06.01.01.001-F02.

00

FORM PRAFORMULASI
Nama Produk/PT.

: ......................................

Jenis Sediaan

: tablet 6mg

Kemasan

: botol

Kekuatan Sediaan

Tiap 1 (g/mL/kap/tab *)
1. Piridoksin hcl 5mg

4. Talcum 20mg

7. Laktosa 25mg

2. Magnesium stearat 10mg

5. Titanium dioxide 20mg

8. .....................................

3. Sodium starch glycolate

6. RO water 30mg

9. .....................................

40mg
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1.

Piridoksin HCl
Struktur

: C8H11NO3HCl

Pemerian

: hablur putih atau tidak berwarna, atau serbuk hablur putih; tidak

berbau, rasa asin.

Kelarutan

: larut dalam 5 bagian air dan dalam lebih kurang 100 bagian etanol

95%; praktis tidak larut dalam kloroform dan dalam eter.

2.

Magnesium Stearat
Struktur

Pemerian

: serbuk halus; warna putih; licin dan mudah melekat pada kulit; bau

lemah khas.
Kelarutan
3.

: praktis tidak larut dalam air, dalam etanol 95% dan dalam eter.
Sodium starch glycolate

Sinonim

: Carboxymethyl starch, sodium salt; Explotab; Primojel; VivastarP

Struktur

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*) = pilih salah satu

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