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Lactic Acid 20%/Salicylic Acid 20% Topical Liquid

The Lactic Acid 20%/Salicylic Acid 20% Topical Liquid is a specially compounded preparation 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 skin cell turnover, and aid in the treatment of a variety of dermatological conditions. The formulation's liquid form allows for precise application to affected skin or mucosal areas, ensuring that the active ingredients are delivered directly to the site of concern.

This topical solution is primarily used in the management of keratotic and scaling skin conditions such as psoriasis, ichthyosis, keratosis pilaris, and acne. The dual action of lactic acid and salicylic acid helps to soften and dissolve keratin build-up, leading to smoother skin texture and relief from associated symptoms. By providing localized treatment, this formulation minimizes the risk of systemic side effects, making it a suitable option for patients who require targeted therapy for their skin conditions.

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Topical Liquid
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Formula Information

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The Lactic Acid 20%/Salicylic Acid 20% Topical Liquid is a potent dermatological formulation intended for direct application to the skin. This preparation combines the keratolytic and exfoliating properties of both lactic acid and salicylic acid to promote the shedding of the outer layer of skin cells, thereby enhancing skin texture and appearance. Lactic acid, an alpha hydroxy acid (AHA), works by loosening the bonds between dead skin cells, facilitating their removal and revealing the newer, healthier skin beneath. Salicylic acid, a beta hydroxy acid (BHA), penetrates the oil in pores and helps dissolve the debris that causes acne, making it particularly effective for individuals with oily and acne-prone skin.

This dual-action formulation is particularly beneficial in treating a variety of dermatological conditions such as keratosis pilaris, acne, psoriasis, and other hyperkeratotic skin disorders. In keratosis pilaris, it helps to reduce the keratin buildup that blocks hair follicles, leading to smoother skin. For acne sufferers, it unclogs pores and reduces inflammation. In psoriasis, the combination aids in reducing the scaling associated with the condition. The formulation's high concentration ensures a robust therapeutic effect, making it suitable for use in cases where over-the-counter products may not provide sufficient results.

Patients should be advised that the use of this topical liquid may cause skin irritation, and it is important to follow the prescribed application frequency and duration. Sun sensitivity may be increased, and the use of sunscreen is recommended when using this product. Prescribers should consider the patient's skin type, the presence of any skin conditions, and the patient's overall medical history before recommending this treatment. It is also important to monitor the patient's response to the therapy and adjust the treatment regimen as necessary.

For optimal results, the Lactic Acid 20%/Salicylic Acid 20% Topical Liquid should be applied to clean, dry skin. The frequency of application will depend on the patient's tolerance and the severity of the condition being treated. It is essential to start with a lower frequency to assess skin tolerance before increasing as recommended by a healthcare professional. Patients should be counseled on the potential for transient stinging or burning upon application and the importance of contacting their healthcare provider if severe irritation or allergic reactions occur.

If you have any questions or require further information about the Lactic Acid 20%/Salicylic Acid 20% Topical Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the necessary support and guidance to ensure safe and effective treatment outcomes for your patients.

Drug Interactions

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Lactic acid and salicylic acid are both keratolytic agents that work by helping to shed dead cells from the top layer of the skin, promoting the growth of new skin cells. This combination can be particularly effective in treating a variety of dermatological conditions such as acne, psoriasis, keratosis pilaris, and other disorders involving excessive skin cell buildup. However, when using this topical liquid formulation, it is important to consider potential drug interactions.

Firstly, the use of other topical acne medications, such as retinoids or benzoyl peroxide, in conjunction with this formulation may increase the risk of skin irritation. It is advisable to consult with a healthcare provider before combining such treatments. Similarly, using other topical products that have a drying or irritating effect, such as alcohol-containing products or astringents, should be done with caution to avoid excessive skin dryness or irritation.

Patients should also be aware of the potential interaction with other exfoliating agents, both chemical (like alpha hydroxy acids) and physical (like abrasive scrubs), as the combination may lead to increased skin irritation or damage. It is generally recommended to avoid using multiple exfoliating products concurrently unless directed by a healthcare professional.

Systemic absorption of salicylic acid can be increased when applied to large areas of the body or under occlusive dressings, which could potentially lead to salicylate toxicity, especially in individuals with impaired kidney function. Therefore, caution should be exercised when using this formulation in such circumstances, and it should not be used on large areas of the body or with occlusive dressings unless directed by a healthcare provider.

Additionally, caution is advised when using this formulation in patients taking oral anticoagulants (such as warfarin) or antiplatelet drugs, as salicylates can have anticoagulant effects and may increase the risk of bleeding. While the risk is generally low with topical application, it is still important to monitor for signs of bleeding.

Patients with diabetes or poor circulation should use this formulation with caution, as salicylic acid may cause skin irritation or ulceration, particularly on the feet or legs. It is important to monitor the treated areas for any signs of adverse effects.

It is also important to note that both lactic acid and salicylic acid can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should be advised to use sunscreen and wear protective clothing when exposed to the sun, and to avoid tanning beds and other sources of UV light.

Lastly, patients with known allergies to salicylates or other ingredients in the formulation should not use this product. If you experience any unusual symptoms or signs of an allergic reaction, such as rash, itching, or difficulty breathing, discontinue use immediately and seek medical attention.

If you have any questions or concerns regarding the use of this formulation or potential 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 effective use of our products.

How Does it Work

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The Lactic Acid 20%/Salicylic Acid 20% Topical Liquid is a specially crafted dermatological solution that combines the keratolytic and exfoliating properties of two potent acids to treat a variety of skin conditions. 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 promotes exfoliation, leading to smoother, more evenly pigmented skin, and can help reduce the appearance of fine lines, wrinkles, and age spots. Additionally, lactic acid enhances skin hydration by increasing its capacity to hold water, which is beneficial for improving skin texture and resilience.

Salicylic acid, a beta hydroxy acid (BHA), penetrates into the pores of the skin to dissolve sebum and other debris that can lead to acne. Its keratolytic effect helps to exfoliate the skin by causing the cells of the epidermis to shed more readily, preventing pores from clogging up and allowing room for new cell growth. Furthermore, salicylic acid has anti-inflammatory properties that can help to reduce redness and swelling associated with acne, making it an effective ingredient for treating breakouts and improving overall skin clarity.

When combined at a concentration of 20% each in a topical liquid formulation, lactic acid and salicylic acid provide a powerful treatment for conditions such as acne vulgaris, keratosis pilaris, and hyperkeratosis. This formulation can also be effective in managing the symptoms of psoriasis and other scaling skin conditions by promoting the shedding of the outer layer of skin and reducing the buildup of scales. The liquid dosage form allows for easy application and rapid absorption, targeting specific areas without systemic side effects.

It is important for patients and prescribers to understand that this high-concentration acid combination can cause skin irritation, especially in those with sensitive skin or when used improperly. A patch test is recommended before widespread use, and the formulation should be used as directed by a healthcare professional. Sun protection is also crucial when using this product, as AHAs and BHAs can increase skin sensitivity to UV radiation.

For more detailed information on the use of Lactic Acid 20%/Salicylic Acid 20% Topical Liquid, or if you have any questions regarding this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this treatment.

Other Uses

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The combination of lactic acid and salicylic acid in a topical liquid form, while primarily indicated for treating specific skin conditions such as keratosis pilaris, psoriasis, and acne due to their respective keratolytic and comedolytic properties, may also be employed for other uses. Both lactic and salicylic acids are known for their exfoliating capabilities, which can be beneficial in the treatment of hyperkeratotic disorders and in the improvement of skin texture and tone by promoting the shedding of the outer layer of skin.

This topical liquid may also be useful as an adjunct treatment for those suffering from ingrown hairs or 'razor bumps', as the exfoliating action can aid in freeing trapped hairs and reducing inflammation. Moreover, the formulation may be used off-label for the softening and removal of calluses and corns, when applied consistently over time, providing a less invasive alternative to physical removal techniques. Additionally, the formulation can serve as a chemical peeling agent for those seeking to enhance the appearance of aging skin, as the combination of acids may reduce the appearance of fine lines and improve overall skin radiance by accelerating the natural exfoliation process.

It should be noted that while this formulation has potential benefits for a variety of skin concerns, it is important to approach use for conditions other than those for which it is primarily prescribed with caution. Factors such as skin type, sensitivity, and the specific condition being treated should be considered to avoid adverse effects such as irritation or chemical burns, particularly with prolonged or improper use. Careful adherence to application instructions is paramount.

Patients or prescribers with questions regarding the potential uses or suitability of this formulation for a particular condition are encouraged to reach out to us at Bayview Pharmacy for expert advice and guidance. Our team of compounding pharmacists is ready to provide personalized assistance and ensure the safe and effective use of our customized medications.

Frequently Asked Questions

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What is Lactic Acid 20%/Salicylic Acid 20% Topical Liquid used for?

This topical liquid is designed to treat various skin conditions that benefit from the exfoliating and keratolytic properties of Lactic Acid and Salicylic Acid. It is commonly used to improve skin texture, treat acne, reduce the appearance of fine lines and wrinkles, and address hyperpigmentation and other issues related to the buildup of dead skin cells.

How do you apply Lactic Acid 20%/Salicylic Acid 20% Topical Liquid to the skin?

Cleanse the skin thoroughly before applying. Use a cotton pad, swab, or glove to apply the liquid to the affected area, being careful to avoid healthy skin surrounding the area being treated. Do not rinse the liquid off unless irritation occurs, and follow the application instructions provided by your healthcare provider.

Can Lactic Acid 20%/Salicylic Acid 20% Topical Liquid cause skin irritation?

Yes, due to the high concentrations of Lactic Acid and Salicylic Acid, this topical liquid may cause skin irritation, redness, or discomfort, especially if used on sensitive skin or applied too frequently. If irritation persists, discontinue use and consult a healthcare professional.

How often should I use Lactic Acid 20%/Salicylic Acid 20% Topical Liquid?

The frequency of use will depend on your specific skin condition and the recommendations of your healthcare provider. Start with less frequent applications and increase as directed, observing how your skin responds to treatment.

Are there any skin types that should not use this product?

Individuals with very sensitive skin, certain skin disorders, or allergies to Lactic Acid or Salicylic Acid should avoid using this product. It is also not recommended for those who have recently shaved, waxed, or used other exfoliating agents. Always consult with a healthcare provider prior to starting any new skin treatment regimen.

Can I apply makeup or sunscreen over this topical liquid?

Yes, however, it is advisable to wait until the treatment has completely dried on your skin before applying makeup or sunscreen. As both Lactic and Salicylic Acids can increase your skin’s sensitivity to sunlight, using a broad-spectrum sunscreen is highly recommended during the day.

Is this formulation safe to use during pregnancy?

The safety of Lactic Acid and Salicylic Acid during pregnancy has not been fully established. We recommend that pregnant or breastfeeding individuals consult their healthcare provider before using this topical liquid.

Will Lactic Acid 20%/Salicylic Acid 20% Topical Liquid help with acne scars?

While this formulation is designed to exfoliate and renew the skin surface, which may improve the appearance of acne scars over time, it is not specifically intended as a scar treatment. For targeted scar treatments, it is best to consult a dermatologist.

Can this product be used together with other skincare products?

When using this product, it is important to avoid combining it with other potentially irritating skincare products, such as those containing retinoids or other acids. To determine an appropriate skincare routine, discuss your current product usage with a healthcare provider.

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

If you experience severe irritation or signs of an allergic reaction, such as hives, itching, or swelling, rinse the treated area immediately with water and discontinue use of the product. Seek medical attention promptly if symptoms persist or worsen.

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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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