Our Salicylic Acid 5%/Spironolactone 5% Topical Cream is a specially formulated semisolid preparation, designed to deliver a combination of keratolytic and anti-androgenic effects directly to the affected skin areas. Encased in a pump mechanism, this cream ensures a convenient, hygienic, and controlled application, minimizing waste and maximizing therapeutic efficacy. Salicylic acid, a well-known beta hydroxy acid, works by exfoliating the skin and helping to dissolve skin debris that clogs pores. Spironolactone, on the other hand, serves as an anti-androgen that reduces the hormonal influences known to cause oiliness and breakouts. Together, these active ingredients make this cream an ideal choice for managing and treating acne vulgaris and seborrheic dermatitis, providing patients with a targeted approach to clearer, healthier skin.

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.
Our Salicylic Acid 5%/Spironolactone 5% Topical Cream is a meticulously crafted formulation designed to address specific dermatological conditions. Salicylic acid, a beta hydroxy acid, is well-known for its keratolytic properties, which help in exfoliating the skin by dissolving the bonds between skin cells. This action aids in the treatment of acne by unclogging pores and reducing the formation of comedones. Additionally, salicylic acid possesses anti-inflammatory properties that can alleviate the redness and swelling associated with acne lesions.
Spironolactone, on the other hand, is a medication that has been traditionally used as a diuretic but has found a role in dermatology due to its anti-androgen effects. By inhibiting the action of androgens, which can contribute to acne development, spironolactone reduces sebum production and can lead to clearer skin over time. The combination of these two active ingredients in a 5% concentration each provides a potent formulation for patients suffering from acne, particularly those with hormonal acne or oily skin types.
The cream is formulated as a semisolid preparation, which allows for a smooth and uniform application to the skin. The inclusion of a pump mechanism in the packaging ensures that the product is dispensed in a controlled manner, promoting consistent dosing and minimizing waste. This delivery system also helps in maintaining the stability and integrity of the active ingredients by limiting their exposure to air and contaminants.
For patients, it is important to understand that this topical cream is intended for localized treatment and should be applied to the affected areas as directed by a healthcare provider. It is also crucial to adhere to the prescribed regimen and to be aware of potential side effects, such as skin irritation or dryness, which may occur with the use of salicylic acid. Spironolactone may also cause localized side effects, and its use should be monitored by a healthcare professional.
Prescribers considering this formulation for their patients should take into account the patient's skin type, the severity of the acne, and any previous treatments. It is also advisable to discuss the potential benefits and risks associated with the use of this combination cream, as well as to provide guidance on the proper application technique and frequency of use.
At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to the unique needs of each patient. If you have any questions or require further information about our Salicylic Acid 5%/Spironolactone 5% Topical Cream, please do not hesitate to reach out to us. Our team of expert compounding pharmacists is here to support both patients and prescribers in achieving optimal therapeutic outcomes.
When considering the use of a Salicylic Acid 5%/Spironolactone 5% Topical Cream, it is important to be aware of potential drug interactions that may occur. Salicylic acid, as a keratolytic agent, can enhance the absorption of other topically applied medications due to its ability to promote exfoliation and increase skin permeability. Therefore, caution should be exercised when this cream is used in conjunction with other topical preparations, particularly those containing substances with a narrow therapeutic index or those that are known to be irritating or sensitizing to the skin.
Spironolactone, although used topically in this formulation, could theoretically have systemic effects, especially if applied over large areas of the body or to broken or inflamed skin. When taken orally, spironolactone is known to interact with drugs such as ACE inhibitors, angiotensin receptor blockers (ARBs), potassium supplements, or other potassium-sparing diuretics, as they may lead to hyperkalemia (elevated potassium levels in the blood). While systemic absorption is much lower with topical application, patients should still be monitored for signs of hyperkalemia if they are taking medications that affect potassium levels.
Additionally, spironolactone is a known inhibitor of cytochrome P450 3A4 (CYP3A4). While systemic interactions are less likely with topical application, patients taking oral medications that are substrates of CYP3A4 should be monitored for potential alterations in drug efficacy or increased risk of side effects. Examples of CYP3A4 substrates include certain statins, calcium channel blockers, and some benzodiazepines.
Salicylic acid may also interact with other medications that affect blood coagulation, such as anticoagulants (e.g., warfarin) and antiplatelet drugs (e.g., aspirin), increasing the risk of bleeding. Although the risk is lower with topical application than with oral ingestion, caution is still advised, especially in patients with compromised skin barriers or when applying the cream to large areas of the body.
Patients should avoid concurrent use of other skin products that can cause irritation, such as abrasive soaps, cleansers, and cosmetics that have a strong drying effect, and products with high concentrations of alcohol, astringents, spices, or lime. The use of other topical acne medications at the same time or immediately following the use of this product may increase dryness or irritation of the skin. If this occurs, only one medication should be used unless directed by a healthcare provider.
It is important for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and topical products, to avoid potential interactions. If you have any questions or concerns regarding the use of Salicylic Acid 5%/Spironolactone 5% Topical Cream and its interactions with other drugs, please reach out to us at Bayview Pharmacy for further assistance.
Salicylic Acid 5%/Spironolactone 5% Topical Cream is a specially compounded formulation that combines the keratolytic and comedolytic properties of salicylic acid with the anti-androgenic effects of spironolactone. This cream is designed to be applied topically to the skin, where it works to treat a variety of dermatological conditions, including acne, seborrheic dermatitis, and hirsutism.
Salicylic acid is a beta hydroxy acid that works by softening keratin, a protein that forms part of the skin structure. This softening effect helps to loosen dry, scaly skin, making it easier to remove. It is also known for its anti-inflammatory properties, which can help to reduce the redness and swelling associated with acne lesions.
Spironolactone, on the other hand, is a synthetic steroid that functions as an aldosterone antagonist with anti-androgenic properties. In dermatological use, it works by inhibiting the action of androgens, which are hormones that can contribute to oil production and the development of acne. By reducing the effects of androgens on the sebaceous glands, spironolactone can help to decrease oil production and prevent the formation of new acne lesions. Additionally, it may also slow down the rate of hair growth, which can be beneficial in conditions like hirsutism.
The combination of these two active ingredients in a 5% concentration for each provides a potent formulation for targeting the symptoms and causes of acne and other skin conditions. The cream is dispensed in a pump mechanism, which allows for a hygienic, convenient, and controlled application. This delivery system ensures that the correct dose is administered each time, minimizing waste and maximizing the therapeutic effects of the medication.
When applied to the skin, this cream should be used as directed by a healthcare provider. It is important to apply the cream to clean, dry skin and to avoid contact with the eyes, mouth, and other mucous membranes. Patients should be advised that while some may see improvement in their skin condition relatively quickly, others may need to use the product consistently over a period of weeks or months to achieve the best results.
As with any medication, there may be potential side effects, and it is important for patients to be aware of these. Common side effects of salicylic acid include skin irritation, peeling, and dryness, while spironolactone may cause local irritation. Patients should contact their healthcare provider if they experience any severe or persistent side effects.
If you have any questions or require further information about the Salicylic Acid 5%/Spironolactone 5% Topical Cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and prescribers to ensure the safe and appropriate use of this formulation.
Salicylic Acid and Spironolactone are active ingredients well-known for their dermatological applications. Besides the primary use for treating acne vulgaris, the combined formulation of Salicylic Acid at 5% and Spironolactone at 5% in a topical cream can offer several other therapeutic benefits. As a keratolytic agent, Salicylic Acid can aid in the treatment of other dermatoses characterized by thickened, scaly skin such as psoriasis, wherein it helps reduce scaling and thickened plaques. Its exfoliative properties can also be advantageous for treating common warts by dissolving the keratin protein in the skin, allowing it to soften and shed viral infected cells. On the other hand, Spironolactone, being an antagonist of the androgen receptor as well as an inhibitor of the enzyme 5α-reductase, can be used off-label to help manage symptoms of hirsutism in women by slowing the growth of unwanted hair. Furthermore, while research is still ongoing, the anti-inflammatory properties of Spironolactone might offer benefits in reducing the severity of seborrheic dermatitis and perhaps other inflammatory skin disorders responsive to anti-androgens.
In addition to these specific dermatological applications, some evidence suggests that topical Spironolactone might aid in reducing the production of excessive sebum, which is beneficial for those suffering from oily skin, regardless of the presence of acne. While it's not the primary indication, this formulation may consequently improve the appearance and texture of the skin for certain individuals. It's important to note that, as a compounding pharmacy, we can tailor the formulations based on the individual needs and the varying concentrations of active ingredients for these alternative indications. However, an appropriate assessment by a healthcare provider is imperative to determine the usefulness of this cream formulation for conditions beyond its primary use. Each condition must be evaluated on a case-by-case basis, considering the patient's overall health, medication history, and specific skin concern.
It should also be underscored that while the cream is dispensed in a pump mechanism for easy and localized application, care must be taken to follow the directions provided by the healthcare provider to ensure optimal outcomes. The pump dispensing system also aims to minimize contamination and degradation of the active ingredients, preserving the integrity of the formulation throughout its use. Additionally, patients should be made aware that while the combination of Salicylic Acid and Spironolactone may offer multiple skin benefits, they should always consult a healthcare professional before using it for any off-label uses mentioned.
If you have any questions regarding the other potential uses of our Salicylic Acid 5%/Spironolactone 5% Topical Cream or wish to discuss personalized formulations, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is committed to providing quality care and information to ensure the safe and appropriate use of our compounded medications.
This topical cream is formulated to address skin conditions such as acne and other issues that might benefit from the keratolytic effects of salicylic acid and the anti-androgen effects of spironolactone.
Apply a small amount of cream to the affected area of the skin as directed by your healthcare provider. Use the pump mechanism to dispense the cream, and spread it gently over the skin for localized treatment.
This cream is intended for use on specific areas as prescribed by your healthcare professional. Avoid use on sensitive areas and follow the directions provided by your healthcare provider for safe application.
The frequency of application will vary based on individual treatment plans provided by your healthcare provider. Do not exceed the recommended usage as this could lead to adverse effects.
As with any medication, side effects are possible. These may include skin irritation, dryness, peeling, or redness. Contact your healthcare provider if you experience any unusual or persistent symptoms.
It is generally safe to apply makeup over the treated area once the cream has fully absorbed. However, wait a few minutes after application to ensure it won't affect the treatment's efficacy.
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 resume your regular dosing schedule. Do not double up on applications to make up for a missed dose.
Store the cream at room temperature away from direct sunlight and heat. Keep the lid securely fastened, and make sure the pump is locked when not in use to maintain the integrity of the product.
Consult with your healthcare provider before using this cream with other topical medications to prevent potential interactions or skin irritation.
While the cream is designed to suit a variety of skin types, individuals with sensitive skin or specific skin conditions should consult their healthcare provider to determine if this product is appropriate for their use.
Avoid contact with eyes, mouth, and mucous membranes. Do not cover treated areas with occlusive dressings unless directed by a healthcare provider. If you are pregnant or breastfeeding, talk to your healthcare provider before using this cream.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)