MATERIAL SAFETY DATA SHEET



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MATERIAL SAFETY DATA SHEET 1. PRODUCT AND COMPANY IDENTIFICATION Name: XYLOCAINE SOLUTIONS WITH EPINEPHRINE Address/Phone No.: DENTSPLY Pharmaceutical 3427 Concord Road York, PA 17402 Phone: 717-757-0200 800-225-2787 2. COMPOSITION/INFORMATION ON INGREDIENTS Chemical Composition Contains: adrenaline/epinephrine (0.0005-0.001%) CAS No.: None assigned for the product Use : Local anesthetic solution for use in infiltration anesthesia, peripheral and Central nerve blocks. %(w/w) HAZARDOUS INGREDIENT(S) CAS No. 0.5-2.0 Lidocaine hydrochloride 000073-78-9 3. HAZARDS IDENTIFICATION Form : liquid Color : clear aqueous solution Odor: : odorless As a result of the physical presentation of the product, the risk to health in the normal handling of the product is expected to be low. 4. FIRST AID MEASURES Inhalation Skin Contact Eye Contact Ingestion : Unlikely route of exposure. Remove patient from exposure. Obtain medical attention if ill effects occur. : Remove contaminated clothing. Wash skin with soap and water. If symptoms (irritation or blistering) occur obtain medical attention. : Irrigate with eyewash solution or clean water, holding the eyelids apart, for at least 15 minutes. Obtain medical attention : Wash out mouth with water and give 200-300ml of water to drink. Do not induce vomiting. Obtain medical attention. Note to Physicians Symptomatic treatment and supportive therapy as indicated. For further detail consult the prescribing information. Form no. CS 0001 Rev. 9/01

5. FIRE FIGHTING MEASURES Flammable Properties If involved in a fire, it may burn and emit noxious and toxic fumes. Extinguishing Media : water spray, foam, dry chemical or CO2 Fire Fighting Protective Equipment : A self contained breathing apparatus and suitable protective clothing should be worn in fire conditions. 6. ACCIDENTAL RELEASE MEASURES Ensure suitable personal protection during removal of spillages. Clear up spillages. Wash the spillage area with water. Transfer spilled vials to a suitable container for disposal. Take care to avoid needles and broken containers. 7. HANDLING AND STORAGE 7.1 HANDLING No special precautions are necessary when handling packed product. In case of accident, avoid contact with skin and eyes. Do not breathe mist. 7.2 STORAGE Keep container tightly closed. Protect from light. Storage Temperature : between 2-8 Deg C Storage Life : Total storage life at recommended conditions: 2 year(s) 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Engineering Controls No ACGIH TLV or OSHA PEL assigned. TWA STEL /CEILING (C) HAZARDOUS INGREDIENT(S) ppm mg/m3 ppm mg/m3 Lidocaine hydrochloride _ 4 COM This is an in-house standard for the active ingredient during manufacture. Personal Protective Equipment Wear suitable protective clothing. Respirators Protective Clothing Eye Protection : If needed, use NIOSH approved respirator for organic vapors, dusts and mists with a TLV greater than 0.05 mg/m3. : If needed, impervious gloves and apron. : Chemical tight goggles. Other Protective Equipment : Eyewash station and safety shower in work area.

9. PHYSICAL AND SHEMICAL PROPERTIES Form : liquid Color : clear aqueous solution Odor : odorless Vapor Pressure (mmhg) : 17 at 20 Deg C Solubility (Water) : soluble Specific Gravity : 1 approx. Vapor Density (Air = 1) : 0.6 10. STABILITY AND REACTIVITY Stable under normal conditions. Hazardous Reactions : Incompatible materials: Water reactive materials. Epinephrine is unstable in alkaline solutions when exposed to air or light. Hazardous Decomposition Product(s) : None known. 11. TOXICOLOGICAL INFORMATION The following information refers to active ingredient: Inhalation Skin Contact Eye Contact Ingestion Long Term Exposure : Unlikely route of exposure. May cause tingling/numbness in exposed areas (paresthesia). High atmospheric concentrations may lead to anesthetic effects. May produce a reduced heart rate and reduction in blood pressure with a resulting feeling of dizziness. : May cause numbness. Repeated and/or prolonged contact may cause skin sensitization in a small proportion of sensitive individuals. : May cause excessive watering of the eye (lacrimation). : By analogy with a similar substance this material is likely to be harmful. Lidocaine: Oral Median Lethal Dose 317mg/kg (rat). May produce numbness of the tongue and anesthetic effects on the stomach. : Repeated exposure of animals to high levels produces adverse effects on the : liver, central nervous system. 12. ECOLOGICAL INFORMATION No information on this formulation. The product is soluble in water. The following information refers to active ingredient. Environmental Fate and Distribution The substance has low potential for bioaccumulation. Persistence and Degradation Not readily biodegradable. (ISO 7827-1984(E))

Toxicity Low toxicity to aquatic organisms. LC50 (zebra fish) (96 hour) 106mg/1. EC50 (Daphnia magna) (48hour) 112mg/1. EC50 (green algae) (72 hour)780mg/1. EC50 (Microtox test) (15 minutes) >1000mg/1. Effect on Effluent Treatment No information available. Effect on Atmospheric Ozone No information available. 13. DISPOSAL CONSIDERATIONS Disposal should be in accordance with local, state or national legislation. Disposal Method : Epinephrine RCRA Code PO42. 14. TRANSPORT INFORMATION Not Classified as Dangerous for Transport. 15. REGULATORY INFORMATION TSCA (Toxic Substances Control Act) Regulations, 40 CFR 710: This product is a drug and is exempt from TSCA regulation. CERCLA and SARA Regulations (40 CFR 355, 370, and 372): This product does not contain any chemicals subject to the reporting requirements of SARA Section 313. CERCLA/SUPERFUND: Contains Reportable Quantity Substance-epinephrine. Other Determined Regulations: California Proposition 65: No warnings are necessary. 16. OTHER INFORMATION This Material Safety Data Sheet was prepared in accordance with ANSI Standard Z400.1 1993, and modified 1998. GLOSSARY COM : The company aims to control exposure in its workplace to this limit This is an in-house standard for the active ingredient handled during manufacture TLV : The company aims to control exposure in its workplace to the ACGIH limit Sk : Can be absorbed through skin Sen : Capable of causing respiratory sensitization The information herein is given in good faith but no warranty, expressed or implied, is made. ( Revision: 01 Date: 0800) (US00) (PH1604)