Details of the Drug Formulations

General Information of Drug (ID: DMH1KMT)

Drug Name

Polidocanol Drug Info

Synonyms

Asclera (TN)

Indication

Disease Entry	ICD 11	Status	REF
Reticular veins	EF20	Approved	[1]
Spider veins	EF20	Approved	[1]
Varicose veins	BD74-BD75	Approved	[2]

Cross-matching ID

Full List of Drug Formulations Containing This Drug

Polidocanol 180mg/18ml solution

Company	Formulation ID	FDA Description
Provensis	F24222	Ethanol; Disodium Hydrogen Phosphate Dihydrate; Potassium Dihydrogen Phosphate; Sodium Hydroxide; Hydrochloric Acid
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Polidocanol 77.5mg/7.75ml solution

Company	Formulation ID	FDA Description
Provensis	F24223	Ethanol; Disodium Hydrogen Phosphate Dihydrate; Potassium Dihydrogen Phosphate; Sodium Hydroxide; Hydrochloric Acid
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Polidocanol 10mg/2ml solution

Company	Formulation ID	FDA Description
Chemisch Fbrk Krsslr	F24127	Water For Injection; Ethanol; Disodium Hydrogen Phosphate Dihydrate; Potassium Dihydrogen Phosphate
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Polidocanol 20mg/2ml solution

Company	Formulation ID	FDA Description
Chemisch Fbrk Krsslr	F24224	Water For Injection; Ethanol; Disodium Hydrogen Phosphate Dihydrate; Potassium Dihydrogen Phosphate
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References

1	Mullard A: 2010 FDA drug approvals. Nat Rev Drug Discov. 2011 Feb;10(2):82-5.
2	Polidocanol FDA Label