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Formulas

Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid

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

The Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid is a specially crafted dermatological solution intended for external application. This potent combination of alpha-hydroxy acid (lactic acid) and beta-hydroxy acid (salicylic acid) is designed to exfoliate the skin, promote cell turnover, and unclog pores. The dual-action formula works synergistically to soften and dissolve keratin build-up, leading to smoother skin texture and reduced inflammation. Its topical nature ensures that the therapeutic effects are localized, minimizing systemic absorption and potential side effects.

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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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This medication requires a prescription from your doctor

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
Topical Liquid
65b036441c2fbcc00f2bc5bd

Formula Information

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The Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid is a specially compounded medication designed for external use on the skin or mucosal surfaces. This formulation combines the keratolytic and exfoliating properties of both lactic acid and salicylic acid at significant concentrations to provide a potent treatment for a variety of dermatological conditions. Lactic acid, an alpha-hydroxy acid (AHA), helps to reduce the cohesion of corneocytes, leading to exfoliation of the outer layers of dead skin cells and promoting cell renewal. This action not only improves skin texture and tone but also facilitates the penetration of salicylic acid.

Salicylic acid, a beta-hydroxy acid (BHA), is well-known for its ability to penetrate into the pores of the skin, dissolving the debris that clogs pores and acts as an anti-inflammatory agent. The formulation can also be used in the management of warts and calluses, where its keratolytic action aids in the removal of excess keratin.

Patients should be advised that this topical liquid may cause skin irritation, particularly in those with sensitive skin or when used on open wounds. It is important to follow the prescriber's instructions regarding application frequency and duration of treatment to minimize potential side effects. Prescribers should consider the patient's skin type, the severity of the condition being treated, and any concurrent skin treatments when recommending this formulation. As with any potent topical medication, it is crucial to monitor the patient's response to therapy and adjust the treatment regimen as necessary.

For optimal results, the affected area should be clean and dry before application. Patients should be instructed to apply the liquid with care, avoiding contact with healthy skin, eyes, and mucous membranes to prevent irritation. Sun protection is also recommended due to the increased sensitivity to sunlight that may result from using AHAs and BHAs. If you have any questions or require further information about the Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid, 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 prescribers to ensure safe and appropriate use of this formulation.

Drug Interactions

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The combination of lactic acid and salicylic acid in a topical liquid formulation is primarily used for its keratolytic properties, which help in the treatment of various skin conditions such as acne, psoriasis, keratosis pilaris, and other disorders involving hyperkeratosis or scaling. Lactic acid, an alpha-hydroxy acid (AHA), works by exfoliating the outer layer of the skin and promoting cell renewal, while salicylic acid, a beta-hydroxy acid (BHA), penetrates pores to dissolve sebum and dead skin cells, and has anti-inflammatory properties.

When considering the use of this topical formulation, it is important to be aware of potential drug interactions. Although systemic absorption of lactic acid and salicylic acid is minimal when applied topically, there is still a possibility of interactions, particularly if the product is used over large areas of the skin or under occlusive dressings, which can increase absorption.

Concomitant use of other topical acne medications, particularly those containing retinoids, benzoyl peroxide, or other acids (such as glycolic acid), may increase the risk of local skin irritation. Patients should be advised to introduce new topical treatments gradually and monitor for signs of excessive skin irritation or peeling. If irritation occurs, one should consider reducing the frequency of application or temporarily discontinuing use of one of the products.

Patients using medications that increase skin sensitivity to sunlight, such as tetracyclines or thiazide diuretics, should be cautious as the combination of these drugs with the lactic/salicylic acid formulation may increase the risk of phototoxic reactions. Sun protection measures, including the use of sunscreen and protective clothing, are recommended when using this topical liquid.

Caution is also advised when using this formulation in conjunction with other products that may alter the skin barrier, such as soaps and cleansers with a high pH, astringents, or abrasive scrubs, as these may alter the effectiveness of the acids or increase the potential for skin irritation.

Patients with diabetes or circulatory issues should consult with a healthcare provider before using this formulation, as their skin may be more susceptible to irritation and they may have an altered response to the product.

It is important to note that while the risk of systemic interactions is low, salicylic acid is a salicylate, and in rare cases, excessive use could potentially lead to salicylate toxicity, particularly in children or individuals with kidney or liver impairment. Symptoms of salicylate toxicity include tinnitus, vertigo, confusion, and rapid breathing. If any of these symptoms occur, use of the product should be discontinued and medical advice sought.

As with any medication, it is essential to use this formulation as directed by a healthcare provider and to report any unusual side effects or concerns. If you have any questions or require further information about potential drug interactions with this lactic acid/salicylic acid topical liquid, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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The Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid is a specially crafted formulation that combines the keratolytic and exfoliating properties of both lactic acid and salicylic acid. This topical liquid is designed to be applied directly to the skin, where it works by promoting the shedding of the outer layer of skin cells, thereby enhancing skin texture and appearance.

Lactic acid, an alpha hydroxy acid (AHA), works primarily by weakening the bonds between dead skin cells, allowing them to be sloughed off more easily, revealing the newer, healthier skin beneath. This action not only helps to improve skin texture and reduce the appearance of fine lines and wrinkles but also aids in the treatment of certain skin conditions such as mild to moderate acne, by promoting the natural turnover of skin cells.

Salicylic acid, a beta hydroxy acid (BHA), is known for its ability to penetrate into the pores of the skin. It dissolves the type of skin debris that clogs pores and causes acne, which is why it is often used in acne treatment formulations. Additionally, salicylic acid has anti-inflammatory properties that can help to reduce redness and swelling, further aiding in the management of acne and other inflammatory skin conditions.

By promoting exfoliation and reducing inflammation, this formulation can help to alleviate the symptoms associated with these conditions.

It is recommended to start with a lower concentration and gradually increase as tolerated, and always use as directed by a healthcare professional. Sun protection is also advised when using this product, as AHAs and BHAs can increase skin sensitivity to the sun.

For any questions or concerns regarding the use of Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid, or to discuss whether this formulation is appropriate for your specific condition, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure appropriate treatment.

Other Uses

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The utilization of a topical liquid containing a combination of Lactic Acid 16.5% and Salicylic Acid 16.5% extends beyond the treatment of common disease states such as acne, keratosis pilaris, psoriasis, and plantar warts. It can aid in the management of hyperkeratotic disorders, facilitating the reduction of skin roughness and thickening that may be present in conditions such as ichthyosis or hyperkeratotic eczema.

In addition to its exfoliative action, the Lactic Acid component also offers humectant properties, which can help to hydrate the skin by attracting and retaining moisture. This is particularly beneficial for individuals with dry or dehydrated skin. When applied to areas of hyperpigmentation, the ingredients work synergistically to accelerate skin turnover, gradually lightening dark spots and improving skin tone. Hence, this formulation may be considered for use in cosmetic dermatology to enhance skin appearance.

Moreover, due to its antifungal and antibacterial characteristics, this topical solution might be used off-label for the treatment of fungal skin infections and certain bacterial infections, where the disruption of the skin barrier is essential for treatment efficacy. Given the potential for irritation, its use in sensitive areas must be carefully considered and thoroughly discussed with a healthcare professional to ensure appropriate application and to mitigate any adverse effects.

It is essential for both patients and prescribers to be aware of the various applications, potential benefits, and risks associated with this combination topical liquid. A customized approach tailored to individual patient needs is paramount for optimal outcomes. Should there be any inquiries or the need for further guidance on potential uses of this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our dedicated team of compounding pharmacists is available to provide support and professional advice to ensure appropriate treatment plans for our patients.

Frequently Asked Questions

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What is Lactic Acid 16.5%/Salicylic Acid 16.5% Topical Liquid used for?

This topical liquid formulation is used to treat a variety of skin conditions by exfoliating the skin, unclogging pores, and promoting skin cell turnover.

How do I apply Lactic Acid/Salicylic Acid Topical Liquid?

Clean the area of skin where you will apply the liquid. Then, using a cotton ball or applicator, apply a thin layer of the medication to the affected area. Follow your healthcare provider's instructions regarding the application frequency and duration of use.

Can I use this topical liquid with other skincare products?

Use other skincare products with caution, as combining too many treatments can lead to irritation or adverse effects. It is best to consult with your dermatologist or healthcare provider before introducing new products into your skin care regimen when using this medication.

Should I use this formulation during the day or at night?

Depending on your skin's sensitivity, your healthcare provider might recommend using the formulation at night to minimize sun sensitivity and potential irritation. Always use sunscreen during the day to protect your skin when using exfoliating acids like lactic and salicylic acid.

Is Lactic Acid/Salicylic Acid Topical Liquid suitable for all skin types?

While it can be beneficial for many skin types, those with particularly sensitive skin or certain skin conditions should consult with a healthcare provider before using this product. It may not be suitable for everyone, especially those with allergies to salicylates or lactic acid intolerance.

Can I use this liquid if I am pregnant or breastfeeding?

The safety of this topical liquid during pregnancy or breastfeeding has not been fully established. It is important to consult with your healthcare provider before using this product if you are pregnant or breastfeeding.

What should I do if I experience skin irritation while using this product?

If you experience irritation, redness, burning, or any other adverse reaction, discontinue use and contact your healthcare provider. They may suggest adjusting the frequency of use or provide alternative treatment options.

How long does it take to see results from the Lactic Acid/Salicylic Acid Topical Liquid?

Results can vary based on your skin type and the condition being treated. Some may notice improvements within a few weeks, while for others, it may take longer. Consistent use as directed by your healthcare provider is key to achieving the best results.

Can this liquid be used on all areas of the skin?

This topical liquid is intended for use on specific targeted areas and should not be used on sensitive areas such as the eyes, inner nose, mouth, or any broken or inflamed skin. Always follow the application instructions provided by your healthcare provider.

What are the storage conditions for the Lactic Acid/Salicylic Acid Topical Liquid?

Store the liquid in a cool, dry place away from direct sunlight and heat. Keep the bottle tightly closed when not in use to maintain its potency and effectiveness. Do not freeze the medication unless instructed by the product labeling or your healthcare provider.

Is it necessary to see a healthcare provider before using this formulation?

Yes, it is important to consult with a healthcare provider or dermatologist to ensure that this formulation is appropriate for your skin condition and to receive an individualized treatment plan and proper usage instructions.

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.

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 16.5%/Salicylic Acid 16.5% Topical Liquid
Topical Liquid
controlled