Ammonium Lactate Cream, 12%*

Manufacturer
Bryant Ranch Prepack
Effective date
2023-08-16
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
100
Source
full-release
Hydrated at
2026-05-31 20:52:27

Label at a glance#

ProductAmmonium Lactate
Active ingredientAMMONIUM LACTATE
Label structure12 sections

Indications and uses

Ammonium Lactate Cream, 12% is indicated for the treatment of ichthyosis vulgaris and xerosis.

Dosage and administration

Apply to the affected areas and rub in thoroughly. Use twice daily or as directed by a physician.

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

For Dermatologic Use Only

Not for Ophthalmic, Oral or Intravaginal Use

Rx Only

DESCRIPTION

DESCRIPTION SECTION

*Ammonium Lactate Cream, 12% is a formulation of 12% lactic acid neutralized with ammonium hydroxide, as ammonium lactate with a pH of 4.4 - 5.4. Ammonium Lactate Cream, 12% also contains cetyl alcohol, glycerin, glyceryl stearate, laureth-4, light mineral oil, magnesium aluminum silicate, methylcellulose, methylparaben, PEG-100 stearate, polyoxyl 40 stearate, propylene glycol, propylparaben, and purified water.

Lactic acid is a racemic mixture of 2-hydroxypropanoic acid and has the following structural formula:

Ammonium Lactate Cream Structural Formula
Ammonium Lactate Cream Structural Formula

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Lactic acid is an alpha-hydroxy acid. It is a normal constituent of tissues and blood. The alpha-hydroxy acids (and their salts) are felt to act as humectants when applied to the skin. This property may influence hydration of the stratum corneum. In addition, lactic acid, when applied to the skin, may act to decrease corneocyte cohesion. The mechanism(s) by which this is accomplished is not yet known.

An in vitro study of percutaneous absorption of ammonium lactate cream using human cadaver skin indicates that approximately 6.1% of the material was absorbed after 68 hours.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Ammonium Lactate Cream, 12% is indicated for the treatment of ichthyosis vulgaris and xerosis.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Ammonium Lactate Cream, 12% is contraindicated in those patients with a history of hypersensitivity to any of the label ingredients.

WARNING

WARNINGS SECTION

Sun exposure to areas of the skin treated with Ammonium Lactate Cream, 12% should be minimized or avoided (see PRECAUTIONS). Use of this product should be discontinued if hypersensitivity to any of the ingredients is noted.

PRECAUTIONS

PRECAUTIONS SECTION

General -

GENERAL PRECAUTIONS SECTION

For external use only. Stinging or burning may occur when applied to skin with fissures, erosions, or that is otherwise abraded (for example, after shaving the legs). Caution is advised when used on the face because of the potential for irritation. The potential for post-inflammatory hypo- or hyperpigmentation has not been studied.

Information for Patients

INFORMATION FOR PATIENTS SECTION

Patients using Ammonium Lactate Cream, 12% should receive the following information and instructions:

  1. This medication is to be used as directed by the physician, and should not be used for any disorder other than for which it was prescribed. It is for external use only. Avoid contact with eyes, lips, or mucous membranes.
  2. Patients should minimize or avoid use of this product on areas of the skin that may be exposed to natural or artificial sunlight, including the face. If sun exposure is unavoidable, clothing should be worn to protect the skin.
  3. This medication may cause stinging or burning when applied to skin with fissures, erosions, or abrasions (for example, after shaving the legs).
  4. If the skin condition worsens with treatment, the medication should be promptly discontinued.

Carcinogenesis, Mutagenesis, Impairment of Fertility -

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

The topical treatment of CD-1 mice with 12%, 21% or 30% ammonium lactate formulations for two years did not produce a significant increase in dermal or systemic tumors in the absence of increased exposure to ultraviolet radiation. The maximum systemic exposure of the mice in this study was 0.7 times the maximum possible systemic exposure in humans. However, a long-term photocarcinogenicity study in hairless albino mice suggested that topically applied 12% ammonium lactate cream enhanced the rate of ultraviolet light-induced skin tumor formation.

The mutagenic potential of ammonium lactate cream was evaluated in the Ames assay and in the mouse in vivo micronucleus assay, both of which were negative.

In dermal Segment I and III studies with ammonium lactate cream, there were no effects observed in fertility or pre- or post-natal development parameters in rats at dose levels of 300 mg/kg/day (1800 mg/m2/day), approximately 0.4 times the human topical dose.

Pregnancy:

PREGNANCY SECTION

Teratogenic Effects:

TERATOGENIC EFFECTS SECTION

Pregnancy Category B -

SPL UNCLASSIFIED SECTION

Animal reproduction studies have been performed in rats and rabbits at doses up to 0.7 and 1.5 times the human dose, respectively (600 mg/kg/day, corresponding to 3600 mg/m2/day in the rat and 7200 mg/m2/day in the rabbit) and have revealed no evidence of impaired fertility or harm to the fetus due to ammonium lactate cream. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, ammonium lactate cream should be used during pregnancy only if clearly needed.

Nursing Mothers -

NURSING MOTHERS SECTION

Although lactic acid is a normal constituent of blood and tissues, it is not known to what extent this drug affects normal lactic acid levels in human milk. Because many drugs are excreted in human milk, caution should be exercised when ammonium lactate cream is administered to a nursing woman.

Pediatric Use -

PEDIATRIC USE SECTION

The safety and efficacy of Ammonium Lactate Cream, 12% has been established in patients as young as 2 years old.

Geriatric Use -

SPL UNCLASSIFIED SECTION

Clinical studies of ammonium lactate cream, 12% did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between elderly and younger patients. In general, dose selection for an elderly patient should be cautious.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

In controlled clinical trials of patients with ichthyosis vulgaris, the most frequent adverse reactions in patients treated with ammonium lactate cream were rash (including erythema and irritation) and burning/stinging. Each was reported in approximately 10-15% of patients. In addition, itching was reported in approximately 5% of patients.

In controlled clinical trials of patients with xerosis, the most frequent adverse reactions in patients treated with ammonium lactate cream were transient burning, in about 3% of patients, stinging, dry skin and rash, each reported in approximately 2% of patients.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

Apply to the affected areas and rub in thoroughly. Use twice daily or as directed by a physician.

HOW SUPPLIED

HOW SUPPLIED SECTION

Ammonium Lactate Cream, 12% is available as follows:

280 g carton (NDC 72162-1413-2) containing two 140 g tubes

STORAGE
Store at 20-25°C (68-77°F) [see USP Controlled Room Temperature].

SPL UNCLASSIFIED SECTION

Manufactured By Perrigo

Bronx, NY 10457

Distributed By Perrigo® Allegan, MI 49010 • www.perrigo.com

Rev 07-15

: 0A900 RC JX1

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Ammonium Lactate 12% Cream

Label
Label

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
543460ammonium lactate 12 % Topical CreamPSN100
543460ammonium lactate 120 MG/ML Topical CreamSCD100
543460ammonium lactate 12 % Topical CreamSY100
543460ammonium lactate 120 MG/ML (as neutralized lactic acid 12 % ) Topical CreamSY100

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
LACTIC ACID, UNSPECIFIED FORM Pharmacologic Class Indexing1Indexing - Pharmacologic Class20220121

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
f52be47f-7aa7-46c0-b1fa-50c18dd50206Product name120201029
444b3e50-f226-46ef-bfca-2e7035d140cdProduct name120190611
7cda52fc-125f-421c-8fea-bc1974370c49Product name220180703
597b1cfd-7b31-5048-62be-ca5cd740da2fProduct name120140508
ec2149b3-5c6d-5344-f757-c86411073075Product name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
72162-1413-2Ammonium Lactate140 g in 1 TUBECREAM140100
72162-1413-2Ammonium Lactate2 in 1 CARTONCREAM2100

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
72162-1413AMMONIUM LACTATE CREAM [BRYANT RANCH PREPACK]100Current NDC, 2 package rows20230824_411b40c7-4d62-4ea4-be69-bea5d1d591ca.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
72162-1413-2GM - Gram72162-1413efaccb5c-bf37-47ea-9889-548ecb6ee8fe12023-10-16
45802-493-26GM - Gram45802-493c92a773a-a9fa-4287-919c-6dde31935bb812012-07-24
45802-493-38GM - Gram45802-49385d50c56-0123-469f-a735-ed57c73148ae12026-04-20
45802-493-83GM - Gram45802-493204fa34a-03c7-4c34-b603-c940f9b5139612012-07-24
45802-493-98GM - Gram45802-493d44fb9cf-fd38-4fd6-b4a7-b8b9d81984b012015-07-20

Products#

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

DailyMed product names page 1 of 1 · 14 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
72162-141372162-1413-2
45802-493

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 13 matching rows.

Source Document#

Source XML

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A075774-001AMMONIUM LACTATEAMMONIUM LACTATEEQ 12% BASECREAM / TOPICALAB2002-05-01

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
A075774-001AB

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALAB2002-05-0184e616aacf4f…
2026-08-18 06:07:402026-07A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALAB2002-05-01caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALAB2002-05-01011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-0131067a03dcf5…
2025-08-23 18:47 UTC2025-08A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-016a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-0103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-012680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-015bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-0179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-011e350fbaab3a…
2024-05-31 18:47 UTC2024-05A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-018072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-015c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-015d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-014b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-0174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-0187673890dc5c…
2021-03-12 10:30 UTC2021-03A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-015aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-018869cabd3fbd…
2020-11-12 02:37 UTC2020-11A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01c0c555d07b60…
2019-12-14 00:12 UTC2019-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-013f01610625f2…
2019-09-15 20:21 UTC2019-09A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01b00525d2431f…
2019-07-19 19:46 UTC2019-07A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-016a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-011c564ffb4f44…
2023-12-20 04:57 UTC2023-12A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-019b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-013f0d92c62455…
2023-05-13 08:27 UTC2023-05A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01053a50430f4f…
2023-01-26 05:58 UTC2023-01A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-013bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-013a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A075774-001AMMONIUM LACTATEEQ 12% BASECREAM / TOPICALABRS2002-05-01f41ea6bd6efb…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 2 · 43 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A075774-001AB184e616aacf4f…
2026-08-18 06:07:402026-07A075774-001AB1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A075774-001AB1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A075774-001AB131067a03dcf5…
2025-08-23 18:47 UTC2025-08A075774-001AB16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A075774-001AB1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A075774-001AB1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A075774-001AB103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A075774-001AB12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A075774-001AB15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A075774-001AB1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A075774-001AB1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A075774-001AB179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A075774-001AB1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A075774-001AB11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A075774-001AB18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A075774-001AB15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A075774-001AB15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A075774-001AB14b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A075774-001AB174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A075774-001AB1bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A075774-001AB1782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A075774-001AB187673890dc5c…
2021-03-12 10:30 UTC2021-03A075774-001AB15aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A075774-001AB18869cabd3fbd…
2020-11-12 02:37 UTC2020-11A075774-001AB1c0c555d07b60…
2019-12-14 00:12 UTC2019-12A075774-001AB13f01610625f2…
2019-09-15 20:21 UTC2019-09A075774-001AB1b00525d2431f…
2019-07-19 19:46 UTC2019-07A075774-001AB1ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A075774-001AB16a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A075774-001AB11c564ffb4f44…
2023-12-20 04:57 UTC2023-12A075774-001AB1ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A075774-001AB1a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A075774-001AB19b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A075774-001AB1a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A075774-001AB13f0d92c62455…
2023-05-13 08:27 UTC2023-05A075774-001AB1053a50430f4f…
2023-01-26 05:58 UTC2023-01A075774-001AB13bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A075774-001AB13a93d1ddd44b…
2022-10-28 04:53 UTC2022-10A075774-001AB1f41ea6bd6efb…

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 · 2 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
Ammonium LactateAMMONIUM LACTATEPadagis Israel Pharmaceuticals Ltd7096d38e-2bd1-4374-9bf6-7fd09ef7509c2025-11-30Warnings, Adverse reactionsExact identifier
ndc (product): 45802-493
Ammonium LactateAMMONIUM LACTATEBryant Ranch Prepack411b40c7-4d62-4ea4-be69-bea5d1d591ca2023-08-16Warnings, Adverse reactionsExact identifier
ndc (package): 72162-1413-2
ndc (product): 72162-1413
ndc11 (package): 72162141302
spl id: 8c670756-f8c1-4bea-9eda-6b9e569debbe
spl set id: 411b40c7-4d62-4ea4-be69-bea5d1d591ca

Reported adverse events (FAERS/openFDA)#

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