SELENIUM SULFIDE

Physicians Total Care, Inc.

SELENIUM SULFIDE TOPICAL SUSPENSION USP, 2.5% (LOTION)

FULL PRESCRIBING INFORMATION: CONTENTS*

• SELENIUM SULFIDE DESCRIPTION
• CONTAINS
• CLINICAL PHARMACOLOGY
• SELENIUM SULFIDE INDICATIONS AND USAGE
• SELENIUM SULFIDE CONTRAINDICATIONS
• PRECAUTIONS
  • General
  • Information for Patients
  • Carcinogenesis
  • Pregnancy
  • Pediatric Use
• SELENIUM SULFIDE ADVERSE REACTIONS
• OVERDOSAGE
  • Accidental Oral Ingestion
• SELENIUM SULFIDE DOSAGE AND ADMINISTRATION
• HOW SUPPLIED
• Principal Display Panel

FULL PRESCRIBING INFORMATION

For External Use Only

Shake Well Before Use

Rx Only

SELENIUM SULFIDE DESCRIPTION

A liquid antiseborrheic, antifungal preparation for topical application. Selenium sulfide has the molecular formula SeS₂ and has a molecular weight of 143.09.

CONTAINS

Selenium sulfide 2.5%; bentonite, citric acid, cocoamphocarboxyglycinate, ethylene glycol monostearate, fragrance, glycerol monoricinoleate, lauramide DEA, sodium lauryl sulfate, sodium phosphate (monobasic), titanium dioxide, and water.

CLINICAL PHARMACOLOGY

Selenium sulfide appears to have a cytostatic effect on cells of the epidermis and follicular epithelium, thus reducing corneocyte production.

SELENIUM SULFIDE INDICATIONS AND USAGE

For the treatment of tinea versicolor, seborrheic dermatitis of the scalp, and dandruff.

SELENIUM SULFIDE CONTRAINDICATIONS

This product should not be used by patients allergic to any of its components.

PRECAUTIONS

General

Should not be used when acute inflammation or exudation is present as increased absorption may occur.

Information for Patients

Application to skin or scalp may produce skin irritation or sensitization. If sensitivity reactions occur, use should be discontinued. May be irritating to mucous membranes of the eyes and contact with this area should be avoided.

When applied to the body for treatment of tinea versicolor, Selenium Sulfide Topical Suspension USP, 2.5% (Lotion) may produce skin irritation especially in the genital area and where skin folds occur. These areas should be thoroughly rinsed after application.

Carcinogenesis

Studies in mice using dermal application of 25% and 50% solutions of 2.5% selenium sulfide topical suspension, over an 88 week period, indicated no carcinogenic effects.

Pregnancy

WHEN USED ON BODY SURFACES FOR THE TREATMENT OF TINEA VERSICOLOR, SELENIUM SULFIDE IS CLASSIFIED AS PREGNANCY CATEGORY "C". Animal reproduction studies have not been conducted with Selenium Sulfide Topical Suspension USP, 2.5% (Lotion). It is also not known whether Selenium Sulfide Topical Suspension USP, 2.5% (Lotion) can cause fetal harm when applied to body surfaces of a pregnant woman or can affect reproduction capacity. Under ordinary circumstances Selenium Sulfide Topical Suspension USP, 2.5% (Lotion) should not be used for the treatment of tinea versicolor in pregnant women.

Pediatric Use

Safety and effectiveness in infants have not been established.

SELENIUM SULFIDE ADVERSE REACTIONS

In decreasing order of severity: skin irritation, occasional reports of increase in amount of normal hair loss, discoloration of hair (can be avoided or minimized by thorough rinsing of hair after treatment). As with other shampoos, oiliness or dryness of hair and scalp may occur.

OVERDOSAGE

Accidental Oral Ingestion

Selenium Sulfide Topical Suspension USP, 2.5% (Lotion) is intended for external use only. There have been no documented reports of serious toxicity in humans resulting from acute ingestion of Selenium Sulfide Topical Suspension USP, 2.5% (Lotion); however, acute toxicity studies in animals suggest that ingestion of large amounts could result in potential human toxicity. For this reason, evacuation of the stomach contents should be considered in cases of acute oral ingestion.

SELENIUM SULFIDE DOSAGE AND ADMINISTRATION

See application instructions on rear panel of this bottle. For treatment of dandruff and seborrheic dermatitis: For the usual case, two applications each week for two weeks will afford control. After this, the suspension may be used at less frequent intervals - weekly, every two weeks, or even every 3 or 4 weeks in some cases. The preparation should not be applied more frequently than required to maintain control.

For treatment of tinea versicolor: Apply to affected areas and lather with a small amount of water. Allow product to remain on skin for 10 minutes, then rinse the body thoroughly. Repeat this procedure once a day for seven days.

HOW SUPPLIED

Selenium Sulfide Topical Suspension USP, 2.5% (Lotion) is available as follows:

4 fl oz plastic bottle - 118 mL    (NDC 54868-1362-1).

Manufactured by Perrigo, Bronx, NY 10457

Distributed by Perrigo

Allegan, MI 49010

Rev. 12/08

Distributed by:
Physicians Total Care, Inc.
Tulsa, Oklahoma       74146

Keep tightly capped. SHAKE WELL BEFORE USING.

Product may damage jewelry; remove jewelry before use.

For treatment of dandruff and seborrheic dermatitis of the scalp:

1. Massage about 1 or 2 teaspoonsful of suspension into wet scalp.

2. Allow to remain on scalp for 2 to 3 minutes.

3. Rinse scalp thoroughly.

4. Repeat application and rinse thoroughly.

5. After treatment, wash hands well.

6. Repeat treatments as directed by physician.

For treatment of tinea versicolor:

1. Apply to affected areas and lather with a small amount of water.

2. Allow to remain on skin for 10 minutes.

3. Rinse body thoroughly.

4. Repeat this procedure once a day for seven days.

For External Use Only. Do not use on broken skin or inflamed areas. If allergic reactions occur, discontinue use. Avoid getting shampoo in eyes or in contact with genital area as it may cause irritation and burning.

KEEP THIS AND ALL MEDICATIONS OUT OF REACH OF CHILDREN.

Store at 20°-25°C (68°-77°F) [see USP Controlled Room Temperature].

For lot number and expiration date see label or bottom of container.

Manufactured by Perrigo, Bronx, NY 10457

DISTRIBUTED BY

PERRIGO®

ALLEGAN, MI 49010

Rev. 12/08

Principal Display Panel

Selenium Sulfide Topical Suspension USP, 2.5% (Lotion)

For External Use Only

Shake Well Before Use

Rx Only

NDC 54868-1362-1   4 oz (118 mL)