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

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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Topical Liquid
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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, making it highly effective for treating acne and other skin conditions involving blocked pores. 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 safe and effective 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, making it effective in treating a variety of dermatological conditions such as acne, warts, calluses, and other skin disorders involving hyperkeratosis or abnormal skin growth. 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. Salicylic acid is particularly effective in treating acne because of its ability to reduce sebum secretion and its antibacterial properties.

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. The concentration of 8% in this formulation provides a medium-depth peel, which is effective yet not overly aggressive, making it suitable for use in a controlled outpatient setting.

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 effective use of this specialized topical treatment.

Other Uses

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Aside from the primary indications often associated with the Lactic Acid 15%/Salicylic Acid 15%/Trichloroacetic Acid 8% topical liquid, this formulation may also have several other dermatologic applications due to the properties of its constituent acids. Lactic acid, being an alpha hydroxy acid (AHA), helps in moisturizing and exfoliating the superficial layers of the skin, potentially serving to improve skin texture and tone as well as reduce signs of aging. It is often used in treating mild hyperpigmentation and may be beneficial for those with dry or rough skin conditions.

Salicylic acid, a beta hydroxy acid (BHA), is renowned for its keratolytic and comedolytic effects, which can be utilized in the management of a variety of keratotic and scaly skin conditions beyond acne, such as psoriasis, calluses, and warts. It assists in dissolving the intercellular cement that leads to the sloughing of skin cells, an effect that can aid in the improvement of skin texture, and clearing of blocked pores.

Meanwhile, trichloroacetic acid (TCA) is particularly noted for chemical peel procedures. When used in lower concentrations, TCA can be an adjunctive treatment for skin conditions that benefit from chemical exfoliation, like superficial scarring, melasma, sun damage, and actinic keratosis. However, due to the strength of the acids in this formulation, it should be used with caution following proper evaluation by a healthcare professional skilled in dermatological treatments. It may also be utilized for softening and removing benign skin growths, such as seborrheic keratoses.

When considering this potent topical liquid, it is essential that both patients and prescribers bear in mind the possibility of skin irritation, photosensitivity, and the need for strict adherence to photo-protection recommendations due to the increased vulnerability of the treated areas to ultraviolet (UV) radiation. Application should be precise and restricted to the affected areas to avoid potential damage to surrounding healthy skin. Because this formulation contains high concentrations of active acids, it is generally reserved for in-office use under the care of a healthcare professional or for patients who have been thoroughly instructed on its proper application and potential side effects.

Long-term use of any of these acid combinations should be closely monitored due to the potential risk of skin irritation and chemical burns. It is also imperative to consider the individual patient's skin type, any concurrent skin conditions, and their overall health status before prescribing this treatment. As knowledgeable compounding pharmacists at Bayview Pharmacy, we are here to address any questions or concerns regarding this formulation and to ensure its safe and effective use. Please do not hesitate to reach out to us for tailored advice or for additional information about the formulation and its appropriate use.

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.

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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.
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