison torsemide legal in england side effects of tamoxifen therapy buy canada prescription generic accutane purchase allopurinol 100mg online tadalis sx reviews and dosage uroxatral order in the us genuine pilex 100mg buy tricor with no rx thalidomide disaster 1960s arjuna in the uk buy kamagra from india online pharmacy where to buy avalide with mastercard all types periactin pills how much neurontin does it take to overdose how much is flagyl er tablets detrol online in usa alesse birth control reviews acne american pregnancy association depo provera indian jelly buy cheap viagra ciprofloxacin 500 mg tablets used for order clomid 100mg online buy carafate in singapore buy bactrim online mexico no prescription urispas rxlist amaryl lawsuit exelon patch side effects diarrhea what benadryl is good for dogs buy proscar with mastercard best place to buy flomax in usa buy cipro tricor on the internet cialis uk buy viagra where can i buy pravachol in canada ic lisinopril 40 mg buy parlodel boots prescription drug aleve buy alligator snapping turtle uk buy premarin online reviews vigra flyplass service azulfidine drug classification dosage sanguin cordarone what is tetracycline hydrochloride used for blood pressure medicine triamterene buy depakote 10 trazodone online mexico how to use tenormin boots own brand ketoconazole shampoo where purchase nootropil how to order astelin online buying augmentin for dogs gazeta kosovarja horoskopi 100 mg luvox buy optimmune canada prescription drug torsemide viagra online with mastercard lexapro women buy dipyridamole online overnight rifampicin isoniazid capsules free or low cost cialis soft mexico bupropion lady era for sale diovan medication coupons ordering low dose pyridium promethazine suppliers overseas xenical over counter drug generic finasteride health shop cytotec medication online bupropion dose for depression serevent order online hyzaar spain what is the recommended dosage of metformin for pcos ic doxycycline uses erectile dysfunction treatment injection cost order effexor without rx genuine cipro fast max daily dose of lithium provera medication online best place to buy kamagra uk prescription tamoxifen mental side effects periactin order in the united states best price propecia online generic lanoxin overnite shipping can you buy etodolac buy rhinocort aqua canada how to take augmentin 625 buy cheap betapace using pay pal research grade atorlip-5 digoxin sold over counter what is cialis medication used for benadryl online in us plavix generic trade name mail-order hytrin onlain kinoteatr yagara online order famvir online price online pharmacy no prescription tramadol buy levitra plus next day buy ephedraxin with e check erexor uk brand name acivir pills 100 review the chepest ortho tri cyclen google search results viagra exelon competitors dilantin 40mg what is metformin used for to treat viagra billig kaufen generic name allopurinol arthrotec 75 dosage information can you buy malegra fxt in ireland best online rx pharmacy zyrtec pill shortage buy phexin paypal advanced search facebook national socialist movement usa lotrisone from europe online sale of hoodia dune mentat drug buy generic forzest with bonus vigra tablet uk www.astrazeeca.com famvir online store best online pharmacy generic lopressor youtube stats app non prescription vasodilan pharmacy cheap buy without albendazole online prescription singulair cost aciclovir tabletas dosis adultos digoxin online sales is generic viagra legal in the usa uk buy accutane without prescription pain meds for fibromyalgia benadryl canadian pharmacy micardis canada overnight delivery adalat newspaper mirpur over the counter ringworm medication for dogs cod pharmacies bentyl without where to buy zetia in canada safely buy lioresal quick buy flonase otc altace shortage 2012 generic flonase online flovent coupons free cheap generic toprol xl alli tablets shortage viagra sublingual for sale uk order tadalis sx online in usa purchase generic toprol xl janssen cilag saudi arabia careers cheapest wellbutrin tablets uk lowest price tegretol lincocin rx mail-order trimox what is the most reputable canadian pharmacy buy motrin in india online buy asics football boots online australia simultaneous estimation of simvastatin and ezetimibe albenza dosage too high late ovulation 100mg clomid minipress without a prescription order digoxin free shipping view topic ordering allopurinol can you take erexor daily can i order lipitor online common side effects of paxil aciphex dosage info how much is the generic lipitor mentat ds syrup shortage sandoz diclofenac sr 100mg generic eulexin xenical philippines side effects what does protonix treat levitra professional mg buy buy doxazosin with e check buy ceftin online from australia buy chloramphenicol online no prescription united states best generic cialis price to buy ephedraxin list of tesco stores selling sinemet cardura order on web over the counter drugs similar to tetracycline use carbozyne coupon online what is flovent hfa 110 mcg used for 24 hour medical advice australia can you get dulcolax where can i buy claravis online cordarone for men sale in uk alli online from usa alli 170 count refill pack allegra 20 mg what does amaryllis flower mean messi stats 2011/12 a donde conpro sialis periactin price farmaco generico dello zovirax erythromycin cream for sale what does wellbutrin sr treat rumalaya italiano phenergan in croatia aldactone common side effects midamor canadian pharmacy anafranil 100 mg trazodone order order lipitor online in usa cipro birth control online uk buy viagra tablets in manchester safe place order imitrex online pharmacies usa stieva-a cream 0.025 common side effects of accutane mail order skelaxin canada drug laws wiki inderal to purchase tadacip birth control online australia leflunomide generic arava viagra without prescription canada brand femara buy buying ortho tri-cyclen using paypal crushing levaquin tablets viagra toronto price generic levlen birth control what is cephalexin used for to treat methotrexate prix en pharmacie en france micardis from india generic actos 15 mg evista raloxifene hcl tablets complaints against canadian family pharmacy over the counter hydrochlorothiazide 25 mg better than femara viagra blue pill from pfizer atacand tabletas 8 mg where to buy cr123a lithium batteries propecia prices usa zyrtec d sale prednisolone online forum how much does crestor cost per month medrol brand positioning risperdal medication assistance program does finpecia work doctor ashwagandha medicine online abilify tablets split where to buy hytrin with amex price of atorvastatin at walmart trazodone on line in the mexico buy alesse birth control pharmacy lamictal weight gain women pilex overnight what does allies mean generic detrol price buy ephedraxin tablets canada is protonix generic buy minomycin pills organic pharmacy reviews ordering seroquel uk which ed drug works the best buy genuine viagra online uk metacam meloxicam for dogs best site to buy nitrofurantoin actoplus met prescription only zenegra pharmacy coupons where actos order ephedraxin generic discount buyinderalonline buy zithromax from mexico ultra low dose brand levitra keppra overnight pharmacy is it safe to order brand amoxil diovan valsartan drug interactions order pariet from uk without prescription purchase effexor xr 150 mg sale delivery order probalan tadacip delivery uk buy kamagra jelly online prograf costco how to get famvir in australia generic nymphomax in usa deltasone common side effects buy mircette uk amantadine woldwide shipping order endep online uk best place to buy blopress mexican pharmacy no prescription avapro what does etodolac have in it birth control pills diclofenac cr2032 lithium battery shelf life entocort shop net azithromycin chlamydia effectiveness drugs similar to sarafem buy nolvadex online uk buy tulasi in india online viagra online pharmacy 150 mg alesse reviews average cost of generic accutane can you get lexapro over the counter azithromycin chlamydia treatment how long over counter replacement premarin januvia max daily dose low dose cialis best site to buy kamagra gold pravachol tablets price sinemet shop net cheap alligator boots men trazodone with or without food hytrin on line no script come comprare kamagra how long to take doxycycline for chlamydia motilium rx tablets sandoz fluoxetine 10 mg capsule can you buy viagra over the counter boots buy suprax without zocor price walmart meijer pharmacy metformin free buy ventolin inhaler at asda mexican pharmacy no prescription dostinex us pharmacy online cialis professional no rx celebrex hyzaar vs cozaar buy brand ciplox prednisone norx revista tu online 2012 speman mail order sex pill free week does depakote always cause weight gain order minocycline cheap optimmune for dogs discontinued canada pharmacy clonazepam generic beconase aq cost furosemide from canadian pharmacy cialis discount generic cost of retin-a 0,025 without insurance keflex generic release date order men viagra from a canada pharmacy crestor rosuvastatin cost is there weight gain with effexor xr glee we found love lyrics cleocin prices cvs side effects of chloroquine medication uk version of lisinopril maxaman over counter uk flovent with american express where to get wellbutrin pct canada drug pharmacy rating fluoxetine uk brand name viagra professional overnight pharmacy what is the best medication for anxiety and stress canadian pharmacy zolpidem tartrate non persciption acai how to get off lexapro safely there is hope soft cialis online order zestoretic cheap generic hyaluronic acid no prescription actonel uk buy allie beckstrom series order magic in the blood viagra plus canada head office prandin drug oversea voltaren retard 100 mg prospecto trental shopping buy combivent without a subscription buy celebrex no prescription fast delivery brand cialis to buy free coupon for zithromax is there really a generic cialis now acai berry review buy benadryl hong kong cream uk version of diflucan permethrin cream 5 scabies haldol injection once a month can you buy prometrium online buy diflucan pills in the australia aciphex costco ponstel reviews starlix tablets from buy xeloda direct pharmacy testosterone therapy before and after pics is provera legal in uk what age does propecia stop working donde puedo comprar acai power online celadrin india actoplus met xr price retin-a ge lawsuit levitra professional tablets for sale cardizem in croatia is generic ginseng available in usa the vitamin shoppe careers metformin 500 mg twice a day weight loss famciclovir dosage forms paroxetine for sale online alli pharmacies no prescription needed order bactroban how much does accutane cost without insurance citalopram hydrobromide 20mg tabs suprax drug classification generic uk paypal avalide perscriptins on line buy shallaki boots generic from nitrofurantoin cytoxan dose cleocin gel pills drugstore buy orlistat alli generic advair diskus info drug generic lozol in usa fertomid australia price is it illegal to order generic sustiva cleocin gel online overnight shipping cialis jelly prices at costco how long to champix take to work remeron australia cheap kamagra chewable no prescription where can i buy diltiazem in canada bladder infection cipro dosage cheap canadian lincocin no prescription bentyl italiano rumalaya liniment medication side effects anacin tablets side effects where to buy sarafem buy atacand hct 32 12.5 zoloft total sales crestor next day average cost of dilantin hyzaar forte contraindicaciones messi stats this season glyset generic 2013 drugs toprol xl user reviews quanto costa vermox side effects aciclovir tablets generic zoloft in usa online pharmacy uk motrin lopid australia buy online phenamax generic uroxatral patient reviews isoniazid 300 mg what is it for cheap generic prevacid what is lipitor good for side effects of lopressor 50 mg to buy flonase treatment propionate can you buy zovirax acyclovir prescription lloyds pharmacy yasmin buy terramycin online ceftin pills online in the usa order yagara canada online generic propecia ordering cozaar online amantadine india 100mg generic asacol no prescription purchase benadryl dogs buy augmentin duo online compare prices diabecon no prescription tegretol generic stromectol online what if i missed a dose of metformin buy alphagan glaucoma ocular augmentin shelf life liquid can i buy chlamydia antibiotics online what is the best anti depression medicine best place to buy actoplus met is alli better than xenical escitalopram no prescription uk online pharmacy will generic nexium available us bayer saridon tabletten 20 st“Œck preisvergleich ampicillin generic equivalent quibron-t sale levlen pharmacies rumalaya ordering no prescription cost of wellbutrin at walmart proventil dosage too high cheap brahmi india ci cipro garage motorhome for sale what is tricor medicine used for reliable canadian pharmacy reviews sominex cheap uk sominex for sale uk promethazine mg price januvia next day delivery benicar generic equivalent buy maxalt online uk motrin ib recall ordering cialis sublingual pharmacy cipla tenormin india companies only metformin dosage in pregnancy buy cialis in canada online

Aptekarz Polski
Opieka farmaceutyczna
Manuał aptekarski
W aptece
Lex Apothecariorum
Farmacja na świecie
Rynek leków
Panorama samorządu
Historia farmacji
Muzealny kalejdoskop
Nowe rejestracje
Świat w pigułce
Chwila oddechu
Sport to zdrowie
Przegląd prasy
Warto wiedzieć
Rozmowy Redakcji
Listy do Redakcji
Forum wydarzeń
Z uniwersytetu
Numer 100/78 online
Menu witryny
Wydawnictwo NIA
Zamów Aptekarza

mapa strony: Start.


04.2012 - "Repetytorium do specjalizacji. Proszki w recepturze." Drukuj Email
kwiecień 2012, nr 68/46 online

    Proszki są stałą postacią leku składającą się z homogennych cząstek o określonym stopniu rozdrobnienia. W zależności od przeznaczenia wyróżniamy:
- proszki do użytku wewnętrznego (Pulveres perorales) - wielkość cząstek nie większa niż 0,5 mm;
- proszki do użytku zewnętrznego, tzw. pudry lecznicze lub zasypki (Pulveres ad usum dermicum) stosowane na skórę lub błony śluzowe - wielkość cząstek nie większa niż 0,16 mm.     
   Proszki mogą być podawane w formie stałej lub po rozpuszczeniu w formie roztworów czy zawiesin. Jeżeli stosowane są do sporządzania płynnych preparatów do oczu lub płynów infuzyjnych, muszą spełniać wymagania farmakopealne dotyczące danej postaci leku.

   Jeżeli postać leku stanowi jedna sproszkowana substancja lecznicza są to proszki proste (Pulveres simplices), a jeżeli jest to mieszanina sproszkowanych substancji, to są to proszki złożone (Pulveres compositi, Pulveres mixti).

   Wśród proszków do receptury wyróżniamy proszki rozcieńczane (Pulveres triturati) zwane również rozcierkami. Proszki rozcieńczane sporządza się poprzez roztarcie substancji bardzo silnie działającej z laktozą w stosunku 1+1 (1:2), 1+9 (1:10), 1+99 (1:100). Proszki takie przygotowuje się w celu dokładnego odważenia substancji bardzo silnie działających.  Najczęściej są to: Atropini sulfas trituratio 1:10, Strichnini nitras trituratio 1:10, Scopolamini hydrobromidum trituratio 1:100. Przykładem rozcierki sporządzonej w celu zmniejszenia higroskopijności proszku jest Belladonnae extractum siccum trituratio 1:2.
   Podstawową zasadą sporządzania proszków jest zachowanie właściwej kolejności dodawania składników. Polega to na zatarciu porów moździerza substancją, której jest najwięcej, a następnie dodawaniu substancji od najmniejszej ilości do największej. Należy pamiętać o dokładnym mieszaniu po każdym dodaniu kolejnego składnika. Nigdy nie zacieramy porów moździerza talkiem.

   Jeżeli w skład proszków wchodzi substancja lecznicza, która nie jest dostępna w postaci pro receptura, a tylko w postaci tabletek, to sporządzanie proszku należy rozpocząć od obliczenia liczby tabletek jaka będzie potrzebna do wykonania preparatu oraz zważenia ich. W takim przypadku tabletki należy miałko sproszkować przed dodaniem i wymieszaniem z następnymi składnikami.

   Trudność może sprawiać recepta z propranololem dla dziecka o masie ciała 10 kg:

Propranoli 0,001
Lactosi 0,1
M.f. pulv.

D.t.d. No XX
D.S. 1 x dziennie proszek

    Propranolol nie występuje jako proszek do receptury, a jedynie jest dostępny w postaci tabletek w dawce 10 mg i 40 mg. Przed przystąpieniem należy sprawdzić, czy nie została przekroczona dawka maksymalna propranololu obliczając ją według wzoru Clarka.

Dj max = 0,08     wg. FP IX
Dd max = 0,48

dawka dla dziecka = 0,01, a zatem dawki jednorazowa jak i dobowa dla dziecka nie zostały przekroczone.
   Aby wykonać powyższą receptę należy użyć 20 mg substancji leczniczej (2 tabletki w dawce 10 mg) i 2 g laktozy. Wybrane tabletki zważyć, sproszkować w moździerzu i wymieszać z laktozą. Po dokładnym wymieszaniu wyliczyć masę pojedynczego proszku. W tym celu należy dodać masę dwóch tabletek 0,234 g do 2 g laktozy i podzielić na 20 proszków, wówczas otrzymamy masę pojedynczego proszka równą 0,112 g. Odważyć każdą pojedynczą dawkę do kapsułki skrobiowej o odpowiedniej wielkości. Napełnione kapsułki umieścić w białej torebce z odpisem recepty.
Ephedrini hydrochloridi  0,01
Clemastini 0,0005
Calcii lactatis 0,3

M.f. pulv. D.t.d. No XV
D.S. 3 x dziennie proszek
   Do sporządzenia 15 proszków należy użyć 0,15 g chlorowodorku efedryny, 4,5 g mleczanu wapnia oraz 0,0075 g klemastyny. W aptece klemastyna znajduje sie w postaci tabletek w dawce 1 mg o masie 0,12 g. Chociaż z obliczeń wynika, że należałoby użyć 7,5 tabletki to należy jednak przygotować 8 tabletek. Zważona masa 8 tabletek wynosi 0,96 g o zawartości substancji leczniczej 0,008 g. Jeżeli 0,96 g sproszkowanych tabletek zawiera 0,008 g substancji to potrzebne 0,0075 g znajduje sie w:

0,96   - 0,008
  x       - 0,0075
x = 0,9 g sproszkowanych tabletek
    Do wykonania preparatu należy sproszkować w moździerzu 8 tabletek klemastyny. W oddzielnym moździerzu należy zatrzeć pory częścią mleczanu wapnia, dodać 0,15 g chlorowodorku efedryny, następnie dodać 0,9 g sproszkowanych tabletek oraz resztę mleczanu wapnia mieszając po każdym dodaniu nowej porcji proszku. Odważyć masę 1 proszku 0,37 g do kapsułki skrobiowej i według odważki wzorcowej rozsypać do pozostałych kapsułek skrobiowych.

   Innym problemem może być przekroczenie dawki maksymalnej. W składzie recepty występuje Pabialgina P w postaci tabletek. Chociaż nie jest ona już dostępna w aptece, to nadal jest opisywana w obowiązujących podręcznikach.

Atropini sulfatis 0,0005
Propyphenazoni  0,3
Papaverini hydrochloridi 0,04
Pabialgini P 0,3

M.f. pulv. D.t.d. No XX
D.S. 2 x dziennie proszek

    Siarczan atropiny należy do wykazu A. Do wykonania proszków zawierających tę substancję używa się wcześniej sporządzonego proszku rozcieńczonego Atropini sulfatis trituratio 1:10. W omawianej recepcie należy odważyć dziesięciokrotną ilość (tzn. 0,005 g) rozcierki z atropiny na jeden proszek. Pabialgina P w postaci tabletek składa się z propyfenazonu  220 mg oraz allobarbitalu 30 mg (220 mg + 30 mg = 250 mg) o masie 320 mg. W celu obliczenia, czy nie została przekroczona dawka maksymalna dla propyfenazonu należy obliczyć ilość propyfenazonu występującego w Pabialginie P.

   Jeżeli 250 mg (1 tabletka) Pabialginy P zawiera 220 mg propyfenazonu to w 300 mg (0,3 g) jest:

250 - 220
300 - x
x = 264 mg ≈ 0,26 g  propyfenazonu

   A zatem należy zsumować ilość propyfenazonu z Pabialginy P w ilości 0,26 g  oraz 0,3 g propyfenazonu per se: 0,26 + 0,3 = 0,56 g, co odpowiada dawce jednorazowej, natomiast dawka dobowa wynosi 2 x 0,56 = 1,12 g.

   Dawka maksymalna dobowa dla propyfenazonu wg. FP IX wynosi 0,8. Dawka maksymalna dobowa została przekroczona, należy zmniejszyć ilość propyfenazonu do dawki maksymalnej. Zatem należy podzielić dawkę dobową na 2 dawki jednorazowe: 0,8 g : 2 = 0,4 g, i zmniejszyć ilość propyfenazonu do dawki 0,4 g w następujący sposób: 0,4 - 0,26 (propyfenazon z Pabialginy P) = 0,14 g.  Jak wynika z obliczeń należy użyć na 1 proszek  propyfenazonu per se 0,14 g i Pabialginy P 0,3 g.

     Do sporządzenia 20 proszków należy użyć 0,1 g atropiny w postaci rozcierki (0,0005 x 10 x 20 = 0,1 g), 0,8g chlorowodorku papaweryny, 2,8 g propyfenazonu (0,14 g x 20 proszków = 2,8 g) oraz 24 tabletki Pabialginy P. Masa sproszkowanych 24 tabletek  wynosi 7,68 g.

   Pory moździerza zatrzeć częścią sproszkowanej Pabialginy P, następnie dodawać według kolejności 0,1 atropiny w rozcierce, 0,8 g papaweryny, 2,8 g propyfenazonu, oraz resztę Pabialginy P mieszając pistlem po każdym dodaniu nowej porcji proszku. Odważyć masę 1 proszka  0,569 g do kapsułki skrobiowej i według odważki wzorcowej rozsypać do pozostałych. Napełnione kapsułki umieścić w białej torebce z odpisem recepty.

   Innym przykładem może być niezgodność polegająca na hydrolizie kwasu acetylosalicylowego.
Belladonae extr. sicci 0,02
Acidi acetylosalicylici 0,3
Methenamini 0,5

M.f. pulv. D.t.d. No XX
D.S. 2 x dziennie proszek

    Metanamina w obecności niewielkiej ilości wody jaka znajduje się w wyciągu daje alkaliczny odczyn w którym następuje hydroliza kwasu acetylosalicylowego. Powstaje higroskopijny kwas octowy i cały proszek wilgotnieje. Należy rozdzielić składniki wydzielając kwas acetylosalicylowy. Osobno wykonuje się proszki z wyciągiem z pokrzyku i metenaminą, a osobno z kwasem acetylosalicylowym.

dr n. farm. Katarzyna Świąder
Katedra i Zakład Farmacji Stosowanej
Uniwersytet Medyczny w Lublinie

Farmakopea Polska IX. PTF Warszawa 2011.
Farmakopea Polska IV PTF Warszawa 1970.
Jachowicz R.: Receptura apteczna. Warszawa PZWL 2010.
Jachowicz R.: Farmacja praktyczna. PZWL 2010.
Janicki S. i wsp.: Farmacja stosowana. Warszawa PZWL 2002.
Krówczyński L, Jachowicz R.: Ćwiczenia z receptury. Wydawnictwo UJ 2000.
Fot. Fotolia.com
« poprzedni artykuł   następny artykuł »