SUPER T- lidocaine hcl, tetracaine hcl, benzocaine cream 
Dermal Source, Inc.

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Drug Facts - For use by licensed professionals only.


Active Ingredient  (in each cc) Purpose
Lidocaine HCl   5% Topical Anesthetic
Tetracaine HCl   1% Topical Anesthetic
Benzocaine 12% Topical Anesthetic

Uses: External Use Only on Intact Skin. Temporarily relives pain due to tattooing, makeup or other pain sensitive procedures.

WARNINGS:Keep out of children's reach.
Keep out of eyes and mouth. In case of accidental contact with eyes, rinse immediately with copious amounts of eyewash. Seek care by an eye care physician. If accidently swallowed, get medical help immediately.

Do not use:

  • If you have a history of severe liver disease or impairment.
  • If you have a known allergy or sensitivity to any of the components of this product. If sensitivity occurs, discontinue use and seek medical attention as needed. If condition worsens or does not improve in seven days, or clears up and occurs again with a few days, discontinue use of the product and consult a doctor. Do not use in large quantities, particularly over raw surfaces or blistered areas.
  • If pregnant or nursing.

Directions:  Sensitivity test advised prior to use.

Apply sparingly to affected area for 15-30 minutes. Remove and cleanse skin. Repeat as needed up to three times a day. Remove product before continuing with procedure.

Inactive Ingredients: Purified Water, Propylene Glycol, Ethyoxydiglycol, NF Emulsifying Wax, Polyacrylamide, Hydroxyethylcellulose, Diazolidinyl Urea, Methylparaben, Propylparaben, and EDTA.

Other information: Discard after expiration date. Store in cool, dark place.

Questions? Contact distributor on product label.

PRINCIPAL DISPLAY PANEL

TOP SHELF

SUPER
T

7/8 oz. 

topical anesthetic for use before
a pain sensitive procedure

Distributed by: DERMAL SOURCE
Portland, OR 97232

www.dermalsource.com
1-866-568-3223

label
SUPER T 
lidocaine hcl, tetracaine hcl, benzocaine cream
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:80069-010
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Lidocaine Hydrochloride (UNII: V13007Z41A) (Lidocaine - UNII:98PI200987) Lidocaine Hydrochloride Anhydrous50 mg  in 1 g
Tetracaine Hydrochloride (UNII: 5NF5D4OPCI) (Tetracaine - UNII:0619F35CGV) Tetracaine Hydrochloride10 mg  in 1 g
Benzocaine (UNII: U3RSY48JW5) (Benzocaine - UNII:U3RSY48JW5) Benzocaine120 mg  in 1 g
Inactive Ingredients
Ingredient NameStrength
Water (UNII: 059QF0KO0R)  
Propylene Glycol (UNII: 6DC9Q167V3)  
Diethylene Glycol Monoethyl Ether (UNII: A1A1I8X02B)  
White Wax (UNII: 7G1J5DA97F)  
Diazolidinyl Urea (UNII: H5RIZ3MPW4)  
Methylparaben (UNII: A2I8C7HI9T)  
Propylparaben (UNII: Z8IX2SC1OH)  
Edetic Acid (UNII: 9G34HU7RV0)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:80069-010-0124.805833 g in 1 BOTTLE, PUMP; Type 0: Not a Combination Product08/15/202101/25/2024
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01708/15/202101/25/2024
Labeler - Dermal Source, Inc. (183535629)
Establishment
NameAddressID/FEIBusiness Operations
HTO Nevada, Inc. (dba Kirkman)117115846manufacture(80069-010)

Revised: 5/2024
 
Dermal Source, Inc.