EQUIPTO - BACLOFEN EXTERNAL CREAM COMPOUNDING KIT- baclofen 
Alvix Laboratories, LLC

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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Equipto-Baclofen External Cream Compounding Kit
For Pharmacy Prescription Compounding Only / Rx Only
For Topical Use Only

DESCRIPTION

Baclofen 2% External Cream Base
FOR PRESCRIPTION COMPOUNDING ONLY / Rx Only

Each Equipto - Baclofen External Cream Compounding Kit provides 2.04 grams of Baclofen powder for incorporation into 100 grams of a Base. The resulting mixture is intended for topical use.

CAS Number 1134-47-0

β-(4-chlorophenyl)-γ-aminobutyric acid (β-(4-chlorophenyl)-GABA)

structure

WARNINGS

Pictogram

Skull and Cross bones PictogramHealth Hazard Pictogramexclamation point Pictogram

Signal word: Danger

Hazard Statement(s)

H301 Toxic if swallowed.

H315 Causes skin irritation.

H317 May cause an allergic skin reaction.

H319 Causes serious eye irritation.

H334 May cause allergy or asthma symptoms or breathing difficulties if inhaled.

H335 May cause respiratory irritation.

H360 May damage fertility or the unborn child.

Precautionary statement(s)

P201 Obtain special instructions before use.

P261 Avoid breathing dust/ fume/ gas/ mist/ vapours/ spray.

P280 Wear protective gloves.

P301 + P310 IF SWALLOWED: Immediately call a POISON CENTER or doctor/
physician.

P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove
contact lenses, if present and easy to do. Continue rinsing.

P308 + P313 IF exposed or concerned: Get medical advice/ attention.

KTI COMPONENTS

Kit Components: 1 color coded black bottle of 2.04g Baclofen, 1 bottle of 100g Base, 1 stirring rod, and 1 empty white mixing jar.

SIZE120 grams
NDC #15455-0701-2
Baclofen2.04 grams
Base100 grams

Avoid contact with eyes. Keep container tightly closed. Keep out of reach of children. Protect from light. Dispose of the product after 30 days of being compounded.

* Certificate of analysis on file.

The FDA has not approved Equipto - Baclofen External Cream Compounding Kit to cure, treat, or mitigate disease.

Equipto - Baclofen External Cream Compounding Kit is intended for preparation in accordance with state and federal regulation governing compounding and is available to patients by prescription only.

Rx ONLY

logo

STORAGE AND HANDLING

Prior to compounding, store Equipto - Baclofen External Cream Compounding Kit at room temperature between 15 - 30 degrees C (59 - 86 degrees F). Protect from light.

For external use only.

INSTRUCTIONS FOR USE

insert page 1insert page 2

PRINCIPAL DISPLAY PANEL

NDC 15455-0701-2

Equipto - Baclofen External Cream Compounding Kit

Baclofen 2% External Cream in Base

FOR PRESCRIPTION COMPOUNDING ONLY

RX ONLY

carton label

TDC MAX Cream - Base 100 g

NDC# 15455-0999-5

FOR PRESCRIPTION COMPOUNDING ONLY

Rx ONLY

Base 100 g

Baclofen USP Poweder 2.04 g

NDC# 15455-0724-4

FOR PRESCRIPTION COMPOUNDING ONLY

Rx ONLY

Baclofen Label 2.04g

EQUIPTO - BACLOFEN EXTERNAL CREAM COMPOUNDING KIT 
baclofen kit
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:15455-0701
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:15455-0701-21 in 1 CARTON01/20/201503/08/2018
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 1
Part 2
Part 1 of 2
BACLOFEN 
baclofen powder, for suspension
Product Information
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BACLOFEN (UNII: H789N3FKE8) (BACLOFEN - UNII:H789N3FKE8) BACLOFEN1 g  in 1 g
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other01/20/2015
Part 2 of 2
CREAM BASE 
cream base suspension
Product Information
Route of AdministrationTOPICAL
Inactive Ingredients
Ingredient NameStrength
STEARETH-20 (UNII: L0Q8IK9E08)  
CYCLOMETHICONE 5 (UNII: 0THT5PCI0R)  
ETHYLHEXYL STEARATE (UNII: EG3PA2K3K5)  
SORBITOL (UNII: 506T60A25R)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
ALPHA-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
WATER (UNII: 059QF0KO0R)  
CETOSTEARYL ALCOHOL (UNII: 2DMT128M1S)  
POLYSORBATE 60 (UNII: CAL22UVI4M)  
PEG-150 STEARATE (UNII: 7BSG7DF10Q)  
Product Characteristics
ColorwhiteScore    
ShapeSize
FlavorImprint Code
Contains    
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other01/20/2015
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other01/20/201503/08/2018
Labeler - Alvix Laboratories, LLC (962445925)

Revised: 3/2018
 
Alvix Laboratories, LLC