Label: LYCOGEL BREATHABLE BALM- octinoxate,oxybenzone,octisalate and avobenzone cream

  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: OTC monograph final

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.

Drug Label Information

Updated January 1, 2018

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  • Actives

    OCTINOXATE,OXYBENZONE,OCTISALATE and AVOBENZONE

  • Inactives

    Water (Aqua)

    C12-15 Alkyl Benzoate

    Octinoxate

    Oxybenzone

    Octisalate

    Butylene Glycol

    Octyldodecyl Neopentanoate

    Caprylic/Capric Triglyceride

    Avobenzone

    Octocrylene

    Glycerin

    Sodium Hyaluronate

    Camellia Sinensis Leaf Extract

    Teprenone

    Cyclopentasiloxane

    Cyclohexasiloxane

    Actinidia Chinensis (Kiwi) Fruit Extract

    Algae Extract

    Artemisia Vulgaris Extract

    Saccharomyces Lysate Extract

    Centella Asiatica Extract

    Echinacea Purpurea Extract

    Yeast Polysaccharides

    Carbomer

    Acrylates/C10-30 Alkyl Acrylate Crosspolymer

    PEG-8

    Triethanolamine

    Phenoxyethanol

    Caprylyl Glycol

    Ethylhexylglycerin

    Hexylene Glycol

    Tocopherol

    Ascorbyl Palmitate

    Citric Acid

    Zinc PCA

    Mannitol

    Lonicera Japonica (Honeysuckle) Flower Extract

    Sodium Citrate

    Xanthium Sibiricum Fruit Extract

    Aloe Barbadensis Leaf Extract

    Cyperus Rotundus Root Extract

    Acetyl Tetrapeptide-15

    Sodium Benzoate

    Sorbitan Oleate

    Polysorbate 20

    Palmitoyl Pentapeptide-4

    Arctostaphylos Uva Ursi Leaf Extract

    Plankton Extract

    Mitracarpus Scaber Extract

    Olea Europaea (Olive) Leaf  Extract

    Darutoside

    Xanthan Gum

    Micrococcus Lysate

    Arabidopsis Thaliana Extract

    Ubiquinone

    Hydroxydecyl Ubiquinone

    Disodium EDTA

    Phospholipids

    Retinyl Palmitate

    Beta-Carotene

    Ascorbic Acid

    Malus Domestica Fruit Cell Culture Extract

    Lecithin

  • Tube Label 

    product label

  • Tube label 2

    Tube

  • INGREDIENTS AND APPEARANCE
    LYCOGEL BREATHABLE BALM 
    octinoxate,oxybenzone,octisalate and avobenzone cream
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:51790-400
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    OCTINOXATE (UNII: 4Y5P7MUD51) (OCTINOXATE - UNII:4Y5P7MUD51) OCTINOXATE75 mg  in 1 mL
    OXYBENZONE (UNII: 95OOS7VE0Y) (OXYBENZONE - UNII:95OOS7VE0Y) OXYBENZONE60 mg  in 1 mL
    OCTISALATE (UNII: 4X49Y0596W) (OCTISALATE - UNII:4X49Y0596W) OCTISALATE50 mg  in 1 mL
    AVOBENZONE (UNII: G63QQF2NOX) (AVOBENZONE - UNII:G63QQF2NOX) AVOBENZONE20 mg  in 1 mL
    OCTOCRYLENE (UNII: 5A68WGF6WM) (OCTOCRYLENE - UNII:5A68WGF6WM) OCTOCRYLENE15 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    WATER (UNII: 059QF0KO0R)  
    ALKYL (C12-15) BENZOATE (UNII: A9EJ3J61HQ)  
    OCTYLDODECYL NEOPENTANOATE (UNII: X8725R883T)  
    MEDIUM-CHAIN TRIGLYCERIDES (UNII: C9H2L21V7U)  
    GLYCERIN (UNII: PDC6A3C0OX)  
    HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
    GREEN TEA LEAF (UNII: W2ZU1RY8B0)  
    TEPRENONE (UNII: S8S8451A4O)  
    DIMETHICONE CROSSPOLYMER (450000 MPA.S AT 12% IN CYCLOPENTASILOXANE) (UNII: UF7620L1W6)  
    CYCLOMETHICONE 4 (UNII: CZ227117JE)  
    KIWI FRUIT (UNII: 71ES77LGJC)  
    CHLORELLA VULGARIS (UNII: RYQ4R60M02)  
    ARTEMISIA VULGARIS WHOLE (UNII: JDR81QW9ZQ)  
    SACCHAROMYCES LYSATE (UNII: R85W246Z1C)  
    CENTELLA ASIATICA (UNII: 7M867G6T1U)  
    ECHINACEA PURPUREA (UNII: QI7G114Y98)  
    CARBOXYPOLYMETHYLENE (UNII: 0A5MM307FC)  
    CARBOMER INTERPOLYMER TYPE A (ALLYL SUCROSE CROSSLINKED) (UNII: 59TL3WG5CO)  
    POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ)  
    TROLAMINE (UNII: 9O3K93S3TK)  
    PHENOXYETHANOL (UNII: HIE492ZZ3T)  
    CAPRYLYL GLYCOL (UNII: 00YIU5438U)  
    ETHYLHEXYLGLYCERIN (UNII: 147D247K3P)  
    HEXYLENE GLYCOL (UNII: KEH0A3F75J)  
    TOCOPHEROL (UNII: R0ZB2556P8)  
    ASCORBYL PALMITATE (UNII: QN83US2B0N)  
    CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
    ZINC PIDOLATE (UNII: C32PQ86DH4)  
    MANNITOL (UNII: 3OWL53L36A)  
    LONICERA JAPONICA FLOWER (UNII: 4465L2WS4Y)  
    SODIUM CITRATE (UNII: 1Q73Q2JULR)  
    XANTHIUM SIBIRICUM FRUIT (UNII: 3H333L84C2)  
    ALOE VERA LEAF (UNII: ZY81Z83H0X)  
    CYPERUS ROTUNDUS TUBER (UNII: 4B51SRR959)  
    ACETYL TETRAPEPTIDE-15 (UNII: 6K389LE0MV)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SORBITAN MONOOLEATE (UNII: 06XEA2VD56)  
    POLYSORBATE 20 (UNII: 7T1F30V5YH)  
    PALMITOYL PENTAPEPTIDE-4 (UNII: KK181SM5JG)  
    ARCTOSTAPHYLOS UVA-URSI LEAF (UNII: 3M5V3D1X36)  
    OLEA EUROPAEA LEAF (UNII: MJ95C3OH47)  
    DARUTOSIDE (UNII: EG8ODI0780)  
    XANTHAN GUM (UNII: TTV12P4NEE)  
    ARABIDOPSIS THALIANA (UNII: AI3L60HQ81)  
    UBIDECARENONE (UNII: EJ27X76M46)  
    IDEBENONE (UNII: HB6PN45W4J)  
    EDETATE DISODIUM (UNII: 7FLD91C86K)  
    OMEGA-3 FATTY ACIDS (UNII: 71M78END5S)  
    VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
    .BETA.-CAROTENE (UNII: 01YAE03M7J)  
    ASCORBIC ACID (UNII: PQ6CK8PD0R)  
    APPLE (UNII: B423VGH5S9)  
    LECITHIN, SOYBEAN (UNII: 1DI56QDM62)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:51790-400-0160 mL in 1 TUBE; Type 0: Not a Combination Product12/07/2017
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph finalpart35212/07/2017
    Labeler - Quura Medical B.V (489419151)
    Establishment
    NameAddressID/FEIBusiness Operations
    Allure Cosmetic Inc.926831603manufacture(51790-400)