KERATOL 40 - urea cream 
Breckenridge Pharmaceutical, Inc.

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Keratol™ 40
Cream, Lotion or Gel

(40% Urea)

Rx Only

For external use only. Not for ophthalmic use.

DESCRIPTION

Keratol™ 40 is a keratolytic, emollient which is a gentle, yet potent, tissue softener for nails and/or skin.

Each gram of Keratol™ 40 Cream and Keratol™ 40 Lotion contains: 40% Urea. Other ingredients: Carbomer 940, Cetearyl Alcohol (and) Ceteareth 20, Cetyl Alcohol, Mineral Oil, Polyethylene Glycol 300, Petrolatum, Purified Water, and Triethanolamine. Each gram of Keratol™ 40 Gel contains: 40% Urea. Other ingredients: Edetate Disodium, Glycerin, Hydroxyethyl Cellulose, PEG-6 Caprylic/Capric Glycerides, and Purified Water. Urea is a diamide of carbonic acid with the following chemical structure:

Chemical Structure

CLINICAL PHARMACOLOGY

Urea gently dissolves the intercellular matrix which results in loosening the horny layer of skin and shedding scaly skin at regular intervals, thereby softening hyperkeratotic areas. Urea also hydrates and gently dissolves the intercellular matrix of the nail plate, which can result in the softening and eventual debridement of the nail plate.

PHARMACOKINETICS

The mechanism of action of topically applied Urea is not yet known.

INDICATIONS AND USES

For debridement and promotion of normal healing of hyperkeratotic surface lesions, particularly where healing is retarded by local infection, necrotic tissue, fibrinous or prurient debris, or eschar. Urea is useful for the treatment of hyperkeratotic conditions such as dry rough skin, dermatitis, psoriasis, xerosis, ichthyosis, eczema, keratosis, keratoderma, corns and calluses, as well as damaged, ingrown, and devitalized nails.

CONTRAINDICATIONS

Known hypersensitivity to any of the listed ingredients.

WARNINGS

For external use only. Avoid contact with eyes, lips or mucous membranes.

PRECAUTIONS

This medication is to be used as directed by a physician and should not be used to treat any condition other than that for which it was prescribed. If redness or irritation occurs, discontinue use.

PREGNANCY

Pregnancy Category B

Animal reproduction studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women. Because animal reproductive studies are not always predictive of human response, Keratol™ 40 should be given to a pregnant woman only if clearly needed.

NURSING MOTHERS

It is not known whether or not this drug is secreted in human milk. Because many drugs are secreted in human milk, caution should be exercised when Keratol™ 40 is administered to a nursing woman.

ADVERSE REACTIONS

Transient stinging, burning, itching, or irritation may occur and normally disappear on discontinuing the medication.

DOSAGE AND ADMINISTRATION

Apply Keratol™ 40 to affected skin twice per day, or as directed by a physician. Rub in until completely absorbed. Apply to diseased or damaged nail tissue twice per day, or as directed by a physician.

HOW SUPPLIED

Keratol™ 40 Cream (40%)

28.4 g (1 oz.) tube, NDC 51991-268-41
85.2 g (3 oz.) tube, NDC 51991-268-19
198.6 g (7 oz.) tube, NDC 51991-268-37

Keratol™ 40 Lotion (40%)

8 fl.oz. (237mL) Bottle NDC 51991-270-18

Keratol™ 40 Gel (40%)

15 mL(1/2 oz.) Bottle NDC 51991-269-15

Dispense in original container.

Store up to 25°C (77°F); excursions permitted to 15°-30° C (59°-86°F). See USP Controlled Room Temperature.

Protect from freezing.

Warning: Keep this and all medications out of the reach of children. In case of accidental overdose seek professional assistance or contact a poison control center immediately.

All prescription substitutions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product.

Distributed by: Breckenridge Pharmaceutical, Inc.
Boca Raton, FL 33487

Manufactured by: DSC Laboratories
Muskegon, MI 49442

Rev. 1/08

How to properly use
Keratol™ 40
(40% Urea) Rx Only

Gentle, yet potent, tissue-softener for skin or nails.

Easy steps to gently thin and soften thick, rough or dry skin seen, to various degrees, in psoriasis, xerosis, ichthyosis, keratosis, keratoderma, dermatitis, pruritus, eczema and calluses as well as damaged, diseased, or devitalized and ingrown nails.

For skin tissue:

1. Apply Keratol™ 40 to affected skin tissue twice per day, or as directed by a physician.

2. Rub in until completely absorbed.

For nail tissue:

1. Apply Keratol™ 40 to affected nail tissue twice per day, or as directed by a physician.

2. Let dry uncovered or apply and cover with adhesive bandage or gauze secured with adhesive tape.

Available as:

Keratol™ 40 (40% Urea) Cream, Lotion or Gel

PRINCIPAL DISPLAY PANEL - 85 g Carton

Breckenridge
Pharmaceutical, Inc.

NDC 51991-268-19

Keratol™ 40 Cream
(40% Urea)

Net Wt. 3 oz. (85.0 g)

Rx Only

For Topical Use Only

Chemical Structure

KERATOL 40 
urea   cream
Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)51991-268
Route of AdministrationTOPICALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Urea (Urea) Urea400 mg  in 1 g
Inactive Ingredients
Ingredient NameStrength
Carbomer Homopolymer Type C 
Cetostearyl Alcohol 
Polyoxyl 20 Cetostearyl Ether 
Cetyl Alcohol 
Mineral Oil 
Polyethylene Glycol 300 
Petrolatum 
Water 
Trolamine 
Product Characteristics
ColorWHITEScore    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
151991-268-191 TUBE In 1 CARTONcontains a TUBE
185 g In 1 TUBEThis package is contained within the CARTON (51991-268-19)

Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
UNAPPROVED DRUG OTHER03/01/200504/30/2011

Labeler - Breckenridge Pharmaceutical, Inc. (150554335)
Establishment
NameAddressID/FEIOperations
DSC Labs097807374MANUFACTURE
Revised: 02/2011Breckenridge Pharmaceutical, Inc.