The following Structured Product Label (SPL) was submitted to the FDA by Skinmedica Pharmaceuticals, Inc. for the product Neobenz(r) Micro (NDC 67402-027). This document serves as the official prescribing information, containing essential scientific data and clinical materials required for healthcare providers and patients.
This specific version of the label includes detailed information regarding other, i. description, ii. clinical pharmacology, iii. indications and usage, iv. contraindications, v. warnings, vi. precautions, information for patients, and other regulatory disclosures. Use the navigation below to review specific sections of the FDA submission.
Other
NeoBenz® Micro(benzoyl peroxide cream)NeoBenz® Micro SD(benzoyl peroxide cream)NeoBenz® Micro Wash(benzoyl peroxide)Rx ONLY. FOR EXTERNAL USE ONLY.
Distributed by SkinMedica Pharmaceuticals, Inc., Carlsbad. CA 92010Covered by Us Patents: 4,690,825; 5,145,675; 5,879,716; 6,007,364. *MICROSPONGE®
is a registered trademark of AMCOL Health and Beauty Solutions, Inc, a
subsidiary of AMCOL International Corporation.129008 December 2008P7001-03
I. Description
NeoBenz® Micro 3.5%
and 5.5% creams, NeoBenz® Micro SD 5.5% single dose cream and NeoBenz® Micro
Wash 7% are topical preparations containing benzoyl peroxide as the active
ingredient incorporated into patented porous microspheres (MICROSPONGE®*
delivery system) composed of methyl methacrylate/glycol dimethacrylate
crosspolymer. This polymeric system has been shown to provide gradual release
of active ingredient into the skin1 and absorb natural skin oils2.
Ingredients for all cream and SD strengths include: water, glycerin, ethylhexyl
palmitate, sorbitol, cetyl alcohol, glyceryl ditaurate, stealryl alcohol,
magnesium aluminum silicate, methyl methacrylate/glycol dimethacrylate
crosspolymer, silica, citric acid, xanthan gum, methylparaben, sodium citrate, propyIparaben, polyacrylamide, C13-14 isoparaffin, laureth-7, sodium
lauryl sulfate. Ingredients for the Wash include citric acid, cocamidopropyl
betaine, cocamine oxide, disodium laureth sulfosuccinate, edetate disodium,
fragrance, glycerin, hydrogenated castor oil, hypromellose, magnesium aluminum
silicate, methyl methacrylate/Glycol dimethacrylate crosspolymer,
methylparaben, PEG-150 pentaerythrityl tetrastearate (and) PEG-6
caprylic/capric glycerides, PEG-40 hydrogenated castor oil, poloxamer 182,
purified water and xanthan gum.Benzoyl peroxide is
an oxidizing agent that possesses antibacterial properties and is classified as
a keratolytic. Benzoyl peroxide (C14H10O4) is represented by the following
structure:
Ii. Clinical Pharmacology
The exact method of
action of benzoyl peroxide in acne vulgaris is not known. Benzoyl peroxide is
an antibacterial agent with demonstrated activity against Propionibacterium
acnes. This action, combined with the mild keratolytic effect of benzoyl
peroxide is believed to be responsible for its usefulness in acne. Benzoyl peroxide is absorbed by the skin where it is metabolized to benzoic acid and excreted as benzoate in the urine.
Iii. Indications And Usage
NeoBenz® Micro, NeoBenz® Micro SD and NeoBenz® Micro Wash are indicated for use in the topical treatment of mild to moderated acne vulgaris.
Iv. Contraindications
NeoBenz® Micro, NeoBenz® Micro SD and NeoBenz® Micro Wash should not be used in
patients who have shown hypersensitivity to benzoyl peroxide or to any of the
other ingredients in the products.
V. Warnings
When using this
product, avoid unnecessary sun exposure and use a sunscreen.
Vi. Precautions
(SEE WARNINGS)General– For
external use only. Avoid contact with eyes and mucous membranes. If severe
irritation develops, discontinue use and institute appropriate therapy.
Information for
Patients: Avoid contact with eyes, eyelids, lips and mucous membranes. If
accidental contact occurs, rinse with water. AVOID CONTACT WITH HAIR, FABRICS
OR CARPETING AS BENZOYL PEROXIDE WILL CAUSE BLEACHING OR DISCOLORATION. If excessive irritation develops, discontinue use and consult your physician.
Carcinogenesis & Mutagenesis & Impairment Of Fertility
Carcinogenesis,
Mutagenesis, Impairment of Fertility: Based upon all available evidence,
benzoyl peroxide is not considered to be a carcinogen. However, data from a study using mice
known to be highly susceptible to cancer suggest that benzoyl peroxide acts as
a tumor promoter. The clinical significance of the findings is not known.
Pregnancy
Pregnancy: Category C
- Animal reproduction studies have not been conducted with benzoyl peroxide. It is also not
known whether benzoyl peroxide can cause fetal harm when administered to a
pregnant woman or can affect reproduction capacity. Benzoyl peroxide should be
used by a pregnant woman only if clearly needed.
Nursing Mothers
Nursing Mothers: It
is not known whether this drug is excreted in human milk. Because many drugs
are excreted in human milk, caution should be
exercised when benzoyl peroxide is administered to a nursing woman.
Pediatric Use
Pediatric Use: Safety
and effectiveness in children below the age of 12 have not been established.
Vii . Adverse Reactions
Allergic contact
dermatitis and dryness have been reported with topical benzoyl peroxide
therapy.
Viii. Overdosage
If excessive scaling,
erythema or edema occurs, the use of these preparations should be discontinued.
To hasten resolution of the adverse effects, cool compresses may be used. After
symptoms and signs subside, a reduced dosage schedule may be cautiously tried if
the reaction is judged to be due to excessive use and not allergenicity.
Ix. Dosage And Administration
NeoBenz® Micro, NeoBenz® Micro SD and NeoBenz® Micro Wash should be used once
or twice daily on the affected areas. Frequency of use should be adjusted to
obtain the desired clinical response. If you see medication or white residue on skin after application of NeoBenz® Micro or NeoBenz® Micro SD, you are applying too much. Gentle cleansing of the affected areas with a mild cleanser prior to application of NeoBenz® Micro or NeoBenz® Micro SD may be beneficial. Clinically visible improvement will normally occur by the third week if therapy. Maximum lesion reduction may be expected after approximately eight to twelve weeks for drug use. Continuing use of the drug us normally required to maintain a satisfactory clinical response. NeoBenz® Micro: If applying to the entire face, apply a pea-sized amount of NeoBenz® Micro to one fingertip and dab onto cheeks, forehead and chin. Spread evenly onto entire face. NeoBenz® Micro SD: Firmly squeeze applicator until seal between applicator and sponge has broken. Apply medication by rubbing sponge on small circular motions on affected areas. Dispose of each applicator after single use only. NeoBenz® Micro Wash: Shake well before using. Wet skin areas to be treated; apply NeoBenz® Micro Wash by massaging gently into skin for 10-20 seconds, working into a full lather. Rinse thoroughly and pat dry.
X. How Supplied
NeoBenz® Micro is supplied as follows:SIZE: 45 gram tubeNDC NUMBER:(3.5% benzoyl peroxide cream): 67402-020-45(5.5% benzoyl peroxide cream): 67402-021-45NeoBenz® Micro SD is supplied as follows:SIZE: 1 box of thirty 0.5 gram applicatorsNDC NUMBER:(5.5% benzoyl peroxide cream): 67402-021-06NeoBenz® Micro Wash is supplied as follows:SIZE: 180 gram tottleNDC NUMBER:(benzoyl peroxide 7%): 67402-027-17
Storage And Handling
Store between 15o - 25o C (59o - 77o F)
References
1. Wester RC, Patel R, Nacht S, Leyden J, Melendres J, Maibach H.
Controlled release of benzoyl peroxide from a porous microsphere
polymeric system can reduce topical irritancy. J. Am. Acad. Dermatol.
1991;24; 720-726. 2. Meyer R. Rosen (ed.), Delivery System Handbook for Personal care and Cosmetic Products, 332-352 (2005).
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