Certain “flags” should prompt a review of a compounded product.
Red flags – any of these should prompt an immediate evaluation:
(1) Total volume that is much larger or smaller than normal.
(2) The use of more of an additive than normal. This may involve the use of a greater number of dosage containers (syuringes, capsules, vials, etc).
(3) Any unusual appearance to the product (color, precipitate, etc).
(4) An unexpected or unusual response by the patient to the product.
(5) Any product that has not undergone a complete quality check.
(6) Any product that is outdated.
Yellow flags – any of these should prompt additional checks of the product:
(1) product compounded at night or on the weekends
(2) product compounded by a new employee
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Purpose: To identify certain conditions that may indicate that there is a problem in a compounded product.
Specialty: Pharmacology, clinical
Objective: overdose and reversal