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**TERPACAN** is a non-prescription topical cream formerly authorized in Canada for hemorrhoid symptom relief. The exact unqualified TERPACAN product listed by Health Canada contained benzocaine 5% w/w and phenylephrine hydrochloride 0.25% w/w. Benzocaine provides local anesthetic activity by inhibiting voltage-gated sodium-channel signaling, while phenylephrine is an alpha-1 adrenergic receptor agonist intended to produce local vasoconstriction. The product was developed under Tetra Bio-Pharma's OTC program and was later listed under Lumiera Health Innovation; its Canadian DIN 02495678 was cancelled pre-market on August 18, 2024. ([health-products.canada.ca](https://health-products.canada.ca/dpd-bdpp/info?code=98556&lang=eng))
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