FDA Label for Tetracaine Hydrochloride
View Indications, Usage & Precautions
- 1 INDICATIONS AND USAGE
- 2 DOSAGE AND ADMINISTRATION
- 3 DOSAGE FORMS AND STRENGTHS
- 4 CONTRAINDICATIONS
- 5.1 CORNEAL INJURY WITH INTRACAMERAL USE
- 5.2 CORNEAL TOXICITY
- 5.3 CORNEAL INJURY DUE TO INSENSITIVITY
- 6 ADVERSE REACTIONS
- 8.1 PREGNANCY
- 8.2 LACTATION
- 8.3 FEMALES AND MALES OF REPRODUCTIVE POTENTIAL
- 8.4 PEDIATRIC USE
- 8.5 GERIATRIC USE
- 10 OVERDOSAGE
- 11 DESCRIPTION
- 12.1 MECHANISM OF ACTION
- 12.3 PHARMACOKINETICS
- 13.1 CARCINOGENESIS, MUTAGENESIS, IMPAIRMENT OF FERTILITY
- 14 CLINICAL STUDIES
- 16 HOW SUPPLIED/STORAGE AND HANDLING
- 17 PATIENT COUNSELING INFORMATION
- PACKAGE/LABEL PRINCIPAL DISPLAY PANEL- CARTON 15 ML
Tetracaine Hydrochloride Product Label
The following document was submitted to the FDA by the labeler of this product Oceanside Pharmaceuticals. The document includes published materials associated whith this product with the essential scientific information about this product as well as other prescribing information. Product labels may durg indications and usage, generic names, contraindications, active ingredients, strength dosage, routes of administration, appearance, warnings, inactive ingredients, etc.
1 Indications And Usage
Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% is indicated for procedures requiring
a rapid and short-acting topical ophthalmic anesthetic.
2 Dosage And Administration
One drop topically in the eye(s) as needed.
3 Dosage Forms And Strengths
Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% is a clear, colorless, ophthalmic
solution containing 0.5% w/v tetracaine hydrochloride equivalent to tetracaine 0.44% w/v.
4 Contraindications
Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% should not be used in patients with a
history of hypersensitivity to any component of this preparation.
5.1 Corneal Injury With Intracameral Use
Not for injection or intraocular use. Do not use intracamerally because use of Tetracaine
Hydrochloride Ophthalmic Solution, USP 0.5% may lead to damage of the corneal endothelial
cells.
5.2 Corneal Toxicity
Prolonged use or abuse may lead to corneal epithelial toxicity and may manifest as epithelial
defects which may progress to permanent corneal damage.
5.3 Corneal Injury Due To Insensitivity
Patients should not touch the eye for at least 10-20 minutes after using anesthetic as accidental
injuries can occur due to insensitivity of the eye.
6 Adverse Reactions
The following serious ocular adverse reactions are described elsewhere in the labeling:
• Corneal Injury with Intracameral Use [See Warnings and Precautions (5.1)]• Corneal Toxicity [See Warnings and Precautions (5.2)]• Corneal Injury due to Insensitivity [See Warnings and Precautions (5.3)]
The following adverse reactions have been identified following use of Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5%. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
Ocular Adverse Reactions
Transient stinging, burning, and conjunctival redness, eye irritation, eye pain, ocular discomfort.
8.1 Pregnancy
Risk Summary
There are no adequate and well-controlled studies with Tetracaine Hydrochloride Ophthalmic
Solution, USP 0.5% in pregnant women. Animal developmental and reproductive toxicity studies
with tetracaine hydrochloride have not been reported in the published literature.
8.2 Lactation
Risk Summary
There are no data to assess whether Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% is
excreted in human milk or to assess its effects on milk production/excretion. The developmental
and health benefits of breastfeeding should be considered along with the mother’s clinical need
for Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% and any potential adverse effects
on the breastfed child from Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5%.
8.3 Females And Males Of Reproductive Potential
No human data on the effect of Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% on
fertility are available.
8.4 Pediatric Use
Safety of Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% in the pediatric population
has been demonstrated in clinical trials. Efficacy of Tetracaine Hydrochloride Ophthalmic
Solution, USP 0.5% for use in pediatric patients has been extrapolated from adequate and well
controlled clinical trials in the adult population.
8.5 Geriatric Use
No overall differences in safety or effectiveness of Tetracaine Hydrochloride Ophthalmic
Solution, USP 0.5% have been observed between elderly and younger patients.
10 Overdosage
Prolonged use of a topical ocular anesthetic including Tetracaine Hydrochloride Ophthalmic
Solution, USP 0.5% may produce permanent corneal opacification and ulceration with
accompanying visual loss.
11 Description
Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% is a sterile, clear, colorless, topical
local anesthetic for ophthalmic use only containing tetracaine hydrochloride as the active
pharmaceutical ingredient.
Tetracaine hydrochloride is chemically designated as benzoic acid, 4-(butylamino)-,
2-(dimethylamino) ethyl ester, monohydrochloride. Its chemical formula is C15H24N2O2 •
HCl and it is represented by the chemical structure:
Tetracaine hydrochloride is a fine, white, crystalline, odorless powder with a molecular weight of
300.82
Active ingredient: tetracaine hydrochloride 0.5% w/v (equivalent to 0.44% w/v tetracaine)
Preservative: chlorobutanol 0.4%
Inactive ingredients: boric acid, potassium chloride, edetate disodium dihydrate, water for injection.
Sodium hydroxide and/or hydrochloric acid may be added to adjust pH (3.7 – 6.0).
12.1 Mechanism Of Action
Tetracaine blocks sodium ion channels required for the initiation and conduction of neuronal
impulses thereby affecting local anesthesia.
12.3 Pharmacokinetics
The systemic exposure to tetracaine following topical ocular administration of Tetracaine
Hydrochloride Ophthalmic Solution, USP 0.5% has not been studied. Tetracaine hydrochloride is
metabolized by plasma pseudocholinesterases and nonspecific esterases in ocular tissues.
13.1 Carcinogenesis, Mutagenesis, Impairment Of Fertility
Studies to assess the genotoxicity of tetracaine hydrochloride have not been reported in the
published literature. Long-term animal studies have not been conducted to evaluate the
carcinogenic potential of tetracaine hydrochloride. Animal studies to assess the effects of
tetracaine hydrochloride on fertility have not been reported in the published literature.
14 Clinical Studies
Topical administration of Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% results in
localized temporary anesthesia. The maximum effect is achieved within 10–20 seconds after
instillation, with efficacy lasting 10–20 minutes. Duration of effect can be extended with
repeated dosing. [See Warnings and Precautions (5.2) and Overdosage (10)].
16 How Supplied/Storage And Handling
Tetracaine Hydrochloride Ophthalmic Solution, USP 0.5% is supplied as a sterile, aqueous,
topical ophthalmic solution with a fill volume of 15 mL in a 15 mL low-density polyethylene
plastic dropper bottle with a low-density polyethylene dropper tip and white polypropylene cap.
NDC 68682-920-64
After opening, this product can be used until the expiration date stamped on the bottle.
Storage: Store at 15° to 25°C (59° to 77°F). Protect from light. Do not use if solution
contains crystals, cloudy, or discolored.
17 Patient Counseling Information
Eye Care Precaution
Do not touch the dropper tip to any surface as this may contaminate the solution.
Advise patients that, due to the effect of the anesthetic, their eyes will be insensitive for up to 20
minutes and that care should be taken to avoid accidental injuries.
Distributed by:
Oceanside Pharmaceuticals, a division of
Bausch Health US, LLC, Bridgewater, NJ 08807 USA
Manufactured by:
Bausch & Lomb Incorporated
Tampa, FL 33637
9675200 (Folded)
9675300 (Flat)
Revised: May 2019
Package/Label Principal Display Panel- Carton 15 Ml
NDC 68682-920-64
Rx only
Tetracaine
Hydrochloride
Ophthalmic
Solution, USP
0.05% (Sterile)
15 mL
OCEANSIDE
PHARMACEUTICALS
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