Nighttime 4X Medicated Cream

Benzalkonium chloride 0.13%

Benzocaine 20%

Menthol 0.26%

Zinc chloride 0.15%

oral antiseptic

oral pain reliever

oral astringent

• for temporary relief of pain due to toothaches
• to help protect against infection of minor oral irritation

Methemoglobinemia warning: use of this product may cause methemoglobinemia, a serious condition that must be treated promptly because it reduces the amount of oxygen carried in blood. This can occur even if you have used this produt before. Stop use and seek immediate medical attention if you or a child in your care develops:

• pale, gray, or blue colored skin (cyanosis)
• headache
• rapid heart rate
• shortness of breath
• dizziness or lightheadedness
• fatigue or lack of energy

Allergy alert: do not use this product if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other caine anesthetics.

do not use this product if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other "caine" anesthetics

keep out of reach of children. In case of overdose or allergic reaction, get medical help or contact a Posion Control Center right away.

Stop use and ask a doctor if

• swelling, rash or fever develops
• irritation, pain or redness persists or worsens
• symptoms do not improve in 7 days
• allergic reaction occurs

ammonium glycyrrhizate, chamomile, flavor, mineral oil, PEG-8, PEG-75, sodium saccharin, sorbic acid, titanium dioxide

cut open tip of tube on score mark

adults and children 2 years of age and older: apply to affected area up to 4 times daily or as directed by a dentist or doctor

children between 2 and 12 years of age: ask a doctor before use. Should be supervised in the use of this product.

children under 2 years of age: do not use

Do not use:

• more than directed
• for more than 7 days unless told do so by a dentist or doctor
• for teething
• in children under 2 years of age

[Image in the official label — see DailyMed source]