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Glycolic Acid 2%/Tretinoin 0.05% Topical Cream

Glycolic Acid 2%/Tretinoin 0.05% Topical Cream is custom compounded at Bayview Pharmacy to help manage acne, photoaging, melasma, and hyperpigmentation.
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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
Tretinoin
Topical Cream
65ad7ff2a64d100b475e120a

Formula Information

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Glycolic Acid 2%/Tretinoin 0.05% Topical Cream is a specially compounded formulation designed to address specific dermatological concerns. Glycolic acid, an alpha hydroxy acid (AHA), is known for its exfoliating properties, which help to remove dead skin cells from the surface of the skin, promoting a brighter and more even skin tone. Tretinoin, a derivative of vitamin A, is a potent retinoid that increases cell turnover and stimulates collagen production.

The combination of glycolic acid and tretinoin in a single cream offers a synergistic effect, enhancing the overall results in skin rejuvenation and acne treatment. This formulation is particularly beneficial for patients with photoaged skin, hyperpigmentation, and mild to moderate acne. The cream's base is designed to facilitate the stability and delivery of both active ingredients, ensuring optimal absorption and efficacy.

The semisolid preparation is dispensed in a pump mechanism, which provides a convenient and controlled method of application. This packaging helps to protect the integrity of the active ingredients from degradation by air and light, while also minimizing the risk of contamination. The pump allows for precise dosing, ensuring that patients apply the correct amount of product to the affected areas of the skin.

Patients should be advised to use the cream as directed by their healthcare provider, typically once daily in the evening, or as otherwise prescribed. It is important to apply sunscreen during the day while using this product, as both glycolic acid and tretinoin can increase the skin's sensitivity to sunlight. Patients may experience mild side effects such as redness, peeling, or dryness, particularly during the initial phase of treatment. These symptoms usually subside as the skin adjusts to the treatment.

Prescribers should consider the patient's skin type, condition severity, and tolerance to topical treatments when recommending this formulation. It is essential to monitor the patient's progress and adjust the treatment regimen as necessary to achieve the best therapeutic outcomes while minimizing potential side effects.

For more detailed information or specific inquiries regarding the Glycolic Acid 2%/Tretinoin 0.05% Topical Cream, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to both patients and healthcare providers to ensure the safe and appropriate use of this customized dermatological treatment.

Drug Interactions

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The combination of glycolic acid and tretinoin in a topical cream formulation is used primarily for the treatment of various skin conditions, including acne, photoaging, and hyperpigmentation. Glycolic acid is an alpha hydroxy acid that exfoliates the skin, while tretinoin, a retinoid, modulates gene expression and affects cellular processes in both the epidermis and dermis. When using this combination therapy, it is important to consider potential drug interactions that may affect the efficacy and safety of the treatment.

Firstly, concurrent use of other topical acne treatments, particularly those with a strong drying or peeling effect (such as benzoyl peroxide, salicylic acid, or sulfur) may increase the likelihood of skin irritation. If these agents are to be used, they should be applied at different times of the day to minimize interactions. Additionally, products containing alcohol or astringents should be used with caution, as they can exacerbate the drying effects of the formulation.

Patients should also be advised to avoid using any products that may increase their skin's sensitivity to sunlight, such as those containing lime or spices, while using the glycolic acid/tretinoin cream. The use of tretinoin has been associated with photosensitivity, and therefore, concurrent use of photosensitizing agents (e.g., thiazides, tetracyclines, fluoroquinolones, phenothiazines, sulfonamides) could potentially increase the risk of sunburn. It is recommended that patients apply a broad-spectrum sunscreen daily and take additional sun protection measures while using this formulation.

Caution is also advised when using the glycolic acid/tretinoin cream with other products that have a high concentration of vitamin C or other acidic ingredients, as this may alter the pH balance of the skin and affect the efficacy of the formulation. Additionally, the use of medicated or abrasive soaps and cleansers, soaps and cosmetics with a strong drying effect, and products with high concentrations of alcohol, astringents, spices, or lime should be avoided.

Systemic tretinoin interactions should be considered as well, even though the systemic absorption of topical tretinoin is generally low. Medications that increase the skin's sensitivity to sunlight, as mentioned above, should be used with caution. Moreover, the use of vitamin A supplements should be carefully monitored to avoid vitamin A toxicity, as tretinoin is a derivative of vitamin A.

It is important for patients to inform their healthcare provider of all the products they are currently using, including prescription drugs, over-the-counter medications, and herbal products, before starting treatment with glycolic acid/tretinoin cream. This will help to identify any potential interactions and adjust treatment as necessary. 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 Glycolic Acid 2%/Tretinoin 0.05% Topical Cream is a specially formulated dermatological agent that combines the exfoliating properties of glycolic acid with the retinoid activity of tretinoin. Glycolic acid, an alpha hydroxy acid (AHA), works by gently dissolving the bonds between dead skin cells on the skin's surface, promoting exfoliation and revealing fresher, smoother skin underneath. This action not only improves skin texture and tone but also enhances the penetration of tretinoin, a derivative of vitamin A.

Tretinoin, on the other hand, is a potent retinoid that modifies gene expression and influences cellular processes in both the epidermis and dermis. It accelerates the turnover of epithelial cells, thereby reducing the buildup of dead cells in the pores which can lead to acne. Tretinoin also stimulates the production of new collagen, which is essential for improving the skin's elasticity and reducing the appearance of fine lines and wrinkles. The combination of these two active ingredients in a 2% glycolic acid and 0.05% tretinoin formulation provides a synergistic effect for treating acne, photoaging, and hyperpigmentation.

The cream is designed as a semisolid preparation, which allows for a stable and homogenous mixture of the active ingredients. Dispensed in a pump mechanism, this delivery system ensures a convenient, hygienic, and controlled application, reducing the risk of contamination and oxidation of the active ingredients. The pump also allows for precise dosing, which is crucial for potent actives like tretinoin, where over-application can lead to irritation and other side effects.

When applied to the skin, this formulation works by targeting the affected areas with a combination of exfoliation and cellular renewal. The glycolic acid component helps to clear the way for tretinoin to penetrate more effectively, enhancing the overall therapeutic benefits. This formulation is particularly useful in the treatment of acne, as it helps to clear clogged pores and reduce the formation of new comedones. It is also beneficial for addressing signs of aging, such as fine lines, wrinkles, and uneven skin tone, by promoting collagen synthesis and skin renewal.

These side effects are typically temporary and can often be managed with proper skincare and gradual introduction of the product. Patients should also be advised to use sunscreen during the day, as both glycolic acid and tretinoin can increase the skin's sensitivity to sunlight.

For more detailed information or if you have any questions regarding the Glycolic Acid 2%/Tretinoin 0.05% Topical Cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this formulation.

Other Uses

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While Glycolic Acid 2%/Tretinoin 0.05% Topical Cream is primarily formulated for its benefits in the treatment of acne and the promotion of skin renewal, there are other potential therapeutic uses for this combination. The synergistic effects of glycolic acid, an alpha hydroxy acid (AHA), and tretinoin, a retinoid, may also provide adjunctive benefits for patients with photodamaged skin, as both agents can work together to diminish fine lines, wrinkles, and hyperpigmentation. As such, this formulation could be part of a broader anti-aging skin care regimen.

The exfoliating properties of glycolic acid enhance the penetration of tretinoin, which is known to modulate gene expression and promote collagen production. This could be advantageous for individuals seeking to improve the texture and tone of their skin, mitigate the appearance of pore size, and even out skin complexion. Furthermore, for those with keratosis pilaris, a condition marked by rough, bumpy skin, particularly on the arms and thighs, the formulation may help in smoothing the affected areas by increasing cellular turnover and reducing keratin buildup in hair follicles.

Patients with conditions like actinic keratosis, which is a precursor to skin cancer, may also find this formulation helpful, subject to their dermatologist's advice.

Despite these potential additional uses, it is critical for both patients and prescribers to be aware that individual responses to treatment can vary. Acne, skin textural concerns, signs of photoaging, and other dermatological conditions are complex and may require a multi-faceted approach. Moreover, this formulation can cause skin sensitivity, necessitating the concurrent use of sun protection to mitigate the increased risk of sunburn. The potential for skin irritation also makes it important that patients begin treatment on a regimen as advised by a healthcare professional, to allow for skin acclimatization to the active ingredients.

Patients considering this formulation for uses beyond those it is typically prescribed for should consult with a dermatologist to establish whether it is an appropriate treatment option for their specific skin concerns. For prescribers looking to recommend this compounded formulation, it is important to thoroughly evaluate the patient's skin type, condition, and medical history, to ensure both efficacy and safety. As with all topical regimens, instructions for use should be clear, providing guidance on the amount of cream to be applied, frequency of application, and any other necessary precautions.

If you are a patient or prescriber with questions about the use of Glycolic Acid 2%/Tretinoin 0.05% Topical Cream, or if you require individualized consultation on specific skin concerns and suitable treatment options, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to supporting your dermatological health through bespoke pharmaceutical care.

Frequently Asked Questions

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What is Glycolic Acid 2%/Tretinoin 0.05% Topical Cream used for?

This topical cream is used to improve the skin's appearance by reducing fine lines, wrinkles, uneven skin tone, and acne. Glycolic acid acts as an exfoliator to remove dead skin cells, while tretinoin promotes skin cell renewal and collagen production.

How do I use this topical cream?

You should apply a thin layer of the cream to the affected area once a day before bedtime or as directed by your healthcare provider. Ensure your skin is clean and dry before application. Use the pump mechanism to dispense a small amount, and avoid the eyes, nostrils, and mouth.

Can Glycolic Acid 2%/Tretinoin 0.05% Topical Cream cause skin irritation?

Yes, some users may experience skin irritation, including redness, peeling, dryness, and sensitivity to sunlight. These side effects are typically mild and decrease with regular use. However, if irritation persists, discontinue use and consult your healthcare provider.

Is this cream suitable for all skin types?

While this cream can be used by many skin types, individuals with sensitive or easily irritated skin should use it with caution. It's always best to perform a patch test and consult with a dermatologist before starting any new skincare regimen.

How does the pump mechanism work?

The pump mechanism dispenses a controlled amount of cream with each press, ensuring a consistent dose with each application. This feature allows for convenience and reduces the likelihood of using too much or too little product. Make sure to prime the pump before the first use by pressing it several times until the cream is dispensed.

How should I store this cream?

The product should be stored at room temperature away from direct sunlight and heat. Keep the container securely closed when not in use.

Can I apply makeup after using the cream?

Yes, you can apply makeup after using the cream. However, wait until the cream is fully absorbed into your skin before applying makeup or other skincare products.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. If it's almost time for your next application, skip the missed dose and resume your regular schedule. Do not apply extra cream to make up for a missed dose.

Can I go out in the sun after applying this cream?

You should avoid excessive sun exposure and tanning beds while using this product, as your skin will be more sensitive to sunlight. When outside, wear protective clothing and use a broad-spectrum sunscreen with an SPF of 30 or higher.

Is this product safe to use during pregnancy or breastfeeding?

Tretinoin is a form of vitamin A, and products containing it are not recommended during pregnancy or breastfeeding without consulting a healthcare provider. It is important to discuss with your doctor any potential risks if you plan to use this cream while pregnant or nursing.

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, and FL. 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%/Tretinoin 0.05% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)