LEVATIO PATCH - menthol, capsaicin patch 
Alivio Medical Products, LLC

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.

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Drug Facts

Active Ingredient

Menthol  5.00 %

Capsaicin  0.03 %

Other Ingredients:

acrylic acid ,aluminum hydroxide . carmellose sodium 2-ethylexyl acrylate glycerin . isopropyl myristate .methyl acrylate

nonoxynol-30 .poluacrylate.polyacrylic acid .polysorbate 80 sorbitan sesquioleate strach .talc .tartaric acid

.titanium dioxide .water(254-114)

Purpose

External Analgesic

External Analgesic

Uses:

For temporary relief of minor aches and pains of the muscles and joints associated with simple backache, arthritis, strains,

bruises and sprains

Warnings:

Directions:

Store at room temperature. Avoid direct sunlight.

Leveatio - menthol and capsaicin patch

Levatio Patch

Description

Levatio Patch contains capsaicin and menthol in a

localized topical dermal delivery system. The

capsaicin in Levatio is a synthetic equivalent of the

naturally occurring compound found in chili

peppers. Capsaicin is soluble in alcohol, acetone,

and ethyl acetate and very slightly soluble in water.

The menthol is slightly soluble in water.

Levatio is a single-use patch stored in a foil pouch.

Each Levatio patch is 8 cm x 12 cm and consists

of a polyester backing film coated with a

drug-containing silicone adhesive formulation,

and covered with a removable polyester release liner.

The empirical formula for capsaicin is C18H27NO31

with a molecular weight of 305.42. The chemical compound capsaicin

[(E)-8-methyl-N-vanillyl-6-nonenamide] is an

activating ligand for transient receptor

potential vanolloid 1 receptor (TRPV1)

The empirical formula for menthol is C10H20)1 with a

molecular weight of 156.27. The chemical compound menthol

[(1R,2S,5R)-2-isopropyl-5-methylcyclohexanol] is an activating

ligand for transient receptor potential cation channel subfamily M member 8 (TRPM8).

Each Levatio Patch contains 0.03% capsaicin (0,03

grams of capsaicin per patch) and 5% menthol (5 grams of menthol per patch). The Levatio Patch

contains the following inactive ingredients: acrylic acid, aluminum hydroxide, carmellose sodium

2-ethylexyl acrylate, glycerin, isopropyl myristate,

methyl acrylatenonoxynol-30, polyacrylate, polyacrylic acid, polysorbate 80 sorbitan

sesquioleate starch, talc, tartaric acid, titanium dioxide, water (245-114).

INDICATIONS AND USAGE

Levatio Patch is indicated for the temporary relief of minor aches and muscle pains

associated with arthritis, simple backache, strains, muscle soreness and stiffness.

Levatio Patch is an external analgesic/countrerirritant.

CONTRAINDICATIONS

Levatio Patch is indicated for those patients with a history of hypersensitivity

to any of the components of the preparation.

WARNINGS

*FOR EXTERNAL USE ONLY

*USE ONLY AS DIRECTED

*AVOID CONTACT WITH EYES AND MUCOUS MEMBRANES,

*DO NOT COVER WITH BANDAGE

*DO NOT USE ON WOUNDS OR DAMAGED SKIN.

*CONSULT PHYSICIAN FOR CHILDREN UNDER 12

DO NOT USE IF YOU ARE ALLERGIC TO MENTHOL.

*STOP USE AND ASK A DOCTOR IF SYMPTOMS PERSIST FOR MORE THAN

7 DAYS OR CLEAR UP AND OCCUR AGAIN WITHIN A FEW DAYS OR RASH,

ITCHING OR EXCESSIVE SKIN IRRITATION OCCURS.

*KEEP OUT OF REACH OF CHILDREN.

DOSAGE AND ADMINISTRATION

Levatio Patch contains 0.03% capsaicin and 5.00% menthol. Instructions for use

*Clean and dry affected area

*Cut open pouch and remove pouch

*Remove protective film and apply directly to area of pain

*Apply to affected area not more than 3 times daily

*Wash hands with soap after applying patch

*Reseal pouch containing unused patches

DIRECTIONS

Adults and children 12 years and over -   apply to affected area change patch 1 to 2 times daily

Children under 12 years  - Consult physician before use

HOW SUPPLIED

Levatio Patch is supplied in 3 re-sealable pouches each containing 5 patches. NDC 69512-010-02

15 Patches per carton

Storage: Store at 20 to 25 C (68 to 77 F)

Avoid direct sunlight

Distributed by: Alivio Medical Products, LLC

Hollywood, FL

copy of label

LEVATIO PATCH 
menthol, capsaicin patch
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:69512-010
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
MENTHOL (UNII: L7T10EIP3A) (MENTHOL - UNII:L7T10EIP3A) MENTHOL5 g  in 100 g
CAPSAICIN (UNII: S07O44R1ZM) (CAPSAICIN - UNII:S07O44R1ZM) CAPSAICIN.03 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
ACRYLIC ACID (UNII: J94PBK7X8S)  
ALUMINUM HYDROXIDE (UNII: 5QB0T2IUN0)  
CROSCARMELLOSE SODIUM (UNII: M28OL1HH48)  
2-ETHYLHEXYL ACRYLATE (UNII: HR49R9S6XG)  
GLYCERIN (UNII: PDC6A3C0OX)  
ISOPROPYL MYRISTATE (UNII: 0RE8K4LNJS)  
METHYL ACRYLATE (UNII: WC487PR91H)  
NONOXYNOL-30 (UNII: JJX07DG188)  
POLYACRYLAMIDE (10000 MW) (UNII: E2KR9C9V2I)  
POLYACRYLIC ACID (250000 MW) (UNII: 9G2MAD7J6W)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
TALC (UNII: 7SEV7J4R1U)  
TARTARIC ACID (UNII: W4888I119H)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69512-010-0215 in 1 BOX
18.5 g in 1 PATCH
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other03/01/2015
Labeler - Alivio Medical Products, LLC (079670828)

Revised: 3/2015
Document Id: 87ad427f-aa3f-4814-88ac-f546efdf7078
Set id: e00ce082-5d08-4628-9b99-87ecd2ac43a6
Version: 1
Effective Time: 20150302
 
Alivio Medical Products, LLC