SODIUM FLUORIDE 5000 PPM DENTAL CREAM

Manufacturer
Sheffield Pharmaceuticals LLC
Effective date
2022-01-19
Label type
Human Prescription Drug Label
Version
3
Source
full-release
Hydrated at
2026-05-31 20:39:43

Label at a glance#

ProductSodium Fluoride 5000 ppm Spearmint
Active ingredientSodium Fluoride
Label structure18 sections

Indications and uses

A dental caries preventive; for once daily self-applied topical use. It is well established that 1.1% sodium fluoride is safe and extraordinarily effective as a caries preventive when applied frequently with mouthpiece applicators. 1-4  Sodium Fluoride 5000 ppm dental cream 1.1% sodium fluoride in a squeeze-tube is easily applied onto a toothbrush. This prescription dental cream should be used once daily in place ...

Dosage and administration

Follow these instructions unless otherwise instructed by your dental professional: Adults and pediatric patients 6 years of age or older, apply a thin ribbon of Sodium Fluoride 5000 ppm to a toothbrush. Brush thoroughly once daily for at least two minutes, preferably at bedtime.  After use, adults expectorate. For best results, do not eat, drink, or rinse for 30 minutes. Pediatric patients, ages 6-16, expectorate ...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

SODIUM FLUORIDE 5000 ppm Prescription Dental Cream 

DESCRIPTION:

DESCRIPTION SECTION

Self-topical neutral fluoride dentifrice containing 1.1% (w/w) sodium fluoride for use as a dental caries preventive in adults and pediatric patients. 

Active Ingredient:

SPL UNCLASSIFIED SECTION

Sodium Fluoride 1.1% (w/w)

Inactive Ingredients:

INACTIVE INGREDIENT SECTION

Cellulose Gum, Flavor, Hydrated Silica, Mica, PEG-12, Poloxamer 338, Sodium Benzoate, Sodium Lauryl Sulfate, Sodium Saccharin, Sorbitol, Tartaric Acid, Titanium Dioxide, Tricalcium Phosphate, Water (Purfied), Xanthum gum. This product also contains flavor, FD&C Blue#1(Spearmint only), FD&C Red No. 33 (Fruit only)

CLINICAL PHARMACOLOGY:

CLINICAL PHARMACOLOGY SECTION

Frequent topical applications to the teeth with preparations having a relatively high fluoride content increase tooth resistance to acid dissolution and enhance penetration of the fluoride ion into tooth enamel.

INDICATIONS AND USAGE:

INDICATIONS & USAGE SECTION

A dental caries preventive; for once daily self-applied topical use. It is well established that 1.1% sodium fluoride is safe and extraordinarily effective as a caries preventive when applied frequently with mouthpiece applicators.1-4 Sodium Fluoride 5000 ppm dental cream 1.1% sodium fluoride in a squeeze-tube is easily applied onto a toothbrush. This prescription dental cream should be used once daily in place of your regular toothpaste, unless otherwise instructed by your dental professional. May be used whether or not drinking water is fluoridated, since topical fluoride cannot produce fluorosis. (See WARNINGS for exception.)

CONTRAINDICATIONS:

CONTRAINDICATIONS SECTION

Do not use in pediatric patients under age 6 years unless recommended by a dentist or physician.

WARNINGS:

WARNINGS SECTION

Prolonged daily ingestion may result in various degrees of dental fluorosis in pediatric patients under age 6 years, especially if the water fluoridation exceeds 0.6 ppm, since younger pediatric patients frequently can not perform the brushing process without significant swallowing. Use in pediatric patients under age 6 years requires special supervision to prevent repeated swallowing of dental cream, which could cause dental fluorosis. Read directions carefully before using.

Keep out of reach of infants and children.

PRECAUTIONS:

PRECAUTIONS SECTION

Not for systemic treatment. DO NOT SWALLOW.

Carcinogenesis, Mutagenesis, Impairment of Fertility:

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

In a study conducted in rodents, no carcinogenesis was found in male and female mice and female rats treated with fluoride at dose levels ranging from 4.1 to 9.1 mg/kg of body weight. Equivocal evidence of carcinogenesis was reported in male rats treated with 2.5 and 4.1 mg/kg of body weight. In a second study, no carcinogenesis was observed in rats, males or females, treated with fluoride up to 11.3 mg/kg of body weight. Epidemiological data provide no credible evidence for an association between fluoride, either naturally occurring or added to drinking water, and risk of human cancer. Fluoride ion is not mutagenic in standard bacterial systems. It has been shown that fluoride ion has potential to induce chromosome aberrations in cultured human and rodent cells at doses much higher than those to which humans are exposed. In vivo data are conflicting. Some studies report chromosome damage in rodents, while other studies using similar protocols report negative results. Potential adverse reproductive effects of fluoride exposure in humans have not been adequately evaluated. Adverse effects on reproduction were reported for rats, mice, fox, and cattle exposed to 100 ppm or greater concentrations of fluoride in their diet or drinking water. Other studies conducted in rats demonstrated that lower concentrations of fluoride (5 mg/kg of body weight) did not result in impaired fertility and reproductive capabilities.

Pregnancy:

PREGNANCY SECTION

Pregnancy Category B. It has been shown that fluoride crosses the placenta of rats, but only 0.01% of the amount administered is incorporated in fetal tissue. Animal studies (rats, mice, rabbits) have shown that fluoride is not a teratogen. Maternal exposure to 12.2 mg fluoride/kg of body weight (rats) or 13.1 mg/kg of body weight (rabbits) did not affect the litter size or fetal weight and did not increase the frequency of skeletal or visceral malformations. Epidemiological studies conducted in areas with high levels of naturally fluoridated water showed no increase in birth defects. Heavy exposure to fluoride during in utero development may result in skeletal fluorosis, which becomes evident in childhood.

Nursing Mothers:

NURSING MOTHERS SECTION

It is not known if fluoride is excreted in human milk. However, many drugs are excreted in milk, and caution should be exercised when products containing fluoride are administered to a nursing woman. Reduced milk production was reported in farm-raised fox when the animals were fed a diet containing a high concentration of fluoride (98-137 mg/kg of body weight). No adverse effects on parturition, lactation, or offspring were seen in rats administered fluoride up to 5 mg/kg of body weight.

Pediatric Use:

PEDIATRIC USE SECTION

The use of  Sodium Fluoride 5000 ppm in pediatric age groups 6 to 16 years as a caries preventive is supported by pioneering clinical studies with 1.1% sodium fluoride gels in mouth trays in students age 11-14 years conducted by Englander, et al. 2-4 Safety and effectiveness in pediatric patients below the age of 6 years have not been established. Please refer to the CONTRAINDICATIONS and WARNINGS sections.

ADVERSE REACTIONS:

ADVERSE REACTIONS SECTION

Allergic reactions and other idiosyncrasies have been rarely reported. To report SUSPECTED ADVERSE REACTIONS, contact Sheffield Pharmaceuticals, LLC at 1-800-222-1087 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

OVERDOSAGE:

OVERDOSAGE SECTION

Accidental ingestion of large amounts of fluoride may result in acute burning in the mouth and sore tongue. Nausea, vomiting, and diarrhea may occur soon after ingestion (within 30 minutes) and are accompanied by salivation, hematemesis, and epigastric cramping abdominal pain. These symptoms may persist for 24 hours. If less than 5 mg fluoride/kg body weight (i.e., less than 2.3 mg fluoride/lb body weight) have been ingested, give calcium (e.g., milk) orally to relieve gastrointestinal symptoms and observe for a few hours. If more than 5 mg fluoride/kg body weight (i.e., more than 2.3 mg fluoride/lb body weight) have been ingested, induce emesis, give orally soluble calcium (e.g., milk, 5% calcium gluconate or calcium lactate solution) and immediately seek medical assistance. For accidental ingestion of more than 15 mg fluoride/kg of body weight (i.e., more than 6.9 mg fluoride/lb body weight), induce vomiting and admit immediately to a hospital facility. A treatment dose (a thin ribbon) of Sodium Fluoride 5000 ppm contains 2.5 mg fluoride. A 3.4 FLOZ tube (100ml) contains 605 mg fluoride.

DOSAGE AND ADMINISTRATION:

DOSAGE & ADMINISTRATION SECTION

Follow these instructions unless otherwise instructed by your dental professional:

  1. Adults and pediatric patients 6 years of age or older, apply a thin ribbon of Sodium Fluoride 5000 ppm to a toothbrush. Brush thoroughly once daily for at least two minutes, preferably at bedtime. 
  2. After use, adults expectorate. For best results, do not eat, drink, or rinse for 30 minutes. Pediatric patients, ages 6-16, expectorate after use and rinse mouth thoroughly.

HOW SUPPLIED SECTION

How Supplied                                                                           

3.4 FLOZ (100ml) NET WT. Tube                                                 NDC  #11527-730-44 FRUIT

3.4 FLOZ (100ml) NET WT. Tube                                                 NDC  #11527-750-43 SPEARMINT

STORAGE:

STORAGE AND HANDLING SECTION

Store at Controlled Room Temperature, 20-25°C (68-77°F).

REFERENCES:

REFERENCES SECTION

  1. Accepted Dental Therapeutics, Ed. 40, ADA, Chicago. P. 405-407, 1984.
  2. Englander, HR, Keyes et al:JADA 75: 638-644, 1967.
  3. Englander, HR, et al:JADA 78: 783-787, 1969.
  4. Englander, HR, et al:JADA 83: 354-358, 1971.

PRINCIPAL DISPLAY PANEL - 100ml Tube

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

 Wentworth                                                         NDC 11527-750-43

                                                                            Rx only

SODIUM FLUORIDE 5000 ppm                             SPEARMINT      

1.1% Sodium Fluoride Prescription Strength Toothpaste 

NET WT. 3.4 FLOZ. (100ml) 

Wentworth Spearmint Tube.jpgWentworth Spearmint Tube.jpg

PRINCIPAL DISPLAY PANEL - 100ml Carton

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Wentworth                                       NDC 11527-750-43

                                                         Rx only

Sodium Fluoride 5000 ppm              SPEARMINT 

1.1% Sodium Fluoride Prescription Strength toothpaste 

NET WT 3.4FLOZ (100ml)

544202-SH00147_Carton.jpg544202-SH00147_Carton.jpg

PRINCIPAL DISPLAY PANEL - 100ml Tube

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Wentworth                                         NDC 11527-730-44

                                                           Rx Only 

Sodium Fluoride 5000 ppm                FRUIT

1.1% Sodium Fluoride Prescription Toothpaste

 3.4 FLOZ (100ml)

Wentworth Fruit Tube.jpgWentworth Fruit Tube.jpg

PRINCIPAL DISPLAY PANEL - 100ml Carton

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Wentworth                                                  NDC 11527-730-44

Sodium Fluoride 5000 ppm Rx Only 

1.1% Sodium Fluoride Prescription Toothpaste  FRUIT

3.4 FLOZ (100ml)

544200-SH00146_Fruit_Carton.jpg544200-SH00146_Fruit_Carton.jpg

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
392038sodium fluoride 1.1 % ToothpastePSN3
392038sodium fluoride 0.011 MG/MG ToothpasteSCD3
392038sodium fluoride 1.1 % (fluoride ion 0.5 % ) ToothpasteSY3
392038sodium fluoride 1.1 % Dental GelSY3

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
f52be47f-7aa7-46c0-b1fa-50c18dd50206Product name120201029

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
11527-730-44Sodium Fluoride 5000 ppm Fruit1 in 1 CARTONPASTE, DENTIFRICE13
11527-730-44Sodium Fluoride 5000 ppm Fruit100 mL in 1 TUBEPASTE, DENTIFRICE1003
11527-750-43Sodium Fluoride 5000 ppm Spearmint100 mL in 1 TUBEPASTE, DENTIFRICE1003
11527-750-43Sodium Fluoride 5000 ppm Spearmint1 in 1 CARTONPASTE, DENTIFRICE13

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
11527-730SODIUM FLUORIDE 5000 PPM SPEARMINT (SODIUM FLUORIDE) PASTE, DENTIFRICE SODIUM FLUORIDE 5000 PPM FRUIT (SODIUM FLUORIDE) PASTE, DENTIFRICE [SHEFFIELD PHARMACEUTICALS LLC]3Current NDC, Legacy NDC, 2 package rows20220128_a73f72b9-dbcd-4eed-9c20-46a9e8daf859.zip
11527-750SODIUM FLUORIDE 5000 PPM SPEARMINT (SODIUM FLUORIDE) PASTE, DENTIFRICE SODIUM FLUORIDE 5000 PPM FRUIT (SODIUM FLUORIDE) PASTE, DENTIFRICE [SHEFFIELD PHARMACEUTICALS LLC]3Current NDC, Legacy NDC, 2 package rows20220128_a73f72b9-dbcd-4eed-9c20-46a9e8daf859.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
11527-750-43ML - Milliliter11527-7507effbf10-b145-4dd3-ab40-5ee0f6eccc0e12020-07-13
11527-730-44ML - Milliliter11527-730ab653b7c-1362-47e2-93ad-ce8ccc5234d912020-07-13

Products#

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

DailyMed product names page 1 of 1 · 19 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
11527-75011527-750-43
11527-73011527-730-44

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 31 matching rows.

Source Document#

Source XML

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
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
Sodium Fluoride 5000 ppm FruitSODIUM FLUORIDESheffield Pharmaceuticals LLCa73f72b9-dbcd-4eed-9c20-46a9e8daf8592022-01-19Warnings, Adverse reactionsExact identifier
ndc (package): 11527-750-43
ndc (package): 11527-730-44
ndc (product): 11527-750
ndc (product): 11527-730
ndc11 (package): 11527075043
ndc11 (package): 11527073044
spl id: 86c0981d-f4cc-4136-a38e-ef6f86a272e0
spl set id: a73f72b9-dbcd-4eed-9c20-46a9e8daf859

Reported adverse events (FAERS/openFDA)#

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