Tetracaine Hydrochloride

Manufacturer
Sportpharm LLC
Effective date
2026-07-03
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
1
Source
weekly-update
Hydrated at
2026-07-17 21:45:17

Label at a glance#

ProductTetracaine Hydrochloride
Active ingredientTETRACAINE HYDROCHLORIDE
Label structure17 sections

Indications and uses

Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic.

Dosage and administration

One drop topically in the eye(s) as needed.

Storage and handling

Tetracaine hydrochloride ophthalmic solution, USP 0.5% is supplied as a sterile, aqueous, topical ophthalmic solution in a white LDPE bottle, plugged with white LDPE nozzle and capped with white HDPE cap in the following sizes: NDC 85766-229-05, 5 mL fill in 5 mL Bottle (relabeled from NDC 70069-596-01) NDC 85766-230-15, 15 mL fill in 15 mL Bottle (relabeled from NDC 70069-597-01) After opening, this product can b...

Label contents#

Full prescribing information#

1 INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for procedures requiring a rapid and short-acting topical ophthalmic anesthetic.

2 DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

One drop topically in the eye(s) as needed.

3 DOSAGE FORMS AND STRENGTHS

DOSAGE FORMS & STRENGTHS SECTION

Tetracaine hydrochloride ophthalmic solution, USP 0.5% is a clear, colorless, ophthalmic solution containing 0.5% w/v tetracaine hydrochloride equivalent to tetracaine 0.44% w/v.

4 CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Tetracaine hydrochloride ophthalmic solution, 0.5% should not be used in patients with a history of hypersensitivity to any component of this preparation.

5 WARNINGS AND PRECAUTIONS

WARNINGS AND PRECAUTIONS SECTION

5.1 Corneal Injury with Intracameral Use

Not for injection or intraocular use. Do not use intracamerally because use of tetracaine hydrochloride ophthalmic solution, 0.5% may lead to damage of the corneal endothelial cells.

5.2 Corneal Toxicity

Prolonged use or abuse may lead to corneal epithelial toxicity and may manifest as epithelial defects which may progress to permanent corneal damage.

5.3 Corneal Injury Due to Insensitivity

Patients should not touch the eye for at least 10-20 minutes after using anesthetic as accidental injuries can occur due to insensitivity of the eye.

5.4 For Administration by Healthcare Provider

Tetracaine hydrochloride ophthalmic solution, 0.5% is indicated for administration under the direct supervision of a healthcare provider. Tetracaine Hydrochloride Ophthalmic Solution, 0.5% is not intended for patient self-administration [see Warnings and Precautions (5.2)].

6 ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

The following serious ocular adverse reactions are described elsewhere in the labeling:

  • Corneal Injury with Intracameral Use [ see Warnings and Precautions (5.1)]
  • Corneal Toxicity [ see Warnings and Precautions ( 5.2)]
  • Corneal Injury Due to Insensitivity [ see Warnings and Precautions (5.3)]

The following adverse reactions have been identified following use of tetracaine hydrochloride ophthalmic solution, 0.5%. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

Ocular Adverse Reactions

Transient stinging, burning, and conjunctival redness, eye irritation, eye pain, ocular discomfort.

8 USE IN SPECIFIC POPULATIONS

USE IN SPECIFIC POPULATIONS SECTION

8.1 Pregnancy

PREGNANCY SECTION

Risk Summary

There are no adequate and well-controlled studies with tetracaine hydrochloride ophthalmic solution, 0.5% in pregnant women. Animal developmental and reproductive toxicity studies with tetracaine hydrochloride have not been reported in the published literature.

8.2 Lactation

Risk Summary

There are no data to assess whether tetracaine hydrochloride ophthalmic solution, 0.5% is excreted in human milk or to assess its effects on milk production/excretion. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for tetracaine hydrochloride ophthalmic solution, 0.5% and any potential adverse effects on the breastfed child from tetracaine hydrochloride ophthalmic solution, 0.5%.

8.3 Females and Males of Reproductive Potential

No human data on the effect of tetracaine hydrochloride ophthalmic solution, 0.5% on fertility are available.

8.4 Pediatric Use

PEDIATRIC USE SECTION

Safety of tetracaine hydrochloride ophthalmic solution, 0.5% in the pediatric population has been demonstrated in clinical trials. Efficacy of tetracaine hydrochloride ophthalmic solution, 0.5% for use in pediatric patients has been extrapolated from adequate and well controlled clinical trials in the adult population.

8.5 Geriatric Use

GERIATRIC USE SECTION

No overall differences in safety or effectiveness of tetracaine hydrochloride ophthalmic solution, 0.5% have been observed between elderly and younger patients.

10 OVERDOSAGE

OVERDOSAGE SECTION

Prolonged use of a topical ocular anesthetic including tetracaine hydrochloride ophthalmic solution, 0.5% may produce permanent corneal opacification and ulceration with accompanying visual loss.

11 DESCRIPTION

DESCRIPTION SECTION

Tetracaine hydrochloride ophthalmic solution, USP 0.5% is a sterile, clear, colorless, topical local anesthetic for ophthalmic use only containing tetracaine hydrochloride as the active pharmaceutical ingredient.

Tetracaine hydrochloride is chemically designated as benzoic acid, 4-(butylamino)-, 2-(dimethylamino) ethyl ester, monohydrochloride. Its chemical formula is C 15H 24N 2O 2● HCl and it is represented by the chemical structure:

11 DESCRIPTION
11 DESCRIPTION

Tetracaine hydrochloride is a white crystalline powder with a molecular weight of 300.82

Active ingredient:tetracaine hydrochloride 0.5% w/v (equivalent to 0.44% w/v tetracaine)

Preservative:chlorobutanol 0.4%

Inactive ingredients:boric acid, potassium chloride, edetate disodium dihydrate, water for injection. Sodium hydroxide and/or hydrochloric acid may be added to adjust pH (3.7 – 6.0).

12 CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

12.1 Mechanism of Action

MECHANISM OF ACTION SECTION

Tetracaine blocks sodium ion channels required for the initiation and conduction of neuronal impulses thereby affecting local anesthesia.

12.3 Pharmacokinetics

PHARMACOKINETICS SECTION

The systemic exposure to tetracaine following topical ocular administration of tetracaine hydrochloride ophthalmic solution, 0.5% has not been studied. Tetracaine hydrochloride is metabolized by plasma pseudocholinesterases and nonspecific esterases in ocular tissues.

13 NONCLINICAL TOXICOLOGY

NONCLINICAL TOXICOLOGY SECTION

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Studies to assess the genotoxicity of tetracaine hydrochloride have not been reported in the published literature. Long-term animal studies have not been conducted to evaluate the carcinogenic potential of tetracaine hydrochloride. Animal studies to assess the effects of tetracaine hydrochloride on fertility have not been reported in the published literature.

14 CLINICAL STUDIES

CLINICAL STUDIES SECTION

Topical administration of tetracaine hydrochloride ophthalmic solution, 0.5% results in localized temporary anesthesia. The maximum effect is achieved within 10–20 seconds after instillation, with efficacy lasting 10–20 minutes. Duration of effect can be extended with repeated dosing [ see Warnings and Precautions ( 5.2) and Overdosage (10)].

16 HOW SUPPLIED/STORAGE AND HANDLING

HOW SUPPLIED SECTION

Tetracaine hydrochloride ophthalmic solution, USP 0.5% is supplied as a sterile, aqueous, topical ophthalmic solution in a white LDPE bottle, plugged with white LDPE nozzle and capped with white HDPE cap in the following sizes:

NDC 85766-229-05, 5 mL fill in 5 mL Bottle (relabeled from NDC 70069-596-01)

NDC 85766-230-15, 15 mL fill in 15 mL Bottle (relabeled from NDC 70069-597-01)

After opening, this product can be used until the expiration date stamped on the bottle.

Storage:Store at 15° to 25°C (59° to 77°F). Protect from light. Do not use if solution contains crystals, cloudy, or discolored.

17 PATIENT COUNSELING INFORMATION

INFORMATION FOR PATIENTS SECTION

Eye Care Precaution

Do not touch the dropper tip to any surface as this may contaminate the solution.

Advise patients that, due to the effect of the anesthetic, their eyes will be insensitive for up to 20 minutes and that care should be taken to avoid accidental injuries.

SPL UNCLASSIFIED

SPL UNCLASSIFIED SECTION

Distributed by:
Sportpharm LLC
379 Van Ness Ave 1401,
Torrance, CA 90501

Relabeled by:
Enovachem PHARMACEUTICALS
Torrance, CA 90501

PRINCIPAL DISPLAY PANEL-5 mL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

55

PRINCIPAL DISPLAY PANEL-15 mL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

1515

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
70069-596-01ML - Milliliter70069-59667f26467-e143-49b8-b515-5d1274b25a4912025-01-14
70069-597-01ML - Milliliter70069-5976bd1944d-71a5-4819-8c2f-4024945c05ab12025-01-14

Products#

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

DailyMed product names page 1 of 1 · 9 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
85766-22985766-229-05
70069-596
85766-23085766-230-15
70069-597

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 16 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
A217227-001TETRACAINE HYDROCHLORIDETETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20

Therapeutic equivalence codes#

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

Application-product, TE code table
Application-productTE code
A217227-001AB1

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.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-2084e616aacf4f…
2026-08-18 06:07:402026-07A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-2031067a03dcf5…
2025-08-23 18:47 UTC2025-08A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-206a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-2003ed91905a0d…
2026-07-26 02:55 UTC · 3 captures of this ZIP2026-06A217227-001TETRACAINE HYDROCHLORIDE0.5%SOLUTION / OPHTHALMICAB12024-12-20a50c72e98297…

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A217227-001AB1184e616aacf4f…
2026-08-18 06:07:402026-07A217227-001AB11caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A217227-001AB11011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A217227-001AB1131067a03dcf5…
2025-08-23 18:47 UTC2025-08A217227-001AB116a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A217227-001AB11fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A217227-001AB11b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A217227-001AB1103ed91905a0d…
2026-07-26 02:55 UTC · 3 captures of this ZIP2026-06A217227-001AB11a50c72e98297…

Observed Orange Book exclusivity history#

Captured, Edition, Application-product table
CapturedEditionApplication-productExclusivity codeExpirationSource SHA-256
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A217227-001CGT2025-06-2531067a03dcf5…
2025-08-23 18:47 UTC2025-08A217227-001CGT2025-06-256a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A217227-001CGT2025-06-25fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A217227-001CGT2025-06-25b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A217227-001CGT2025-06-2503ed91905a0d…

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
Tetracaine HydrochlorideTETRACAINE HYDROCHLORIDESportpharm LLC90ffa320-652b-442f-97fa-6d618439db792026-07-03Warnings, Adverse reactionsExact identifier
ndc (package): 85766-229-05
ndc (package): 85766-230-15
ndc (product): 85766-229
ndc (product): 85766-230
ndc11 (package): 85766022905
ndc11 (package): 85766023015
spl id: 55ae4e05-add3-45b4-e063-6394a90a7209
spl set id: 90ffa320-652b-442f-97fa-6d618439db79
Tetracaine HydrochlorideTETRACAINE HYDROCHLORIDESomerset Therapeutics, LLCbab63a18-3069-48a1-896e-433725f1dbaf2024-12-21Warnings, Adverse reactionsExact identifier
ndc (product): 70069-596
ndc (product): 70069-597

Reported adverse events (FAERS/openFDA)#

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