{"adverse_reactions":["Adverse Reactions Transient stinging, burning, itching, or irritation may occur and normally disappear on discontinuing the medication."],"clinical_pharmacology":["Clinical Pharmacology Urea gently dissolves the intercellular matrix which results in loosening the horny layer of skin and shedding scaly skin at regular intervals, thereby softening hyperkeratotic areas. Urea also hydrates and gently dissolves the intercellular matrix of the nail plate which can result in the softening and eventual debridement of the nail plate. Pharmacokinetics The mechanism of action of topically applied urea is not yet known."],"contraindications":["Contraindications Known hypersensitivity to any of the listed ingredients."],"description":["Description Urea 40% Nail Film is a keratolytic, emollient which is a gentle, yet potent, tissue softener for nails and skin. Each gram of Urea 40% Nail Film suspension with applicator contains 40% urea, sodium hyaluronate disodium EDTA, glycerin, hydroxyethyl cellulose, PEG-6 caprylic/capric glycerides, purified water and xanthan gum. Urea is a diamide of carbonic acid with the following chemical structure: structure"],"dosage_and_administration":["Dosage and Administration Apply Urea 40% Nail Film to diseased or damaged nail tissue or skin twice per day, or as directed by a physician. Cover with adhesive bandage or gauze, secure with adhesive tape. An additional option is to remove a “finger” from a plastic or vinyl glove and slip it over the bandage-covered site. Secure glove finger with additional adhesive tape."],"effective_time":"20180525","how_supplied":["How Supplied Urea 40% Nail Kit (NDC 42192-709-18) contains: Urea 40% Nail Film - 18 mL glass bottle with an applicator brush and Hyaluronic Acid Sodium Salt 0.2% Gel - 30 g bottle. Store at controlled room temperature 15° - 30°C (59° - 86°F). Protect from freezing. All prescription substitutions and/or recommendations using this product shall be made subject to state and federal statutes as applicable. Please note: this is not an Orange Book product and has not been subjected to FDA therapeutic equivalency or other equivalency testing. Each person recommending a prescription substitution using this product shall make such recommendations based on each such person’s professional opinion and knowledge, upon evaluating the active ingredients, excipients, inactive ingredients and chemical information provided herein. Manufactured for: Acella Pharmaceuticals, LLC 9005 Westside Parkway Alpharetta, GA 30009 1-800-541-4802 Rev. 11/11v2"],"id":"d8ce4c3a-e65d-4b3f-9743-8c587429d2d5","indications_and_usage":["Indications and Usage For debridement and promotion of normal healing of hyperkeratotic surface lesions, particularly where healing is retarded by local infection, necrotic tissue, fibrinous or purulent debris or eschar. Urea is useful for the treatment of hyperkeratotic conditions such as dry, rough skin, dermatitis, psoriasis, xerosis, ichthyosis, eczema, keratosis, keratoderma, corns, and calluses , as well as damaged, ingrown or devitalized nails."],"nursing_mothers":["Nursing Mothers It is not known whether or not this drug is secreted in human milk. Because many drugs are secreted in human milk, caution should be exercised when Urea 40% Nail Film is administered to a nursing woman."],"openfda":{},"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL NDC 42192-709-18 Urea 40% Nail Kit (urea, 40%) suspension with applicator (hyaluronic acid sodium salt, 0.2%) gel For Topical Use Only Not for Ophthalmic Use Rx Only Contains: 18 mL bottle of urea 40% nail film, 30 g bottle of hyaluronic acid sodium salt 0.2% gel Acella PHARMACEUTICALS, LLC PRINCIPAL DISPLAY PANEL"],"precautions":["Precautions This medication is to be used as directed by a physician and should not be used to treat any condition other than that for which it was prescribed. If redness or irritation occurs, discontinue use."],"pregnancy":["Pregnancy Category C Animal reproduction studies have not been conducted with Urea 40% Nail Film. It is also not known whether Urea 40% Nail Film can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. Urea 40% Nail Film should be given to a pregnant woman only if clearly needed."],"set_id":"c99d4281-4a1b-4141-9dd3-f7cc036b0d1a","spl_product_data_elements":["Urea 40% Nail Kit Urea, HYALURONATE SODIUM Urea Urea UREA UREA GLYCERIN HYDROXYETHYL CELLULOSE (100 MPA.S AT 2%) PEG-6 CAPRYLIC/CAPRIC GLYCERIDES WATER XANTHAN GUM HYALURONATE SODIUM HYALURONATE SODIUM HYALURONATE SODIUM HYALURONIC ACID GLYCERIN HYDROXYETHYL CELLULOSE (100 MPA.S AT 2%) PEG-6 CAPRYLIC/CAPRIC GLYCERIDES WATER XANTHAN GUM"],"spl_unclassified_section":["(urea 40%) suspension with applicator (hyaluronic acid sodium salt, 0.2%) gel For external use only. Not for ophthalmic use. Rx Only","KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.","PACKAGE LABEL NDC 42192-707-18 Urea 40% Nail Film suspension with applicator For Topical Use Only Not for Ophthalmic Use Rx Only Net Wt 18 mL Acella PHARMACEUTICALS, INC image5mg"],"version":"1","warnings":["Warnings For external use only. Avoid contact with eyes, lips or mucous membranes."]}