Capture Collagen Ampoule

Drug Labeling and Warnings

Drug Details [pdf]

CAPTURE COLLAGEN AMPOULE- niacinamide 2%, adenosine 0.04% liquid 
Carver Korea Co.,Ltd

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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Capture Collagen Ampoule

ACTIVE INGREDIENT

ACTIVE INGREDIENT

• Active Ingredients: Purpose
• Niacinamide 2%: Skin Protectant
• Adenosine 0.04%: Skin Protectant

Uses

Help to improve skin brightness

Warning

For external use only

Do not use

on damage or broken skin

Keep out of reach of Children.

Apply small amount to a clean skin and massage gently with fingertips.

Dosage: Small Amount

Administration: apply to a clean skin and massage gently

Inactive Ingredients

WATER
BIFIDOBACTERIUM LONGUM
GLYCERIN
DIPROPYLENE GLYCOL
GARDEN SNAIL MUCIN
BIOSACCHARIDE GUM-1
BETAINE
1,2-HEXANEDIOL
HYDROLYSED MARINE COLLAGEN (ENZYMATIC; 2000 MW)
GLYCERYL MONOSTEARATE
PHENYL TRIMETHICONE
ERIODICTYON CALIFORNICUM WHOLE
PEG/PPG-17/6 COPOLYMER
PERILLA FRUTESCENS SEED OIL
CYCLOMETHICONE
CARBOMER 934
PEG-40 CASTOR OIL
TROLAMINE
PONCIRUS TRIFOLIATA FRUIT
ALLANTOIN
OPUNTIA FICUS-INDICA FRUIT JUICE
DIMETHICONE
GLYCYRRHIZINATE DIPOTASSIUM
ORYZA SATIVA WHOLE
TARAXACUM OFFICINALE ROOT
CAMELLIA SINENSIS WHOLE
EDETIC ACID
CITRUS AURANTIUM FRUIT OIL
HYALURONATE SODIUM
.ALPHA.-TOCOPHEROL ACETATE

rh-Oligopeptide-1

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

CAPTURE COLLAGEN AMPOULE 
niacinamide 2%, adenosine 0.04% liquid

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 58930-035
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
NIACINAMIDE (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4)	NIACINAMIDE	2 g  in 50 mL
ADENOSINE (UNII: K72T3FS567) (ADENOSINE - UNII:K72T3FS567)	ADENOSINE	20 mg  in 50 mL

Inactive Ingredients
Ingredient Name	Strength
WATER (UNII: 059QF0KO0R)
GLYCERIN (UNII: PDC6A3C0OX)
DIPROPYLENE GLYCOL (UNII: E107L85C40)
BETAINE (UNII: 3SCV180C9W)
ALLANTOIN (UNII: 344S277G0Z)
DIMETHICONE (UNII: 92RU3N3Y1O)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 58930-035-01	1 in 1 CARTON	07/05/2013	12/01/2018
1		50 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
unapproved drug other		07/05/2013	12/01/2018

Labeler - Carver Korea Co.,Ltd (688442290)

Registrant - Jemian USA Inc. (078822273)

Establishment
Name	Address	ID/FEI	Business Operations
EYESOME. Co.,Ltd.		557795360	manufacture(58930-035)

Revised: 6/2019

Document Id: cf7d9470-21ee-47a8-955e-e77382613814

34390-5

Set id: 07167844-a55d-4e77-9d4c-b0527025b3aa

Version: 2

Effective Time: 20190607