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Glycolic Acid 2%/Salicylic Acid 5%/Tretinoin 0.1% Topical Cream

Custom-compounded at Bayview Pharmacy, this topical cream with Glycolic Acid, Salicylic Acid, and Tretinoin helps manage acne, keratosis pilaris, and melasma.
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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.
Glycolic Acid
Salicylic Acid
Tretinoin
Topical Cream
65ad771f237d019ea8c44402

Formula Information

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Glycolic Acid 2%/Salicylic Acid 5%/Tretinoin 0.1% Topical Cream is a specially compounded formulation designed to address a variety of dermatological conditions. This cream combines the exfoliating and keratolytic properties of glycolic acid and salicylic acid with the retinoid activity of tretinoin. Glycolic acid, an alpha hydroxy acid (AHA), helps to gently exfoliate the outer layer of the skin, promoting cell turnover and improving skin texture. Salicylic acid, a beta hydroxy acid (BHA), penetrates into the pores to dissolve sebum and dead skin cells, reducing the occurrence of clogged pores and breakouts.

The cream is formulated as a semisolid preparation and is dispensed in a pump mechanism container. This delivery system ensures a convenient, hygienic, and controlled application, minimizing waste and oxidation of the active ingredients. The pump mechanism also helps to maintain the stability of tretinoin, which can be sensitive to light and air. Patients are advised to apply the cream as directed by their healthcare provider, typically once daily in the evening, to clean, dry skin. It is important to use sunscreen during the day while using this product, as the ingredients can increase the skin's sensitivity to sunlight.

For prescribers, it is crucial to consider the patient's skin type and any pre-existing conditions before recommending this formulation. The combination of active ingredients can be potent, and some patients may experience initial irritation, redness, or peeling. These reactions are typically temporary and may subside as the skin adjusts to the treatment. Prescribers should monitor patient progress and adjust the treatment regimen as necessary to ensure optimal results and minimize potential side effects.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the specific needs of patients. If you have any questions about this formulation or would like to discuss individual patient requirements, please do not hesitate to reach out to us. We are here to support both patients and healthcare providers in achieving the best possible therapeutic outcomes.

Drug Interactions

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The topical cream formulation containing Glycolic Acid 2%, Salicylic Acid 5%, and Tretinoin 0.1% is a potent combination used for the treatment of various skin conditions such as acne, hyperpigmentation, and photoaging. When using this formulation, it is important to consider potential drug interactions that may affect the efficacy of the treatment or cause adverse effects.

Glycolic acid is an alpha hydroxy acid (AHA) that may enhance the penetration of other substances into the skin. When used with other topical agents, there is a potential for increased absorption of those agents, which could lead to irritation or other side effects. Salicylic acid is a beta hydroxy acid (BHA) that can also increase skin penetration and has similar interaction risks. Tretinoin, a retinoid, is known to be sensitive to ultraviolet (UV) light and may degrade if used with products containing benzoyl peroxide or other oxidizing agents. Concurrent use of these agents should be avoided or spaced out in application timing.

Patients should be cautious when using other topical products, such as medicated cleansers, astringents, or peeling agents, as these may increase the risk of skin irritation. Additionally, products containing alcohol or lime should be avoided as they can cause excessive dryness or irritation when used with this formulation. The use of abrasive soaps and cleansers, as well as cosmetic products with a strong drying effect, should also be limited.

Systemic interactions are less likely with topical applications; however, caution is advised when using other systemic medications that may increase sensitivity to sunlight, such as tetracyclines or thiazide diuretics, as there is an increased risk of phototoxic reactions. Patients should be advised to use sun protection and avoid unnecessary sun exposure while using this formulation.

It is important to note that the use of this formulation should be monitored by a healthcare provider, especially in patients who are pregnant, planning to become pregnant, or breastfeeding, due to the presence of tretinoin, which is a known teratogen. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal products, to avoid potential interactions.

For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance and support to ensure appropriate treatment.

How Does it Work

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The Glycolic Acid 2%/Salicylic Acid 5%/Tretinoin 0.1% Topical Cream is a specially compounded formulation that combines the therapeutic effects of three active ingredients, each with a distinct mechanism of action, to treat a variety of dermatological conditions, including acne, hyperpigmentation, and photoaging. This cream is designed to be dispensed in a pump mechanism, which allows for a hygienic, convenient, and controlled application, ensuring that the correct dose is delivered with each use.

Glycolic acid, a type of alpha-hydroxy acid (AHA), works by exfoliating the skin, helping to remove dead skin cells from the surface layer. This action not only improves skin texture and tone but also promotes the regeneration of new skin cells. By increasing cell turnover, glycolic acid can also enhance the penetration of other active ingredients in the formulation.

Salicylic acid, a beta-hydroxy acid (BHA), is known for its ability to penetrate into the pores of the skin. At a 5% concentration, it acts as a keratolytic agent, breaking down the bonds between dead skin cells, and has comedolytic properties, meaning it helps to prevent and treat comedones (blackheads and whiteheads).

Tretinoin, a derivative of vitamin A, is included in this formulation at a 0.1% concentration. It is a potent retinoid that works by modulating gene expression and promoting the differentiation and proliferation of keratinocytes. This results in an increase in epidermal turnover, leading to the expulsion of mature comedones and a reduction in the formation of new acne lesions. Tretinoin also stimulates collagen production, which can help reduce the appearance of fine lines and wrinkles, making it a valuable ingredient for anti-aging treatments.

When combined, these three ingredients provide a comprehensive approach to treating acne by targeting different aspects of its pathogenesis: abnormal desquamation, sebum production, bacterial growth, and inflammation. Additionally, the formulation can help in the management of other skin conditions characterized by hyperkeratinization, such as keratosis pilaris, and in the improvement of skin texture and pigmentation issues.

Patients should be advised to apply the cream as directed by their healthcare provider, typically starting with a small amount applied to the affected area once daily at night, and to use sunscreen during the day due to increased photosensitivity. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy.

Other Uses

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The formulation containing glycolic acid, salicylic acid, and tretinoin in a topical cream presents itself as a versatile option for various skin conditions beyond its primary indications. While it is commonly prescribed for acne treatment due to its exfoliative and comedolytic properties, this cream also serves as a robust adjunctive therapy for photoaging. The inclusion of tretinoin, a retinoid, is beneficial for mitigating fine lines, uneven skin tone, and textural irregularities that come with sun damage and natural aging.

Moreover, the keratolytic behavior of salicylic acid facilitates the penetration of glycolic acid and tretinoin, enhancing their efficacy. This makes it a potential option for use in keratosis pilaris, where it can help to smooth out the skin texture by reducing the keratin buildup around hair follicles. Furthermore, this trio of ingredients may be used to treat hyperpigmentation disorders such as melasma and post-inflammatory hyperpigmentation, as they can promote a more uniform complexion over time by accelerating the turnover of hyperpigmented skin cells.

Patients should be counseled on the importance of using sun protection, applying the cream as directed, and monitoring for any signs of irritation or adverse effects. The cream's vehicle, designed for controlled release through a pump mechanism, contributes to ease of use and adherence to treatment plans. Patients should be instructed on using the pump to dispense the correct amount of medication as per their prescriber’s instructions.

This formulation should be initiated with caution in patients with sensitive skin or those using other potentially irritating skin care products. Introducing the product gradually and/or applying it in combination with soothing moisturizers can help mitigate some of the initial skin reactions that may be experienced during the adaptation period.

As compounding pharmacists, we recognize that every patient's skin is unique, requiring customized care and consideration when using potent dermatological formulations. Therefore, we encourage open communication to ensure each formulation is tailored to the patient’s specific needs and that any concerns or questions are promptly addressed by our knowledgeable staff. If you have any questions regarding this formulation or its broader uses, our team at Bayview Pharmacy stands ready to assist, ensuring optimal care and outcomes for our patients and prescribers alike.

Frequently Asked Questions

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What is the purpose of this compounded formulation of Glycolic Acid/Salicylic Acid/Tretinoin Topical Cream?

This topical cream is designed to treat a variety of skin conditions, such as acne, hyperpigmentation, and textural irregularities. The combination of glycolic acid, salicylic acid, and tretinoin works to exfoliate the skin, clear pores, promote skin cell turnover, and improve the appearance of the skin over time.

How should this cream be applied to the skin?

The cream should be applied once a day or as directed by your healthcare provider. Ensure your skin is clean and dry before application. Use the pump to dispense a small amount onto your fingertips and gently apply a thin layer to the affected areas, avoiding sensitive areas like the eyes, nostrils, and mouth.

Can this cream be used on all skin types?

What are the possible side effects of using this topical cream?

Possible side effects include redness, peeling, dryness, burning, and increased sensitivity to sunlight. If you experience severe discomfort or signs of an allergic reaction, discontinue use immediately and seek medical advice.

Should sunscreen be applied when using this cream?

Yes, the use of sunscreen is highly recommended. Tretinoin and hydroxy acids increase the skin's sensitivity to sunlight, thereby necessitating the use of a broad-spectrum sunscreen during the day to protect the skin from harmful UV rays.

Is this topical cream suitable for pregnant or breastfeeding women?

Pregnant or breastfeeding women should not use this cream without consulting a healthcare provider as tretinoin is known to potentially cause harm to the fetus or nursing infant.

How long before I can expect to see results from using this cream?

Results vary based on individual skin types and conditions; however, some users may see improvements within a few weeks, while for others it may take several months of consistent use to notice significant changes.

Can I use this cream with other skincare products?

It is best to consult with a healthcare provider before combining this cream with other skincare products, as there may be interactions or increased skin irritation with combined use.

How should I store this topical cream?

The cream should be stored at room temperature, away from direct sunlight and heat. The pump mechanism ensures the product remains uncontaminated by external factors, but it should still be stored properly to maintain its efficacy.

What should I do if I miss an application of the cream?

If you miss an application, apply the cream as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose to avoid excessive application. Do not double up on applications to make up for the missed one.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

Related Formulas

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, NY, NJ, NH, FL, and ME. 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.

Glycolic Acid 2%/Salicylic Acid 5%/Tretinoin 0.1% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)