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Fluorescein Sodium and Proparacaine Hydrochloride

Fluorecein Sodium and Proparacaine Hydrochloride Opthahalmic Solution, USP

Approved
Approval ID

dae037ad-dcb8-42e6-8996-e575922d7631

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Oct 28, 2022

Manufacturers
FDA

Altaire Pharmaceuticals Inc.

DUNS: 786790378

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Fluorescein Sodium and Proparacaine Hydrochloride

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code59390-205
Product Classification
G
Generic Name
Fluorescein Sodium and Proparacaine Hydrochloride
Product Specifications
Route of AdministrationOPHTHALMIC
Effective DateNovember 1, 2022
FDA Product Classification

INGREDIENTS (8)

FLUORESCEIN SODIUMActive
Quantity: 2.5 mg in 1 mL
Code: 93X55PE38X
Classification: ACTIB
POVIDONEInactive
Code: FZ989GH94E
Classification: IACT
PROPARACAINE HYDROCHLORIDEActive
Quantity: 5 mg in 1 mL
Code: U96OL57GOY
Classification: ACTIB
BORIC ACIDInactive
Code: R57ZHV85D4
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM HYDROXIDEInactive
Code: 55X04QC32I
Classification: IACT
HYDROCHLORIC ACIDInactive
Code: QTT17582CB
Classification: IACT
METHYLPARABENInactive
Code: A2I8C7HI9T
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 10/28/2022

Principal Display Panel

Fluorescein Sodium and
Proparacaine Hydrochloride
Ophthalmic Solutions, USP
(STERILE)
Rx Only

5 mL

![image description package insert](/dailymed/image.cfm?name=fluorecein- sodium-and-proparacaine-hydrochloride-03.jpg&id=665612)

![image description](/dailymed/image.cfm?name=fluorecein-sodium-and- proparacaine-hydrochloride-04.jpg&id=665612)

![iBottle Label](/dailymed/image.cfm?name=fluorecein-sodium-and-proparacaine- hydrochloride-05.jpg&id=665612)

ADVERSE REACTIONS SECTION

LOINC: 34084-4Updated: 10/28/2022

ADVERSE REACTIONS:

Occasional temporary stinging, burning, and conjunctival redness have been reported after use of ocular anesthetics, as well as a rare, severe, immediate-type, apparent hyper-allergic corneal reaction, with acute, intense and diffuse epithelial keratitis, a gray, ground glass appearance, sloughing of large areas of necrotic epithelium, corneal filaments and sometimes, iritis with descementitis. Allergic contact dermatitis with drying and fissuring of the fingertips has been reported.

To report SUSPECTED ADVERSE REACTIONS, contact Altaire Pharmaceuticals, Inc. at (631) 722-5988.

STORAGE AND HANDLING SECTION

LOINC: 44425-7Updated: 10/28/2022

STORAGE:

Store in refrigerator at 2°-8°C (36°-46°F). Can be stored at room temperature for up to 1 month.

SPL UNCLASSIFIED SECTION

LOINC: 42229-5Updated: 10/28/2022

​****CONTRAINDICATIONS:

Known hypersensitivity to any component of this product.

DESCRIPTION SECTION

LOINC: 34089-3Updated: 10/28/2022

DESCRIPTION:

Fluorescein Sodium and Proparacaine Hydrochloride Ophthalmic Solution, USP (Sterile) is a sterile ophthalmic solution combining the disclosing action of Fluorescein with the anesthetic action of Proparacaine Hydrochloride.

The active ingredient,Fluorescein Sodium, has the chemical name Spiro [isobenzofuran-1 (3H), 9'-[9H]xanthene]-3-one, 3' ,6' dihydroxy-,disodium salt. It is represented by the following structural formula:

![structural formula](/dailymed/image.cfm?name=fluorecein-sodium-and- proparacaine-hydrochloride-01.jpg&id=665612)

The active ingredient,Proparacaine Hydrochloride, has the chemical name Benzoic acid, 3-amino-4-propoxy-, 2-[diethylamino]ethyl ester monohydrochloride. It is represented by the following structural formula:

![structural formula](/dailymed/image.cfm?name=fluorecein-sodium-and- proparacaine-hydrochloride-02.jpg&id=665612)

EACH mL CONTAINS: ACTIVES: Fluorescein Sodium, USP, 0.25% [2.5 mg]. Proparacaine Hydrochloride, USP, 0.5% [5mg]; INACTIVES: Povidone, Boric Acid, Water for Injection, Sodium Hydroxide, or/and Hydrochloric Acid may be added to adjust pH.
PRESERVATIVE: Methylparaben 0.1%.

CLINICAL PHARMACOLOGY SECTION

LOINC: 34090-1Updated: 10/28/2022

CLINICAL PHARMACOLOGY

This product is the combination of a disclosing agent with a rapidly acting anesthetic of short duration.
For procedures requiring a disclosing agent in combination with an anesthetic agent such as tonometry, gonioscopy, removal of corneal foreign bodies and other short corneal or conjunctival procedures.

WARNINGS SECTION

LOINC: 34071-1Updated: 10/28/2022

WARNINGS:

Avoid contamination - do not touch tip of sterile dropper used to dispense solution to any surface. Replace container closure immediately after using. Prolonged use of a topical ocular anesthetic is not recommended. It may product permanent corneal opacification with accompanying visual loss.

PRECAUTIONS SECTION

LOINC: 42232-9Updated: 10/28/2022

PRECAUTIONS:

This product should be used cautiously and sparingly in patients with known allergies, cardiac disease, or hyperthyroidism. The long-term toxicity is unknown; prolonged use may possibly delay wound healing. Although exceedingly rare with ophthalmic application of local anesthetics, it should be borne in mind that systemic toxicity manifested by central nervous system stimulation followed by depression may occur. Protection of the eye from irritating chemicals, foreign bodies and rubbing during the period of anesthesia is very important. Tonometers soaked in sterilizing or detergent solutions should be thoroughly rinsed with sterile distilled water prior to use. Patients should be advised to avoid touching the eye until the anesthesia has worn off.

DOSAGE & ADMINISTRATION SECTION

LOINC: 34068-7Updated: 10/28/2022

DOSAGE AND ADMINISTRATION:

Usual Dosage: Removal of foreign bodies and sutures, and for tonometry, 1 to 2 drops (in single instillations) in each eye before operating.
Deep Ophthalmic Anesthesia: 1 drop in each eye every 5 to 10 minutes for 5-7 doses.

NOTE: The use of an eye patch is recommended.

HOW SUPPLIED SECTION

LOINC: 34069-5Updated: 10/28/2022

HOW SUPPLIED:

Fluorescein Sodium and Proparacaine Hydrochloride Ophthalmic Solution, USP (Sterile) is supplied in a glass or plastic bottle with a controlled tip applicator in the following sizes:
5 mL fill (glass bottle) with dropper

DO NOT USE IS IMPRINTED SEAL ON CAP IS BROKEN OR MISSING.

KEEP OUT OF REACH OF CHILDREN

FOR OPHTHALMIC USE ONLY

Manufactured By:
Altaire Phamacueticals, Inc.
311 West Lane
Aquebogue, NY 119311

Tel: 631-722-5988

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Fluorescein Sodium and Proparacaine Hydrochloride - FDA Drug Approval Details