Date:

25/02/2021

Category of the compound:

Pain

Name of the patient:

Active Pharmaceutical Ingredients:

  • 10% Ketamine Hel
  • 0.2% Methylparaben
  • 5% ML Propylene Glycol
  • 80% ML Sterile Water For Injection
  • 20% ML Sterile Water For Injection
  • 0.6% Pump Metered Nasal

Quantity:

SIG:

Refills:

Prescribing Doctor Name: