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The Lactic Acid 18%/Salicylic Acid 18% Topical Paste is a specialized semi-solid formulation designed for targeted application on the skin. This paste is dispensed in a tube, ensuring ease of use and precise dosage control for the patient. Its thick, occlusive consistency ensures that the medication remains in contact with the skin surface for an extended period, optimizing the delivery of the active ingredients.
This formulation is specifically compounded to treat a variety of dermatological conditions, including but not limited to, keratosis pilaris, plantar warts, and common warts. The combination of lactic acid and salicylic acid works synergistically to exfoliate the skin, soften keratin, and promote the removal of scales and dead skin cells. By doing so, it helps to reduce the thickness of hyperkeratotic lesions and improve the skin's texture and appearance.
Patients are advised to apply the paste as directed by their healthcare provider, typically to the affected areas of the skin.
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 18%/Salicylic Acid 18% Topical Paste is a specialized dermatological compound designed to treat a variety of skin conditions through its unique combination of active ingredients. Lactic acid, an alpha hydroxy acid (AHA), works by exfoliating the skin, accelerating cell turnover, and promoting the shedding of the outer layer of skin cells. This action helps to improve skin texture and pigmentation, and can also stimulate collagen production, leading to firmer, more youthful-looking skin. Salicylic acid, a beta hydroxy acid (BHA), penetrates the skin to dissolve skin debris that clogs pores, acting as a powerful keratolytic agent.
The dual action of lactic and salicylic acid in this topical paste formulation is particularly beneficial for patients suffering from hyperkeratotic disorders, psoriasis, and other conditions characterized by thickened, scaly skin. The paste's occlusive nature ensures that the active ingredients remain in contact with the skin for an extended period, enhancing their efficacy. The semi-solid consistency of the paste allows for targeted application, which is especially useful for localized treatment areas.
For prescribers, it is important to note that this formulation should be used with caution in patients with sensitive skin or those who are using other topical or systemic medications that may increase the risk of adverse reactions. The paste should be applied as directed, typically to clean, dry skin. Patients should be advised to avoid contact with the eyes, mouth, and other mucous membranes, and to wash their hands after application. It is also crucial to monitor for signs of excessive skin irritation or allergic reaction, and to adjust treatment as necessary.
Patients should be informed that while some improvement may be seen relatively quickly, consistent use over time is typically required to achieve the full therapeutic benefits. They should also be made aware of the potential for increased sun sensitivity and the importance of using sunscreen and protective clothing when outdoors.
If you have any questions or require further information about the Lactic Acid 18%/Salicylic Acid 18% Topical Paste, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to ensure the safe and appropriate use of this formulation.
The Lactic Acid 18%/Salicylic Acid 18% Topical Paste is a potent keratolytic formulation with exfoliating and skin-smoothing properties, primarily used for the treatment of various skin conditions such as psoriasis, keratosis pilaris, acne, and other disorders involving excessive skin cell buildup. When considering the use of this topical paste, it is important to be aware of potential drug interactions that may affect its safety and efficacy.
Firstly, due to the presence of salicylic acid, this formulation should be used with caution in patients already using other topical acne medications, as the combination may increase the risk of skin irritation. This includes other keratolytic agents (such as benzoyl peroxide, sulfur, resorcinol, and retinoids), abrasive soaps and cleansers, alcohol-containing preparations, and astringents. Patients should be advised to introduce new topical treatments gradually and to monitor for signs of local irritation, such as redness, burning, or peeling.
Additionally, salicylic acid is a known desquamating agent that can enhance the absorption of other topical medications. Therefore, concurrent use with other topical preparations, particularly those containing corticosteroids, may lead to increased systemic absorption of the corticosteroid and potential side effects. Patients should be instructed to consult with a healthcare provider before combining such treatments.
Systemic interactions are less common with topical applications due to lower absorption rates; however, caution is advised when used in conjunction with oral anticoagulants (such as warfarin) or antiplatelet drugs (like aspirin). Salicylic acid is a salicylate, and although systemic absorption is minimal, there is a theoretical risk of enhanced anticoagulant effects when applied to large areas of the body or to broken skin. Patients on such systemic therapies should be monitored for signs of bleeding.
Furthermore, the use of this topical paste may interfere with certain laboratory tests. Salicylic acid can affect the results of tests that measure urinary 5-hydroxyindoleacetic acid (5-HIAA) and vanillylmandelic acid (VMA), potentially leading to false positives. Patients should inform their healthcare providers and laboratory personnel if they are using this medication.
It is also important to note that the use of this formulation in conjunction with other acidic products, such as alpha-hydroxy acids (AHAs) or vitamin C, may increase the risk of skin irritation and should be approached with caution. Patients should be advised to avoid applying the paste to sensitive areas, including the eyes, mouth, and mucous membranes, and to use sunscreen and protective clothing over treated areas to prevent photosensitivity reactions.
Patients with renal impairment or significant hepatic dysfunction should use this product with caution, as systemic absorption of salicylic acid can lead to toxicity in these populations. Additionally, the use of this formulation should be avoided in children or adolescents with viral infections due to the risk of Reye's syndrome associated with salicylates.
Patients should be encouraged to disclose all current medications and skin care products to their healthcare provider to ensure safe use. If you have any questions or require further information, please reach out to us at Bayview Pharmacy.
The Lactic Acid 18%/Salicylic Acid 18% Topical Paste is a specialized dermatological formulation that combines the keratolytic and exfoliating properties of both lactic acid and salicylic acid in a semi-solid base. This paste is designed to be applied topically to the skin, where it acts to help treat a variety of dermatological conditions by promoting the shedding of the outer layer of skin cells and softening the skin's texture.
Lactic acid, an alpha hydroxy acid (AHA), works by breaking down the 'glue' that holds dead skin cells together on the skin's surface. This action accelerates cell turnover, encourages new cell growth, and can help improve the appearance of fine lines, wrinkles, and skin texture. Additionally, lactic acid is known for its ability to increase skin moisture levels, which can be beneficial for treating dry skin conditions.
It also has anti-inflammatory properties that can help to reduce redness and swelling associated with acne, and it can help to soften and remove scales associated with psoriasis.
The combination of these two acids in an 18% concentration for each creates a potent formulation that can effectively treat a range of skin conditions characterized by hyperkeratosis, such as acne, psoriasis, keratosis pilaris, and calluses. The paste formulation provides a thick and occlusive consistency that adheres well to the skin, ensuring that the active ingredients remain in contact with the treatment area for an extended period. This allows for a more intensive treatment, as the active ingredients can work on the skin for longer durations compared to thinner, more easily absorbed formulations.
Dispensed in a tube, this topical paste offers ease of application and precise dosage control, which is particularly important when using high-concentration acid treatments to avoid irritation to surrounding skin. Patients are advised to apply the paste as directed by their healthcare provider, typically to clean, dry skin. It is important to avoid contact with the eyes, mouth, and other mucous membranes, and to use sunscreen during the day, as AHAs and BHAs can increase the skin's sensitivity to the sun.
For prescribers considering this formulation for their patients, it is important to assess the patient's skin type, the severity of the skin condition, and any previous treatments used. This formulation should be used with caution in patients with sensitive skin or those who are using other topical or systemic treatments that may interact with AHAs or BHAs. As with any potent topical treatment, monitoring for signs of irritation or adverse reactions is recommended.
If you have any questions or require further information about the Lactic Acid 18%/Salicylic Acid 18% Topical Paste, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the safe and appropriate use of this formulation.
This compounded paste is used for treating various skin conditions where exfoliation and peeling are needed. It can help treat acne, psoriasis, keratosis pilaris, and other conditions where dead skin cells may need to be removed to improve skin texture and clarity.
Clean and dry the affected area before use. Apply a small amount of the paste to the affected area as directed by your healthcare provider, usually once or twice daily. Rub in gently and thoroughly. Cover with a bandage or dressing if advised by your healthcare provider.
Both lactic acid and salicylic acid may cause skin irritation, especially on sensitive skin. It's important to consult with your healthcare provider for personalized advice based on your skin type and the condition being treated.
If the paste gets into your eyes, rinse thoroughly with water. If ingested or causing severe irritation, seek medical attention immediately. Avoid application near the eyes and mouth to prevent such occurrences.
The duration of use for this topical paste will depend on the condition being treated and the response to therapy. Follow your healthcare provider’s instructions, and do not use it for longer than prescribed to minimize the risk of side effects.
Yes, side effects can include redness, peeling, dryness, and irritation at the application site. If these symptoms persist or worsen, or if you experience severe pain or signs of an allergic reaction, contact your healthcare provider right away.
Avoid sun exposure and tanning beds while using this product, as it can make your skin more sensitive to UV rays. Wear protective clothing and use a broad-spectrum sunscreen when outdoors. Also, avoid waxing or using other harsh skin treatments on the treated areas.
Store the paste at room temperature, away from light and moisture. Do not freeze. Keep the tube tightly closed when not in use. Keep out of reach of children and pets.
Consult your healthcare provider before using this paste if you are pregnant or breastfeeding. While certain topical medications are considered safe, your doctor will determine the best course of treatment based on the potential benefits and risks.
If you miss a dose, apply it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
It is best to avoid using other skin products on the treated area unless your healthcare provider advises you otherwise. Some products may interact with the acid in this paste and could cause irritation or diminished effectiveness.
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)
