WARNINGS SECTION.

WARNINGS: Although rare, sensitivity to sodium sulfacetaminde may occur. Therefore, caution and careful supervision should be observed when prescribing this drug for patients who may be prone to hypersensitivity to topical sulfonamides. Systemic toxic reactions such as agranulocytosis, acute hemolytic anemia, purpura hemorrhagica, drug fever, jaundice and contact dermatitis indicate hypersensitivity to sulfonamides. Particular caution should be employed if areas of denuded or abraded skin are involved. FOR EXTERNAL USE ONLY. Keep away from eyes. Keep out of reach of children. Keep container tightly closed.

CLINICAL PHARMACOLOGY SECTION.

CLINICAL PHARMACOLOGY: The most widely accepted mechanism of action of sulfonamides is the Woods-Fildes theory, which is based on the fact that sulfonamides act as competitive antagonists to para-aminobenzoic acid (PABA), an essential component for bacterial growth. While absorption through intact skin has not been determined, sodium sulfacetamide is readily absorbed from the gastrointestinal tract when taken orally and excreted in the urine, largely unchanged. The biological half-life has variously been reported as to 12.8 hours. The exact mode of action of sulfur in the treatment of acne is not known, but it has been reported that it inhibits the growth of Propionibacterium acnes and the formation of free fatty acids.

CONTRAINDICATIONS SECTION.

CONTRAINDICATIONS: Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads are contraindicated for use by patients having known hypersensitivity to sulfonamides, sulfur or ony other component of this preparation. Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads are not to be used by patients with kidney disease.

DESCRIPTION SECTION.

DESCRIPTION: Sodium sulfacetamide is sulfonamide with antibacterial activity while sulfur acts as keratolytic agent. Chemically sodium sulfacetamide is N-[(4-aminophenyl) sulfonyl]-acetamide, monosodium salt, monohydrate. The structural formula is: Each pad of Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads are coated with cleanser-based formulation. Each gram of this cleanser-based formulation contains 100 mg of Sodium Sulfacetamide and 40 mg of Sulfur. The cleanser base consists of: purified water, sodium cocoyl isethionate disodium oleamido MEA sulfosuccinate, green tea extract, cetyl alcohol, stearyl alcohol, glycerol stearate and PEG 100 stearate methyl paraben, propyl paraben, butylated hydroxytoluene, aloe vera gel, sodium thiosulfate, disodium EDTA, magnesium aluminum silicate, xanthan gum, sodium methyl cocoyl taurate, white petrolatum. productformula.

DOSAGE & ADMINISTRATION SECTION.

DOSAGE AND ADMINISTRATION: Wash affected area(s) with cleansing pad once or twice dialy, or as directed by your physician. Wet area(s) with water. Wet pad with little water and work into full lather. Cleanse area(s) with pad for 10-20 seconds, avoiding eyes. Rinse thoroughly and pat dry. Discard pad. Do not flush.

HOW SUPPLIED SECTION.

HOW SUPPLIED: Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads are available in boxes of 60 cloths (3.7 g), (NDC 42192-113-60). Store at controlled room temperature, 15 25 (59 77F). All prescription substitutions 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 prescription substitution using this product shall make such recommendations based on each such persons professional opinion and knowledge, upon evaluating the active ingredients, incipients, inactive ingredients and chemical formulation information provided herein.

NURSING MOTHERS SECTION.

NURSING MOTHERS: It is not known whether sodium sulfacetamide is excreted in the human milk following topical use of Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads. However, small amounts of orally administered sulfonamides have been reported to be eliminated in human milk. In view of this and because many drugs are excreted in human milk, caution should be exercised when Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads are administered to nursing woman.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL.

Sodum Sulfacetamide 10%-Sulfur 4% Cleansing PadsIn vehicle containing Green Tea and Aloe Rx Only 60 cleansing pads Net wegith 3.7g each Acella pharmaceuticals Directions: Wash affected areas with Sodium Sulfacetamide 10% Sulfur 4% once or twice daily or as direted by your physician. 1. Wet affected areas with water 2. Wet Sodium Sulfacetamide 10% Sulfur 4% cleansing pad with water and work into full lather. 3. Cleanse face with Sodium Sulfacetamide 10% Sulfur 4% for 10 -20 seconds, avoiding eyes 4. Rinse thoroughly and pat dry 5. Discard pad. Do not flush. Warnings for external use only. Keep out of reach of children. Avoid contact with eyes.Indications: for the typical control of acne vulgaris and seborrheic dermatitis. See package insert for full prescribing information.Contraindications: Sodium Sulfacetamide 10% Sulfur 4% cleansing pads are contraindicated for use in patients having known hypersensitivity to sulfonamides, sulfur or anyother component of the preparation. Sodium Sulfacetamide 10% Sulfur 4% cleansing pads are not to be used by patients with kidney disease.Contents: Sodium Sulfacetamide 10% Sulfur 4%. Other Ingredients: purified water, sodium cocoyl isethionate, disodium oleamido MEA sulfosuccinate, green tea extract, cetyl alcohol, stearyl alcohol, glycerol stearate and PEG 100 stearate methyl paraben, propyl paraben, butylated hydroxytoluene, aloe vera gel, sodium thiosufate, disodium EDTA, magnesium aluminum siliate, xanthan gum, sodium methyl cocoyl l-taurate, white petrolatumAcella PharmaceuticalsStore at 15 degrees to 25 degrees or 59-77 degrees F)All prescription substitutions and/or recommendations using this product shall be made subject to state and federal statutes as applicable. NOTE. This is not an Orange Book product. No representation is made as to generic status or bioequivalency. Please see package insert for more information.Manufactured For: Acella Pharmaceuticals, LLC 9005 Westside Parkway Alpharetta, GA 30009 1-800-541-4802.

PRECAUTIONS SECTION.

PRECAUTIONS: General If irritaition develops, use of the product should be discontinued and appropriate therapy instituted. Patients should be carefully observed for possible local irritation or sensitization during long-term therapy. The object of this therapy is to achieve desqamation withour irritation, but sodium sulfacetamide and sulfur can cause reddening and scaling of the epidermis. These side effects are not unusual in the treatment of acne vulfaris, but patients should be cautioned about the possibility. Information for patients Avoid contact with eyes, eyelids, lips and mucous membranes. If accidental contact occurs, rinse with water. If excessive irritation develops, discontinue use and consult your physician.

PREGNANCY SECTION.

PREGNANCY: Pregnancy Category C. Animal reproduction studies have not been conducted with Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads. It is not known whether Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads can cause fetal harm when administered to pregnant woman or can affect reproduction capacity. Sodium Sulfacetamide 10% Sulfur 4% Cleansing Pads should be given to pregnant woman only if clearly needed.