LIDOCAINE PAIN-RELIEVING PATCH- lidocaine kit

Drug Labeling and Warnings

Drug Details [pdf]

Active ingredient

Lidocaine 4%

Purpose

Topical Analgesic

Use

For the temporary relief of pain.

Warnings

For external use only

Do not use

• more than 1 patch on your body at a time or on cut, irritated or swollen skin
• on puncture wounds
• for more than one week without consulting a doctor

When using this product

• use only as directed. Read and follow all directions and warnings on this carton.
• Do not use more than one patch in an 8 hour period. Maximum 3 patches per day.
• Rare cases of serious burns have been reported with products of this type
• Do not apply to wounds or damaged, broken or irritated skin
• Do not allow contact with the eyes and mucous membranes
• Do not bandage tightly or apply local heat (such as heating pads) to the area of use
• Do not use at the same time as other topical analgesics
• Dispose of used patch in manner that always keeps product away from children and pets. Used patches still contain the drug products that can produce serious adverse effects if a child or pets chews or ingests this patch
• NOTE: patches may not adhere as well to all individuals, skin types, or certain parts of the body.

Stop use and ask a doctor if

• condition worsens
• redness is present
• irritation develops
• symptoms persist for more than 7 days or clear up and occur again within a few days
• you experience signs of skin injury, such as pain, swelling, or blistering where the product was applied

If pregnant or breast feeding

ask a physician before use.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

• Adults and children 12 years and older:
• clean and dry affected area
• remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle
• carefully remove smaller portion of backing from patch an dapply exposed portion of patch to affected area
• once exposed portion of patch is positioned, carefully remove remaining backing completely to apply patch to affected area
• once applied, press firmly and rub on all sides and center of patch to help adhesive adhere to skin
• do not remove patch and reapply, this will result in the patch not sticking
• avoid strenuous exercise while wearing patch, this will result in patch not sticking
• do not use more than one patch in an 8 hour period.
• Children 12 years or younger: ask a doctor.

Other information

Store at room temperature - do not exceed 86° Fahrenheit, 30° Celsius.

Inactive ingredients

aluminum glycinate, glycerin, kaolin, methylparaben, polyacrylic acid, polysorbate 80, propylene glycol, propylparaben, povidone, sodium polyacrylate, tartaric acid, titanium dioxide, water

Principal Display Panel

CVS Health ®

Compare to the active

ingredient in Salonpas ®

4% Lidocaine Gel Patch*

Maximum Strength

Lidocaine concentration without a prescription †

†Among over-the-counter topical analgesics

Lidocaine Pain-Relieving Patch

Lidocaine 4% Gel

Desensitizes aggravated nerves

• Fast acting
• Easy to apply
• No irritation or burning

Unscented

6 Assorted Size Patches

2 SM 3 1/8 IN X 4 3/4 IN (8 cm X 12 cm)

2 MED 3 15/16 IN X 5 1/2 IN (10 cm X 14 cm)

2 XL 5 1/2 IN X 9 7/8 IN (14 cm X 25 cm)

Pain-relieving ointment on a breathable adhesive pad

EACH PATCH IS SEALED IN A CHILD-RESISTANT POUCH FOR SAFETY

Assorted Sizes

INGREDIENTS AND APPEARANCE

LIDOCAINE PAIN-RELIEVING PATCH 
lidocaine kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 51316-460

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 51316-460-06	1 in 1 CARTON; Type 0: Not a Combination Product	04/06/2026

Quantity of Parts
Part #	Package Quantity	Total Product Quantity
Part 1	2 PATCH	14 g
Part 2	2 PATCH	46 g
Part 3	2 PATCH	22 g

Part 1 of 3

LIDOCAINE PAIN-RELIEVING PATCH 
lidocaine patch

Product Information
Item Code (Source)	NDC: 51316-370
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
ALUMINUM GLYCINATE (UNII: 1K713C615K)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
METHYLPARABEN (UNII: A2I8C7HI9T)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
TARTARIC ACID (UNII: W4888I119H)
GLYCERIN (UNII: PDC6A3C0OX)
WATER (UNII: 059QF0KO0R)
KAOLIN (UNII: 24H4NWX5CO)
POVIDONE (UNII: FZ989GH94E)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLPARABEN (UNII: Z8IX2SC1OH)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 51316-370-01	1 in 1 POUCH
1		7 g in 1 PATCH; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M017	04/06/2026

Part 2 of 3

LIDOCAINE PAIN-RELIEVING PATCH 
lidocaine patch

Product Information
Item Code (Source)	NDC: 51316-370
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
ALUMINUM GLYCINATE (UNII: 1K713C615K)
METHYLPARABEN (UNII: A2I8C7HI9T)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
TARTARIC ACID (UNII: W4888I119H)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
GLYCERIN (UNII: PDC6A3C0OX)
WATER (UNII: 059QF0KO0R)
KAOLIN (UNII: 24H4NWX5CO)
POVIDONE (UNII: FZ989GH94E)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 51316-370-03	1 in 1 POUCH
1		23 g in 1 PATCH; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M017	04/06/2026

Part 3 of 3

LIDOCAINE PAIN-RELIEVING PATCH 
lidocaine patch

Product Information
Item Code (Source)	NDC: 51316-370
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
LIDOCAINE (UNII: 98PI200987) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	40 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
ALUMINUM GLYCINATE (UNII: 1K713C615K)
METHYLPARABEN (UNII: A2I8C7HI9T)
SODIUM POLYACRYLATE (8000 MW) (UNII: 285CYO341L)
TARTARIC ACID (UNII: W4888I119H)
POLYSORBATE 80 (UNII: 6OZP39ZG8H)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
GLYCERIN (UNII: PDC6A3C0OX)
WATER (UNII: 059QF0KO0R)
KAOLIN (UNII: 24H4NWX5CO)
POVIDONE (UNII: FZ989GH94E)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
POLYACRYLIC ACID (8000 MW) (UNII: 73861X4K5F)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 51316-370-02	1 in 1 POUCH
1		11 g in 1 PATCH; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M017	04/06/2026

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M017	04/06/2026

Labeler - CVS Pharmacy (062312574)