OXISTOM- oral wound cleanser liquid 
PRO-SYS- oral wound cleanser liquid 
Forward Science Technologies LLC

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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Inactive Ingredients

Methyl Salicylate, PEG-40, Propylene Glycol, Water, Xylitol

Questions?

1-855-696-7254

Active Ingredient

Hydrogen Peroxide 1.5% (w/v)

Purpose

Oral Debriding Agent / Oral Wound Cleanser

Other Information

Store at controlled room temperatures 68 - 77ºF (20 - 25ºC) and away from direct sunlight. Keep cap tightly closed when not in use.

Uses


• Aids in the removal of phlegm, mucus, or other secretions associated with occasional sore mouth.
• For temporary use in cleansing minor wounds or minor gum inflammation resulting from minor dental procedures, dentures, orthodontic appliances, accidental injury, or other irritations of the mouth and gums.
• For temporary use to cleanse canker sores.
• Assists in the removal of foreign material from minor oral wounds.

Warnings

Do not use this product for more than 7 days unless directed by a dentist or physician. When using this product, do not swallow.
Stop use and ask a dentist or physician if:

• sore mouth symptoms do not improve in 7 days;
• irritation, pain, or redness persists or worsens;
• swelling, rash, or fever develops.

Keep out of reach of children

If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away.

Directions

• Adults and children 2 years of age or older: rinse half a capful (two teaspoons or 10 mL) around the mouth over the affected area for at least 1 minute, then spit out.
• Use up to 4 times daily after meals and at bedtime or as directed by a dentist or physician.
• Children under 12 years of age should be supervised in the use of the product.
• Children under 2 years of age: Consult a dentist or physician.

Directions

• Adults and children 2 years of age or older: rinse half a capful (two teaspoons or 10 mL) around the mouth over the affected area for at least 1 minute, then spit out.
• Use up to 4 times daily after meals and at bedtime or as directed by a dentist or physician.
• Children under 12 years of age should be supervised in the use of the product.
• Children under 2 years of age: Consult a dentist or physician.

OxiStom

prosys 16oz

OXISTOM 
oral wound cleanser liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:70275-937
Route of AdministrationBUCCAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE15 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
XYLITOL (UNII: VCQ006KQ1E)  
METHYL SALICYLATE (UNII: LAV5U5022Y)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
POLYOXYL 40 HYDROGENATED CASTOR OIL (UNII: 7YC686GQ8F)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:70275-937-13400 mL in 1 BOTTLE; Type 0: Not a Combination Product05/26/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35605/26/2021
PRO-SYS 
oral wound cleanser liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:70275-201
Route of AdministrationBUCCAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE15 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
XYLITOL (UNII: VCQ006KQ1E)  
METHYL SALICYLATE (UNII: LAV5U5022Y)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
POLYOXYL 40 HYDROGENATED CASTOR OIL (UNII: 7YC686GQ8F)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:70275-201-16473 mL in 1 BOTTLE; Type 0: Not a Combination Product05/16/2022
2NDC:70275-201-283785 mL in 1 BOTTLE; Type 0: Not a Combination Product05/16/2022
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35605/16/2022
Labeler - Forward Science Technologies LLC (079212068)
Establishment
NameAddressID/FEIBusiness Operations
Forward Science Technologies LLC079212068manufacture(70275-937, 70275-201)

Revised: 1/2023
Document Id: f1ee2867-e303-65a9-e053-2995a90a1c66
Set id: c357c8f8-6fd6-c2f8-e053-2995a90a4023
Version: 3
Effective Time: 20230110
 
Forward Science Technologies LLC