Perifoam

Manufacturer: Sage Pharmaceuticals, Inc.
Effective date: 2013-08-02
Label type: HUMAN OTC DRUG LABEL
Version: 1
Source: full-release
Hydrated at: 2026-05-31 22:36:26

Label at a glance#

ProductPerifoam

Active ingredientBENZETHONIUM CHLORIDE

Label structure7 sections

Indications and uses

PeriFoam™ is a safe, non-stinging foaming cleanser, which effectively kills odors and microorganisms on the skin, including the perineal area and around stoma sites and gastro-intestinal tube entry paints. PeriFoam™ will not bum or cause discomfort on irritated or tender skin, but will gently soften and moisturize as it cleans.

Dosage and administration

Spray PeriFoam™ on the perineal area or stoma site. Remove excess debris quickly. Spray PeriFoam™ again and gently wipe with water dampened cloth . Rinse with water: Spray PeriFoam™ around the entry site. Gently clean with a damp cloth. Rinse with water. Repeat as necessary. After cleaning the area. Apply SkinSeal™skin protectant around the site as directed by label.

Storage and handling

Store between 59"-86" F (15-30°C)

Label contents#

Full prescribing information#

Uses

INDICATIONS & USAGE SECTION

OTC - PURPOSE SECTION

Warnings

WARNINGS SECTION

For external use only. Discontinue use ~ irritation and redness develop.

OTC - ASK DOCTOR SECTION

If condition persists for more than 48 hours, consult a doctor.

OTC - KEEP OUT OF REACH OF CHILDREN SECTION

Keep this and all drugs out of the reach of children. In case of accidental ingestion, seek professional assistance.

Directions

DOSAGE & ADMINISTRATION SECTION

For Perineal Area and Around Stoma Site

SPL UNCLASSIFIED SECTION

Spray PeriFoam™ on the perineal area or stoma site. Remove excess debris quickly. Spray PeriFoam™ again and gently wipe with water dampened cloth. Rinse with water:

For Gastro-Intestinal Tube Sites

SPL UNCLASSIFIED SECTION

Spray PeriFoam™ around the entry site. Gently clean with a damp cloth. Rinse with water. Repeat as necessary. After cleaning the area. Apply SkinSeal™skin protectant around the site as directed by label.

Ingredients

SPL UNCLASSIFIED SECTION

Active Ingredient

OTC - ACTIVE INGREDIENT SECTION

Benzethonium Chloride, 0.2

Other Ingredients

INACTIVE INGREDIENT SECTION

purified water, non-ionic surtactants, fragrance, polyaminopropyl biguanide, aloe vera, dexpanthenol, disodium EDTA, and vitamin E.

STORAGE AND HANDLING SECTION

Store between 59"-86" F (15-30°C)

SPL UNCLASSIFIED SECTION

Manufactured By:
Sage Pharmaceuticals, Inc.
Shreveport, LA 71109

PRINCIPAL DISPLAY PANEL - 237ml Bottle Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 59243-110-08

PeriFoam™
ANTI-BACTERIAL FOAMING CLEANSER

Active Ingredient: Benzethonium Chloride, 0.2%

REDUCES ODOR AND CONTAINS NO DYES

For foaming action, pull out tip of spray nozzle.

SHAKE WELL BEFORE USING

NET CONTENTS: 8 FL. OZ. (237ml)

Principal Display Panel - 237ml Bottle Label

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUI	RxNorm string	TTY	SPL version
1041869	benzethonium chloride 0.2 % Topical Foam	PSN	1
1432962	PeriFoam 0.2 % Topical Foam	PSN	1
1432962	benzethonium chloride 2 MG/ML Topical Foam [Perifoam]	SBD	1
1041869	benzethonium chloride 2 MG/ML Topical Foam	SCD	1
1041869	benzethonium chloride 0.2 % Topical Foam	SY	1
1432962	PeriFoam 0.2 % Topical Foam	SY	1
1432962	Perifoam 2 MG/ML Topical Foam	SY	1

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDC	Effective	Action	Document	Indexing SPL	Related label
59243-110-08	2019-11-27	C162847	48780-1	9855d018-ec2d-cd31-e053-dbdaa90ab51a	Perifoam™

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDC	Product	Description	Form	Quantity	Strength	SPL version
59243-110-08	Perifoam	237 mL in 1 BOTTLE, SPRAY	SOLUTION	237		1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDC	Dashboard title	SPL version	Validation	Dashboard ZIP
59243-110	PERIFOAM (BENZETHONIUM CHLORIDE) SOLUTION [SAGE PHARMACEUTICALS, INC.]	1	Legacy NDC, 1 package rows	20130806_11fc588b-e9bf-4c0b-9ca9-531c7c717684.zip

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
Ingredient	Type	UNII	SPL version
BENZETHONIUM CHLORIDE	ACTIVE INGREDIENT	PH41D05744	1
BENZETHONIUM	ACTIVE MOIETY	1VU15B70BP	1
ALOE VERA LEAF	INACTIVE INGREDIENT	ZY81Z83H0X	1
CAPRIC DIETHANOLAMIDE	INACTIVE INGREDIENT	SHH19DQ1DH	1
DECYL GLUCOSIDE	INACTIVE INGREDIENT	Z17H97EA6Y	1
EDETATE DISODIUM	INACTIVE INGREDIENT	7FLD91C86K	1
POLIHEXANIDE	INACTIVE INGREDIENT	322U039GMF	1
POLOXAMER 188	INACTIVE INGREDIENT	LQA7B6G8JG	1
TOCOPHERSOLAN	INACTIVE INGREDIENT	O03S90U1F2	1
WATER	INACTIVE INGREDIENT	059QF0KO0R	1

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 11 matching rows.

Perifoam
BENZETHONIUM CHLORIDE
BENZETHONIUM
POLOXAMER 188
POLIHEXANIDE
WATER
ALOE VERA LEAF
TOCOPHERSOLAN
DECYL GLUCOSIDE
CAPRIC DIETHANOLAMIDE
EDETATE DISODIUM

NDC Codes#

Product NDC, Package NDC table
Product NDC	Package NDC
59243-110	59243-110-08

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 9 matching rows.

Name, UNII, Kind table
Name	UNII	Kind
BENZETHONIUM CHLORIDE	PH41D05744	ACTIB
POLOXAMER 188	LQA7B6G8JG	IACT
POLIHEXANIDE	322U039GMF	IACT
WATER	059QF0KO0R	IACT
ALOE VERA LEAF	ZY81Z83H0X	IACT
TOCOPHERSOLAN	O03S90U1F2	IACT
DECYL GLUCOSIDE	Z17H97EA6Y	IACT
CAPRIC DIETHANOLAMIDE	SHH19DQ1DH	IACT
EDETATE DISODIUM	7FLD91C86K	IACT

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 2 · 103 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredient	IID ingredient	UNII	Dosage form / route	Potency	Maximum daily exposure	Match
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	GEL / PERIODONTAL	55 mg		Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SOLUTION / RECTAL		97 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	GRANULE, FOR SOLUTION / ORAL		624 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION / SUBCUTANEOUS		6 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	POWDER, FOR SUSPENSION / ORAL		285 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SPRAY, METERED / NASAL		4 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	GEL / VAGINAL		5 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SOLUTION / INTRAVENOUS	0.05 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SOLUTION / AURICULAR (OTIC)	0.1 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	TABLET, ORALLY DISINTEGRATING / ORAL		3 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	SUSPENSION, EXTENDED RELEASE / ORAL		6 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	GEL / TRANSDERMAL		1 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	POWDER, FOR SUSPENSION / INTRAMUSCULAR	0.2 %w/v		Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SOLUTION / ORAL		432 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	SUSPENSION / ORAL		1600 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SOLUTION / RESPIRATORY (INHALATION)		43 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	GEL / TOPICAL		24 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	AEROSOL, FOAM / TOPICAL	0.05 %w/w		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	LIQUID / NASAL	2 mg/1ml		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION, SUSPENSION / SOFT TISSUE		1 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	SOLUTION / ORAL		1800 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	SOLUTION / OPHTHALMIC	0.1 %w/v		Exact identifier — unii candidate 22 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	CAPSULE / ORAL		151 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	GEL / OPHTHALMIC		396 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	TABLET, EFFERVESCENT / ORAL		32 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	ELIXIR / ORAL	1.3 mg/5ml		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION / RESPIRATORY (INHALATION)	0.01 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SHAMPOO, SUSPENSION / TOPICAL	1 %w/w		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	CAPSULE / ORAL		5 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION/ DROPS / OPHTHALMIC		1 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SYRUP / ORAL		40 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	POWDER, FOR SUSPENSION / ORAL		30 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
TOCOPHERSOLAN	VITAMIN E POLYETHYLENE GLYCOL SUCCINATE	O03S90U1F2	CAPSULE / ORAL	300 mg		Exact identifier — unii candidate 4 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION / ORAL		30 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	INJECTION, POWDER, FOR SOLUTION / INTRAVENOUS	2.2 mg		Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION / AURICULAR (OTIC)	0.01 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	TABLET, EXTENDED RELEASE / ORAL		10 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	LIQUID / INTRAVENOUS	0.03 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	TABLET / ORAL		100 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION, EMULSION / INTRAVENOUS		59 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	INJECTION, POWDER, FOR SUSPENSION / INTRAMUSCULAR		4 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SPRAY / RESPIRATORY (INHALATION)	0.05 %w/w		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	LIQUID / ORAL	0.5 mg/1ml		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION, POWDER, FOR SUSPENSION / INTRAVENOUS	0.4 mg		Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	GRANULE / ORAL		81 mg	Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION / INTRABURSAL	0.01 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	DROPS / AURICULAR (OTIC)	0.05 %w/w		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	CREAM / TOPICAL		14 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	DROPS / NASAL	0.1 mg/1ml		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	CONCENTRATE / ORAL		20 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	ENEMA / RECTAL		60 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION / OPHTHALMIC	0.06 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION / INTRAVENOUS	10 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	EMULSION / OPHTHALMIC	0.3 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION / INTRA-ARTICULAR	0.05 %w/v		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SYSTEM / IONTOPHORESIS	0.1 mg		Exact identifier — unii candidate 77 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	INJECTION, SUSPENSION / INTRAMUSCULAR		1 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
POLOXAMER 188	POLOXAMER 188	LQA7B6G8JG	INJECTION / INTRAVENOUS	6 mg		Exact identifier — unii candidate 22 equally ranked IID candidates
EDETATE DISODIUM	EDETATE DISODIUM	7FLD91C86K	SUSPENSION, EXTENDED RELEASE / ORAL		40 mg	Exact identifier — unii candidate 77 equally ranked IID candidates
TOCOPHERSOLAN	VITAMIN E POLYETHYLENE GLYCOL SUCCINATE	O03S90U1F2	SOLUTION / ORAL		3000 mg	Exact identifier — unii candidate 4 equally ranked IID candidates

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
Brand	Generic	Manufacturer	SPL set ID	Effective date	Available safety fields	Join
bfc2c082-1a15-491d-84bd-a8ca08f00c68			11fc588b-e9bf-4c0b-9ca9-531c7c717684	2013-08-02	Warnings	Exact identifier spl id: bfc2c082-1a15-491d-84bd-a8ca08f00c68 spl set id: 11fc588b-e9bf-4c0b-9ca9-531c7c717684

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.