PAIN RELIEF GEL-ROLL ON- lidocaine and menthol gel 
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.

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CSI, Lidocaine and Menthol, PAIN RELIEF Gel-Roll On, 2.5 fl. oz / 73 mL, Gel, Bottle

Active Ingredient

Lidocaine 4.0% (w/w ...... Purpose: Topical Anesthetic)

Menthol 1.0% (w/w ...... Purpose: Topical Analgesic)

Purpose

(Lidocaine) Topical Anesthetic

(Menthol) Topical Analgesic

Use

temporary relief of pain

Warnings

For external use only

Do not use

• on large areas of the body or on cut, irritated or swollen skin not apply to wounds or damaged skin • 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 eyes and mucous membranes • do not bandage or apply local heat (such as heating patches) or a medicated patch to the area of use • do not use at the same time as other topical analgesics

Stop use if

• condition worsens • redness is present • irritation develops • symptoms persist for more than 7 days or clear up and occur within a few days

Ask a doctor if

• condition worsens • redness is present • irritation develops • symptoms persist for more than 7 days or clear up and occur within a few days

Flammable

• keep away from fire or flame

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 right away

Directions

Adults and children 12 over years:

• apply a thin layer to affected area 6 to 8 hours, not to exceed 3 application in a 24 hour period

Children under 12 years of age: Consult a doctor

Inactive Ingredients

Aloe Vera Extract, Carbopol, Isopropyl myristate, Lavender Oil, Phenoxyethanol, Polysorbate 80, Propylene Glycol, Tartaric acid, Vitamin E, Water

Questions or Comments

86-21-31166566

Child-resistant packaging. Close cap tightly after use.

Container LabelPackage Label

PAIN RELIEF GEL-ROLL ON 
lidocaine and menthol gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:73557-373
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987) LIDOCAINE0.04 g  in 1 mL
MENTHOL (UNII: L7T10EIP3A) (MENTHOL - UNII:L7T10EIP3A) MENTHOL0.01 g  in 1 mL
Inactive Ingredients
Ingredient NameStrength
POLYACRYLIC ACID (250000 MW) (UNII: 9G2MAD7J6W)  
WATER (UNII: 059QF0KO0R)  
LAVENDER OIL (UNII: ZBP1YXW0H8)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
ISOPROPYL MYRISTATE (UNII: 0RE8K4LNJS)  
.ALPHA.-TOCOPHEROL, D- (UNII: N9PR3490H9)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
TARTARIC ACID (UNII: W4888I119H)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:73557-373-2573 mL in 1 BOTTLE; Type 0: Not a Combination Product12/22/2022
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01712/22/2022
Labeler - Shanghai Chuangshi Medical Technology (Group) Co., Ltd. (546872672)
Registrant - Shanghai Chuangshi Medical Technology (Group) Co., Ltd. (546872672)
Establishment
NameAddressID/FEIBusiness Operations
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.546872672manufacture(73557-373) , label(73557-373)

Revised: 4/2024
Document Id: 1738508c-5cad-6852-e063-6394a90acc19
Set id: f02fa9c0-b8af-f362-e053-2a95a90ae516
Version: 3
Effective Time: 20240429
 
Shanghai Chuangshi Medical Technology (Group) Co., Ltd.