Label: LEVATIO PATCH- menthol, capsaicin patch

  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: unapproved drug other

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Drug Label Information

Updated March 2, 2015

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  • DESCRIPTION

    Active Ingredient

    Menthol  5.00 %

    Capsaicin  0.03 %

  • INACTIVE INGREDIENT

    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)

  • DESCRIPTION

    Purpose

    External Analgesic

    External Analgesic

  • INDICATIONS & USAGE

    Uses:

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

    bruises and sprains

  • WARNINGS

    Warnings:

    • For external use only
    • Avoid contact with eyes
    • Do not apply to open wounds or damages skin
    • If symptoms persist for more than seven days, discontinue use and consult physician
    • Keep out of reach of children. If swallowed, consult physician.
    • Do not bandage tightly
    • If pregnant or breast feeding, contact physician prior to use
  • DOSAGE & ADMINISTRATION

    Directions:

    • Clean and dry affected area
    • Remove patch from backing and apply to affected area. Apply directly to affected area.
    • Use only on patch at a time, and a maximum of four patches per day.
    • Leave patch of affected area for up to eight hours.
    • Do not use patches for more than five consecutive days
    • Children under 12 should consult a physician prior to use.
  • STORAGE AND HANDLING

    Store at room temperature. Avoid direct sunlight.

  • PATIENT PACKAGE INSERT

    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

  • PRINCIPAL DISPLAY PANEL

    copy of label

  • INGREDIENTS AND APPEARANCE
    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)