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Occasional Advisor
jcarroll
Posts: 14
Registered: ‎06-03-2010
Accepted Solution

Alum for Irrigation

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?

 

Thanks!

 

Occasional Advisor
HarryJ
Posts: 10
Registered: ‎09-24-2010
0

Re: Alum for Irrigation

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.

http://www.uic.edu/pharmacy/centers/drug_information_center/faq/alum.php

 

New York Hospital Queens may have used alum 1% irrigation in the past. The following link offers the results from an alum irrigation study.

http://www.nyhq.org/doc/Page.asp?PageID=DOC000213

 

I hope this information is helpful.

Harry

Expert
EricKastango
Posts: 527
Registered: ‎02-23-2010
0

Re: Alum for Irrigation

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.

Eric S. Kastango, MBA, RPh, FASHP

It's all about the patient.
Occasional Advisor
jcarroll
Posts: 14
Registered: ‎06-03-2010

Re: Alum for Irrigation

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!

 

Jenn

Occasional Visitor
prmcpharmacy
Posts: 1
Registered: ‎02-26-2011
0

Re: Alum for Irrigation

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

Occasional Advisor
jcarroll
Posts: 14
Registered: ‎06-03-2010

Re: Alum for Irrigation

Here is contact information.  

 

http://www.neccrx.com/Specialty-Medications-for-Hospitals.html

 

Hope it helps!

 

Jenn

Occasional Visitor
TBales
Posts: 1
Registered: ‎02-13-2012
0

Re: Alum for Irrigation

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.

POC
Occasional Visitor
POC
Posts: 1
Registered: ‎02-22-2012

Re: Alum for Irrigation

Does anyone have a recipe they can share? Need guidance for dissolving the 30gm of Alum.