FDA Warns: Tattoo Numbing Creams Marketed Illegally in the US

The U.S. Food and Drug Administration (FDA) has issued a warning letter regarding certain tattoo numbing products being sold in the United States. This action highlights critical concerns around the legality and safety of over-the-counter (OTC) Tattoo Numbing Ointments and sprays that are readily available to consumers. If you’ve considered using a tattoo numbing ointment to reduce pain during your next tattoo session, it’s crucial to understand this recent FDA announcement.

This article breaks down the FDA’s warning, explaining why specific tattoo numbing cream products are under scrutiny and what this means for consumers seeking pain relief during tattooing. We’ll delve into the details of the FDA’s concerns, focusing on product safety, legality, and what to look for when considering pain management options for your tattoo.

Unapproved Drugs and Misleading Marketing

The FDA’s warning letter, dated March 25, 2024, specifically targets Tattoo Numbing Cream Co. and their products SIGNATURE TATTOO NUMBING CREAM and MIRACLE NUMB SPRAY. According to the FDA, these products are classified as unapproved new drugs being introduced into interstate commerce illegally. This means they are being sold without the necessary FDA approval required for drug products.

The core issue is that these tattoo numbing ointments are marketed as external analgesics – products designed to relieve pain on the skin’s surface – specifically for use before, during, and after tattoo procedures. Under U.S. law, drugs intended for these purposes must meet certain regulations to ensure safety and effectiveness. The FDA argues that SIGNATURE TATTOO NUMBING CREAM and MIRACLE NUMB SPRAY fail to meet these requirements.

Key Violations: Exceeding Legal Limits and Unapproved Ingredients

The FDA’s warning letter details several key reasons why these tattoo numbing creams are considered non-compliant:

  • Excessive Lidocaine Concentration: Both SIGNATURE TATTOO NUMBING CREAM and MIRACLE NUMB SPRAY are labeled to contain 5% lidocaine. Lidocaine is a common local anesthetic, but for OTC external analgesic drug products marketed without FDA approval, the permissible concentration range is 0.5% to 4%. The 5% concentration exceeds this limit.
  • Unapproved Combinations of Active Ingredients: Regulations for OTC external analgesics are very specific about allowed active ingredients and combinations. SIGNATURE TATTOO NUMBING CREAM contains lidocaine, prilocaine (5%), and epinephrine (1%). MIRACLE NUMB SPRAY lists lidocaine, prilocaine (4%), epinephrine (1%), propylamine, glycerol, and purified water as active ingredients. The FDA states that combining multiple “-caine” type active ingredients in a single product is not permitted, and ingredients like epinephrine, propylamine, glycerol, and purified water are not approved as active ingredients in this monograph.
  • Unapproved Indications (Tattooing): The FDA points out that marketing these products specifically for tattooing procedures is problematic. The allowed indications for OTC external analgesic drug products do not include uses related to tattooing. The FDA expresses safety concerns about using these products for tattooing because cosmetic procedures, especially tattoos, can involve skin irritation or broken skin, potentially leading to increased absorption of the drug ingredients into the bloodstream.

Safety Concerns and Public Health Advisories

The FDA emphasizes significant safety concerns associated with tattoo numbing ointments containing high concentrations of lidocaine and similar ingredients. They have issued multiple public health advisories warning about the risks of using these types of products, especially when applied over large skin areas, on irritated or broken skin, for extended periods, or when covered after application.

These conditions, often associated with tattoo application, can dramatically increase the amount of active ingredient absorbed into the body. If used improperly, this can lead to serious health consequences. The FDA’s concern is heightened because tattoos inherently involve skin puncturing, creating a pathway for increased drug absorption.

Misbranding and Illegal Distribution

Beyond being classified as unapproved new drugs, SIGNATURE TATTOO NUMBING CREAM and MIRACLE NUMB SPRAY are also considered misbranded under the Federal Food, Drug, and Cosmetic Act. This is because they are nonprescription drugs that do not comply with the requirements for legal marketing without FDA approval and do not have approved drug applications.

The distribution of unapproved new drugs and misbranded drugs in interstate commerce is illegal. This means that the FDA is taking a firm stance against the sale and distribution of these specific tattoo numbing ointment products.

What This Means for Tattoo Enthusiasts and Artists

This FDA warning has several important implications:

  • Consumer Awareness: If you are considering using a tattoo numbing cream before getting inked, be aware of the potential risks and legal issues surrounding certain products. Just because a product is easily available online does not guarantee its safety or legality.
  • Product Scrutiny: Pay close attention to the ingredients and concentrations listed on any tattoo numbing ointment you consider. Be wary of products with high concentrations of lidocaine (above 4%) or combinations of multiple active numbing ingredients.
  • Consult Professionals: Discuss pain management options with your tattoo artist. Reputable artists can offer advice on pain relief strategies and may recommend or offer FDA-approved or otherwise legally marketed topical anesthetics if appropriate.
  • Prioritize Safety: Your health and safety should be the top priority. The FDA warning highlights potential risks associated with improper use of potent topical anesthetics. Consider whether the potential risks of using unapproved tattoo numbing creams outweigh the perceived benefits of pain reduction.
  • For Tattoo Artists: Be cautious about recommending or providing clients with tattoo numbing ointments that are not legally compliant. Ensure any products you use or suggest meet regulatory standards to protect your clients and your business.

Moving Forward: Informed Choices and Regulatory Compliance

The FDA’s warning letter serves as a critical reminder about the importance of regulatory oversight in the cosmetic and tattoo industries. While the desire for pain-free tattooing is understandable, it should not come at the expense of safety and legal compliance.

As a consumer, being informed about the products you use is paramount. When it comes to tattoo numbing ointments, understanding the FDA’s concerns can help you make safer and more responsible decisions about pain management during your tattoo journey. Always prioritize products that are legally marketed and whose safety and efficacy are backed by proper regulatory approval. When in doubt, consult with healthcare professionals or your tattoo artist about safe and effective pain management strategies.

This situation is ongoing, and further actions from the FDA or the company in question may occur. Stay informed about updates and always prioritize your health and safety when considering any product that affects your body, including tattoo numbing creams.


Disclaimer: This article is for informational purposes only and does not constitute medical or legal advice. Consult with a healthcare professional for medical advice and with legal counsel for legal advice. Always refer to official sources like the FDA for the most accurate and up-to-date information.

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