Details of the Drug Formulaction

General Information of Drug Formulation (ID: F24222)

• Formulation Name: Polidocanol 180mg/18ml solution
• Company: Provensis

Pharmaceutical Drug(s) in Formulation

Drug Name	Drug ID	Indication	ICD 11	Status
Polidocanol	(DMH1KMT)	Reticular veins	EF20	Approved

Pharmaceutical Excipient(s) in Formulation

Excipient Name	Excipient ID	PubChem CID	Functional Classification
Ethanol	(E00023)	702	Antimicrobial preservative; Penetration agent; Solvent
Hydrochloric acid	(E00015)	313	Acidulant
Potassium phosphate monobasic	(E00429)	516951	Buffering agent
Sodium hydroxide	(E00234)	14798	Alkalizing agent
Sodium phosphate dibasic dihydrate	(E00498)	6451167	Buffering agent; Complexing agent