10-16-2010 02:13 PM
We receive occasional orders (1-2 times/year) for a 1% alum bladder irrigation. Our facility meets compliance for medium risk level compounding. I cannot find a supplier of a sterile alum powder. The only option that I see is to order from a compounding pharmacy, but with typical rates of 300ml/hr, it is difficult to have a sufficient supply on hand.
How are others handling this?
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10-21-2010 02:09 PM
I believe alum irrigation is a high risk compounded item per USP 797. Several years ago, I had heard of third parties compounding this for hospitals, but I am not sure what the situation is now. I have looked out to the UIC for information and here is a link with some general information.
New York Hospital Queens may have used alum 1% irrigation in the past. The following link offers the results from an alum irrigation study.
I hope this information is helpful.
10-22-2010 05:58 AM
Harry is correct that compounding Alum Bladder irrigation solutions are high-risk level CSPs. Using any non-sterile powder is considered high-risk level compounding and following all of the appropriate USP 797 activities will be necessary.
11-04-2010 09:11 AM
We ended up ordering alum 1% 2 L bags from a compounding pharmacy. The bags have a shelf-life of 180 days at room temp. I bet we end up wasting most bags, but our urologists were insistent that the drug be available to them.
Thanks for the responses!
02-26-2011 10:47 AM
We have a patient in need of Alum Bladder Irrigaion. Where are you getting this from, as we are not certified for High Risk compounding. Thanks for any assistance you can give. PRMC
02-13-2012 09:42 AM
We just looked into the 3rd party compounder for alum irrigation. It's very expensive per bag. Probably going to look at a local compounding pharmacy to see if they can sterilize the powder for us.