cocaine ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
local anaesthetics 723 50-36-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • cocaine
  • cocain
  • benzoylmethylecgonine
  • cocaine hydrochloride
  • cocaine HCl
An alkaloid ester extracted from the leaves of plants including coca. It is a local anesthetic and vasoconstrictor and is clinically used for that purpose, particularly in the eye, ear, nose, and throat. It also has powerful central nervous system effects similar to the amphetamines and is a drug of abuse. Cocaine, like amphetamines, acts by multiple mechanisms on brain catecholaminergic neurons; the mechanism of its reinforcing effects is thought to involve inhibition of dopamine uptake.
  • Molecular weight: 303.36
  • Formula: C17H21NO4
  • CLOGP: 2.57
  • LIPINSKI: 0
  • HAC: 5
  • HDO: 0
  • TPSA: 55.84
  • ALOGS: -1.78
  • ROTB: 5

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 1.60 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 1 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 4.95 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 57 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 2 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 32 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.12 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 0.76 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Jan. 1, 1860 YEAR INTRODUCED

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Drug abuse 3772.94 80.52 947 5245 71571 63411259
Toxicity to various agents 1709.94 80.52 697 5495 246553 63236277
Completed suicide 854.13 80.52 368 5824 145305 63337525
Cardio-respiratory arrest 692 80.52 248 5944 59711 63423119
Respiratory arrest 621.90 80.52 197 5995 32448 63450382
Cardiac arrest 508.20 80.52 224 5968 92321 63390509
Death 354.86 80.52 291 5901 374090 63108740
Intentional product misuse 275.22 80.52 129 6063 60788 63422042
Substance abuse 256.38 80.52 65 6127 4742 63478088
Poisoning deliberate 222.58 80.52 70 6122 11148 63471682
Drug dependence 221.59 80.52 85 6107 24398 63458432
Miosis 189.00 80.52 56 6136 7297 63475533
Poisoning 154.77 80.52 56 6136 13644 63469186
Overdose 146.24 80.52 107 6085 114971 63367859
Coma 100.60 80.52 68 6124 64296 63418534
Bradypnoea 95.41 80.52 28 6164 3522 63479308
Opiates positive 93.12 80.52 18 6174 368 63482462
Suicide attempt 89.60 80.52 62 6130 60856 63421974
Accidental overdose 88.78 80.52 44 6148 23265 63459565
Asphyxia 87.89 80.52 30 6162 6151 63476679
Incorrect route of product administration 84.81 80.52 45 6147 27407 63455423
Mydriasis 81.93 80.52 34 6158 11922 63470908

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Drug abuse 8289.54 50.96 2572 12211 96524 34845624
Toxicity to various agents 2439.91 50.96 1319 13464 199043 34743105
Intentional product misuse 767.38 50.96 377 14406 45234 34896914
Drug dependence 726.31 50.96 300 14483 23917 34918231
Coma 575.43 50.96 311 14472 45367 34896781
Cardio-respiratory arrest 556.94 50.96 325 14458 54948 34887200
Poisoning 475.93 50.96 183 14600 12043 34930105
Respiratory arrest 468.41 50.96 231 14552 27812 34914336
Miosis 441.19 50.96 162 14621 9373 34932775
Substance abuse 433.48 50.96 151 14632 7490 34934658
Asphyxia 391.26 50.96 136 14647 6699 34935449
Completed suicide 361.30 50.96 312 14471 97856 34844292
Cardiac arrest 287.41 50.96 272 14511 95887 34846261
Overdose 248.31 50.96 245 14538 90814 34851334
Substance use disorder 226.91 50.96 55 14728 724 34941424
Agitation 217.93 50.96 186 14597 57213 34884935
Mydriasis 194.20 50.96 83 14700 7154 34934994
Drug use disorder 189.26 50.96 70 14713 4121 34938027
Poisoning deliberate 174.97 50.96 79 14704 7765 34934383
Depressed level of consciousness 150.70 50.96 133 14650 42708 34899440
Bradypnoea 149.21 50.96 53 14730 2776 34939372
Drug ineffective 148.93 50.96 12 14771 456739 34485409
Diarrhoea 143.28 50.96 5 14778 389907 34552241
Pulmonary oedema 135.08 50.96 131 14652 47398 34894750
Death 131.74 50.96 417 14366 397632 34544516
Altered state of consciousness 116.12 50.96 88 14695 22805 34919343
Incorrect route of product administration 114.99 50.96 74 14709 14771 34927377
Alcohol abuse 113.42 50.96 50 14733 4640 34937508
Fatigue 112.08 50.96 13 14770 370640 34571508
Withdrawal syndrome 111.35 50.96 68 14715 12387 34929761
Pneumonia 108.94 50.96 13 14770 362614 34579534
Respiratory depression 108.92 50.96 74 14709 16171 34925977
Postmortem blood drug level abnormal 107.15 50.96 25 14758 276 34941872
Aggression 95.23 50.96 99 14684 38865 34903283
Pyrexia 92.78 50.96 15 14768 332998 34609150
Asthenia 90.43 50.96 3 14780 245248 34696900
Drug detoxification 88.25 50.96 21 14762 254 34941894
Nausea 84.82 50.96 20 14763 339888 34602260
Rhabdomyolysis 81.69 50.96 121 14662 68042 34874106
Prescription drug used without a prescription 79.29 50.96 31 14752 2123 34940025
Toxicologic test abnormal 78.10 50.96 22 14761 534 34941614
Rash 77.84 50.96 4 14779 222748 34719400
Opiates positive 77.15 50.96 22 14761 559 34941589
Dyspnoea 68.82 50.96 37 14746 376745 34565403
Dizziness 67.60 50.96 7 14776 218514 34723634
Suicidal behaviour 67.55 50.96 25 14758 1472 34940676
Anaemia 66.05 50.96 10 14773 233325 34708823
Cluster headache 64.36 50.96 19 14764 547 34941601
Somnolence 62.33 50.96 142 14641 110974 34831174
Amphetamines positive 61.28 50.96 15 14768 206 34941942
Off label use 60.91 50.96 53 14730 419471 34522677
Mixed anxiety and depressive disorder 60.40 50.96 13 14770 96 34942052
Tachycardia 57.47 50.96 117 14666 84655 34857493
Drug abuser 55.44 50.96 29 14754 3925 34938223
Intentional overdose 54.41 50.96 79 14704 43595 34898553
Weight decreased 53.60 50.96 6 14777 176295 34765853
Intentional product use issue 53.53 50.96 93 14690 59723 34882425

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Drug abuse 12023.23 55.11 3411 16620 159280 79565077
Toxicity to various agents 3843.69 55.11 1923 18108 419617 79304740
Cardio-respiratory arrest 1176.25 55.11 563 19468 107947 79616410
Intentional product misuse 1052.95 55.11 501 19530 94664 79629693
Respiratory arrest 1020.42 55.11 422 19609 57128 79667229
Completed suicide 1008.34 55.11 674 19357 245093 79479264
Drug dependence 913.40 55.11 354 19677 40415 79683942
Cardiac arrest 733.27 55.11 484 19547 171612 79552745
Poisoning 650.47 55.11 243 19788 25029 79699328
Miosis 644.55 55.11 214 19817 15575 79708782
Coma 637.66 55.11 365 19666 100284 79624073
Substance abuse 553.68 55.11 173 19858 10353 79714004
Death 500.17 55.11 659 19372 565855 79158502
Asphyxia 458.92 55.11 154 19877 11566 79712791
Poisoning deliberate 366.87 55.11 148 19883 18680 79705677
Overdose 345.03 55.11 319 19712 183887 79540470
Substance use disorder 289.42 55.11 63 19968 875 79723482
Agitation 284.03 55.11 220 19811 99495 79624862
Mydriasis 280.61 55.11 120 19911 17523 79706834
Bradypnoea 238.73 55.11 80 19951 5972 79718385
Drug use disorder 236.36 55.11 87 19944 8564 79715793
Depressed level of consciousness 213.58 55.11 184 19847 96468 79627889
Altered state of consciousness 204.80 55.11 131 19900 43691 79680666
Drug ineffective 198.35 55.11 21 20010 1080892 78643465
Diarrhoea 191.15 55.11 7 20024 880482 78843875
Fatigue 175.84 55.11 16 20015 929711 78794646
Incorrect route of product administration 174.66 55.11 109 19922 34820 79689537
Respiratory depression 163.33 55.11 96 19935 27534 79696823
Opiates positive 162.95 55.11 40 19991 964 79723393
Pulmonary oedema 147.98 55.11 144 19887 88110 79636247
Alcohol abuse 146.73 55.11 54 19977 5309 79719048
Withdrawal syndrome 144.94 55.11 88 19943 26766 79697591
Postmortem blood drug level abnormal 136.89 55.11 32 19999 622 79723735
Nausea 133.37 55.11 38 19993 957158 78767199
Suicide attempt 131.01 55.11 131 19900 82801 79641556
Aggression 126.88 55.11 104 19927 50854 79673503
Drug detoxification 123.95 55.11 27 20004 376 79723981
Rash 123.93 55.11 5 20026 578353 79146004
Dyspnoea 123.12 55.11 32 19999 856993 78867364
Pain 123 55.11 16 20015 703786 79020571
Toxicologic test abnormal 122.78 55.11 34 19997 1326 79723031
Amphetamines positive 122.63 55.11 26 20005 316 79724041
Rhabdomyolysis 119.07 55.11 138 19893 102993 79621364
Intentional overdose 117.69 55.11 139 19892 105821 79618536
Asthenia 104.52 55.11 6 20025 511683 79212674
Prescription drug used without a prescription 103.94 55.11 39 19992 4046 79720311
Accidental overdose 103.21 55.11 83 19948 39498 79684859
Pneumonia 99.93 55.11 22 20009 660224 79064133
Pyrexia 98.02 55.11 25 20006 678684 79045673
Somnolence 94.05 55.11 194 19837 238787 79485570
Dizziness 89.44 55.11 13 20018 526428 79197929
Cough 79.06 55.11 3 20028 366786 79357571
Anaemia 75.53 55.11 11 20020 445004 79279353
Suicidal ideation 74.74 55.11 94 19937 76246 79648111
Postmortem blood drug level 72.69 55.11 17 20014 331 79724026
Tachycardia 70.69 55.11 145 19886 177623 79546734
Condition aggravated 69.37 55.11 20 20011 501104 79223253
Off label use 69.01 55.11 76 19955 907139 78817218
Drug abuser 67.24 55.11 32 19999 5981 79718376
Pruritus 66.39 55.11 10 20021 394638 79329719
Headache 65.33 55.11 42 19989 653730 79070627
Cluster headache 63.53 55.11 19 20012 977 79723380
Hypothermia 62.06 55.11 49 19982 22697 79701660
Unresponsive to stimuli 61.58 55.11 73 19958 55715 79668642
Suicidal behaviour 61.40 55.11 25 20006 3222 79721135
Accidental death 61.06 55.11 27 20004 4264 79720093
Weight decreased 57.49 55.11 10 20021 355188 79369169
Decreased appetite 56.85 55.11 9 20022 342409 79381948

FDA Adverse Event Reporting System (Pediatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Sudden infant death syndrome 17.98 15.80 3 3 53 89733

Pharmacologic Action:

SourceCodeDescription
ATC N01BC01 NERVOUS SYSTEM
ANESTHETICS
ANESTHETICS, LOCAL
Esters of benzoic acid
ATC R02AD03 RESPIRATORY SYSTEM
THROAT PREPARATIONS
THROAT PREPARATIONS
Anesthetics, local
ATC S01HA01 SENSORY ORGANS
OPHTHALMOLOGICALS
LOCAL ANESTHETICS
Local anesthetics
ATC S02DA02 SENSORY ORGANS
OTOLOGICALS
OTHER OTOLOGICALS
Analgesics and anesthetics
MeSH PA D000777 Anesthetics
MeSH PA D000779 Anesthetics, Local
MeSH PA D002317 Cardiovascular Agents
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D015259 Dopamine Agents
MeSH PA D018765 Dopamine Uptake Inhibitors
MeSH PA D049990 Membrane Transport Modulators
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D014179 Neurotransmitter Uptake Inhibitors
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D018689 Sensory System Agents
MeSH PA D014662 Vasoconstrictor Agents
CHEBI has role CHEBI:35337 analeptic
CHEBI has role CHEBI:35524 sympathomimetic
CHEBI has role CHEBI:35640 adrenergic uptake inhibitors
CHEBI has role CHEBI:35703 Xenobiotic
CHEBI has role CHEBI:36333 local anesthetics
CHEBI has role CHEBI:38633 sodium channel blockers
CHEBI has role CHEBI:50949 SSRI
CHEBI has role CHEBI:51039 dopamine reuptake inhibitor
CHEBI has role CHEBI:75771 Mus musculus metabolites
CHEBI has role CHEBI:76924 plant metabolites
CHEBI has role CHEBI:78298 environmental contaminants
CHEBI has role CHEBI:77746 Homo sapiens metabolite

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Local anesthesia indication 386761002
Conduction disorder of the heart contraindication 44808001
Epilepsy contraindication 84757009 DOID:1826
Thyrotoxicosis contraindication 90739004 DOID:7997
Disorder of mucous membrane contraindication 95351003
Acute disease of cardiovascular system contraindication 128487001
Breastfeeding (mother) contraindication 413712001
Hypertensive urgency contraindication 443482000




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 8.27 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10016407 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC PRIOR TO PERFORMING A DIAGNOSTIC OR SURGICAL PROCEDURE ON A SUBJECT WITH HEPATIC OR RENAL IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10149843 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA PRIOR TO PERFORMING A PROCEDURE ON, THROUGH, OR ADJACENT TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10149843 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10413505 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10420760 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA PRIOR TO PERFORMING A PROCEDURE ON, THROUGH, OR ADJACENT TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10857095 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10894012 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10933060 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10973811 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH RENAL IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10987347 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH HEPATIC IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN GERIATRIC PATIENTS
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH HEPATIC IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH RENAL IMPAIRMENT

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
4% NUMBRINO CODY LABS INC N209575 Jan. 10, 2020 RX SOLUTION NASAL Jan. 10, 2023 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Sodium-dependent dopamine transporter Transporter INHIBITOR Ki 7.50 CHEMBL IUPHAR
Sigma non-opioid intracellular receptor 1 Membrane receptor Ki 5.05 CHEMBL
Potassium voltage-gated channel subfamily H member 2 Ion channel IC50 5.14 WOMBAT-PK
Sodium-dependent serotonin transporter Transporter Ki 6.92 WOMBAT-PK
Sodium-dependent noradrenaline transporter Transporter Ki 5.57 WOMBAT-PK
Alpha-1A adrenergic receptor GPCR Ki 5.68 WOMBAT-PK
Histamine H1 receptor GPCR Ki 5.67 WOMBAT-PK
5-hydroxytryptamine receptor 1B GPCR Ki 5.47 WOMBAT-PK
5-hydroxytryptamine receptor 3A Ion channel Ki 5.71 WOMBAT-PK
Sodium- and chloride-dependent GABA transporter 1 Transporter IC50 5.50 WOMBAT-PK
Sodium channel protein type 11 subunit alpha Ion channel WOMBAT-PK
Kappa-type opioid receptor GPCR IC50 5.10 WOMBAT-PK
Cocaine- and amphetamine-regulated transcript protein Transcription factor WOMBAT-PK
Serotonin 3 receptor (5HT3) Ion channel ANTAGONIST Ki 4.80 IUPHAR
Sodium channel alpha subunits; brain (Types I, II, III) Ion channel IC50 4.31 CHEMBL
Sodium channel protein type 5 subunit alpha Ion channel WOMBAT-PK
Muscarinic acetylcholine receptor M1 GPCR Ki 4.21 CHEMBL
Sodium-dependent serotonin transporter Transporter Ki 7.35 CHEMBL
Sodium-dependent dopamine transporter Transporter Ki 7.49 CHEMBL
Transporter Transporter Ki 6.97 CHEMBL
Sodium-dependent dopamine transporter Transporter IC50 6.70 CHEMBL
Transporter Transporter Ki 5.50 CHEMBL
Dopamine transporter Transporter IC50 7.19 CHEMBL
Dopamine transporter Transporter IC50 7.02 CHEMBL

External reference:

IDSource
4019690 VUID
N0000147782 NUI
D00110 KEGG_DRUG
53-21-4 SECONDARY_CAS_RN
2653 RXNORM
4017521 VANDF
4019690 VANDF
C0009170 UMLSCUI
CHEBI:27958 CHEBI
CCA PDB_CHEM_ID
CHEMBL370805 ChEMBL_ID
CHEMBL120901 ChEMBL_ID
DB00907 DRUGBANK_ID
CHEMBL529437 ChEMBL_ID
D003042 MESH_DESCRIPTOR_UI
446220 PUBCHEM_CID
2286 IUPHAR_LIGAND_ID
I5Y540LHVR UNII
437 MMSL
4488 MMSL
d03878 MMSL
001369 NDDF
001370 NDDF
14816004 SNOMEDCT_US
387085005 SNOMEDCT_US
74273006 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
NUMBRINO HUMAN PRESCRIPTION DRUG LABEL 1 0527-1961 SOLUTION 40 mg NASAL NDA 30 sections
NUMBRINO HUMAN PRESCRIPTION DRUG LABEL 1 0527-1961 SOLUTION 40 mg NASAL NDA 30 sections
cocaine hydrochloride nasal HUMAN PRESCRIPTION DRUG LABEL 1 0527-1971 SOLUTION 40 mg TOPICAL NDA authorized generic 30 sections
cocaine hydrochloride nasal HUMAN PRESCRIPTION DRUG LABEL 1 0527-1971 SOLUTION 40 mg TOPICAL NDA authorized generic 30 sections
cocaine hydrochloride nasal HUMAN PRESCRIPTION DRUG LABEL 1 0527-1971 SOLUTION 40 mg TOPICAL NDA authorized generic 30 sections
GOPRELTO HUMAN PRESCRIPTION DRUG LABEL 1 64950-359 SOLUTION 40 mg NASAL NDA 35 sections
GOPRELTO HUMAN PRESCRIPTION DRUG LABEL 1 64950-359 SOLUTION 40 mg NASAL NDA 35 sections
cocaine hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 64950-362 SOLUTION 40 mg NASAL NDA AUTHORIZED GENERIC 35 sections
cocaine hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 64950-362 SOLUTION 40 mg NASAL NDA AUTHORIZED GENERIC 35 sections