{"contraindications":["CONTRAINDICATIONS ZYVODOL® Topical Cream, as dispensed, is contraindicated in those patients with a history of hypersensitivity to any of the components of the preparation."],"description":["DESCRIPTION ZYVODOL® is comprised of 3 g of Diclofenac Sodium USP, 4 g of Amitriptyline HCl USP, 2.5 g of Prilocaine HCl USP, and 2.5 g of Lidocaine HCl USP for topical use. ZYVODOL® also contains a Cream Base containing purified water, white petrolatum, sorbitol solution, cetearyl alcohol, propylene glycol, ceteareth-20, simethicone, glyceryl monostearate, polyethylene glycol monostearate, sorbic acid and BHT. When mixed as instructed, the final product provides a homogeneous cream mixture containing Diclofenac Sodium, Amitriptyline HCl, Prilocaine HCl, and Lidocaine HCl comparable to the active ingredients (Voltaren Gel® 1%, Elavil®, and Emla® 2.5%/2.5%) contained in ZYVODOL®, as dispensed. Certificate of analysis on file This product is not manufactured by Novartis, manufacturer of Voltaren Gel®, AstraZeneca Pharmaceuticals, manufacturer of Elavil® and Emla®."],"dosage_and_administration":["DOSAGE AND ADMINISTRATION The pharmacist must mix contents of each container with appropriate amount of Cream Base yielding a final volume of 100 grams at the time of dispensing. Pharmacist may utilize diluent(s) if needed from the respective active component Material Safety Data Sheet only. For topical use only. This product should not be administered orally."],"drug_interactions":["DRUG INTERACTIONS Consult your pharmacist. Keep a list of all your medications with you, and share the list with your doctor and pharmacist."],"effective_time":"20150721","how_supplied":["HOW SUPPLIED ZYVODOL® Cream, as dispensed, is supplied as six component package: four containers which contain the active components Diclofenac Sodium USP 3 g, Amitriptyline HCl USP 4 g, Prilocaine HCl USP 2.5 g, Lidocaine HCl USP 2.5 g (respectively), a separate package of Cream Base and a stirring apparatus. The pharmacist must mix contents of each active component container with appropriate amount of Cream Base such that the QS volume yields 100 grams (final weight) at the time of dispensing. Pharmacist may utilize appropriate diluents if needed from the respective active component Material Safety Data Sheet only. Pharmacist must only use appropriate amount of Cream Base such that the final volume yields 100 grams inclusive of all drug substances, any diluents that may have been added, and Cream Base. Pharmacist may dispense final product upon reconstituting and mixing into a dispensing container of their choice or as directed by prescriber. Mix for 12 minutes before dispensing. May use mixing aid. Shake well before using. Store between 15° and 30°C (59° and 86°F) in tightly closed containers prior to mixing. Store final product at refrigerated temperature, 2°-8°C (36°-46°F). For topical use only. Avoid contact with eyes. Keep container tightly closed. Keep out of the reach of children. Protect from light. Protect from freezing. ZYVODOL® Cream, as dispensed, is stable for at least 30 days at refrigerated temperature as recommended under USP 795 Guidelines. U.S. Patent Pending Distributed By: Accumix Pharmaceuticals East Windsor, NJ 08520 Issued: October 2014 v1 Rx ONLY For External Use Only"],"id":"ed1372fd-2c0b-4493-8daa-50bf8749bfb7","openfda":{},"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL - NDC: 69167-0815-9 - Carton Label Zyvodol Topical Cream Carton Label"],"precautions":["PRECAUTIONS Consult your pharmacist."],"set_id":"b631f29d-0d4f-4063-a5a9-61ca6cd4fc6d","spl_product_data_elements":["Zyvodol diclofenac sodium, amitriptyline hydrochloride, prilocaine hydrochloride and lidocaine hydrochloride Diclofenac Sodium diclofenac sodium DICLOFENAC SODIUM DICLOFENAC Amitriptyline Hydrochloride amitriptyline hydrochloride AMITRIPTYLINE HYDROCHLORIDE AMITRIPTYLINE Prilocaine Hydrochloride prilocaine hydrochloride PRILOCAINE HYDROCHLORIDE PRILOCAINE Lidocaine Hydrochloride lidocaine hydrochloride LIDOCAINE HYDROCHLORIDE LIDOCAINE LIDOCAINE HYDROCHLORIDE ANHYDROUS Cream Base cream WATER PETROLATUM SORBITOL CETOSTEARYL ALCOHOL PROPYLENE GLYCOL POLYOXYL 20 CETOSTEARYL ETHER DIMETHICONE GLYCERYL MONOSTEARATE POLYETHYLENE GLYCOLS SORBIC ACID BUTYLATED HYDROXYTOLUENE"],"spl_unclassified_section":["USES Consult your pharmacist.","HOW TO USE Consult your pharmacist.","SIDE EFFECTS Consult your pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.","MISSED DOSE Consult your pharmacist.","NOTES No Monograph available at this time."],"version":"2"}