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Lactic Acid 4%/Salicylic Acid 5%/Trichloroacetic Acid 2% Topical Solution

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

This Lactic Acid 4%/Salicylic Acid 5%/Trichloroacetic Acid 2% Topical Solution is a liquid formulation designed for external application to the skin. It provides a convenient and versatile means of delivering active ingredients for targeted treatment of various dermatological conditions.

This solution is specifically formulated to treat conditions such as acne, warts, and hyperkeratotic skin disorders. By combining the keratolytic properties of lactic acid and salicylic acid with the exfoliating effects of trichloroacetic acid, this topical solution effectively aids in the removal of dead skin cells, unclogs pores, and promotes skin renewal.

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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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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
Trichloroacetic Acid
Topical Solution
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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Drug Interactions

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This topical solution, containing Lactic Acid 4%, Salicylic Acid 5%, and Trichloroacetic Acid 2%, is designed for external application to the skin. It is formulated to treat various dermatological conditions by exfoliating the skin, promoting cell turnover, and addressing hyperkeratotic and hyperpigmented lesions.

Patients and prescribers should be cautious when using this topical solution in conjunction with other topical medications, particularly those containing similar keratolytic agents such as benzoyl peroxide, retinoids (e.g., tretinoin, adapalene), or other salicylic acid-containing products. Concurrent use may increase the risk of skin irritation, dryness, or peeling. It is advisable to space out the application of different topical treatments to minimize these effects, or to consult with a healthcare provider for guidance on appropriate use.

Systemic absorption of the active ingredients in this formulation is generally minimal; however, caution is advised when using this product in combination with systemic medications that may affect skin integrity or healing, such as corticosteroids or immunosuppressants. These medications may alter the skin's response to the acids in the formulation, potentially leading to increased sensitivity or adverse reactions.

Patients with a history of hypersensitivity to any of the active ingredients or excipients in the formulation should avoid use, as allergic reactions may occur. Additionally, those with pre-existing skin conditions, such as eczema or rosacea, should use this product with caution, as it may exacerbate these conditions. It is recommended to perform a patch test on a small area of skin before full application to assess for any adverse reactions.

For patients undergoing other dermatological treatments, such as chemical peels, laser therapy, or microdermabrasion, it is important to discuss the use of this topical solution with a healthcare provider. These procedures may increase skin sensitivity, and the combined use with this formulation could lead to excessive irritation or damage to the skin barrier.

As with any medication, it is crucial to follow the prescribed application instructions and to report any unusual or severe side effects to a healthcare provider promptly. If you have any questions or concerns about using this formulation, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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This topical solution is a carefully formulated combination of Lactic Acid 4%, Salicylic Acid 5%, and Trichloroacetic Acid 2%, designed to address a variety of dermatological conditions through a synergistic approach. Each component plays a distinct role in the treatment process, contributing to the overall efficacy of the formulation.

Lactic Acid, a type of alpha hydroxy acid (AHA), is known for its exfoliating properties. It works by gently breaking down the bonds between dead skin cells, promoting their shedding and revealing fresher, healthier skin underneath. This action not only helps in improving skin texture and tone but also enhances the penetration of other active ingredients in the formulation, thereby boosting their effectiveness.

It penetrates into the pores, dissolving excess sebum and debris, which helps to prevent and treat acne lesions. Additionally, its anti-inflammatory properties can reduce redness and swelling, providing relief from the discomfort associated with acne and other inflammatory skin conditions.

Trichloroacetic Acid (TCA) is a potent exfoliant used in chemical peels. At a concentration of 2%, it aids in the removal of the outermost layers of the skin, promoting regeneration and the growth of new, healthy skin cells. This action can be beneficial in treating conditions such as hyperpigmentation, fine lines, and superficial scars, as it encourages a more even skin tone and smoother texture.

The combination of these three acids in a liquid formulation allows for targeted application to affected areas, making it a versatile treatment option for a range of skin issues. The liquid form ensures easy application and absorption, allowing the active ingredients to work effectively at the site of application. This formulation is particularly useful for patients seeking a non-invasive treatment option for improving skin appearance and health.

For prescribers, this formulation offers a multi-faceted approach to dermatological care, leveraging the unique properties of each acid to address various skin concerns. It is important to consider the patient's skin type and condition severity when recommending this treatment, as the acids can cause irritation in sensitive skin. Patients should be advised to apply the solution as directed, typically starting with a small test area to assess tolerance.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the best possible outcomes for your dermatological needs.

Other Uses

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The Lactic Acid 4%/Salicylic Acid 5%/Trichloroacetic Acid 2% Topical Solution is primarily formulated for the treatment of various dermatological conditions, such as hyperkeratotic disorders, acne, and certain types of warts. However, beyond these primary indications, this formulation may have other potential uses that can be beneficial for both patients and prescribers seeking alternative therapeutic options. The combination of these acids can be utilized for chemical exfoliation, which may aid in improving skin texture and tone by promoting the shedding of dead skin cells and stimulating cell turnover. This can be particularly useful for individuals dealing with rough, uneven skin or those looking to enhance the overall appearance of their skin.

Additionally, the formulation may be employed as an adjunctive treatment in managing conditions like keratosis pilaris, where the gentle exfoliating properties of lactic and salicylic acids can help reduce the characteristic bumps and improve skin smoothness. The trichloroacetic acid component, known for its deeper penetration, can assist in addressing more stubborn skin lesions or discolorations, making it a versatile option for targeted treatment of localized skin issues. Furthermore, this topical solution might be considered for use in pre-procedural skin preparation, helping to prime the skin for enhanced outcomes in certain dermatological procedures by ensuring a clean and exfoliated surface.

For prescribers, understanding the multifaceted applications of this formulation can expand treatment possibilities for patients with complex or resistant skin conditions. It is important to assess the patient's skin type and condition severity to tailor the use of this solution appropriately, ensuring optimal results while minimizing potential irritation. Patients should be advised on the correct application techniques and the importance of adhering to prescribed usage to achieve the desired therapeutic effects. As with any topical treatment, monitoring for adverse reactions is crucial, and patients should be encouraged to report any unexpected skin responses. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of the Lactic Acid 4%/Salicylic Acid 5%/Trichloroacetic Acid 2% Topical Solution?

This topical solution is designed to deliver active ingredients to the skin for the treatment of various dermatological conditions. It combines lactic acid, salicylic acid, and trichloroacetic acid to help exfoliate, treat acne, and improve skin texture.

How should I apply this topical solution?

Apply a small amount of the solution to the affected area of the skin, using a cotton pad or applicator, as directed by your healthcare provider. Avoid contact with eyes and mucous membranes.

Can I use this solution on sensitive skin?

It is important to consult with a healthcare professional before using this solution on sensitive skin, as the acids may cause irritation. A patch test is recommended to assess skin tolerance.

How often should I use this topical solution?

The frequency of application should be determined by your healthcare provider based on your specific skin condition and tolerance. Typically, it may be used once or twice daily.

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

If you experience irritation or an allergic reaction, discontinue use immediately and consult your healthcare provider for further guidance.

Can I use this solution with other skincare products?

Consult with your healthcare provider before combining this solution with other skincare products, especially those containing active ingredients, to avoid potential interactions or increased irritation.

Is this topical solution suitable for all skin types?

This solution may not be suitable for all skin types, particularly very sensitive or damaged skin. It is best to consult with a healthcare provider to determine if it is appropriate for your skin type.

What are the potential side effects of using this solution?

Potential side effects may include skin irritation, redness, peeling, or dryness. If you experience severe or persistent side effects, contact your healthcare provider.

How should I store this topical solution?

Store the solution in a cool, dry place away from direct sunlight and out of reach of children. Ensure the cap is tightly closed after each use.

Can I use this solution during pregnancy or breastfeeding?

Consult with your healthcare provider before using this solution during pregnancy or breastfeeding to ensure it is safe for you and your baby.

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 4%/Salicylic Acid 5%/Trichloroacetic Acid 2% Topical Solution
Topical Solution
60 mL
controlled

Apply topically to affected area(s)

In office, as directed