Perineze Triple Dye

Dosage form: solution
Ingredients: BRILLIANT GREEN 2.29mg in 0.61mL, PROFLAVINE HEMISULFATE 1.14mg in 0.61mL, GENTIAN VIOLET 2.29mg in 0.61mL
Labeler: Peace Medical Inc.
NDC code: 55739-1022

Medically reviewed by Drugs.com. Last updated on Sep 18, 2023.

Drug Facts

Active Ingredients (in each dose)

Brilliant green 2.29 mg

Proflavine hemisulfate 1.14 mg

gentian violet 2.29 mg

Purpose

Prevent Infection

Use

aids in the prevention of infection in the umbilical cord area of newborn

Contraindications

none

Warnings

for external use only

KEEP OUT OF REACH OF CHILDREN

Directions

Peel paper portion of package down over base of ampule
Avoid touching tip during removal
With tip in downward position, pinch center to crush ampule.
Apply to area to be prepped using accepted technique.
Discard as non-hazardous waste.

Other information

store at controlled room temperature 15-30oC (58-86oF)

Inactive ingredients

aqueous solution

Perineze Triple Dye Package Label

Perineze® Triple Dye

UMBILICAL AREA ANTISEPTIC

Peace Medical, Inc.

CATALOG NUMBER 1022
250 UNIT DOSE AMPULES (.61 ML EACH)
NDC 55739-1022-3

Aids in prevention of infection in the umbilical area of the newborn.

PERINEZE TRIPLE DYE
brilliant green, proflavine hemisulfate, gentian violet solution

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:55739-1022
Route of Administration	TOPICAL	DEA Schedule

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
BRILLIANT GREEN (BRILLIANT GREEN)	BRILLIANT GREEN	2.29 mg in 0.61 mL
PROFLAVINE HEMISULFATE (PROFLAVINE HEMISULFATE)	PROFLAVINE HEMISULFATE	1.14 mg in 0.61 mL
GENTIAN VIOLET (GENTIAN VIOLET)	GENTIAN VIOLET	2.29 mg in 0.61 mL

Inactive Ingredients
Ingredient Name	Strength
WATER

Packaging
#	Item Code	Package Description
1	NDC:55739-1022-3	250 AMPULE (AMPULE) in 1 BOX
1		0.61 mL in 1 AMPULE

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph not final	part333E	09/28/2011

Labeler - Peace Medical Inc. (010906881)

Establishment
Name	Address	ID/FEI	Operations
Peace Medical Inc.		010906881	manufacture

Document Id: 4e7ff19e-48ee-4d46-9b5f-c7ecd303d178

Set id: 074d2603-ec76-49ca-a0ae-79ce8b90d8ab

Version: 1

Effective Time: 20110928

Peace Medical Inc.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer