MULTI-ACTION RELIEF- polyvinyl alcohol, povidone and tetrahydrozoline hydrochloride solution/ drops 
Altaire Pharmaceuticals Inc.

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Multi-Action Relief Drops

Multi-Action Relief Drops15mLNDC 59390-156-13

Drug Facts

Active ingredients

Polyvinyl alcohol 0.5%

Povidone 0.6%

Tetrahydrozoline hydrochloride 0.05%

Purpose

Lubricant

Lubricant

Redness Reliever

Uses

Warnings

Forusein the eye(s)only.

Do not useif

solution changes color or becomes cloudy.

Ask a doctor before use if you have

narrow angle glaucoma.

When using this product

  • to avoid contamination, do not touch tip ofcontainer to any surface
  • replace cap after using 
  • overuse may produce increased redness of the eye
  • pupils may become enlarged temporarily

Stop use and ask a doctor if

  • you experience eye pain
  • you experience changes in vision 
  • you experience continued redness or irritation of the eye 
  • the condition worsens 
  • symptoms last for more than 72 hours

Keepoutofreach of children.

If swallowed, get medical helporcontact a Poison Control Center right away.

Directions

OtherInformation

Inactive ingredients

benzalkonium chloride, dextrose, dibasic sodium phosphate, edetate disodium, monobasic sodium phosphate, potassium chloride, purified water, sodium bicarbonate, sodium chloride, sodium citrate. Hydrochloric acid or sodium hydroxide may be added to adjust pH.

PRINCIPAL DISPLAY PANEL

Multi-Action RELIEF DROPSLUBRICANT/REDNESSRELIEVER EYE DROPSSTERILE0.5 FL OZ (15mL)




PRINCIPAL DISPLAY PANEL
Multi-Action 
RELIEF DROPS
LUBRICANT/REDNESS
RELIEVER EYE DROPS
STERILE
0.5 FL OZ (15mL)

MULTI-ACTION RELIEF 
polyvinyl alcohol, povidone and tetrahydrozoline hydrochloride solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:59390-156
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990) (POLYVINYL ALCOHOL, UNSPECIFIED - UNII:532B59J990) POLYVINYL ALCOHOL, UNSPECIFIED5 mg  in 1 mL
POVIDONE (UNII: FZ989GH94E) (POVIDONE - UNII:FZ989GH94E) POVIDONE6 mg  in 1 mL
TETRAHYDROZOLINE HYDROCHLORIDE (UNII: 0YZT43HS7D) (TETRAHYDROZOLINE - UNII:S9U025Y077) TETRAHYDROZOLINE HYDROCHLORIDE0.5 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
DEXTROSE (UNII: IY9XDZ35W2)  
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SODIUM PHOSPHATE, MONOBASIC (UNII: 3980JIH2SW)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:59390-156-131 in 1 CARTON05/09/2009
115 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01805/09/2009
Labeler - Altaire Pharmaceuticals Inc. (786790378)
Establishment
NameAddressID/FEIBusiness Operations
Altaire Pharmaceuticals Inc.786790378manufacture(59390-156)

Revised: 12/2023
Document Id: 0c0ec51d-1d03-a16d-e063-6294a90afd94
Set id: 28f54146-fa76-4436-95d8-9dd9079f6c22
Version: 4
Effective Time: 20231209
 
Altaire Pharmaceuticals Inc.