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                        <code code="KEH0A3F75J" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>hexylene glycol</name>
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                    </ingredient>
                    <ingredient classCode="INGR">
                      <ingredientSubstance>
                        <code code="Z95S6G8201" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>laureth-7</name>
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                    <ingredient classCode="INGR">
                      <ingredientSubstance>
                        <code code="O2T154T6OG" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>chamaemelum nobile flower</name>
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                    <ingredient classCode="INGR">
                      <ingredientSubstance>
                        <code code="YSE9PPT4TH" codeSystem="2.16.840.1.113883.4.9"/>
                        <name>hyaluronate sodium</name>
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                        <numerator unit="g" value="454"/>
                        <denominator value="1"/>
                      </quantity>
                      <containerPackagedProduct>
                        <code/>
                        <formCode code="C43174" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="BOTTLE, PUMP"/>
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                          <quantity>
                            <numerator unit="1" value="1"/>
                            <denominator value="1"/>
                          </quantity>
                          <containerPackagedProduct>
                            <code/>
                            <formCode code="C43182" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CARTON"/>
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                        <characteristic>
                          <code code="SPLCMBPRDTP" codeSystem="2.16.840.1.113883.1.11.19255"/>
                          <value code="C112160" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Type 0: Not a Combination Product" xsi:type="CV"/>
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                  </partProduct>
                  <subjectOf>
                    <approval>
                      <code code="C86965" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Cosmetic"/>
                      <author>
                        <territorialAuthority>
                          <territory>
                            <code code="USA" codeSystem="2.16.840.1.113883.5.28"/>
                          </territory>
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                      </author>
                    </approval>
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                  <subjectOf>
                    <marketingAct>
                      <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                      <statusCode code="active"/>
                      <effectiveTime>
                        <low value="20110801"/>
                      </effectiveTime>
                    </marketingAct>
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                  <consumedIn>
                    <substanceAdministration>
                      <routeCode code="C38304" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="TOPICAL"/>
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                <approval>
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                  <author>
                    <territorialAuthority>
                      <territory>
                        <code code="USA" codeSystem="2.16.840.1.113883.5.28"/>
                      </territory>
                    </territorialAuthority>
                  </author>
                </approval>
              </subjectOf>
              <subjectOf>
                <marketingAct>
                  <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                  <statusCode code="active"/>
                  <effectiveTime>
                    <low value="20110801"/>
                  </effectiveTime>
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          <text>
            <paragraph>In a vehicle containing Green Tea &amp; Aloe</paragraph>
            <paragraph>
              <content styleCode="bold">R<sub>x</sub> Only</content>
            </paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
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      <component>
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          <code code="34089-3" codeSystem="2.16.840.1.113883.6.1" displayName="DESCRIPTION SECTION"/>
          <title>DESCRIPTION</title>
          <text>
            <paragraph>Sodium sulfacetamide is a sulfonamide with antibacterial activity while sulfur acts as a keratolytic agent. Chemically sodium sulfacetamide is N-[(4-aminophenyl) sulfonyl]-acetamide, monosodium salt, monohydrate. The structural formula is:</paragraph>
            <renderMultiMedia referencedObject="MM1"/>
            <paragraph>Each pad of<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>is coated with a 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: aloe, butylated hydroxytoluene, cetyl alcohol, disodium oleamido MEA sulfosuccinate, edetate disodium, fragrance, glycerin, glyceryl stearate/PEG-100 stearate, green tea, methylparaben, propylparaben, purified water, sodium cocoyl isethionate, sodium lauryl sulfoacetate, sodium thiosulfate, stearyl alcohol.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
          <component>
            <observationMedia ID="MM1">
              <text>Chemical Structure</text>
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                <reference value="sumaxin-01.jpg"/>
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          <code code="34090-1" codeSystem="2.16.840.1.113883.6.1" displayName="CLINICAL PHARMACOLOGY SECTION"/>
          <title>CLINICAL PHARMACOLOGY</title>
          <text>
            <paragraph>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 7 to 12.8 hours. The exact mode of action of sulfur in the treatment of acne is unknown, but it has been reported that it inhibits the growth of Propionibacterium acnes and the formation of free fatty acids.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
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          <code code="34067-9" codeSystem="2.16.840.1.113883.6.1" displayName="INDICATIONS &amp; USAGE SECTION"/>
          <title>INDICATIONS</title>
          <text>
            <paragraph>
              <content styleCode="bold">Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>are indicated in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
      </component>
      <component>
        <section>
          <id root="b3e24c81-a082-4d0d-b6f1-68a4c0dd75d6"/>
          <code code="34070-3" codeSystem="2.16.840.1.113883.6.1" displayName="CONTRAINDICATIONS SECTION"/>
          <title>CONTRAINDICATIONS</title>
          <text>
            <paragraph>
              <content styleCode="bold">Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>are contraindicated for use by patients having known hypersensitivity to sulfonamides, sulfur or any other component of this preparation.<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>are not to be used by patients with kidney disease.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
      </component>
      <component>
        <section>
          <id root="933796b3-680a-4b45-8a69-ffee068b1c82"/>
          <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
          <title>WARNINGS</title>
          <text>
            <paragraph>Although rare, sensitivity to sodium sulfacetamide 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.</paragraph>
            <paragraph>
              <content styleCode="bold">FOR EXTERNAL USE ONLY. </content>Keep away from eyes. Keep out of reach of children. Keep container tightly closed.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
      </component>
      <component>
        <section>
          <id root="541837f8-98c8-4c81-81d9-87cb9f92075a"/>
          <code code="42232-9" codeSystem="2.16.840.1.113883.6.1" displayName="PRECAUTIONS SECTION"/>
          <title>PRECAUTIONS</title>
          <effectiveTime value="20231215"/>
          <component>
            <section>
              <id root="60e58d6d-8280-4a7b-9c9f-207d2ca904c0"/>
              <code code="34072-9" codeSystem="2.16.840.1.113883.6.1" displayName="GENERAL PRECAUTIONS SECTION"/>
              <title>General</title>
              <text>
                <paragraph>If irritation 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 desquamation without 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 vulgaris, but patients should be cautioned about the possibility.</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
          <component>
            <section>
              <id root="d42a6b8d-0cf4-45c7-82bc-f68ec2f5fd13"/>
              <code code="34076-0" codeSystem="2.16.840.1.113883.6.1" displayName="INFORMATION FOR PATIENTS SECTION"/>
              <title>Information for Patients</title>
              <text>
                <paragraph>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.</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
          <component>
            <section>
              <id root="644fbce2-c67f-40e1-bf31-86b112d9d1da"/>
              <code code="34083-6" codeSystem="2.16.840.1.113883.6.1" displayName="CARCINOGENESIS &amp; MUTAGENESIS &amp; IMPAIRMENT OF FERTILITY SECTION"/>
              <title>Carcinogenesis, Mutagenesis and Impairment of Fertility</title>
              <text>
                <paragraph>Long-term studies in animals have not been performed to evaluate carcinogenic potential.</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
          <component>
            <section>
              <id root="e5e75423-965e-4233-95d1-43d51826064b"/>
              <code code="42228-7" codeSystem="2.16.840.1.113883.6.1" displayName="PREGNANCY SECTION"/>
              <title>PREGNANCY</title>
              <effectiveTime value="20231215"/>
              <component>
                <section>
                  <id root="a2fbac0a-7b02-4bc4-8d7c-c0fad588d834"/>
                  <code code="34077-8" codeSystem="2.16.840.1.113883.6.1" displayName="TERATOGENIC EFFECTS SECTION"/>
                  <title>Category C</title>
                  <text>
                    <paragraph>Animal reproduction studies have not been conducted with<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads</content>. It is also not known whether<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity.<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>should be given to a pregnant woman only if clearly needed.</paragraph>
                  </text>
                  <effectiveTime value="20231215"/>
                </section>
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            </section>
          </component>
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            <section>
              <id root="2a2e0cb0-7595-4f55-92d5-668aaf3af0ef"/>
              <code code="34080-2" codeSystem="2.16.840.1.113883.6.1" displayName="NURSING MOTHERS SECTION"/>
              <title>NURSING MOTHERS</title>
              <text>
                <paragraph>It is not known whether sodium sulfacetamide is excreted in the human milk following topical use of<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads</content>. 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<content styleCode="bold"> Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>are administered to a nursing woman.</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
          <component>
            <section>
              <id root="e4bce485-2302-4aa0-9bff-bbf153152834"/>
              <code code="34081-0" codeSystem="2.16.840.1.113883.6.1" displayName="PEDIATRIC USE SECTION"/>
              <title>PEDIATRIC USE</title>
              <text>
                <paragraph>Safety and effectiveness in children under the age of 12 have not been established.</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
        </section>
      </component>
      <component>
        <section>
          <id root="254a1e6d-cdd5-4a76-9ef1-e948dd2ae3bd"/>
          <code code="34084-4" codeSystem="2.16.840.1.113883.6.1" displayName="ADVERSE REACTIONS SECTION"/>
          <title>ADVERSE REACTIONS</title>
          <text>
            <paragraph>Although rare, sodium sulfacetamide may cause local irritation.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
      </component>
      <component>
        <section>
          <id root="68f31a17-2804-4234-bc39-bfd9c1948166"/>
          <code code="34068-7" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE &amp; ADMINISTRATION SECTION"/>
          <title>DOSAGE AND ADMINISTRATION</title>
          <text>
            <paragraph>Wash affected area(s) with cleansing pad once or twice daily, or as directed by your physician. Wet area(s) with water. Wet pad with a little water and work into a full lather. Cleanse area(s) with pad for 10-20 seconds, avoiding eyes. Rinse thoroughly and pat dry. Discard pad. Do not flush.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
        </section>
      </component>
      <component>
        <section>
          <id root="de30b9a8-757b-4025-8dbc-d82759995802"/>
          <code code="34069-5" codeSystem="2.16.840.1.113883.6.1" displayName="HOW SUPPLIED SECTION"/>
          <title>HOW SUPPLIED</title>
          <text>
            <paragraph>
              <content styleCode="bold">Sumaxin<sup>®</sup> (sodium sulfacetamide 10% &amp; sulfur 4%) Cleansing Pads </content>are available in boxes of 60 cloths (3.7 g), NDC 43538-100-60.</paragraph>
          </text>
          <effectiveTime value="20231215"/>
          <component>
            <section>
              <id root="b433afa6-e280-4a85-b871-b691a058f5fd"/>
              <code code="44425-7" codeSystem="2.16.840.1.113883.6.1" displayName="STORAGE AND HANDLING SECTION"/>
              <text>
                <paragraph>Store at 15°-30° C (59°-86° F).</paragraph>
              </text>
              <effectiveTime value="20231215"/>
            </section>
          </component>
        </section>
      </component>
      <component>
        <section>
          <id root="4a261fe1-42e9-4c63-83a9-48208965be1d"/>
          <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
          <text>
            <paragraph>To report <content styleCode="bold">SUSPECTED ADVERSE REACTIONS</content>, contact Medimetriks Pharmaceuticals, Inc., at 1-973-882-7512 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.</paragraph>
            <paragraph>Manufactured for:<br/>
              <content styleCode="bold">MEDIMETRIKS<br/>PHARMACEUTICALS, INC.</content>
            </paragraph>
            <paragraph>383 Route 46 West<br/>Fairfield, NJ 07004-2402 USA</paragraph>
            <paragraph>www.medimetriks.com</paragraph>
            <paragraph>IP001-R5<br/>Rev. 10/17</paragraph>
          </text>
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      </component>
      <component>
        <section>
          <id root="f6153717-d018-4e34-8824-16a9879f041e"/>
          <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
          <title>PRINCIPAL DISPLAY PANEL - 60 Pad Carton</title>
          <text>
            <paragraph>NDC 43538-100-60</paragraph>
            <paragraph>
              <content styleCode="bold">R<sub>x</sub> Only<br/>sumaxin<sup>®</sup>
              </content>
              <br/>(sodium sulfacetamide 10% &amp; sulfur 4%)<br/>
              <content styleCode="bold">Cleansing Pads</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">In a vehicle containing Green Tea &amp; Aloe</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">60 Cleansing Pads<br/>Net wt. 3.7 g Each</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">MEDIMETRIKS<br/>PHARMACEUTICALS, INC.</content>
            </paragraph>
            <renderMultiMedia referencedObject="MM2"/>
          </text>
          <effectiveTime value="20231215"/>
          <component>
            <observationMedia ID="MM2">
              <text>PRINCIPAL DISPLAY PANEL - 60 Pad Carton</text>
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                <reference value="sumaxin-02.jpg"/>
              </value>
            </observationMedia>
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        </section>
      </component>
      <component>
        <section>
          <id root="cee23e26-4110-4bbb-b54e-4119caa3f822"/>
          <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
          <title>PRINCIPAL DISPLAY PANEL - Kit Carton</title>
          <text>
            <paragraph>NDC 43538-101-60</paragraph>
            <paragraph>
              <content styleCode="bold">R<sub>x</sub> Only<br/>sumaxin<sup>®</sup>
              </content>
              <br/>(Sodium Sulfacetamide 10%<br/>&amp; Sulfur 4%) Cleansing Pads<br/>
              <content styleCode="bold">CP<br/>KIT</content>
            </paragraph>
            <paragraph>
              <content styleCode="bold">CONTENTS:</content>
            </paragraph>
            <list listType="unordered">
              <item>
                <caption>1 -</caption>Sumaxin<sup>®</sup> (Sodium Sulfacemide 10% &amp; Sulfur 4%)<br/>Cleansing Pads Carton - 60 Pads (Net wt. 3.7 g each)</item>
              <item>
                <caption>1 -</caption>Rehyla<sup>®</sup> Wash Moisturizing Daily Wash (16 fl. oz.)</item>
            </list>
            <paragraph>
              <content styleCode="bold">MEDIMETRIKS<br/>PHARMACEUTICALS, INC.</content>
            </paragraph>
            <renderMultiMedia referencedObject="MM3"/>
          </text>
          <effectiveTime value="20231215"/>
          <component>
            <observationMedia ID="MM3">
              <text>PRINCIPAL DISPLAY PANEL - Kit Carton</text>
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                <reference value="sumaxin-03.jpg"/>
              </value>
            </observationMedia>
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        </section>
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