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Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% Topical Liquid

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

The Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% Topical Liquid is a specially compounded preparation intended for external use on the skin or mucosal surfaces. This potent combination of acids serves as a chemical peel and is primarily used in the treatment of various skin conditions such as acne, keratosis pilaris, warts, calluses, and psoriasis. Additionally, it may be employed in the management of hyperpigmentation, age spots, and to improve skin texture by promoting exfoliation and stimulating new skin growth. The formulation's high concentration of active ingredients ensures a targeted approach, minimizing systemic absorption and providing localized therapeutic effects to the affected areas.

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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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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.
Lactic Acid
Salicylic Acid
Trichloroacetic Acid
Topical Liquid
65b01e656bdc8f59ff8645ff
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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The Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% Topical Liquid is a potent compounded formulation designed for dermatological use. This preparation combines the keratolytic and exfoliative properties of lactic acid and salicylic acid with the caustic and protein coagulation effects of trichloroacetic acid. Lactic acid, an alpha hydroxy acid (AHA), helps to exfoliate the skin by breaking down the material that holds dead skin cells together, promoting cell turnover and stimulating collagen production. Salicylic acid, a beta hydroxy acid (BHA), penetrates pores to dissolve sebum and dead skin cells. Trichloroacetic acid (TCA) causes the denaturation of proteins, leading to necrosis of the skin cells, which in turn promotes the regeneration of new skin.

This combination is particularly useful for treating a variety of dermatological conditions such as acne, keratosis pilaris, warts, and actinic keratosis, as well as for general skin resurfacing and rejuvenation. The formulation's ability to promote exfoliation and skin turnover can also help in reducing the appearance of fine lines, wrinkles, and hyperpigmentation, providing a more even skin tone and texture. The concentration of the acids in this formulation is intended for use by or under the supervision of a healthcare professional, as it can cause significant irritation and requires proper application and aftercare to avoid adverse effects.

Patients should be advised that the use of this topical liquid may result in a burning sensation upon application, and the treated area may peel or flake as part of the therapeutic process. Sun sensitivity may be increased, and the use of sunscreen is recommended following treatment. It is crucial for prescribers to evaluate the patient's skin type, condition, and sensitivity before recommending this formulation, and to provide detailed instructions on its use, including frequency of application, duration of treatment, and any necessary aftercare to minimize complications and maximize therapeutic outcomes.

For more personalized advice or to address specific concerns regarding this formulation, patients and prescribers are encouraged to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide expert guidance and support to ensure appropriate treatment with this specialized topical liquid.

Drug Interactions

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The topical liquid formulation containing Lactic Acid 15%, Salicylic Acid 15%, and Trichloroacetic Acid 8% is primarily used for its keratolytic and caustic properties. However, it is important to consider potential drug interactions when using this formulation.

Firstly, the use of other topical acne medications or products containing alcohol, astringents, spices, lime, or any other skin-peeling agent should be approached with caution. Concurrent use may increase the risk of local irritation, dryness, or peeling of the skin. Patients should inform their healthcare provider of all topical treatments they are currently using before starting this formulation.

Secondly, patients should avoid using any products that may be abrasive to the skin, such as 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. These products may interact with the acids in the formulation and lead to increased irritation and dryness.

Additionally, caution should be exercised when using this formulation in conjunction with other medications that may increase sensitivity to sunlight, such as tetracyclines, thiazides, fluoroquinolones, phenothiazines, and sulfonamides. The acids in this formulation can also increase photosensitivity, and therefore, the risk of sunburn may be heightened. Patients should be advised to use effective sun protection and avoid prolonged sun exposure.

It is also important to note that the use of this formulation with other topical medications containing retinoids or benzoyl peroxide may lead to excessive skin irritation. If these combinations are deemed necessary, they should be used with caution and close monitoring by a healthcare provider.

Lastly, systemic absorption of salicylic acid can occur, especially when applied to large areas of the body or under occlusive dressings. Therefore, patients using oral anticoagulants, such as warfarin, should be monitored for potential interactions, as salicylic acid may affect the clotting mechanism and enhance the effects of anticoagulants.

Patients and prescribers are encouraged to discuss all current medications, including over-the-counter drugs and herbal supplements, to assess for potential interactions with this topical formulation. If you have any questions or require further information regarding drug interactions with this specific formulation, please reach out to us at Bayview Pharmacy for professional advice and guidance.

How Does it Work

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The Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% Topical Liquid is a specially compounded formulation that combines the therapeutic effects of three active ingredients, each with distinct mechanisms of action, to treat a variety of dermatological conditions. This topical solution is designed for direct application to the skin, providing a localized effect while minimizing systemic absorption and potential side effects.

Lactic acid, a type of alpha-hydroxy acid (AHA), works by exfoliating the uppermost layers of the skin. It helps to dissolve the bonds between dead skin cells, allowing them to be sloughed away more easily, revealing fresher, smoother skin beneath. This action not only improves skin texture and tone but also stimulates new cell growth. Lactic acid is also known for its hydrating properties, as it increases the skin's natural barrier function and moisture retention.

Salicylic acid, a beta-hydroxy acid (BHA), penetrates the oil-filled pores and exfoliates the inside walls of the pores as well as the surface of the skin. This dual action helps to clear out clogged pores, reduce inflammation, and promote the shedding of dead skin cells.

Trichloroacetic acid (TCA) is a deeper peeling agent that causes the top layers of cells to dry up and peel off over a period of several days to one week. By doing so, it reveals the new, undamaged skin beneath, which has a smoother texture and more even tone. TCA is used to treat various skin conditions, including sun damage, pigmentary disorders, and fine lines.

When combined, these three acids offer a comprehensive approach to skin rejuvenation and treatment. The formulation can be used to address conditions such as acne, keratosis pilaris, age spots, melasma, and other hyperpigmentation issues, as well as to improve the overall texture and appearance of the skin. It is important to note that this topical liquid should be used with caution, as it can cause irritation, redness, and peeling. Patients should follow the application instructions provided by their healthcare provider and use appropriate sun protection to prevent skin damage.

For optimal results and safety, this formulation should be prescribed and monitored by a healthcare professional experienced in dermatological treatments. If you have any questions or require further information about this compounded medication, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support both patients and prescribers with the necessary guidance to ensure safe and appropriate use of this specialized topical treatment.

Frequently Asked Questions

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What is this topical liquid used for?

This compounded formulation containing Lactic Acid, Salicylic Acid, and Trichloroacetic Acid is designed to treat a variety of skin conditions such as acne, warts, calluses, and keratosis. It may also be used for skin peeling procedures and to improve skin texture and appearance by promoting exfoliation and collagen production.

How should this topical liquid be applied?

The liquid should be applied directly to the affected area of the skin or mucosal surfaces as instructed by a healthcare professional. Use a cotton swab, pad, or gloved hand to limit exposure to surrounding areas and reduce the risk of irritation.

What are the potential side effects of using this formulation?

Possible side effects may include skin irritation, redness, peeling, dryness, and increased sensitivity to sunlight. It's essential to follow the prescribed application instructions and to contact a healthcare provider if any severe or persistent side effects occur.

Can this liquid be used with other skincare products?

Consult with a healthcare professional before combining this treatment with other skincare products. Certain ingredients in other products may interfere with or increase the potency of the acids, potentially leading to increased irritation and side effects.

How often should this formulation be applied?

The frequency of application depends on the condition being treated and the individual patient's response to therapy. Follow the dosing instructions provided by a healthcare professional to avoid overuse and minimize the risk of side effects.

Is this formulation safe for all skin types?

Not all skin types may tolerate this potent combination of acids well. Individuals with sensitive skin or specific skin disorders should consult with a healthcare provider to determine safety and suitability for their skin type.

Should I use sunscreen while using this product?

Yes, the use of sunscreen is highly recommended during and after treatment to protect the treated areas from sun exposure, as the acids may increase photosensitivity. A broad-spectrum sunscreen with an SPF of 30 or higher should be applied daily.

Can this topical liquid be used during pregnancy or breastfeeding?

The safety of this product during pregnancy or breastfeeding has not been established. It is crucial to consult with a healthcare provider before using this treatment if you are pregnant, planning to become pregnant, or breastfeeding.

What should I do if the topical liquid comes into contact with the eyes or other sensitive areas?

In case of accidental contact with the eyes or sensitive areas, rinse immediately with plenty of water and seek medical attention if irritation persists. Avoid touching the eyes and other sensitive regions after applying the liquid to prevent accidental transfer.

How should this product be stored?

Store the container in a cool, dry place away from direct sunlight and heat sources. Keep the lid tightly closed when not in use to prevent the product from spilling or losing its potency. Consult a healthcare provider or pharmacist for more specific storage instructions.

Can I apply makeup over the treated area?

It is generally advised to wait until the treated area has fully dried and absorbed the liquid before applying makeup. However, discussing makeup use and appropriate waiting times with a healthcare provider is best to ensure it does not affect the treatment's efficacy.

What happens if I miss an application?

If you miss a scheduled application, apply the next dose at the regular time. Do not double the application to make up for the missed dose. Maintain your regular application schedule unless advised differently by a healthcare provider.

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.

Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% Topical Liquid
Topical Liquid
controlled
In office, as directed