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Formulas

Lidocaine 5%/Salicylic Acid 60% Topical Paste

FDA-approved generic
Dose form
Topical Paste
Active ingredients
Salicylic Acid
Lidocaine Hydrochloride

The Lidocaine 5%/Salicylic Acid 60% Topical Paste is a semi-solid formulation designed for external application to the skin. This paste is dispensed in a tube and provides a thick, occlusive consistency that adheres well to the skin surface.

Lidocaine works by numbing the skin, providing relief from pain and discomfort, while salicylic acid helps in the removal of dead skin cells, reducing scaling and promoting healing. This formulation is commonly used to treat disease states such as warts, calluses, and other skin lesions where both analgesic and keratolytic actions are beneficial. The paste offers ease of application and precise dosage control, ensuring targeted therapy and improved patient compliance.

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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.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
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.
Salicylic Acid
Lidocaine Hydrochloride
Topical Paste
65b002fe1654fe3e816ed632
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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The Lidocaine 5%/Salicylic Acid 60% Topical Paste is a specialized medication intended for external use on the skin. Lidocaine is a local anesthetic that provides temporary relief of pain by blocking nerve signals in the skin. Salicylic Acid is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. This combination is often used for the treatment of various skin conditions, such as warts, calluses, or other skin conditions where a combination of pain relief and peeling of the skin is beneficial.

When using this topical paste, it is important to consider potential drug interactions. Lidocaine, when applied topically, is generally considered to have a low risk of systemic absorption and thus a low risk of systemic drug interactions. However, caution should be exercised when lidocaine is used in large amounts, over large areas of skin, or when the skin is broken or inflamed, as these conditions can increase systemic absorption. If systemic absorption occurs, lidocaine may interact with antiarrhythmic drugs, such as tocainide and mexiletine, as well as other local anesthetics. This can potentially increase the risk of systemic side effects such as CNS depression, cardiac arrhythmias, and toxicity.

Salicylic Acid, on the other hand, can potentially interact with other topical medications that affect skin shedding or irritation, such as other keratolytics, abrasive soaps and cleansers, alcohol-containing preparations, and acne medications containing benzoyl peroxide, sulfur, resorcinol, or tretinoin. Concurrent use of these agents may result in additive irritation and dryness of the skin. Additionally, caution should be exercised when salicylic acid is used with medications that affect blood clotting, such as anticoagulants (e.g., warfarin) and antiplatelet drugs (e.g., aspirin), due to the risk of increased bleeding if excessive skin erosion occurs.

Patients should also be aware that the use of other topical products, cosmetics, or soaps with a strong drying effect may increase the likelihood of skin irritation. It is advisable to consult with a healthcare provider before combining this paste with other skin treatments. Furthermore, patients should avoid applying the paste to large areas of the body or under occlusive dressings unless directed by a healthcare provider, as this may increase systemic absorption of both lidocaine and salicylic acid.

It is important to inform the prescriber of all medications, supplements, and herbal products the patient is currently using to avoid potential interactions. If any unusual symptoms occur, such as excessive skin irritation, difficulty breathing, dizziness, or irregular heartbeat, patients should seek immediate medical attention. For any questions or concerns regarding the use of Lidocaine 5%/Salicylic Acid 60% Topical Paste and potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Lidocaine 5%/Salicylic Acid 60% Topical Paste is a specialized medication formulated for external use on the skin. This semi-solid preparation is designed to be dispensed in a tube, allowing for easy and controlled application to the affected area. The paste's consistency is thick and occlusive, ensuring that it adheres well to the skin surface and creates a protective barrier. This characteristic is particularly beneficial for localized treatment and wound care, as it helps to maintain the medication in contact with the skin for an extended period, enhancing its therapeutic effects.

Lidocaine, an amide-type local anesthetic, works by blocking sodium channels in the neuronal cell membrane. This action inhibits the initiation and conduction of nerve impulses, thereby providing a numbing effect to the applied area. At a 5% concentration, lidocaine in this formulation serves to reduce pain and discomfort associated with various skin conditions or procedures. It is particularly useful for providing temporary relief of pain and itching due to minor burns, cuts, or skin irritations.

Salicylic Acid, on the other hand, is a keratolytic agent that causes shedding of the outer layer of skin. Salicylic Acid works by softening and loosening dry, scaly, or thickened skin, making it easier to remove. This action helps to clear pores, reduce swelling and redness, and promote healing. It is commonly used for the treatment of warts, psoriasis, calluses, and other skin conditions that involve scaling or overgrowth of skin cells.

When combined, Lidocaine and Salicylic Acid in a topical paste form create a potent medication that not only relieves pain but also aids in the removal of problematic skin lesions. The paste formulation allows for a targeted approach, ensuring that the active ingredients are delivered directly to the area in need. This localized treatment minimizes systemic absorption and reduces the likelihood of side effects that may occur with oral medications.

Patients and prescribers should note that this formulation is intended for external use only and should be applied as directed by a healthcare professional. It is important to follow the prescribed dosage and application instructions to achieve the desired therapeutic outcomes. If there are any questions or concerns regarding the use of this medication, 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 appropriate treatment.

Frequently Asked Questions

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What is Lidocaine 5%/Salicylic Acid 60% Topical Paste?

Lidocaine 5%/Salicylic Acid 60% Topical Paste is a compounded medication consisting of two active ingredients, lidocaine and salicylic acid. Lidocaine is a local anesthetic used to numb the skin, while salicylic acid is a keratolytic that helps the skin to shed dead cells. The combination is designed for external use on the skin to treat various conditions such as warts, skin lesions, or certain types of pain.

How do I use this topical paste?

This topical paste should be applied on the affected area of the skin as prescribed by your healthcare provider. Clean and dry the area before application. Squeeze a small amount onto your finger or a suitable applicator and spread it over the affected site, forming a thin layer.

Can this paste be used for any type of skin irritation or pain?

While this paste may provide relief for certain skin conditions and localized pain, it should only be used for conditions that have been evaluated by a healthcare provider. Do not use this paste for treating undiagnosed skin conditions or pain without consulting a physician.

How often should I apply the paste?

The frequency of application depends on the instructions provided by your healthcare provider, as it may vary based on the condition being treated. Follow the prescribed regimen, and do not apply more frequently than advised.

Are there any side effects associated with Lidocaine 5%/Salicylic Acid 60% Topical Paste?

Possible side effects may include local skin irritation, redness, burning, or peeling at the application site. Sensitivity or allergic reactions may also occur, which may require immediate medical attention. If you experience any unusual symptoms after application, contact your healthcare provider promptly.

Can I cover the area after applying the paste?

You may be instructed by your healthcare provider to cover the area with a bandage or dressing after applying the paste to enhance its effect or protect the area. Always follow the specific advice provided by your healthcare provider regarding covering the treated area.

Is this topical paste suitable for children?

The use of this compound on children should be determined by a healthcare provider. Special caution is required due to the differing skin absorption rates and the potential for systemic effects in children.

Can I apply cosmetics or other skincare products over the paste?

It's generally recommended to avoid using cosmetics or other skincare products on the treated area, as they may interact with the medication or reduce its effectiveness. Consult with your healthcare provider for specific recommendations.

What should I do if I miss a dose of the paste?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra paste to make up for a missed dose.

How should I store this topical paste?

Store the paste at room temperature away from direct sunlight and heat. Keep the tube tightly closed when not in use, and ensure it is out of reach of children and pets.

What is the difference between the formulation as a paste versus a cream or ointment?

The paste formulation is specifically designed to be thick and occlusive, adhering well to the skin surface and offering sustained delivery of the active ingredients. This is particularly useful for treating localized areas, providing a protective barrier and allowing for precise dosage control in contrast to creams or ointments, which may be more spreadable or less adherent.

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.

Lidocaine 5%/Salicylic Acid 60% Topical Paste
Topical Paste
30 g
controlled

Apply topically to affected area(s)

Three times daily