PAIN RELIEVING WELL AT WALGREENS- lidocaine 4% patch 
Walgreens

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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Drug Facts

Active ingredient                    Purpose
Lidocaine 4%.....................  ....Topical anesthetic

Uses: temporarily relieves minor pain

Warnings
For external use only.
Do not use • more than 1 patch on your body at a time or on cut, irritated or swollen skin • on puncture wounds • for more than one
week without consulting a doctor
When using this product • use only as directed. Read and follow all directions and warnings on this carton.
• do not allow contact with the eyes
• do not use in large quantities, particularly over raw surfaces or blistered areas
• do not use at the same time as other topical analgesics
• Do not use heating pad on the area of use
• dispose of used patch in manner that always keeps product away from children and pets. Used patches still contain the drug
product that can produce serious adverse effects if a child or pet chews or ingests this patch.
Stop use and ask a doctor if • condition worsens • redness is present • irritation develops • symptoms persist for more than 7
days or clear up and occur again within a few days • you experience signs of skin injury, such as pain, swelling, or blistering where
the product was applied
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

Directions
adults and children over 12 years:
• clean and dry affected area
• remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle
• carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area
• once exposed portion of patch is positioned, carefully remove remaining backing to completely apply patch to affected area
• apply as needed
children 12 years or younger: ask a doctor

Inactive ingredients
Aluminum Glycinate, Glycerin, Kaolin, Methylparaben, Polyacrylic Acid, Polysorbate 80, Propylene Glycol, Propylparaben, PVP, Sodium
Polyacrylate, Tartaric Acid, Titanium Dioxide, Water.

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PAIN RELIEVING  WELL AT WALGREENS
lidocaine 4% patch
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0363-1112
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Lidocaine (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987) Lidocaine0.3 g
Inactive Ingredients
Ingredient NameStrength
GLYCERIN (UNII: PDC6A3C0OX)  
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)  
DIHYDROXYALUMINUM AMINOACETATE (UNII: DO250MG0W6)  
METHYLPARABEN (UNII: A2I8C7HI9T)  
PROPYLPARABEN (UNII: Z8IX2SC1OH)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
KAOLIN (UNII: 24H4NWX5CO)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
TARTARIC ACID (UNII: W4888I119H)  
POVIDONE, UNSPECIFIED (UNII: FZ989GH94E)  
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0363-1112-075 in 1 CARTON; Type 0: Not a Combination Product06/28/201703/08/2018
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart34806/06/201703/08/2018
Labeler - Walgreens (008965063)
Registrant - Product Quest Mfg (927768135)
Establishment
NameAddressID/FEIBusiness Operations
Product Quest Mfg927768135manufacture(0363-1112) , label(0363-1112)

Revised: 3/2018
 
Walgreens