Lactic Acid 12%/Pramoxine HCl 1% Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is specifically used to treat conditions such as dry, itchy skin and minor skin irritations.

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.
Lactic Acid 12%/Pramoxine HCl 1% Topical Cream is a compounded formulation designed for the treatment of various dermatological conditions, including dry, scaly skin, and pruritus (itching). Lactic acid acts as a keratolytic agent, promoting exfoliation of the skin and improving moisture retention, while pramoxine hydrochloride serves as a local anesthetic, providing relief from itching and discomfort. When considering the use of this topical cream, it is important to be aware of potential drug interactions that may affect its efficacy or safety.
While topical formulations generally have a lower risk of systemic drug interactions compared to oral medications, there are still important considerations. Patients using other topical medications or treatments on the same area of skin should exercise caution. The concurrent use of multiple topical agents can alter the absorption and effectiveness of each product. For instance, applying other keratolytic agents or exfoliants alongside lactic acid may increase skin irritation or dryness. Similarly, using other local anesthetics in conjunction with pramoxine may enhance the risk of localized side effects such as burning or stinging sensations.
Patients should also be cautious if they are using systemic medications that may affect skin integrity or healing, such as corticosteroids or immunosuppressants. These medications can alter the skin's response to topical treatments, potentially increasing the risk of adverse effects or diminishing the therapeutic benefits of the cream. Additionally, individuals with a history of hypersensitivity to any component of the formulation should avoid its use to prevent allergic reactions.
For prescribers, it is crucial to review the patient's full medication profile, including over-the-counter products and supplements, to identify any potential interactions. Monitoring for signs of excessive skin irritation or allergic reactions is recommended, especially during the initial stages of treatment. Adjustments to the treatment regimen may be necessary based on the patient's response and any concurrent therapies.
Patients and healthcare providers should maintain open communication regarding the use of this topical cream and any other medications or treatments being used. If there are any questions or concerns about potential drug interactions or the appropriate use of this formulation, please reach out to us for further guidance and support.
This formulation is dispensed in a pump mechanism, ensuring a convenient and controlled application, which is particularly beneficial for patients requiring localized treatment or absorption of active ingredients. The combination of lactic acid and pramoxine hydrochloride in this cream works synergistically to address specific dermatological issues, offering both therapeutic and symptomatic relief.
Lactic acid, a naturally occurring alpha hydroxy acid (AHA), plays a crucial role in this formulation by promoting exfoliation and hydration of the skin. It works by breaking down the bonds between dead skin cells, facilitating their removal and revealing the healthier skin beneath. This exfoliating action not only helps in smoothing rough, dry, or scaly skin but also enhances the skin's natural moisture retention capabilities. By improving the skin's texture and hydration, lactic acid can be particularly beneficial in treating conditions such as xerosis, ichthyosis, and keratosis pilaris, where the skin tends to be excessively dry and rough.
Pramoxine hydrochloride, on the other hand, is a topical anesthetic that provides rapid relief from itching and discomfort associated with various skin conditions. It works by blocking the transmission of nerve signals in the skin, effectively numbing the area and reducing the sensation of itchiness. This makes it an ideal component for managing symptoms in conditions like eczema, dermatitis, and other pruritic skin disorders. By alleviating the itch-scratch cycle, pramoxine helps prevent further irritation and potential damage to the skin, promoting a more comfortable healing environment.
The combination of these two active ingredients in a single formulation allows for a comprehensive approach to skin care, addressing both the underlying causes and the uncomfortable symptoms of various dermatological conditions. The pump mechanism of the cream ensures precise dosing and minimizes waste, making it easy for patients to apply the right amount of product to the affected areas. This not only enhances the efficacy of the treatment but also encourages adherence to the prescribed regimen.
For prescribers, this formulation offers a versatile option for patients with a range of skin conditions, providing both keratolytic and anesthetic benefits. It can be particularly useful in cases where patients experience significant discomfort due to itching, as well as in conditions where skin barrier function needs to be restored and maintained. The dual-action of lactic acid and pramoxine hydrochloride makes this cream a valuable addition to the therapeutic arsenal for managing complex skin issues.
If you have any questions or need further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have regarding the use and benefits of Lactic Acid 12%/Pramoxine HCl 1% Topical Cream.
This cream is used for the treatment of dry, itchy, and irritated skin. Lactic acid helps to exfoliate and moisturize the skin, while Pramoxine HCl provides temporary relief from itching and discomfort.
Apply a small amount of the cream to the affected area using the pump mechanism. Gently rub it into the skin until it is fully absorbed. Use as directed by your healthcare provider.
Consult your healthcare provider before using this cream on your face, as the skin on the face can be more sensitive. They can provide guidance based on your specific skin condition.
Follow the instructions provided by your healthcare provider. Typically, it may be applied once or twice daily, but the frequency can vary based on individual needs and the severity of the condition.
Some users may experience mild skin irritation, redness, or a burning sensation. If these symptoms persist or worsen, discontinue use and consult your healthcare provider.
Consult your healthcare provider before using this cream if you are pregnant or breastfeeding to ensure it is safe for you and your baby.
Consult a pediatrician before using this cream on children, as they can provide appropriate guidance based on the child's age and skin condition.
Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.
Consult your healthcare provider before combining this cream with other skincare products to avoid potential interactions or irritation.
If you miss a dose, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular schedule. Do not apply extra cream to make up for a missed dose.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)