GOOD HYGIENE THERAPEUTIC MOUTH RINSE- hydrogen peroxide debriding agent liquid 
Good Hygiene Company

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Good Hygiene Therapeutic Mouth Rinse

Drug Facts

Active Ingredient
Hydrogen Peroxide 1.5% (w/v)

Purposes

Oral debriding agent/oral wound cleanser

Uses
• for temporary use to cleanse canker sores and minor wounds or minor gum
inflammation resulting from minor dental procedures, dentures, orthodontic
appliances, accidental injury, or other irritations of the mouth and gums

Warnings
Do not use this product for more than 7 days unless directed by a dentist or physician.
When using this product, do not swallow.
Stop use and ask a doctor if
• sore mouth symptoms do not improve within 7 days
• irritation, pain or redness persists or worsens
• swelling, rash or fever develops

Keep out of reach of children. If more than used for rinsing is accidentally swallowed,
get medical help or contact a Poison Control Center right away.

Directions
• Adults and children 2 years of age and older: rinse half capful (two teaspoons or
10 mL) around in the mouth over affected area for at least 1 minute, then spit out
• Use up to 4 times daily after meals and at bedtime or as directed by a dentist or
physician
• Children under 12 years of age should be supervised in the use of the product
• Children under 2 years of age: consult a dentist or physician

Other InformationStore at controlled room temperature 68 – 77°F (20 – 25°C)
Do not use if the safety seal is broken or missing.

Inactive Ingredients: Deionized water, xylitol, glycerin, natural flavor, poloxamer
407, zinc citrate, cardamom, sodium benzoate

Product Labeling

GOOD

hygiene

THERAPEUTIC
MOUTH
RINSE

mint + mint

Freshens         Whitens         Hydrates
 Breath            Teeth             Mouth

16 fl. oz.

Good Hygiene Co.
Los Angeles, CA 91352
practice@goodhygiene.com
Made with ♥ in the USA.

Mint + Mint

81439-100

Tropical + Mint

81439 Tropical Mint

Citrus + Mint

81439 Citrus Mint

res

GOOD HYGIENE THERAPEUTIC MOUTH RINSE 
hydrogen peroxide debriding agent liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:81439-100
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE1.5 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
XYLITOL (UNII: VCQ006KQ1E)  
GLYCERIN (UNII: PDC6A3C0OX)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
ZINC CITRATE (UNII: K72I3DEX9B)  
CARDAMOM (UNII: 8BC4CUT4JL)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:81439-100-16475 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/01/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35605/01/202105/12/2023
GOOD HYGIENE THERAPEUTIC MOUTH RINSE 
hydrogen peroxide debriding agent liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:81439-110
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE1.5 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
XYLITOL (UNII: VCQ006KQ1E)  
GLYCERIN (UNII: PDC6A3C0OX)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
ZINC CITRATE (UNII: K72I3DEX9B)  
CARDAMOM (UNII: 8BC4CUT4JL)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:81439-110-16475 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/01/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35605/01/2021
GOOD HYGIENE THERAPEUTIC MOUTH RINSE 
hydrogen peroxide debriding agent liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:81439-120
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE1.5 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
XYLITOL (UNII: VCQ006KQ1E)  
GLYCERIN (UNII: PDC6A3C0OX)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
ZINC CITRATE (UNII: K72I3DEX9B)  
CARDAMOM (UNII: 8BC4CUT4JL)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:81439-120-16475 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/01/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35605/01/2021
Labeler - Good Hygiene Company (131413215)
Registrant - Good Hygiene Company (131413215)

Revised: 5/2023
Document Id: ebce1af7-0ea3-435d-a19b-08bad9af0d77
Set id: 9139b1af-3389-44af-8699-0011843bc6d0
Version: 3
Effective Time: 20230512
 
Good Hygiene Company