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Dipentocaine Cream

Generic Name: diclofenac sodium, gabapentin, and lidocaine
Dosage Form: cream, compounding kit

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

Dipentocaine Cream Description

Diclofenac 5%, Gabapentin 5%, Lidocaine HCl 2%

For Pharmacy Prescription Compounding Only / Rx Only

For Topical Use Only

Each Dipentocaine™ Topical Cream Pharmacy Compounding Kit provides 5.7 grams of Diclofenac Sodium USP, 5.7 grams of Gabapentin USP, 2.28 grams of Lidocaine HCL USP, and 100.32 grams of Base.

Diclofenac Sodium:

CAS Number 15307-79-6

2-[(2,6-Dichlorophenyl)amino]benzeneacetic acid sodium salt

Gabapentin:

CAS Number 60142-96-3

1-(Aminomethyl)-cyclohexaneacetic acid, Neurontin

Licocaine Hydrochloride Anhydrous:

CAS Number 6108-05-0
2-Diethylamino-N-(2,6-dimethylphenyl)acetamide hydrochloride monohydrate, Lignocaine hydrochloride monohydrate, Xylocaine hydrochloride monohydrate

Warning

Diclofenac jSodium:

Pictogram

Signal word: Danger

Hazard statement(s):

H301 Toxic if swallowed.

Precautionary statement(s):

P264 Wash skin thoroughly after handling.

P270 Do not eat, drink or smoke when using this product.

P301 + P310 IF SWALLOWED: Immediately call a POISON CENTER or doctor/ physician.

P321 Specific treatment (see supplemental first aid instructions on this label).

P330 Rinse mouth. P405 Store locked up.

P501 Dispose of contents/ container to an approved waste disposal plant.

Gabapentin:

Pictograms:

Signal word: Danger

Hazard statement(s):

H315 Causes skin irritation.

H319 Causes serious eye irritation.

H335 May cause respiratory irritation.

H360 May damage fertility or the unborn child.

Precautionary statement(s):

P201 Obtain special instructions before use.

P202 Do not handle until all safety precautions have been read and understood.

P261 Avoid breathing dust/ fume/ gas/ mist/ vapours/ spray.

P264 Wash skin thoroughly after handling.

P271 Use only outdoors or in a well-ventilated area.

P280 Wear protective gloves/ eye protection/ face protection.

P302 + P352 IF ON SKIN: Wash with plenty of soap and water.

P304 + P340 IF INHALED: Remove victim to fresh air and keep at rest in a position comfortable for breathing.

P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing.

P308 + P313 IF exposed or concerned: Get medical advice/ attention.

P321 Specific treatment (see supplemental first aid instructions on this label).

P332 + P313 If skin irritation occurs: Get medical advice/ attention.

P337 + P313 If eye irritation persists: Get medical advice/ attention.

P362 Take off contaminated clothing and wash before reuse.

P403 + P233 Store in a well-ventilated place. Keep container tightly closed. P405 Store locked up. P501 Dispose of contents/ container to an approved waste disposal plant.

Lidocaine Hydrochloride Anhydrous:

Pictogram

Signal word: Danger

Hazard statement(s):

H301 Toxic if swallowed.

Precautionary statement(s):

P264 Wash skin thoroughly after handling.

P270 Do not eat, drink or smoke when using this product.

P301 + P310 IF SWALLOWED: Immediately call a POISON CENTER or doctor/ physician.

P321 Specific treatment (see supplemental first aid instructions on this label). P330 Rinse mouth.

P405 Store locked up.

P501 Dispose of contents/ container to an approved waste disposal plant.

How is Dipentocaine Cream Supplied

Kit Components: 5.7 g of Diclofenac Sodium, 5.7 g of Gabapentin, 2.28 g of Lidocaine Hydrochloride Anhydrous, and 100.32 g TDC Max Cream Base.

Equipment needed: mill, spatula, mixing bowl, and Topi-Pump™.

SIZE 114 grams
NDC # 15455-7566-1
Dichlofenac Sodium, USP 5.7 grams
Gabapentin, USP 5.7 grams
Lidocaine HCL, USP 2.28 grams
Base 100.32 grams

For external use only. Avoid contact with eyes. Keep container tightly closed. Keep out of reach of children. Protect from light. Dispose of product after 30 days of being compounded.

The FDA has not approved Alvix-Dipentocaine™ Topical Cream Compounding Kit to cure, treat, or mitigate disease. Alvix-Dipentocaine™ Topical Cream intended for preparation in accordance with state and federal regulation governing compounding and is available to patients by prescription only.

Certificate of analysis on file

Rx ONLY

Marketed by:

Alvix Laboratories, LLC

1(888) 526-5449

Ocean Springs, MS 39564

STORAGE AND HANDLING

Prior to compounding, store Alvix- Dipentocaine™ Topical Cream Compounding Kit at room temperature between 20 - 25 degrees C (68 - 77 degrees F). Protect from light.

PRINCIPAL DISPLAY PANEL

NDC 15455-7566-1

Dipentocaine ™ Topical Cream

Diclofenac Sodium, Gabapentin, and Lidocaine Hydrochloride Compounding Kit

FOR PHARMACY PRESCRIPTION COMPOUNDING ONLY / Rx Only

INSTRUCTIONS FOR USE

CONTAINER LABELS

DIPENTOCAINE TOPICAL CREAM COMPOUNDING KIT 
diclofenac sodium, gabapentin, and lidocaine hydrochloride kit
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:15455-7566
Packaging
# Item Code Package Description
1 NDC:15455-7566-1 1 KIT in 1 CARTON
Quantity of Parts
Part # Package Quantity Total Product Quantity
Part 1 1 CONTAINER 5.7 g
Part 2 1 CONTAINER 5.7 g
Part 3 1 CONTAINER 2.28 g
Part 4 1 CONTAINER 100.32 g
Part 1 of 4
DICLOFENAC SODIUM 
diclofenac sodium powder, for suspension
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
DICLOFENAC SODIUM (DICLOFENAC) DICLOFENAC SODIUM 5.7 g  in 5.7 g
Packaging
# Item Code Package Description
1 5.7 g in 1 CONTAINER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other
Part 2 of 4
GABAPENTIN 
gabapentin powder, for suspension
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
GABAPENTIN (GABAPENTIN) GABAPENTIN 5.7 g  in 5.7 g
Packaging
# Item Code Package Description
1 5.7 g in 1 CONTAINER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other
Part 3 of 4
LIDOCAINE HYDROCHLORIDE 
lidocaine hydrochloride powder, for suspension
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Inactive Ingredients
Ingredient Name Strength
LIDOCAINE HYDROCHLORIDE 2.25 g  in 2.25 g
Packaging
# Item Code Package Description
1 2.28 g in 1 CONTAINER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other
Part 4 of 4
TDC MAX CREAM BASE 
cream base suspension
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Inactive Ingredients
Ingredient Name Strength
WATER  
CETOSTEARYL ALCOHOL  
POLYSORBATE 60  
PEG-150 STEARATE  
STEARETH-20  
CYCLOMETHICONE 5  
ETHYLHEXYL STEARATE  
SORBITOL  
ALOE VERA LEAF  
ALPHA-TOCOPHEROL ACETATE  
EDETATE DISODIUM  
METHYLCHLOROISOTHIAZOLINONE  
METHYLISOTHIAZOLINONE  
Product Characteristics
Color white Score     
Shape Size
Flavor Imprint Code
Contains         
Packaging
# Item Code Package Description
1 100.32 g in 1 CONTAINER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 11/06/2014
Labeler - Alvix Laboratories, LLC (962445925)
Revised: 12/2015
 
Alvix Laboratories, LLC



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