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Premium Scar Patch Package Insert

Status:
Prescription (Rx) Facts
Strength:
2 g/100 g, 5 g/100 g, 30 g/100 g
Drug class:
Active ingredients:
Similar drugs:

Source: FDA drug labeling via NLM DailyMed · About this document

Prescribing information (package insert) - Premium Scar Patch

Active Ingredient

Allantoin 2.00 %

Lidocaine 4.00 %

Pterolatum 30.00 %

Purpose

Allantoin 2.00 % ........ Skin Protectant

Lidocaine 4.00 % ........ Topical Anesthetic

Petrolatum 30.00 %..... Skin Protectant

Uses

  • Scar Management - Temporarily protects minor cuts, scrapes and burns

-Temporary relief of pain associated with minor cuts, scrapes and minor skin irritations

Warnings

For external use only

Do not use

-on deep or puncture wounds, animal bites, serious burns

-in large quantities, particularly over raw surfaces or blistered areas

When using this product

-avoid contact with eyes

Stop use and ask a doctor if

-condition worsens symptoms last more than 7 days or clear up and occur again within a few days

Keep out of reach of children. If pregnant or breastfeeding, contact physician prior to use

Directions:

How to apply - clean and dry affected area -remove mesh from backing and apply to affected area

-use only one mesh at a time, and maximum of four mesh/day -leave mesh on affected area for up to

8 hours -do not use mesh for longer than 5 consecutive days -children under 12 should consult

physician prior to use

Other Information: store below 25C (77F), avoid direct sunlight

Questions or comments? call weekdays from 9 AM to 5 PM CST 800-914-7435

About this document

Source: FDA drug labeling via NLM DailyMed · View the label on DailyMed

Found a mistake? Write to us via the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Drug information for Premium Scar Patch

Rx or OTC
Prescription (Rx)?
  • This drug is available only with a prescription from a licensed healthcare provider.
  • Rx
Drug class Amide Local Anesthetic, Antiarrhythmic
Active ingredients Allantoin 2 g/100 g, Lidocaine 5 g/100 g, Petrolatum 30 g/100 g
Dosage form Patch
Route Topical
Marketing status not in the current FDA NDC Directory
Company (applicant) Alivio Medical Products, LLC
FDA approval UNAPPROVED DRUG OTHERUnapproved drug
Manufacturers 1 labelers list this drug on DailyMed
Packages (NDC)
Package
2 g/100 g, 5 g/100 g, 30 g/100 g – 15 g in 1 patch / 15 in 1 box NDC 69512-020-01

Source: FDA drug labeling via NLM DailyMed, data as of October 31, 2026. FDA data (DailyMed, Orange Book, Drug Shortages, enforcement reports). Not a substitute for the advice of a doctor or pharmacist.