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Fluorouracil 5%/Salicylic Acid 30% Topical Liquid

FDA-approved generic
Dose form
Topical Liquid
Active ingredients
Fluorouracil
Salicylic Acid

The Fluorouracil 5%/Salicylic Acid 30% Topical Liquid is a compounded medication specifically designed for direct application to the skin. This formulation combines the antineoplastic properties of fluorouracil with the keratolytic effects of salicylic acid. Fluorouracil acts by inhibiting the growth of abnormal cells, while salicylic acid aids in the removal of the outer layer of skin.

This topical liquid is primarily used in the treatment of actinic keratosis, a precancerous skin condition caused by excessive sun exposure. The formulation's liquid form allows for easy application and rapid absorption on both skin and mucosal surfaces.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Fluorouracil
Salicylic Acid
Topical Liquid
6564eac76686751e6078b7f1
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Fluorouracil 5%/Salicylic Acid 30% Topical Liquid is a compounded medication specifically designed for dermatological use. It works by interfering with DNA synthesis and cellular function, leading to the death of rapidly dividing cells, such as those found in precancerous lesions. Salicylic acid, a keratolytic, complements fluorouracil by promoting the shedding of the outer layer of skin. This action helps to remove scales, soften keratin, and enhance the penetration of fluorouracil into the skin.

The combination of these two active ingredients in a 5%/30% concentration provides a potent formulation for the treatment of various dermatological conditions. The high concentration of salicylic acid also makes this formulation suitable for the treatment of other skin disorders characterized by thickened skin or hyperkeratosis.

As a topical liquid, this formulation is intended for direct application to affected areas of the skin or mucosal surfaces. The liquid form allows for ease of application, particularly on difficult-to-treat areas, and ensures that the active ingredients are delivered directly to the site of pathology. This localized treatment approach minimizes systemic absorption and reduces the potential for systemic side effects, making it a safer option for patients who may be at risk for complications from systemic therapies.

Patients and prescribers should be aware that this formulation is for external use only and should be applied with care to avoid contact with healthy skin, eyes, and mucous membranes. It is important to follow the specific application instructions provided by the compounding pharmacist to ensure optimal efficacy and safety. Common side effects may include local skin irritation, redness, and discomfort at the site of application. Patients should be monitored for signs of severe local or systemic reactions, and treatment should be adjusted accordingly.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. If you have any questions about this formulation or its appropriate use, please do not hesitate to reach out to us. We are here to support both patients and prescribers in the safe and appropriate use of compounded medications.

Drug Interactions

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The combination of fluorouracil and salicylic acid in a topical liquid formulation is primarily used for the treatment of skin conditions such as actinic or solar keratosis and superficial basal cell carcinomas. Fluorouracil is a topical chemotherapy agent that works by interfering with DNA and RNA synthesis, thereby inhibiting the growth of rapidly dividing cells, including abnormal skin cells. Salicylic acid is a keratolytic agent that helps to soften and remove scales, crusts, and keratin, which allows for better penetration of fluorouracil into the skin.

When using this combination therapy, it is important to consider potential drug interactions. Fluorouracil, although used topically, can be absorbed systemically and may interact with other medications. It is particularly important to avoid concomitant use of other topical preparations that could potentially increase the absorption of fluorouracil, such as other keratolytic agents or abrasive soaps and cleansers, as this could lead to increased systemic exposure and potential toxicity. Patients should also avoid using any products that contain alcohol, astringents, spices, or lime as they may lead to local irritation when used with this formulation.

Salicylic acid, while less likely to be absorbed systemically in significant amounts, can still interact with other medications. Caution is advised when using this medication in combination with other topical acne medications, as it may increase the potential for local irritation. Additionally, the use of salicylic acid with other salicylate drugs, such as aspirin, could theoretically increase the risk of salicylate toxicity, although this is more of a concern with oral or extensive topical use.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential interactions. It is also important to discuss any pre-existing conditions, such as kidney or liver disease, which may affect the metabolism and clearance of these medications.

As with any medication, the use of fluorouracil and salicylic acid should be monitored by a healthcare professional. Patients should be instructed to apply the medication as directed and to report any signs of local or systemic adverse effects, such as severe redness, irritation, swelling, or signs of an allergic reaction. If you have any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Fluorouracil 5%/Salicylic Acid 30% Topical Liquid is a specially compounded medication that combines two active ingredients, fluorouracil and salicylic acid, in a liquid form for direct application to the skin. This formulation is designed to treat a variety of dermatological conditions, including but not limited to actinic keratosis and warts, by providing a localized effect directly on the affected area.

Fluorouracil is a topical antineoplastic agent, which means it works by inhibiting the growth and proliferation of abnormal cells. Specifically, fluorouracil is a pyrimidine analog that interferes with DNA synthesis, leading to the induction of cell death in rapidly dividing cells, such as those found in certain skin lesions. By applying fluorouracil topically, the medication acts directly on the abnormal skin cells, reducing the risk of systemic side effects that can occur with oral or intravenous administration.

Salicylic acid, on the other hand, is a keratolytic agent. It works by softening and loosening the outer layer of the skin (stratum corneum), which helps to shed dead skin cells. This action allows for the removal of scales and crusts associated with skin lesions and promotes the penetration of fluorouracil into the deeper layers of the skin where it can exert its therapeutic effect. Additionally, salicylic acid has anti-inflammatory properties that can help reduce redness and swelling associated with skin conditions.

When combined, these two ingredients create a potent formulation that can effectively treat skin lesions by targeting abnormal cells and enhancing the shedding of the outer skin layer. The high concentration of salicylic acid in this formulation also aids in the deeper penetration of fluorouracil, enhancing its efficacy. This topical liquid is particularly useful for patients who require localized treatment of skin conditions without the systemic effects that can be associated with other forms of medication administration.

It is important for both patients and prescribers to understand that this medication should be used strictly as directed, and it is essential to follow the specific instructions provided by the compounding pharmacist. The area of application should be clean and dry before the medication is applied, and patients should be advised to protect the surrounding healthy skin to minimize irritation. Additionally, patients should be aware of the potential side effects, which may include local skin irritation, redness, and discomfort at the site of application.

If you have any questions or require further information about the Fluorouracil 5%/Salicylic Acid 30% Topical Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is Fluorouracil 5%/Salicylic Acid 30% Topical Liquid used for?

This compounded medication is typically used to treat a variety of skin conditions such as warts, psoriasis, and certain types of dermatitis. It is also often prescribed to treat pre-cancerous skin lesions like actinic keratosis and superficial basal cell carcinoma, by destroying abnormal cells on the surface of the skin.

How should Fluorouracil 5%/Salicylic Acid 30% Topical Liquid be applied?

This medication should be applied directly to the affected area as directed by a healthcare professional. Ensure the skin is clean and dry before application, and wash your hands thoroughly before and after applying the medicine. Avoid contact with unaffected skin, eyes, nose, and mouth.

Can I use makeup or other skincare products over this medication?

It is generally advised to avoid using any cosmetic products over the treated areas without consulting your healthcare provider. Other products may interfere with the absorption or effectiveness of the medication.

What are the common side effects of Fluorouracil 5%/Salicylic Acid 30% Topical Liquid?

Common side effects include local skin irritation, redness, swelling, dryness, peeling, burning, or pain at the application site. If any side effects worsen or persist, it is important to contact a healthcare professional.

How long does it take for Fluorouracil 5%/Salicylic Acid 30% Topical Liquid to work?

The timeframe for seeing improvement varies depending on the condition being treated. Some patients may see results within a few weeks, while others might need to apply the medication for longer durations. Follow the directions provided by your healthcare provider.

Is sun exposure safe while using this compounded medication?

No, it is important to limit sun exposure while using this medication as it can make your skin more sensitive to sunlight. Wear protective clothing and use a broad-spectrum sunscreen when outdoors. Consult your healthcare provider for more specific guidance.

Are there any restrictions on activities while using this medication?

While there are generally no specific activity restrictions, it is advisable to avoid activities that may cause excessive sweating which can potentially affect the medication or irritate the treated skin. Contact your healthcare provider for advice on your specific situation.

Can Fluorouracil 5%/Salicylic Acid 30% Topical Liquid be used during pregnancy?

This medication may be harmful if used during pregnancy. If you are pregnant, planning to become pregnant, or breastfeeding, it is crucial to discuss the potential risks and benefits with your healthcare provider before starting treatment.

Should I cover the treated area after applying Fluorouracil 5%/Salicylic Acid 30% Topical Liquid?

Do not cover the treated area with bandages or dressings unless directed by your healthcare provider. Occlusive dressings may increase the absorption of the medication and lead to increased local or systemic effects.

What should I do if I miss a dose of the medication?

If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra medicine to make up for a missed dose.

How should I store this compounded medication?

Store the medication at room temperature away from light and moisture. Keep the bottle tightly closed when not in use. Keep it out of reach of children and pets, and do not use the medication past its expiration date. Dispose of it properly when it is no longer needed, and consult your pharmacist about the proper disposal method.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Fluorouracil 5%/Salicylic Acid 30% Topical Liquid
Topical Liquid
controlled
Twice daily