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Formulas

Salicylic Acid 4% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Salicylic Acid

Salicylic Acid 4% Topical Cream is a semisolid preparation formulated for direct application to the skin. This cream is dispensed through a pump mechanism, which allows for convenient and controlled dosing. The active ingredient, salicylic acid, is known for its keratolytic properties, aiding in the removal of dead skin cells and promoting the renewal of skin texture.

This formulation is primarily used in the treatment of common skin conditions such as acne, psoriasis, and keratosis pilaris. It works by reducing inflammation and unclogging pores in acne, slowing the production of skin cells in psoriasis, and exfoliating the skin to reduce the formation of keratin plugs in keratosis pilaris.

Patients are advised to apply the cream as directed by a healthcare provider, ensuring that the affected area is clean and dry before application. Regular use as part of a skincare routine can lead to improved skin appearance and relief from the symptoms associated with these disease states.

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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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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
Topical Cream
65d61950ca2958935e4a74c4
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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Salicylic Acid 4% Topical Cream is a carefully compounded semisolid preparation, specifically designed to be dispensed through a pump mechanism. The cream base is formulated to facilitate the localized treatment of the skin, allowing for the absorption of salicylic acid directly into the affected area. Salicylic acid, as an active ingredient, is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. It is commonly used in the treatment of acne due to its ability to reduce clogged pores by promoting the sloughing away of dead skin cells.

In addition to acne, Salicylic Acid 4% Topical Cream is beneficial in the management of other dermatological conditions such as psoriasis, calluses, corns, keratosis pilaris, and warts. In psoriasis, it helps to reduce scaling and thickening of the skin by promoting the removal of psoriatic plaques. For calluses and corns, salicylic acid softens the keratin that forms these areas, allowing for easier removal and relief of discomfort. When dealing with keratosis pilaris, it aids in exfoliating the plugged hair follicles that cause the characteristic rough bumps on the skin. For warts, the keratolytic action of salicylic acid helps in the exfoliation of the wart tissue, facilitating its eventual removal.

Patients with sensitive skin, or those using other topical medications, should consult with a healthcare provider before starting treatment. Additionally, the cream should be applied only to the affected areas and not on healthy skin, mucous membranes, or open wounds. Patients should also be advised to avoid occlusive dressings unless directed by a healthcare provider, as this may increase the absorption of salicylic acid and the potential for systemic effects.

For optimal results, patients should follow the specific application instructions provided by their healthcare provider or pharmacist. The frequency and duration of application may vary depending on the condition being treated and the individual patient's response to therapy. As with any medication, if irritation or sensitivity occurs, use should be discontinued, and a healthcare provider should be consulted.

If you have any questions regarding Salicylic Acid 4% Topical Cream or its use in treating specific skin conditions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the information and support you need to ensure appropriate treatment.

Drug Interactions

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Salicylic Acid 4% Topical Cream is a keratolytic agent used primarily for its exfoliating effects to treat a variety of skin conditions such as acne, psoriasis, and keratosis pilaris. When considering the use of this formulation, it is important to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects.

While salicylic acid is applied topically and is generally considered to have minimal systemic absorption, there is still a possibility of interactions, particularly with other topical products. Concurrent use of other topical acne medications, especially those containing retinoids, benzoyl peroxide, or other acids (such as glycolic acid), may increase the likelihood of skin irritation or dryness. It is advisable to space the application of these products to minimize potential irritation.

Patients using medications that thin the blood, such as warfarin or other anticoagulants, should use salicylic acid with caution. Although the risk of systemic absorption is low, there is a theoretical risk of increased bleeding due to the antiplatelet properties of salicylic acid. Similarly, salicylic acid should be used cautiously in patients taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), as the combination may increase the risk of salicylate toxicity, especially if the cream is applied to large areas of the body or used over prolonged periods.

Medications that affect renal function or alter the pH balance of the urine, such as carbonic anhydrase inhibitors or high-dose vitamin C, may also interact with salicylic acid. In the rare event of significant systemic absorption, these medications could potentially alter the excretion of salicylic acid, leading to higher systemic levels and an increased risk of toxicity.

It is also important to consider the use of cosmetics, soaps, cleansers, and other skincare products that may have an additive drying or irritating effect when used with salicylic acid. Patients should be advised to use gentle skincare products and to avoid the use of abrasive scrubs or peels while using this medication.

Patients with diabetes or poor circulation should consult with a healthcare provider before using salicylic acid, as it may increase the risk of skin irritation or ulceration, particularly on the feet or legs.

As with all medications, it is essential to inform healthcare providers of all the products you are using, including prescription, over-the-counter medications, and herbal supplements, to avoid potential interactions. If you have any questions or concerns about using Salicylic Acid 4% Topical Cream or its interactions with other medications, please reach out to us at Bayview Pharmacy for personalized advice and information.

How Does it Work

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Salicylic Acid 4% Topical Cream is a carefully formulated medication that works by promoting the shedding of the outer layer of skin. Salicylic acid, a beta hydroxy acid, is a keratolytic agent, which means it has the ability to dissolve keratin, the protein that forms part of the skin structure. This action helps to soften and slough off the top layer of skin cells, which can be beneficial in treating a variety of skin conditions.

When applied to the skin, salicylic acid penetrates into the pores and dissolves the dead skin cells and other debris that can cause blockages. Additionally, by removing dead skin cells, salicylic acid can also help to improve the texture and tone of the skin, making it appear smoother and more even.

Aside from acne, this formulation is also used in the treatment of other skin disorders such as psoriasis, where excessive buildup of skin cells causes itchy and scaly patches. Salicylic acid helps to reduce the scaling by softening and lifting the scales. Moreover, it can be used for the treatment of warts, corns, and calluses, where its keratolytic properties help to thin and remove the affected layers of skin.

The cream is formulated to ensure that the salicylic acid is delivered in a controlled manner to the affected area, minimizing the potential for systemic absorption and side effects. The semisolid preparation dispensed in a pump mechanism allows for convenient and controlled application, ensuring that the correct dose is applied to the skin each time. This dosage form is designed to create a barrier on the skin, which not only helps in the absorption of the active ingredient but also maintains the skin's hydration.

Patients with sensitive skin, or those using other topical medications, should consult with a healthcare provider before starting treatment with salicylic acid. Additionally, excessive use of the product can lead to skin irritation or chemical burns, so it is important to follow the prescribed directions for use.

If you have any questions about the Salicylic Acid 4% Topical Cream or its use in treating specific skin conditions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your skin health.

Frequently Asked Questions

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What is Salicylic Acid 4% Topical Cream used for?

This topical cream is most commonly used to treat acne. However, it can also be effective for other skin conditions that involve scaling or overproduction of skin cells, such as psoriasis, corns, calluses, and warts.

How should I use Salicylic Acid 4% Topical Cream?

Apply a thin layer of the cream to the affected area as directed by your healthcare provider, typically once or twice a day. Use the pump to dispense the cream onto your finger or directly onto the affected area, and gently massage it in until absorbed.

Can Salicylic Acid 4% Topical Cream be used on all parts of the body?

Salicylic Acid 4% Topical Cream should not be applied to sensitive areas such as the eyes, nose, mouth, or genital regions unless otherwise directed by a healthcare provider. It's predominantly intended for use on the skin areas affected by specific conditions like acne or psoriasis.

Is Salicylic Acid 4% Topical Cream suitable for all skin types?

While Salicylic Acid 4% Topical Cream can be suitable for many skin types, individuals with sensitive skin or certain skin conditions should consult with a healthcare provider before use. Additionally, an initial patch test is recommended to check for any adverse reactions.

What should I do if I miss a dose?

If you forget to apply the cream at your usual time, apply it as soon as you remember. However, if it is almost time for your next application, skip the missed dose and resume your regular dosing schedule.

Can Salicylic Acid 4% Topical Cream cause side effects?

Like all medications, Salicylic Acid 4% Topical Cream can cause side effects, though not everyone experiences them. Common side effects include skin irritation, redness, peeling, or dryness. If any of these effects persist or worsen, contact your healthcare provider.

How should I store Salicylic Acid 4% Topical Cream?

The cream should be stored at room temperature away from direct heat and light. Keep the container tightly closed when not in use. Do not freeze the cream, and keep it out of reach of children.

Can I use cosmetics or other skin products while using Salicylic Acid 4% Topical Cream?

It is possible to use cosmetics or other skin products, but you should apply the Salicylic Acid 4% Topical Cream and let it dry first. Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

What should I avoid while using Salicylic Acid 4% Topical Cream?

Avoid prolonged sun exposure, tanning booths, and sunlamps. Use sunscreen and wear protective clothing when outdoors. You should also avoid using other topical medications on the same area unless directed by your healthcare provider.

What if I experience severe irritation or an allergic reaction to Salicylic Acid 4% Topical Cream?

If you experience severe irritation, rash, hives, itching, difficulty breathing, or any other signs of an allergic reaction, discontinue use immediately and seek medical attention.

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.

Salicylic Acid 4% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily