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NDC 11527-0735-16 Wentworth Alcohol Free 0.9 mg/mL Details
Wentworth Alcohol Free 0.9 mg/mL
Wentworth Alcohol Free is a DENTAL MOUTHWASH in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Sheffield Pharmaceuticals LLC. The primary component is SODIUM FLUORIDE.
MedlinePlus Drug Summary
Fluoride is used to prevent tooth decay. It is taken up by teeth and helps to strengthen teeth, resist acid, and block the cavity-forming action of bacteria. Fluoride usually is prescribed for children and adults whose homes have water that is not fluoridated (already has fluoride added). This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Related Packages: 11527-0735-16Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Fluoride
Product Information
| NDC | 11527-0735 |
|---|---|
| Product ID | 11527-735_b2ef98a2-03e1-4db5-a35e-9820d5fddf6e |
| Associated GPIs | 88402020002020 |
| GCN Sequence Number | 002615 |
| GCN Sequence Number Description | fluoride (sodium) SOLUTION 0.2 % DENTAL |
| HIC3 | D2A |
| HIC3 Description | FLUORIDE PREPARATIONS |
| GCN | 07401 |
| HICL Sequence Number | 001127 |
| HICL Sequence Number Description | FLUORIDE (SODIUM) |
| Brand/Generic | Generic |
| Proprietary Name | Wentworth Alcohol Free |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Sodium Fluoride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | MOUTHWASH |
| Route | DENTAL |
| Active Ingredient Strength | 0.9 |
| Active Ingredient Units | mg/mL |
| Substance Name | SODIUM FLUORIDE |
| Labeler Name | Sheffield Pharmaceuticals LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
Package Images
NDC 11527-0735-16 (11527073516)
| NDC Package Code | 11527-735-16 |
|---|---|
| Billing NDC | 11527073516 |
| Package | 1 BOTTLE, PLASTIC in 1 CARTON (11527-735-16) / 473 mL in 1 BOTTLE, PLASTIC |
| Marketing Start Date | 2021-04-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.02347 |
| Pricing Unit | ML |
| Effective Date | 2023-11-22 |
| NDC Description | SODIUM FLUORIDE 0.2% RINSE |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
Standard Product Labeling (SPL)/Prescribing Information SPL 5ed816ef-20bc-49ac-9202-8fac1edac579 Details
DESCRIPTION
CLINICAL PHARMACOLOGY
INDICATIONS AND USAGE
A dental caries preventive, for weekly self-applied topical use. Weekly rinsing with a neutral 0.2% sodium fluoride solution protects against dental caries in adults and pediatric patients. Wentworth Sodium Fluoride Rinse provides a ready-to-use preparation for convenient administration and favorable compliance. May be used in areas where drinking water is fluoridated since topical fluoride cannot produce fluorosis. (See WARNINGS for exception.)
CONTRAINDIACTIONS
WARNINGS
Keep out of reach of infants and children. Pediatric patients under age 12 should be supervised in the use of this product. Patients under age 6 require special supervision to prevent repeated swallowing of rinse since they frequently swallow significant amounts while rinsing. Prolonged daily ingestion may result in dental fluorosis in patients under age 6, especially if the water fluoridation exceeds 0.6 ppm. Read directions carefully before using.
DO NOT USE IF PRINTED NECK BAND IS BROKEN OR MISSING
PRECAUTIONS
Carcinogenesis, Mutagenesis, Impairment of Fertility
No carcinogenesis was found in mice or female rats treated with fluoride at doses 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 another study, no carcinogenesis was observed in rats 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 but has been associated with chromosome aberrations in cultured human and rodent cells at doses much higher than expected human exposures. Some in vivo report chromosome damage in rodents while other studies using similar protocols report negative results.
Potential adverse reproductive effects of fluoride exposure in humans has 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
Teratogenic Effects
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 litter size or fetal weight and did not increase frequency of skeletal or visceral malformations. There are no adequate and well-controlled studies in pregnant women. However, 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
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
The use of Wentworth® Sodium Fluoride Rinse as a weekly caries preventive in pediatric patients aged 6 to 16 years is supported by adequate and well-controlled clinical studies in students aged 6 to 12 years.1-4 Safety and effectiveness in pediatric patients below the age of 6 years have not been established. Please refer to the CONTRAINDICATIONS and WARNINGS sections.
Geriatric Use
Of the total number of subjects in clinical studies of 1.1% (w/v) sodium fluoride, 15 percent were 65 and over, while 1 percent were 75 and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
ADVERSE REACTIONS
OVERDOSAGE
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) has 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) has been ingested, induce vomiting, 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 (10 mL or two teaspoonfuls) of Wentworth® Sodium Fluoride Rinse contains approximately 9 mg fluoride. One 16 fl. oz. bottle contains approximately 429 mg fluoride.
DOSAGE AND ADMINISTRATION
For caries — Adults and pediatric patients over age 6 years, 2 teaspoons (10 mL). Once a week, preferably at bedtime after thoroughly brushing the teeth, rinse vigorously around and between the teeth for one minute, then expectorate. DO NOT SWALLOW. For maximum benefit, do not eat, drink, or rinse mouth for at least 30 minutes afterwards.
HOW SUPPLIED
REFERENCES
1. Driscoll WS, et al. Caries-preventive effects on school children daily and weekly fluoride mouthrinsing in a fluoridated community: final results after 30 months. JADA. 1982; 105: 1010-1013. 2. American Dental Association, Accepted Dental Therapeutics, Ed, 40, Chicago (1984): 403. 3. Ibid., p 405-407. 4. L.W. Ripa, G.S. Leske, and A. Sposato, Supervised Weekly Rinsing with a 0.2% Neutral NaF solution: Final Results of a Demonstration Program After Six School Years J. Pub. Health Dent.,43 (1983): 53-62.
Manufactured by: Sheffield Pharmaceuticals
170 Broad Street, New London CT 06320
PRINCIPAL DISPLAY PANEL - 473 mL Rinse Label
PRINCIPAL DISPLAY PANEL - 473 mL Carton Label
INGREDIENTS AND APPEARANCE
| WENTWORTH ALCOHOL FREE
sodium fluoride mouthwash |
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| Labeler - Sheffield Pharmaceuticals LLC (151177797) |
| Registrant - Sheffield Pharmaceuticals LLC (151177797) |
| Establishment | |||
| Name | Address | ID/FEI | Business Operations |
|---|---|---|---|
| Sheffield Pharmaceuticals LLC | 151177797 | manufacture(11527-735) , analysis(11527-735) | |