FIRST — Mouthwash BLM - Instructions

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Compounding Instructions 65628-050-01- Prescription Only
FIRST - Mouthwash BLM Diphenhydramine HCl, Lidocaine HCl, Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone Compounding Kit

--	1. FIRST - Mouthwash BLM Compounding Kit contains premeasured diphenhydramine hydrochloride powder, lidocaine hydrochloride powder and mouthwash suspension (aluminum hydroxide, magnesium hydroxide, simethicone plus inactive ingredients).
	2. Important - Prior to dispensing, empty the entire contents of the small bottle containing diphenhydramine hydrochloride powder into the bottle containing the mouthwash liquid suspension. Likewise, empty the entire contents of the small bottle containing lidocaine hydrochloride powder into the bottle containing the mouthwash liquid suspension.
	3. Close the bottle and shake for 20 to 30 seconds. Instruct the patient to shake bottle well before each use.
Prior to compounding, store FIRST - Mouthwash BLM Compounding Kit at room temperature between 15°-30°C (59°-86°F) [see USP]. Also store final formulation at room temperature, 15°-30°C (59°-86°F). FIRST - Mouthwash BLM Compounding Kit components have a two-year expiration date.* Based on real time controlled room temperature and humidity testing, compounded FIRST - Mouthwash BLM Compounding Kit is stable for at least six months.* * Data and documentation on file