SPL Set ID: 60c8710b-ae55-4fdf-e053-2991aa0adc75

4% Citanest ® Forte DENTAL with Epinephrine 1:200,000 (Citanest Forte), Prilocaine HCl 4% (72 mg/1.8 mL) (40 mg/mL) with Epinephrine 1:200,000 Injection, is a sterile, non-pyrogenic isotonic solution that contains a local anesthetic agent with epinephrine (as bitartrate) and is administered parenterally by injection. See INDICATIONS AND USAGE for specific uses. The quantitative composition is shown in Table 1. Citanest Forte contains prilocaine HCl, which is chemically designated as propanamide, N-(2-methyl-phenyl) -2- (propylamino)-, monohydrochloride and has the following structural formula: C 13 H 20 N 2 O ∙ HCl molecular wt = 256.77 and epinephrine, which is (-) -3, 4-Dihydroxy- ∝ -[(methylamino) methyl] benzyl alcohol and has the following structural formula: C 9 H 13 NO 3 molecular wt = 183.21 Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration. The specific quantitative composition is shown in Table 1. Table 1. COMPOSITION Product Identification Formula (mg/mL) Prilocaine HCl Epinephrine (as bitartrate) Citric Acid Sodium Metabisulfite pH Note: Sodium hydroxide and/or hydrochloric acid may be used to adjust the pH of Citanest Forte. 4% Citanest ® Forte DENTAL with Epinephrine 1:200,000 (Prilocaine HCl 4% (72 mg/1.8 mL) (40 mg/mL) with Epinephrine 1:200,000 Injection) 40.0 0.005 0.2 0.5 3.3 to 5.5 Chemical Structure Chemical Structure