VASOCAINE- lidocaine hcl, epinephrine hcl spray 
Dermal Source, Inc.

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Drug Facts - For use by licensed professionals only


Active Ingredients Purpose
Lidocaine HCl   4% Topical Anesthetic
Racepinephrine HCl.01% Vasoconstrictor

Uses: External Use Only.  
Temporarily relieves pain, itching or swelling associated
with anorectal disorders or pain sensitive procedures.

WARNINGS: Keep out of reach of children

Do not use if you have

Avoid direct contact with eyes. If contact should occur,
irrigate with copious amounts of sterile saline and seek
medical attention. DO NOT SWALLOW. If you have swallowed
this product seek medical attention immediately.

When using this product you may notice temporary blanching
or redness of the skin where liquid is applied.

Directions:  Sensitivity test advised prior to use.

Apply sparingly to affected area. Wait until anesthetic
effect occurs (90 seconds). Discontinue use if sensitivity 
occurs. Wash Vasocaine off completely before tattooing.

Inactive Ingredients: Purified Water, Propylene Glycol,
Sodium Metabisulfite, Citric Acid Diazolidinyl Urea,
Methyl Paraben, Propyl Paraben, and Disodium EDTA.

Other information: Store in cool dark place or refrigerate
and out of reach of children. Discard after expiration date.

Questions? Contact distributor on product label.

PRINCIPAL DISPLAY PANEL

FIVE-STAR

Vasocaine

Fast acting
anesthetic to
reduce pain
and swelling

4 oz.

NDC 80069-016-01

Distributed by:
DERMAL SOURCE
Portland, OR 97232

www.dermalsource.com
1-866-568-3223

label
VASOCAINE 
lidocaine hcl, epinephrine hcl spray
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:80069-016
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Lidocaine Hydrochloride (UNII: V13007Z41A) (Lidocaine - UNII:98PI200987) Lidocaine Hydrochloride Anhydrous40 mg  in 1 mL
Racepinephrine Hydrochloride (UNII: 336096P2WE) (Racepinephrine - UNII:GR0L9S3J0F) Racepinephrine.1 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
Water (UNII: 059QF0KO0R)  
Propylene Glycol (UNII: 6DC9Q167V3)  
Sodium Metabisulfite (UNII: 4VON5FNS3C)  
Citric Acid Monohydrate (UNII: 2968PHW8QP)  
Diazolidinyl Urea (UNII: H5RIZ3MPW4)  
Methylparaben (UNII: A2I8C7HI9T)  
Propylparaben (UNII: Z8IX2SC1OH)  
Edetate Disodium Anhydrous (UNII: 8NLQ36F6MM)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:80069-016-01118.294 mL in 1 BOTTLE, PUMP; Type 0: Not a Combination Product06/01/2005
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01506/01/2005
Labeler - Dermal Source, Inc. (183535629)
Establishment
NameAddressID/FEIBusiness Operations
HTO Nevada, Inc. (dba Kirkman)117115846manufacture(80069-016)

Revised: 5/2024
Document Id: 2b6efe86-9c76-4c99-81fd-e3ccc07b2b23
Set id: 8d2c838e-169f-4bfa-9f31-e90bfd91b437
Version: 1
Effective Time: 20240501
 
Dermal Source, Inc.