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Mequinol 2%/Tretinoin 0.01% Topical Liquid

FDA-approved generic
Dose form
Topical Liquid
Active ingredients
Mequinol
Tretinoin

Mequinol 2%/Tretinoin 0.01% Topical Liquid is a specially compounded dermatological solution intended for direct application to the skin. This formulation combines the depigmenting action of mequinol with the keratolytic effects of tretinoin, providing a targeted approach to treat skin conditions such as solar lentigines, also known as age spots or liver spots, and related hyperpigmented lesions resulting from chronic sun exposure. The liquid dosage form ensures ease of application on affected areas, facilitating absorption and minimizing potential systemic side effects.

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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

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.
Mequinol
Tretinoin
Topical Liquid
65ba7724d974674c9b16c13a

Formula Information

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Mequinol 2%/Tretinoin 0.01% Topical Liquid is a compounded medication specifically designed for topical application. This formulation combines the depigmenting action of mequinol with the keratolytic and comedolytic properties of tretinoin. Mequinol, a derivative of hydroquinone, is known for its ability to lighten hyperpigmented skin areas by inhibiting the production of melanin, the pigment responsible for skin color. It is particularly useful in treating conditions like solar lentigines, also known as age spots or liver spots, and can be beneficial in managing melasma, a form of skin hyperpigmentation.

Tretinoin, a retinoid, works by promoting the turnover of skin cells, which helps to unclog pores and prevent the formation of acne lesions. It also stimulates collagen production, which can reduce the appearance of fine lines and wrinkles, making it a valuable component in anti-aging skin care regimens. The combination of mequinol and tretinoin in a 2%/0.01% concentration provides a synergistic effect that can enhance the treatment of pigmentation disorders and photoaging, while minimizing potential irritation by using a lower concentration of tretinoin.

This topical liquid formulation is designed for ease of use and precise application to affected areas. It is suitable for patients seeking a targeted approach to treat specific skin concerns while avoiding the systemic side effects that can occur with oral medications. The liquid form allows for a thin, even application, which can be particularly beneficial for larger or irregularly shaped areas of hyperpigmentation. As with all topical treatments, patients should be advised to apply the medication as directed by their healthcare provider, typically once daily in the evening, and to use sun protection during the day to prevent further pigmentation changes.

It is important for both patients and prescribers to be aware that this compounded medication should be used under the guidance of a healthcare professional experienced in the management of skin conditions. Patients should be monitored for potential side effects, such as skin irritation, redness, or peeling, which can occur with topical retinoids and depigmenting agents. Adjustments to the treatment regimen may be necessary based on the patient's response and tolerance to the medication.

For further information or questions regarding the use of Mequinol 2%/Tretinoin 0.01% Topical Liquid, or to discuss individual patient needs, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and support to optimize treatment outcomes.

Drug Interactions

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Mequinol is a derivative of hydroquinone with depigmenting properties, while tretinoin, a retinoid, is used for its skin renewal properties. When using this combination therapy, it is important to consider potential drug interactions.

Firstly, patients should be advised to avoid using other topical products that may cause irritation or have a compounding effect with the active ingredients in this formulation. These include products containing alcohol, astringents, spices, lime, medicated soaps and shampoos, permanent wave solutions, electrolysis, hair depilatories or waxes, or other preparations or processes that might dry or irritate the skin. Concurrent use of other topical acne therapies, particularly those containing sulfur, resorcinol, or salicylic acid, should be undertaken with caution due to the potential for increased local irritation.

Additionally, the use of other topical products containing retinoids or retinoid-like compounds should be avoided due to the potential for additive effects, which may increase the risk of irritation. Patients should also be cautious when using products containing benzoyl peroxide, as it can cause temporary changes in the skin color (ochronosis) when used with mequinol.

Systemic absorption of tretinoin and mequinol is minimal; however, caution should be exercised when the formulation is used in conjunction with systemic medications that are known to be photosensitizers, such as thiazide diuretics, tetracyclines, fluoroquinolones, phenothiazines, and sulfonamides, as there may be an increased risk of phototoxicity. Patients should be advised to use effective sun protection and avoid unnecessary or prolonged exposure to sunlight and UV lamps while using this formulation.

It is also important to note that the use of this topical formulation should be monitored in patients who are taking other medications that can cause skin dryness or irritation, as the combination may exacerbate these effects. Patients should inform their healthcare provider of all the products and medications they are currently using, including over-the-counter drugs and herbal supplements, to avoid potential interactions.

Lastly, while this formulation is intended for external use only, care should be taken to ensure that it does not come into contact with the eyes, mouth, angles of the nose, or mucous membranes, as it may cause irritation. In the event of accidental contact, the area should be rinsed thoroughly with water.

For 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 appropriate use of this medication.

How Does it Work

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The Mequinol 2%/Tretinoin 0.01% Topical Liquid is a specially crafted dermatological solution that combines the depigmenting action of mequinol with the skin renewal properties of tretinoin. This formulation is intended for direct application to the skin, where it works by targeting specific areas of concern, such as age spots, solar lentigines, and other forms of hyperpigmentation. The liquid dosage form ensures that the active ingredients are easily applied and absorbed into the skin, providing a localized effect while minimizing systemic absorption and potential side effects.

Mequinol, a derivative of hydroquinone, serves as a skin-lightening agent by inhibiting the enzyme tyrosinase, which is essential in the production of melanin, the pigment responsible for skin color. By reducing melanin synthesis, mequinol gradually lightens the hyperpigmented areas, leading to a more even skin tone.

Tretinoin, a retinoid, complements mequinol by promoting the turnover of epithelial cells. At a concentration of 0.01%, tretinoin accelerates the shedding of the pigmented and damaged keratinocytes from the skin's surface, allowing new, healthier cells to replace them. This process not only aids in the lightening effect but also improves the texture and elasticity of the skin. Tretinoin has been widely studied and is also known for its ability to treat acne and reduce the appearance of fine wrinkles and mottled skin discoloration.

The formulation's liquid base facilitates a uniform application, ensuring that the active ingredients are delivered efficiently to the affected areas. Patients should apply the solution as directed by their healthcare provider, typically once daily in the evening, to clean, dry skin. It is important to avoid exposure to sunlight or UV lamps while using this product, and to apply sunscreen daily, as both mequinol and tretinoin can make the skin more sensitive to UV radiation.

For optimal results, patients should use this formulation consistently and as part of a comprehensive skin care regimen. It is essential to follow the prescriber's instructions regarding the duration of use, as overuse or prolonged application can lead to adverse effects. If you have any questions or require further information about the Mequinol 2%/Tretinoin 0.01% Topical Liquid, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support both patients and prescribers with any inquiries regarding this specialized formulation.

Other Uses

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While Mequinol 2%/Tretinoin 0.01% Topical Liquid is commonly prescribed for the treatment of solar lentigines, often referred to as age spots or liver spots, and can aid in depigmenting hyperpigmented areas of the skin to achieve a more uniform skin tone, there are additional dermatological uses for which it may be beneficial. This combination has been used off-label for certain other pigmentary disorders such as post-inflammatory hyperpigmentation, where it may help fade darkened patches of skin resulting from acne, injury, or inflammatory skin disorders. Additionally, due to tretinoin's properties as a retinoid, it can promote skin cell turnover which may make this formulation useful as an adjunct treatment in managing fine wrinkles, mottled hyperpigmentation, and tactile roughness of facial skin as part of a comprehensive skin rejuvenation program, though this use is not as extensively studied as its primary indication for age spots.

It is important for patients and prescribers to note that the benefits of this formulation in conditions other than its FDA-approved indication are considered off-label and may not be supported by extensive clinical studies. Moreover, patience and continuous application as directed by a healthcare provider are necessary, as improvement in skin conditions may take several weeks or months of treatment. Patients with a history of sensitive skin or eczema should use this formulation with caution, as retinoids can sometimes cause irritation, drying, or exacerbation of these conditions. Regular follow-up with the prescribing physician to monitor progress and tolerance is advised for all patients using this medication.

Given the specialty nature of compounding, this formulation may also be customized to meet specific concentration requirements or to exclude potential allergens for individual patients under the direction of a healthcare provider. If you are a patient or a prescriber with questions about the use of Mequinol 2%/Tretinoin 0.01% Topical Liquid for conditions other than those stated, or if you require further customization of this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team is dedicated to providing thorough guidance and ensuring the safe and appropriate use of compounded medications.

Frequently Asked Questions

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What is Mequinol 2%/Tretinoin 0.01% Topical Liquid?

Mequinol 2%/Tretinoin 0.01% Topical Liquid is a prescription medication used for the treatment of skin conditions such as age spots, sunspots, and other forms of discoloration. It combines the depigmenting action of mequinol with the skin-renewal properties of tretinoin.

How should this topical liquid be applied?

The liquid should be applied to affected areas of the skin, as directed by your healthcare provider. Typically, it should be applied sparingly to clean, dry skin usually once per day before bedtime, avoiding any contact with the eyes, nose, mouth, and other mucous membranes.

What are the benefits of using a compounded topical liquid form?

Using a compounded topical liquid allows for direct application to the desired area, offering targeted therapeutic effects and minimizing the potential for systemic side effects. This form is especially beneficial for localized skin conditions.

Can Mequinol/Tretinoin be used on all skin types?

Mequinol/Tretinoin can be used on many skin types but may not be suitable for very sensitive skin or individuals with certain skin conditions. A healthcare provider should assess skin type and condition before recommending this medication.

What should I avoid while using this medication?

While using Mequinol 2%/Tretinoin 0.01% Topical Liquid, you should avoid excessive exposure to sunlight and UV lamps, as well as avoid using other products that can irritate the skin, such as harsh soaps and cleansers, unless directed by your healthcare provider.

Can Mequinol/Tretinoin cause side effects?

Yes, potential side effects include redness, peeling, dryness, itching, and mild burning. More severe side effects are rare but can occur. If you experience severe discomfort or signs of an allergic reaction, contact your healthcare provider immediately.

How long does it take to see results from Mequinol/Tretinoin therapy?

Results can vary, but some patients may begin to see improvements in their skin condition within several weeks. However, it can take several months of consistent use to see significant results. It's important to follow your healthcare provider's instructions and be patient with the process.

Should I use a moisturizer with Mequinol 2%/Tretinoin 0.01% Topical Liquid?

Because tretinoin can cause dryness of the skin, using a moisturizer may be advised. However, it's important to consult with your healthcare provider to recommend a suitable non-comedogenic moisturizer that won't interfere with the treatment.

Is it safe to use Mequinol 2%/Tretinoin 0.01% Topical Liquid during pregnancy?

Tretinoin is a known teratogen, which means it can cause birth defects. This medication should not be used during pregnancy, and women of childbearing potential should use effective contraception while on this therapy. Always discuss with your healthcare provider if you are pregnant or planning to become pregnant.

What is the best way to store this medication?

This topical liquid should be stored at room temperature away from light and moisture. Keep the bottle tightly closed when not in use, and ensure it is out of reach of children and pets. Do not freeze this medication and discard any unused medication after the expiration date.

Can I apply makeup over the treated area?

You may apply makeup over the treated area, but it's important to wait until the medication has fully dried. Also, use gentle, non-comedogenic makeup products to avoid further irritating the skin. Always follow your healthcare provider's guidelines regarding makeup use.

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.

Mequinol 2%/Tretinoin 0.01% Topical Liquid
Topical Liquid
controlled