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Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid

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

The Lactic Acid 18.75%/Salicylic Acid 18.75% 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 the shedding of dead skin cells, and facilitate the renewal of skin texture.

The dual-action of lactic and salicylic acids helps to soften and dissolve keratin build-up, leading to smoother skin and relief from associated symptoms.

Its liquid form allows for easy application and rapid absorption, ensuring that the active ingredients are delivered directly to the affected areas. This topical treatment is an excellent choice for patients seeking localized therapy without the systemic side effects that oral medications may entail.

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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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Ships within 1 to 2 business days after pharmacist verification
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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
Topical Liquid
65b0376dc5efabd9579ce2b4
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 18.75%/Salicylic Acid 18.75% 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 high concentrations to effectively treat a variety of dermatological conditions. Lactic acid, an alpha hydroxy acid (AHA), helps to moisturize the skin and reduce the appearance of fine lines by promoting cell turnover and stimulating collagen production. Salicylic acid, a beta hydroxy acid (BHA), penetrates the pores to dissolve sebum and dead skin cells.

Together, these acids work synergistically to exfoliate the skin's surface and improve texture, promoting a smoother, more even-toned complexion. The formulation is particularly beneficial for patients with keratosis pilaris, acne, and hyperkeratotic skin disorders, where the combination of lactic and salicylic acid can help to soften and remove excess keratin on the skin's surface. The topical liquid form allows for easy application and can be particularly useful for treating localized areas, providing high efficacy while minimizing systemic absorption and side effects.

Patients should be advised that the use of this high-strength acid combination may cause skin irritation, redness, or peeling, especially during the initial phase of treatment. It is important to follow the prescriber's instructions regarding application frequency and duration, and to use sunscreen to protect treated areas from sun exposure. Prescribers should consider the patient's skin type, any concurrent skin treatments, and the patient's overall medical history before recommending this formulation. Regular monitoring and follow-up are recommended to assess the treatment's effectiveness and to make any necessary adjustments.

For patients and prescribers interested in using this Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid formulation, Bayview Pharmacy's team of compounding pharmacists is available to provide additional information, answer questions, and offer guidance on its appropriate use. We are committed to ensuring that each patient receives a personalized treatment experience tailored to their specific needs. If you have any questions or require further assistance, please do not hesitate to reach out to us.

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 serves as a mild chemical exfoliant that helps to loosen and remove the upper layers of the skin, promoting smoother skin texture and hydration. Salicylic acid, a beta-hydroxy acid, penetrates pores to dissolve sebum and dead skin cells, reducing blockages and inflammation.

When using this topical formulation, it is important to consider potential drug interactions, especially with other topical agents. Concurrent use of other exfoliants, such as retinoids, benzoyl peroxide, or alpha-hydroxy acids, may increase the risk of skin irritation, dryness, or peeling. It is advisable to avoid or use caution when combining these agents, and they should not be applied simultaneously without medical advice.

Patients using medications that increase sensitivity to sunlight, such as tetracyclines or thiazides, should be aware that this formulation may also increase photosensitivity, leading to an elevated risk of sunburn. Sun protection measures, including the use of sunscreen and protective clothing, are recommended when using this product.

Caution is also advised when using this formulation in conjunction with other medications that can cause skin irritation, such as topical steroids or immunomodulators. The combination may exacerbate skin irritation or compromise the skin barrier, potentially leading to increased systemic absorption of the topical medication.

It is important to note that while the systemic absorption of lactic acid and salicylic acid from topical application is generally low, the use of this formulation over large areas of the body or on broken skin can increase systemic exposure. Patients with renal or hepatic impairment should use this product with caution, as salicylic acid is metabolized by the liver and excreted by the kidneys. In such cases, systemic toxicity, including salicylate toxicity, is a potential concern.

Patients should be advised to inform their healthcare providers of all medications, supplements, and topical products they are currently using to avoid potential interactions. If irritation, excessive dryness, or other adverse reactions occur, the use of this formulation should be discontinued, and medical advice should be sought.

For any questions or concerns regarding the use of this lactic acid and salicylic acid topical liquid formulation, or to report any adverse effects or suspected drug interactions, 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 medication.

How Does it Work

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The Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid is a specially crafted dermatological solution that combines the keratolytic and exfoliating properties of both lactic acid and salicylic acid. This formulation 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 reducing the appearance of various skin conditions.

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. This action helps to reveal the newer, healthier skin underneath. Lactic acid also has humectant properties, which means it helps to increase the skin's moisture level, improving hydration and reducing the potential for irritation that can sometimes be associated with exfoliating agents.

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. Salicylic acid also has anti-inflammatory properties, which can help to reduce the redness and swelling associated with acne lesions, and it can also help with other inflammatory skin conditions.

When combined at a concentration of 18.75% each in a topical liquid, lactic acid and salicylic acid provide a potent treatment for a variety of dermatological conditions. This includes acne vulgaris, keratosis pilaris, and hyperkeratotic skin disorders, among others. The formulation's liquid form allows for easy application and rapid absorption into the skin, ensuring that the active ingredients are delivered efficiently to the site of action.

It is recommended to start with a lower frequency of application and gradually increase as tolerated. Sun protection is also advised, as exfoliating agents can make the skin more susceptible to sunburn.

For best results, this formulation should be used under the guidance of a healthcare professional who can monitor its effectiveness and manage any potential side effects. If you have any questions or concerns about using this Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with personalized care and expertise.

Frequently Asked Questions

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What is Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid used for?

This compounded liquid is designed to treat various skin conditions that benefit from the exfoliating, keratolytic, and skin-smoothing effects of lactic acid and salicylic acid. It may be prescribed for issues like acne, ichthyosis, warts, corns, calluses, and psoriasis, or for general skin exfoliation and improvement in texture and tone.

How should Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid be applied?

The liquid should be applied as directed by your healthcare provider. Typically, it is applied sparingly to the affected area using a cotton ball or pad, avoiding contact with unaffected skin. It is important to follow specific instructions regarding application frequency and duration to avoid irritation or adverse effects.

Can I apply this topical liquid to any area of my skin?

No, you should only apply the liquid to the specific areas of the skin that your healthcare provider has advised treating. It should not be used on large areas of the body or on sensitive regions such as the eyes, mouth, or mucous membranes unless specifically directed by a healthcare professional.

What should I do if I experience irritation or an allergic reaction?

If you experience significant irritation, itching, redness, swelling, or other signs of an allergic reaction, discontinue use immediately and contact your healthcare provider for advice. They may provide instructions on how to relieve symptoms or adjust your treatment plan.

Can this topical liquid be used during pregnancy?

The safety of this topical liquid during pregnancy has not been fully established. You should inform your healthcare provider if you are pregnant or plan to become pregnant while using this medication. They will determine if the benefits outweigh the potential risks to the fetus.

How should I store Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid?

Store the topical liquid at room temperature, away from heat and direct light. Keep the bottle tightly closed when not in use. Do not freeze the liquid. Also, keep it out of reach of children and pets to prevent accidental ingestion or misuse.

Can I use moisturizers or other skincare products while using this medication?

You may be able to use moisturizers or other skincare products alongside this topical liquid, but you should discuss this with your healthcare provider. They may recommend waiting a certain amount of time after application before applying other products to avoid interactions or dilution of the medication.

Is it safe to use Lactic Acid 18.75%/Salicylic Acid 18.75% Topical Liquid with other medications?

Like all medications, interactions can occur. Inform your healthcare provider of all medications you are currently using, including prescription, over-the-counter drugs, and herbal supplements. They will advise you on the safety of using this liquid preparation in conjunction with other treatments.

What are the possible side effects of this topical liquid?

Common side effects may include mild skin irritation, peeling, dryness, and redness at the site of application. Rarely, more severe side effects can occur such as extreme burning, skin discoloration, or allergic reactions. Contact your healthcare provider if side effects persist or worsen.

Can this compound be used on children?

The use of this compound in children should be under the strict supervision of a healthcare provider. The suitability and safety will depend on the child's age, skin condition, and other individual factors. Always follow the healthcare provider's instructions regarding use in pediatric patients.

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 18.75%/Salicylic Acid 18.75% Topical Liquid
Topical Liquid
controlled
Twice daily