Nonsterile Compounding>Formulation Selection Practice Test

A pediatrician prescribes a 10-day antibiotic for a 4-year-old boy with type 1 diabetes and streptococcal pharyngitis. He refuses tablets and gags on crushed medication. His parents need a palatable liquid that can be accurately measured with an oral syringe at home and daycare. They request to avoid sucrose to help glycemic control and alcohol because of his age. He has no feeding tubes and no excipient allergies. The clinician asks the pharmacy to compound a nonsterile product because the child rejected the taste of the commercially available powder for suspension. The pharmacy must choose a formulation that is pediatric-friendly and consistent with USP <795> guidance for nonsterile preparations.

A 6-month-old infant (7.2 kg) with ventricular septal defect is discharged on spironolactone for fluid management. The cardiologist prescribes 3 mg by mouth twice daily. The infant cannot swallow tablets or capsules, and the parents request a palatable liquid that can be measured accurately with an oral syringe. No commercially available spironolactone oral liquid is on the hospital formulary. The caregiver asks the pharmacist about a compounded option that avoids alcohol and can be flavored. The family will store the medicine in the refrigerator and will follow measuring instructions. Which compounded dosage form would best meet this infant's needs while aligning with USP <795> nonsterile compounding standards?