MedPath
FDA Product

4% Lidocaine plus 1% Menthol Pain Relief Patch

Product approved by U.S. Food and Drug Administration (US)

Basic Information

4% Lidocaine plus 1% Menthol Pain Relief Patch

84205-003

Regulatory Information

84205-003

M017

C200263

December 30, 2024

USA

HUMAN OTC DRUG LABEL

2

Company Information

602479389

Active Ingredients

LIDOCAINE

Quantity: 0.04 g in 1 g

Code: 98PI200987

Class Code: ACTIB

POVIDONE K90

Code: RDH86HJV5Z

Class Code: IACT

KAOLIN

Code: 24H4NWX5CO

Class Code: IACT

WATER

Code: 059QF0KO0R

Class Code: IACT

TARTARIC ACID

Code: W4888I119H

Class Code: IACT

SODIUM POLYACRYLATE (2500000 MW)

Code: 05I15JNI2J

Class Code: IACT

DIHYDROXYALUMINUM AMINOACETATE

Code: DO250MG0W6

Class Code: IACT

DMDM HYDANTOIN

Code: BYR0546TOW

Class Code: IACT

ALCOHOL

Code: 3K9958V90M

Class Code: IACT

POLYSORBATE 80

Code: 6OZP39ZG8H

Class Code: IACT

PROPYLENE GLYCOL

Code: 6DC9Q167V3

Class Code: IACT

EDETATE DISODIUM

Code: 7FLD91C86K

Class Code: IACT

CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED FORM

Code: K679OBS311

Class Code: IACT

GLYCERIN

Code: PDC6A3C0OX

Class Code: IACT

MENTHOL, (+)-

Quantity: 0.01 g in 1 g

Code: C6B1OE8P3W

Class Code: ACTIM

Active Moieties

LIDOCAINE

Code: 98PI200987

MENTHOL, (+)-

Code: C6B1OE8P3W

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