PAIN RELIEF GEL-PATCH- lidocaine and menthol patch 
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.

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Zeey, LIDOCAINE&MENTHOL PAIN RELIEF GEL-PATCH, N 5, N 10, N 15

Active Ingredient

Lidocaine 4% w/w ...... Purpose: Topical anesthetic

Menthol 1% w/w ...... Purpose: Topical analgesic

Purposes

Topical anesthetic (Lidocaine)

Topical analgesic (Menthol)

Uses

For temporary relief of pain

Warnings

For external use only

When using this product:

Do not use:

Stop use and ask a doctor if:

If pregnant or breast-feeding,

Ask a health professional before use

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away

Directions

Adult and Children 12 years of age and over:

Children under 12 years of age:Consult a doctor

Inactive Ingredients

Water, Glycerin, Polyacrylic Acid, Propylene Glycol, Sodium Polyacrylate, Polysorbate 80, Mineral oil, Polyvinylpyrrolidone K90, Hydroxyacetophenone, L(+)-Tartaric Acid, Dihydroxyaluminium Aminoacetate, Edetate Disodium, Kaolin, Titanium Dioxide

Questions or Comments

1 646-223-0128 · Lu.FDAmanage@gmail.com

Other information

Package label. Principal display panel

01051015

PAIN RELIEF GEL-PATCH 
lidocaine and menthol patch
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:73557-172
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
MENTHOL (UNII: L7T10EIP3A) (MENTHOL - UNII:L7T10EIP3A) MENTHOL0.01 g  in 1 g
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987) LIDOCAINE0.04 g  in 1 g
Inactive Ingredients
Ingredient NameStrength
KAOLIN (UNII: 24H4NWX5CO)  
TARTARIC ACID (UNII: W4888I119H)  
WATER (UNII: 059QF0KO0R)  
DIHYDROXYALUMINUM AMINOACETATE ANHYDROUS (UNII: 1K713C615K)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
POLYACRYLIC ACID (250000 MW) (UNII: 9G2MAD7J6W)  
SODIUM POLYACRYLATE (2500000 MW) (UNII: 05I15JNI2J)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
MINERAL OIL (UNII: T5L8T28FGP)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
GLYCERIN (UNII: PDC6A3C0OX)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
POVIDONE K90 (UNII: RDH86HJV5Z)  
HYDROXYACETOPHENONE (UNII: G1L3HT4CMH)  
Product Characteristics
ColorwhiteScore    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:73557-172-055 in 1 BOX12/30/2022
1NDC:73557-172-0112 g in 1 PATCH; Type 0: Not a Combination Product
2NDC:73557-172-1010 in 1 BOX01/09/2024
2NDC:73557-172-0112 g in 1 PATCH; Type 0: Not a Combination Product
3NDC:73557-172-1515 in 1 BOX01/09/2024
3NDC:73557-172-0112 g in 1 PATCH; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01712/30/2022
Labeler - Shanghai Chuangshi Medical Technology (Group) Co., Ltd. (546872672)
Registrant - Shanghai Chuangshi Medical Technology (Group) Co., Ltd. (546872672)
Establishment
NameAddressID/FEIBusiness Operations
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.546872672manufacture(73557-172) , label(73557-172)

Revised: 4/2024
Document Id: 173849b2-339d-66d3-e063-6394a90a6762
Set id: f1047707-3fe5-06bc-e053-2995a90a59b9
Version: 5
Effective Time: 20240429
 
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.