Dermal Source’s Five-Star Vasocaine is a liquid-based anorectal product in a 4 oz spray top bottle. Topicals are intended for intact skin, not broken skin. Care should be taken to avoid getting the product in the eyes. It also contains a vascular constrictor to reduce swelling and bleeding. Five-Star Vasocaine is a highly effective to reduce pain. It is fast-acting and has no burn when applied to skin. For use by licensed professionals only. Active Ingredients: Lidocaine HCI 4% (Anorectal) Epinephrine 0.01% (Vasoconstrictor)