MUPIROCIN CALCIUM- mupirocin calcium cream 
Prasco Laboratories

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HIGHLIGHTS OF PRESCRIBING INFORMATION

These highlights do not include all the information needed to use Mupirocin Calcium Cream safely and effectively. See full prescribing information for Mupirocin Calcium Cream.
Mupirocin calcium cream, for topical use

Initial U.S. Approval: 1997

INDICATIONS AND USAGE

Mupirocin calcium cream is an RNA synthetase inhibitor antibacterial indicated for the treatment of secondarily infected traumatic skin lesions (up to 10 cm in length or 100 cm2 in area) due to susceptible isolates of Staphylococcus aureus and Streptococcus pyogenes. (1)

DOSAGE AND ADMINISTRATION

For Topical Use Only. ( 2)
Apply a small amount of Mupirocin calcium cream, with a cotton swab or gauze pad, to the affected area 3 times daily for 10 days. ( 2)
Re-evaluate patients not showing a clinical response within 3 to 5 days. ( 2)
Not for intranasal, ophthalmic, or other mucosal use ( 2).

DOSAGE FORMS AND STRENGTHS

Cream: 2.15% w/w mupirocin calcium (equivalent to 2% mupirocin free acid) in 15-gram and 30-gram tubes. (3)

CONTRAINDICATIONS

Known hypersensitivity to mupirocin or any of the excipients of Mupirocin calcium cream. ( 4)

WARNINGS AND PRECAUTIONS

Severe Allergic Reactions: Anaphylaxis, urticaria, angioedema, and generalized rash have been reported in patients treated with formulations of mupirocin, including Mupirocin calcium cream. ( 5.1)
Eye Irritation: Avoid contact with eyes. ( 5.2)
Local Irritation: Discontinue in the event of sensitization or severe local irritation. ( 5.3)
Clostridium difficile-Associated Diarrhea (CDAD): If diarrhea occurs, evaluate patients for CDAD. ( 5.4)
Potential for Microbial Overgrowth: Prolonged use may result in overgrowth of nonsusceptible microorganisms, including fungi. ( 5.5)
Risk Associated with Mucosal Use: Mupirocin calcium cream is not formulated for use on mucosal surfaces. A separate formulation, Mupirocin calcium nasal ointment, is available for intranasal use. ( 5.6)

ADVERSE REACTIONS

The most frequent adverse reactions (at least 1%) were headache, rash, and nausea. ( 6.1)

To report SUSPECTED ADVERSE REACTIONS, contact GlaxoSmithKline at 1-888-825-5249 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.

Revised: 12/2015

FULL PRESCRIBING INFORMATION: CONTENTS*

1 INDICATIONS AND USAGE

2 DOSAGE AND ADMINISTRATION

3 DOSAGE FORMS AND STRENGTHS

4 CONTRAINDICATIONS

5 WARNINGS AND PRECAUTIONS

5.1 Severe Allergic Reactions

5.2 Eye Irritation

5.3 Local Irritation

5.4 Clostridium difficile-Associated Diarrhea

5.5 Potential for Microbial Overgrowth

5.6 Risk Associated with Mucosal Use

6 ADVERSE REACTIONS

6.1 Clinical Trials Experience

6.2 Postmarketing Experience

8 USE IN SPECIFIC POPULATIONS

8.1 Pregnancy

8.3 Nursing Mothers

8.4 Pediatric Use

8.5 Geriatric Use

11 DESCRIPTION

12 CLINICAL PHARMACOLOGY

12.1 Mechanism of Action

12.3 Pharmacokinetics

12.4 Microbiology

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

14 CLINICAL STUDIES

15 REFERENCES

16 HOW SUPPLIED/STORAGE AND HANDLING

17 PATIENT COUNSELING INFORMATION

*
Sections or subsections omitted from the full prescribing information are not listed.

FULL PRESCRIBING INFORMATION

1 INDICATIONS AND USAGE

Mupirocin calcium cream is indicated for the treatment of secondarily infected traumatic skin lesions (up to 10 cm in length or 100 cm2 in area) due to susceptible isolates of Staphylococcus aureus (S. aureus) and Streptococcus pyogenes (S. pyogenes).

2 DOSAGE AND ADMINISTRATION

For Topical Use Only.
Apply a small amount of Mupirocin calcium cream, with a cotton swab or gauze pad, to the affected area 3 times daily for 10 days.
Cover the treated area with gauze dressing if desired.
Re-evaluate patients not showing a clinical response within 3 to 5 days.
Mupirocin calcium cream is not for intranasal, ophthalmic, or other mucosal use [see Warnings and Precautions (5.2, 5.6)].
Do not apply Mupirocin calcium cream concurrently with any other lotions, creams or ointments [see Clinical Pharmacology (12.3)].

3 DOSAGE FORMS AND STRENGTHS

Mupirocin calcium cream is a white cream that contains 2.15% w/w mupirocin calcium (equivalent to 2% mupirocin free acid) in an oil- and water‑based emulsion supplied in 15-gram and 30-gram tubes.

4 CONTRAINDICATIONS

Mupirocin calcium cream is contraindicated in patients with known hypersensitivity to mupirocin or any of the excipients of Mupirocin calcium cream.

5 WARNINGS AND PRECAUTIONS

5.1 Severe Allergic Reactions

Systemic allergic reactions, including anaphylaxis, urticaria, angioedema, and generalized rash have been reported in patients treated with formulations of mupirocin, including Mupirocin calcium cream [see Adverse Reactions (6.2)].

5.2 Eye Irritation

Avoid contact with the eyes. In case of accidental contact, rinse well with water.

5.3 Local Irritation

In the event of a sensitization or severe local irritation from Mupirocin calcium cream, usage should be discontinued, and appropriate alternative therapy for the infection instituted.

5.4 Clostridium difficile-Associated Diarrhea

Clostridium difficile-associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents and may range in severity from mild diarrhea to fatal colitis. Treatment with antibacterial agents alters the normal flora of the colon leading to overgrowth of C. difficile.

C. difficile produces toxins A and B which contribute to the development of CDAD. Hypertoxin-producing strains of C. difficile cause increased morbidity and mortality, as these infections can be refractory to antimicrobial therapy and may require colectomy. CDAD must be considered in all patients who present with diarrhea following antibacterial drug use. Careful medical history is necessary since CDAD has been reported to occur over 2 months after the administration of antibacterial agents.

If CDAD is suspected or confirmed, ongoing antibacterial drug use not directed against C. difficile may need to be discontinued. Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C. difficile, and surgical evaluation should be instituted as clinically indicated.

5.5 Potential for Microbial Overgrowth

As with other antibacterial products, prolonged use of Mupirocin calcium cream may result in overgrowth of nonsusceptible microorganisms, including fungi [see Dosage and Administration (2)].

5.6 Risk Associated with Mucosal Use

Mupirocin calcium cream is not formulated for use on mucosal surfaces. A separate formulation, Mupirocin calcium nasal ointment, is available for intranasal use.

6 ADVERSE REACTIONS

The following adverse reactions are discussed in more detail in other sections of the labeling:

Severe Allergic Reactions [see Warnings and Precautions (5.1)]
Eye Irritation [see Warnings and Precautions (5.2)]
Local Irritation [see Warnings and Precautions (5.3)]
Clostridium difficile-Associated Diarrhea [see Warnings and Precautions (5.4)]

6.1 Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect the rates observed in practice.

In 2 randomized, double‑blind, double‑dummy trials, 339 subjects were treated with topical Mupirocin calcium cream plus oral placebo. Adverse reactions occurred in 28 (8.3%) subjects. The following adverse reactions were reported by at least 1% of subjects in connection with the use of Mupirocin calcium cream in clinical trials: headache (1.7%), rash (1.1%), and nausea (1.1%).

Other adverse reactions which occurred in less than 1% of subjects were: abdominal pain, burning at application site, cellulitis, dermatitis, dizziness, pruritus, secondary wound infection, and ulcerative stomatitis.

In a supportive trial in the treatment of secondarily infected eczema, 82 subjects were treated with Mupirocin calcium cream. The incidence of adverse reactions was as follows: nausea (4.9%), headache, and burning at application site (3.6% each), pruritus (2.4%), and 1 report each of abdominal pain, bleeding secondary to eczema, pain secondary to eczema, hives, dry skin, and rash.

6.2 Postmarketing Experience

In addition to adverse reactions reported from clinical trials, the following reactions have been identified during postmarketing use of Mupirocin calcium cream. Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. These reactions have been chosen for inclusion due to a combination of their seriousness, frequency of reporting, or potential causal relationship to Mupirocin calcium cream.

Immune System Disorders

Systemic allergic reactions, including anaphylaxis, urticaria, angioedema, and generalized rash [see Warnings and Precautions (5.1)].

8 USE IN SPECIFIC POPULATIONS

8.1 Pregnancy

Pregnancy Category B.

There are no adequate and well-controlled studies of Mupirocin calcium cream (contains equivalent of 2% mupirocin free acid) in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Developmental toxicity studies have been performed with mupirocin administered subcutaneously to rats and rabbits at doses up to 160 mg per kg per day in both species. This dose is 22 and 43 times, respectively, the human topical dose (approximately 60 mg mupirocin per day) based on body surface area. There was no evidence of fetal harm due to mupirocin.

8.3 Nursing Mothers

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Mupirocin calcium cream is administered to a nursing woman.

8.4 Pediatric Use

The safety and effectiveness of Mupirocin calcium cream have been established in the age-groups 3 months to 16 years. Use of Mupirocin calcium cream in these age-groups is supported by evidence from adequate and well‑controlled trials of Mupirocin calcium cream in adults with additional data from 93 pediatric subjects studied as part of the pivotal trials in adults [see Clinical Studies (14)].

8.5 Geriatric Use

In 2 adequate and well‑controlled trials, 30 subjects older than 65 years were treated with Mupirocin calcium cream. No overall difference in the efficacy or safety of Mupirocin calcium cream was observed in this patient population when compared with that observed in younger patients.

11 DESCRIPTION

Mupirocin calcium cream, 2% contains the dihydrate crystalline calcium hemi-salt of the RNA synthetase inhibitor antibacterial, mupirocin. Chemically, it is (αE,2S,3R,4R,5S)-5-[(2S,3S,4S,5S)-2,3-epoxy-5-hydroxy-4-methylhexyl]tetrahydro-3,4-dihydroxy-β-methyl-2H-pyran-2-crotonic acid, ester with 9-hydroxynonanoic acid, calcium salt (2:1), dihydrate.

The molecular formula of mupirocin calcium is (C26H43O9)2Ca•2H2O, and the molecular weight is 1075.3. The molecular weight of mupirocin free acid is 500.6. The structural formula of mupirocin calcium is:

chemical structure

Figure 1. Structure of Mupirocin Calcium

Mupirocin calcium cream is a white cream that contains 2.15% w/w mupirocin calcium (equivalent to 2% mupirocin free acid) in an oil- and water‑based emulsion. The inactive ingredients are benzyl alcohol, cetomacrogol 1000, cetyl alcohol, mineral oil, phenoxyethanol, purified water, stearyl alcohol, and xanthan gum.

12 CLINICAL PHARMACOLOGY

12.1 Mechanism of Action

Mupirocin is an RNA synthetase inhibitor antibacterial [see Microbiology (12.4)].

12.3 Pharmacokinetics

Absorption

Systemic absorption of mupirocin through intact human skin is minimal. The systemic absorption of mupirocin was studied following application of Mupirocin calcium cream 3 times daily for 5 days to various skin lesions greater than 10 cm in length or 100 cm2 in area in 16 adults (aged 29 to 60 years) and 10 children (aged 3 to 12 years). Some systemic absorption was observed as evidenced by the detection of the metabolite, monic acid, in urine. Data from this trial indicated more frequent occurrence of percutaneous absorption in children (90% of subjects) compared with adults (44% of subjects); however, the observed urinary concentrations in children (0.07 to 1.3 mcg per mL [1 pediatric subject had no detectable level]) are within the observed range (0.08 to 10.03 mcg per mL [9 adults had no detectable level]) in the adult population. In general, the degree of percutaneous absorption following multiple dosing appears to be minimal in adults and children.

The effect of the concurrent application of Mupirocin calcium cream with other topical products has not been studied [see Dosage and Administration (2)].

Elimination

In a trial conducted in 7 healthy adult male subjects, the elimination half-life after intravenous administration of mupirocin was 20 to 40 minutes for mupirocin and 30 to 80 minutes for monic acid.

Metabolism: Following intravenous or oral administration, mupirocin is rapidly metabolized. The principal metabolite, monic acid, demonstrates no antibacterial activity.

Excretion: Monic acid is predominantly eliminated by renal excretion.

Special Populations

Renal Impairment: The pharmacokinetics of mupirocin have not been studied in individuals with renal insufficiency.

12.4 Microbiology

Mupirocin is an RNA synthetase inhibitor antibacterial produced by fermentation using the organism Pseudomonas fluorescens.

Mechanism of Action

Mupirocin inhibits bacterial protein synthesis by reversibly and specifically binding to bacterial isoleucyl-transfer RNA (tRNA) synthetase.

Mupirocin is bactericidal at concentrations achieved by topical administration Mupirocin is highly protein bound (greater than 97%) and the effect of wound secretions on the minimum inhibitory concentrations (MICs) of mupirocin has not been determined.

Mechanism of Resistance

When mupirocin resistance occurs, it results from the production of a modified isoleucyl-tRNA synthetase, or the acquisition of, by genetic transfer, a plasmid mediating a new isoleucyl-tRNA synthetase. High-level plasmid-mediated resistance (MIC ≥512 mcg/mL) has been reported in increasing numbers of isolates of S. aureus and with higher frequency in coagulase-negative staphylococci. Mupirocin resistance occurs with greater frequency in methicillin-resistant than methicillin-susceptible staphylococci.

Cross Resistance

Due to its mode of action, mupirocin does not demonstrate cross resistance with other classes of antimicrobial agents.

Antimicrobial Activity

Mupirocin has been shown to be active against susceptible isolates of S. aureus and S. pyogenes, both in vitro and in clinical trials [see Indications and Usage (1)]. The following in vitro data are available, but their clinical significance is unknown. Mupirocin is active against most isolates of Staphylococcus epidermidis.

Susceptibility Testing

High-level mupirocin resistance (≥512 mcg/mL) may be determined using standard disk diffusion or broth microdilution tests.1,2 Because of the occurrence of mupirocin resistance in methicillin-resistant S. aureus (MRSA), it is appropriate to test MRSA populations for mupirocin susceptibility prior to the use of mupirocin using a standardized method.3,4,5

13 NONCLINICAL TOXICOLOGY

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Long‑term studies in animals to evaluate carcinogenic potential of mupirocin calcium have not been conducted.

Results of the following studies performed with mupirocin calcium or mupirocin sodium in vitro and in vivo did not indicate a potential for genotoxicity: rat primary hepatocyte unscheduled DNA synthesis, sediment analysis for DNA strand breaks, Salmonella reversion test (Ames), Escherichia coli mutation assay, metaphase analysis of human lymphocytes, mouse lymphoma assay, and bone marrow micronuclei assay in mice.

Reproduction studies were performed with mupirocin administered subcutaneously to male and female rats at doses up to 100 mg per kg per day which is 14 times the human topical dose (approximately 60 mg mupirocin per day) based on body surface area. Neither evidence of impaired fertility nor impaired reproductive performance attributable to mupirocin was observed.

14 CLINICAL STUDIES

The efficacy of topical Mupirocin calcium cream for the treatment of secondarily infected traumatic skin lesions (e.g., lacerations, sutured wounds, and abrasions not more than 10 cm in length or 100 cm2 in total area) was compared with that of oral cephalexin in 2 randomized, double‑blind, double‑dummy clinical trials. Clinical efficacy rates at follow‑up in the per-protocol populations (adults and pediatric subjects included) were 96.1% for Mupirocin calcium cream (n = 231) and 93.1% for oral cephalexin (n = 219). Pathogen eradication rates at follow‑up in the per-protocol populations were 100% for both Mupirocin calcium cream and oral cephalexin.

Pediatrics

There were 93 pediatric subjects aged 2 weeks to 16 years enrolled per protocol in the secondarily infected skin lesion trials, although only 3 were younger than 2 years of age in the population treated with Mupirocin calcium cream. Subjects were randomized to either 10 days of topical Mupirocin calcium cream 3 times daily or 10 days of oral cephalexin (250 mg 4 times daily for subjects greater than 40 kg or 25 mg per kg per day oral suspension in 4 divided doses for subjects less than or equal to 40 kg). Clinical efficacy at follow‑up (7 to 12 days post-therapy) in the per-protocol populations was 97.7% (43 of 44) for Mupirocin calcium cream and 93.9% (46 of 49) for cephalexin.

15 REFERENCES

1.
Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing; Twenty-fifth Informational Supplement. CLSI document M100-S25. Clinical and Laboratory Standards Institute, 950 West Valley Rd., Suite 2500, Wayne, PA 19087, USA, 2015.
2.
Patel J, Gorwitz RJ, et al. Mupirocin Resistance. Clinical Infectious Diseases. 2009; 49(6): 935-41.
3.
Clinical and Laboratory Standards Institute (CLSI). Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically; Approved Standard – Tenth Edition. CLSI document M07-A10. Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA, 2015.
4.
Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Disk Diffusion Susceptibility Tests; Approved Standard – Twelfth Edition. CLSI document M02-A12. Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA, 2015.
5.
Finlay JE, Miller LA, Poupard JA. Interpretive criteria for testing susceptibility of staphylococci to mupirocin. Antimicrob Agents Chemother 1997; 41(5):1137-1139.

16 HOW SUPPLIED/STORAGE AND HANDLING

Mupirocin calcium cream, 2% is supplied in 15‑gram and 30‑gram tubes.

Mupirocin calcium cream is a white cream that contains 2.15% w/w mupirocin calcium (equivalent to 2% mupirocin free acid) in an oil- and water-based emulsion.

NDC 66993-942-15 (15-gram tube)

NDC 66993-942-31 (30-gram tube)

Store at or below 25°C (77°F). Do not freeze.

17 PATIENT COUNSELING INFORMATION

Advise the patient to read the FDA-approved patient labeling (Patient Information).

Advise the patient to administer Mupirocin calcium cream as follows:

Use Mupirocin calcium cream only as directed by the healthcare provider. It is for external use only. Avoid contact of Mupirocin calcium cream with the eyes. If Mupirocin calcium cream gets in the eyes, rinse thoroughly with water.
Do not use Mupirocin calcium cream in the nose.
Wash your hands before and after applying Mupirocin calcium cream.
Use a gauze pad or cotton swab to apply a small amount of Mupirocin calcium cream to the affected area. The treated area may be covered by gauze dressing if desired.
Report to the healthcare provider any signs of local adverse reactions. Mupirocin calcium cream should be stopped and the healthcare provider contacted if irritation, severe itching, or rash occurs.
Report to the healthcare provider or go to the nearest emergency room if severe allergic reactions, such as swelling of the lips, face, or tongue, or wheezing occur [see Warnings and Precautions (5.1)].
If no improvement is seen in 3 to 5 days, contact the healthcare provider.

Manufactured for:

Prasco Laboratories

Mason, OH 45040 USA

MUC-PS:5PI

PHARMACIST‑DETACH HERE AND GIVE INSTRUCTIONS TO PATIENT

Patient Package Insert

Mupirocin calcium cream

What is Mupirocin calcium cream?

Mupirocin calcium cream is a prescription medicine used on the skin (topical use) to treat certain skin infections caused by bacteria called Staphylococcus aureus and Streptococcus pyogenes.

It is not known if Mupirocin calcium cream is safe and effective in children under 3 months of age.

Who should not use Mupirocin calcium cream?

Do not use Mupirocin calcium cream if:

you are allergic to mupirocin or any of the ingredients in Mupirocin calcium cream. See the end of this Patient Information leaflet for a complete list of the ingredients in Mupirocin calcium cream.

What should I tell my healthcare provider before using Mupirocin calcium cream?

Before using Mupirocin calcium cream, tell your healthcare provider about your medical conditions including, if you:

are pregnant or plan to become pregnant. It is not known if Mupirocin calcium cream will harm your unborn baby.
are breastfeeding or plan to breastfeed. It is not known if Mupirocin calcium passes into your breast milk. You and your healthcare provider should decide if you can use Mupirocin calcium cream while breastfeeding.

Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Do not mix Mupirocin calcium cream with other lotions, creams, or ointments.

How should I use Mupirocin calcium cream?

Mupirocin calcium cream is for use on the skin (topical). Do not get Mupirocin calcium cream in your eyes, nose, mouth, or vagina (mucosal surfaces).
Use Mupirocin calcium cream exactly as your healthcare provider tells you to use it.
Apply a small amount of Mupirocin calcium cream, with a cotton swab or gauze pad, to the affected area 3 times each day. Apply Mupirocin calcium cream for 10 days.
It is important that you take the full course of Mupirocin calcium cream. Do not stop early because your symptoms may disappear before the infection is fully cleared.
Wash your hands before and after applying Mupirocin calcium cream.
After applying Mupirocin calcium cream, you may cover the treated area with a clean gauze pad, unless your healthcare provider has told you to leave it uncovered.
Talk to your healthcare provider if your skin does not improve after 3 to 5 days of treatment with Mupirocin calcium cream.
 
What are the possible side effects of Mupirocin calcium cream?

Mupirocin calcium cream may cause serious side effects, including:

severe allergic reactions. Stop using Mupirocin calcium cream and call your healthcare provider or go to the nearest emergency room right away if you have any of the following signs or symptoms of a severe allergic reaction:
o
hives
o
swelling of your face, lips, mouth, or tongue
o
a rash over your whole body
o
trouble breathing or wheezing
o
dizziness, fast heartbeat, or pounding in your chest
eye irritation. Do not get Mupirocin calcium cream in your eyes. If Mupirocin calcium cream gets in your eyes, rinse your eyes well with water.
irritation in the area Mupirocin calcium cream is used. A rash may occur after using Mupirocin calcium cream and can be severe. Stop using Mupirocin calcium cream and call your healthcare provider if you develop an irritation, severe itching or a rash while using Mupirocin calcium cream.
a type of diarrhea called clostridium difficile-associated diarrhea (CDAD). CDAD may happen in people who use or have used medicine to treat bacterial infections. The severity of CDAD can range from mild diarrhea to severe diarrhea that may cause death (fatal colitis). Call your healthcare provider or go to the nearest emergency room right away if you have diarrhea while using or after you stop using Mupirocin calcium cream.

The most common side effects of Mupirocin calcium cream include:

headache
rash
nausea

These are not all the possible side effects of Mupirocin calcium cream. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store Mupirocin calcium cream?

Store Mupirocin calcium cream at room temperature between 68°F to 77°F (20°C to 25°C).
Do not freeze Mupirocin calcium cream.
Keep Mupirocin calcium cream and all medicines out of the reach of children.

General information about the safe and effective use of Mupirocin calcium cream.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use Mupirocin calcium cream for a condition for which it was not prescribed. Do not give Mupirocin calcium cream to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about Mupirocin calcium cream that is written for health professionals.

What are the ingredients in Mupirocin calcium cream?

Active Ingredient: mupirocin calcium

Inactive Ingredients: benzyl alcohol, cetomacrogol 1000, cetyl alcohol, mineral oil, phenoxyethanol, purified water, stearyl alcohol, and xanthan gum.

Manufactured for:

Prasco Laboratories

Mason, OH 45040 USA

MUC-PS:1PIL

For more information, call 1-888-825-5249

 
This Patient Information has been approved by the U.S. Food and Drug Administration Revised: December 2015

PRINCIPAL DISPLAY PANEL

NDC 66993-942-15

Mupirocin Calcium Cream, 2%

PRASCO

15 grams (Net Wt.)

Rx only

Made in England

 
10000000131106 Rev. 12/14
Mupirocin Calcium Cream Prasco 15g carton
MUPIROCIN CALCIUM 
mupirocin calcium cream
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:66993-942
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MUPIROCIN CALCIUM (UNII: RG38I2P540) (MUPIROCIN - UNII:D0GX863OA5) MUPIROCIN 20 mg  in 1 g
Inactive Ingredients
Ingredient Name Strength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
CETETH-20 (UNII: I835H2IHHX)  
CETYL ALCOHOL (UNII: 936JST6JCN)  
MINERAL OIL (UNII: T5L8T28FGP)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
WATER (UNII: 059QF0KO0R)  
STEARYL ALCOHOL (UNII: 2KR89I4H1Y)  
XANTHAN GUM (UNII: TTV12P4NEE)  
Product Characteristics
Color WHITE Score     
Shape Size
Flavor Imprint Code
Contains     
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:66993-942-15 1 in 1 CARTON 01/28/2013
1 15 g in 1 TUBE; Type 0: Not a Combination Product
2 NDC:66993-942-31 1 in 1 CARTON 01/28/2013
2 30 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA authorized generic NDA050746 01/28/2013
Labeler - Prasco Laboratories (065969375)
Registrant - GlaxoSmithKline LLC (167380711)

Revised: 12/2015
Document Id: c0e84d13-f243-428e-a279-4e1e7641b230
Set id: 942b8ece-0a6c-482e-a64a-35d71179008d
Version: 5
Effective Time: 20151216
 
Prasco Laboratories