Label: NEUTRAMAXX 5000 TRI-CALCIUM PHOSPHATE- sodium fluoride paste, dentifrice

1.1 % Neutral Sodium Floride

Self-topical neutral fluoride dentifrice containing 1.1%(w/w) sodium fluoride for use as a dental caries preventive in adults and pediatric patients.

For prevention of tooth decay, orthodontic decalcification and hypersensitivity.

As with all medications, keep out of reach of children.

Frequent topical applications to the teeth with preparations having a relatively high fluoride content increases tooth resistance to acid dissolution and enhance penetration of the fluoride ion into tooth enamel.

NeutraMaxx™ 5000 with Tri-Calcium Phosphate is a self applied dentifrice for prevention of tooth decay, orthodontic decalcification and hypersensitivity

A dental caries preventive; for once daily self-applied topical use. It is well established that 1.1% sodium fluoride is safe and extraordinarily effective as a caries preventive when applied frequently with mouthpiece applicators. 1-4 NeutalMaxx™ brand of 1.1% sodium fluoride in a squeeze tube is easily applied onto a toothbrush. This prescription dental cream should be used once daily in place of your regular toothpaste unless otherwise instructed by your dental professional. May be used whether or not drinking water is fluoridated, since topical fluoride cannot produce fluorisis. (See WARNINGS for exceptions)

Prolonged daily ingestion may result in various degrees of dental fluorosis in pediatric patients under 6 years, especially if the water fluoridation exceeds 0.6 ppm, since younger pediatric patients frequently cannot preform the brushing process without significant swallowing. Use in pediatric patients under 6 years requires special supervision to prevent repeated swallowing of the cream which could cause dental fluorosis. Read directions carefully before using. Keep out of reach of infants and children.

Warnings 

• Do not swallow  
• For topical use only 
• As with all medications, keep out of reach of children 

Not for systemic treatment. DO NOT SWALLOW.

In a study conducted in rodents, no carcinogenesis was found in male and female mice and female rats treated with fluoride at dose levels ranging from 4.1 to 9.1 mg/kg of body weight. Equivocal evidence of carcinogenesis was reported in male rats treated with 2.5 and 4.1 mg/kg of body weight. In a second study, no carcinogensesis was observed in rats, males or females, treated with fluoride up to 11.3 mg/kg of boby weight. Epidemiological data provide no credible evidence for an assocoation between Fluoride, either naturally occuring or added to drinking water, and the risk of human cancer. Fluoride ion is not mutagenic in standard bacterial systems. It has been shown that fluoride ion has potential to induce chromosome aberrations in cultured human and rodent cells at doses much higher than those to which humans are exposed. Invivo data exposure in humans have not been adequately evaluated. Adverse effects on reproduction were reported for rats, mice, fox and cattle exposed to 100 ppm or greater concentrations of fluoride in their diet or drinking water. Other studies conducted in rats demonstrated that lower concentrations of fluoride (5mg/kg of body weight) do not resule in impaired fertility and reproductive capabilities.

Pregnancy Catagory B. It has shown that fluoride crosses the placenta of rats, bot only 0.01% of the amount administered in incorporated in fetal tissue. Animal studies (rats, mice, rabbits) have shown that fluoride is not a teratogen. Maternal exposure to 12.2 mg fluoride/kg of body weight (rats) or 13.1 mg/kg body weight (rabbits) did not affect the litter size of fetal weight and did not increase the frequency of sheletal or visceral malformations. Epidemiologiical studies conducted in areas with high levels of naturally fluoridated water showed no increase in birth defects. heavy exposure to fluoride during utero development may result in skeletal fluorosis, which becomes evident in childhood.

It is not known if fluoride is excreted in human milk. However,many drugs are excreted in milk, and caution should be exercised when product containing fluoride are administered to a nursing woman. Reduced milk production was reported  in farm-raised fox when the animals were fed a diet containing high concentration of fluoride (96-137 mg/kg of body weight). No adverse effects on parturition, lactation or offspring were seen in rats administered fluoride up to 5 mg/kg of body weight.

The use of NeutraMaxx™ in pediatric age group 6 to 16 years as a caries preventive is supported by pioneering clinical studies with 1.1% sodium Fluoride gets in mouth trays in students age 11 - 14 years conducted by Englander, et al. 2, 3, 4 Safety and effectiveness in pediatric patients below the age of 6 years have not been established. Please refer to CONTRAINDICATIONS and WARNINGS sections.

Allergic reaction and other idosyncrasies have been rarely reported.

Accidential ingestion of large amounts of fluoride may result in acute burning of the mouth and sore tongue. Nausea, vomiting and diarrhea may occur soon after ingestion (within 30 minutes) and are accompanied by salvation, hematemesis and epigastric cramping and abdominal pain. These symptoms may persist for 24 hours. If less than 5 mg fluoride/kg of body weight (i.e. less than 2.3 mg fluoride/kg of body weight) have been ingested, induce emesis, give oral soluble calcium (e.g. milk, 5% calcium gluconate or calcium lactate solution) and immediately seek medical assistance. For accidental ingestion of more that 15 mg fluoride/kg of body weight (i.e. more than 6.9 mg fluoride/kg of body weight), induce vomiting and admit immediately to a hospital facility.

This prescription dentifrice is recommended for adults and pediatric patients 6 years and older

• Apply a thin ribbon of NeutraMaxxtm  5000 TCP along the length of the toothbrush no more than "pea size" total dose. Brush for two minutes.
• After brushing  ADULTS - Expectorate, do not eat for 30 minutes.   CHILDREN 6 YEARS OF AGE OR OLDER - Expectorate and rinse mouth with water.   Rinse mouth thoroughly.
• Use at bedtime in place of your regular toothpaste or as directed by your dental professional.

Follow these instructions unless otherwise instructed by you dental professional.

4 oz. (112 gm) net wt. tube

Store at controlled room temperature, 20-25°C (68-77°F)

Filtered Water, Sorbitol, Hydrated Silica, Glycerin, PEG 8000, Carboxymethylcellulose, Xylitol, MonoSodium Phosphate, Titanium Dioxide, Vanilla Mint Flavor, Sodium Saccharin, Tri-Calcium Phosphate

Call 1-479-787-5168  M-F 9am to 5 pm CST

NDS 63783 63783-502-04

VANILLA MINT FLAVOR

ANTI-CAVITY TOOTHPASTE       XYLITOL

NeutraMaxx™

5000 TRI-CALCIUM PHOSPHATE

1.1% Neutral Sodium Fluoride 5000 ppm

Sweetened with Xylitol

DOES NOT CONTAIN SODIUM LAURYL SULFATE

RX ONLY

Net wt. 4 oz (112 G)

Manufactured By:

MASSCO DENTAL

A Division of Dunagin Pharmaceuticals,

Rogers, AR

800-227-1296 • www.masscodental.net