PAIN RELIEF LIDOCAINE- lidocaine patch 
FAMILY DOLLAR

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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Family Wellness Pain Relief Lidocaine Patch 1ct 46959

Active ingredientPurpose
Lidocaine 4%.................................................... Topical anesthetic

Use
■ temporarily relieves minor pain

For external use only

Do not use
■ more than 1 patch on your body at a time or on cut, irritated or
swollen skin ■ at the same time as other topical analgesics
■ 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 label. ■ do not allow contact with the eyes
■ do not bandage tightly or apply local heat (such as heating
pads) to the area of use
■ discontinue use at least 1 hour before a bath or shower
■ do not use immediately after a bath or shower
■ dispose of used patch in manner that always keeps product
away from children or 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
■ symptoms persist for more than 7 days or clear up and occur
again within a few days ■ irritation develops
■ 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 (1-800-222-1222) right away.

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 ■ use 1 patch for up to 12 hours
■ children 12 years or younger: ask a doctor

Other information
■ store at room temperature 20-25°C (68-77°F)

Inactive ingredients alcohol, aluminum glycinate, glycerin,
kaolin, methylparaben, polysorbate 80, propylparaben, purified
water, sodium polyacrylate, tartaric acid, titanium dioxide

DISTRIBUTED BY:
MIDWOOD BRANDS, LLC
500 VOLVO PARKWAY, CHESAPEAKE, VA 23320 USA

MADE IN CHINA

49569.1

PAIN RELIEF LIDOCAINE 
lidocaine patch
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55319-959
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987) LIDOCAINE40 mg  in 1 g
Inactive Ingredients
Ingredient NameStrength
DIHYDROXYALUMINUM AMINOACETATE ANHYDROUS (UNII: 1K713C615K)  
GLYCERIN (UNII: PDC6A3C0OX)  
METHYLPARABEN (UNII: A2I8C7HI9T)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLPARABEN (UNII: Z8IX2SC1OH)  
WATER (UNII: 059QF0KO0R)  
SODIUM POLYACRYLATE (2500000 MW) (UNII: 05I15JNI2J)  
TARTARIC ACID (UNII: W4888I119H)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
ALCOHOL (UNII: 3K9958V90M)  
KAOLIN (UNII: 24H4NWX5CO)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:55319-959-011 in 1 POUCH09/07/2018
10.04 g in 1 PATCH; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart34809/07/2018
Labeler - FAMILY DOLLAR (024472631)

Revised: 3/2022
Document Id: db8af2b6-a828-2919-e053-2995a90a8729
Set id: 75502ecb-15ae-15aa-e053-2991aa0a5acb
Version: 4
Effective Time: 20220331
 
FAMILY DOLLAR