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Question

Posted on: March 6 2013

A dermatologist from our hospital prescribes the following: erythromycin 2% in Cetomacrogol cream AD 100 g buffing with borate buffer up to pH 8.6.

Can't just use buffered CETOMACROGOLCR è me. Erythromycin is still the most stable at pH 6?

Answer

Erythromycine has its greatest stability at a pH around 8. The buffered Cetomacrogol Cream has a pH 5 and cannot be used for an erythromycin cream (see TMF). I would base myself on the hydrophilic cream with erythromycin and metronidasole from the TMF (see question: metronidazole 500mg, erythromycin 2g, O/W cream ad 50g. How is this cream best prepared?) and prepare it with omit metronidazole. The pH can optionally be checked with a pH strip.