The fully automated cytotoxic drug compounding robot utilizes AI vision recognition and high-precision weighing technologies to automatically perform drug injection, dissolution, aspiration, and mixing within a Class 100 clean, enclosed environment. It supports continuous drug supply along with automatic medical waste classification and storage, enabling human–machine separation to eliminate occupational exposure risks for healthcare staff. The system enhances compounding efficiency and medication safety, while promoting intelligent and digitalized management throughout the entire medication process.