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Trichloroacetic Acid 20% Topical Cream

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

Trichloroacetic Acid 20% 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, Trichloroacetic Acid (TCA), is utilized at a concentration of 20% and is known for its efficacy in treating a variety of dermatological conditions. This formulation is specifically indicated for the treatment of actinic keratosis, a precancerous skin lesion caused by long-term sun exposure, and for the removal of warts, including common warts, plantar warts, and genital warts. Additionally, it is used in the cosmetic treatment of skin discolorations, such as age spots, and for chemical peel procedures aimed at improving skin texture and appearance.

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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.

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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.
Trichloroacetic Acid
Topical Cream
65d8c0d028a2ecc97b8cb947
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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Trichloroacetic Acid (TCA) 20% Topical Cream is a carefully compounded dermatological preparation intended for the treatment of various skin conditions. This cream is formulated to deliver a specific concentration of Trichloroacetic Acid, a potent chemical cauterant, directly to the affected areas of the skin. The 20% concentration is commonly used for its efficacy in promoting skin peeling and regeneration, which is beneficial in the management of conditions such as actinic keratosis, warts, and some types of skin tags. Additionally, TCA has been utilized in cosmetic procedures for skin resurfacing and the improvement of skin texture, reducing the appearance of fine lines, and treating acne scars.

The semisolid preparation of this TCA cream is designed to ensure stability and uniformity of the active ingredient. It is dispensed in a pump mechanism container, which offers several advantages for both patients and prescribers. The pump allows for convenient and controlled application, minimizing the risk of spillage and waste, and ensuring that the correct dose is applied to the skin. This is particularly important with caustic agents like TCA, where precision in application can significantly affect treatment outcomes and safety.

When using TCA 20% Topical Cream, it is crucial to follow the specific instructions provided by the healthcare provider. The cream should be applied to clean, dry skin, and contact with healthy skin surrounding the treatment area should be avoided to prevent unnecessary irritation or damage. Patients should be advised that they may experience a burning sensation upon application, which is normal but should subside shortly. It is also important to protect the treated area from sun exposure, as TCA-treated skin can be more susceptible to sunburn. Patients should be monitored for any adverse reactions, such as excessive redness, swelling, or scarring, and should report these to their healthcare provider immediately.

For prescribers considering TCA 20% Topical Cream, it is essential to assess the patient's skin type, the condition being treated, and the patient's overall health status to determine the appropriateness of this formulation. Prescribers should provide clear instructions on the application process, frequency of use, and duration of treatment. Additionally, prescribers should educate patients on the expected outcomes, potential side effects, and the importance of adhering to post-treatment care instructions to optimize results and minimize complications.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the specific needs of our patients. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Trichloroacetic Acid 20% Topical Cream. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Trichloroacetic Acid (TCA) 20% Topical Cream is a caustic chemical and keratolytic agent used primarily for skin resurfacing, such as in the treatment of warts, skin tags, and for cosmetic procedures including chemical peels. It works by causing the proteins in the skin to coagulate, leading to peeling of the top layers of skin and allowing new skin to replace it.

When considering the use of TCA 20% Topical Cream, it is important to be aware of potential drug interactions. Since TCA is applied topically and is designed to act on the skin, systemic absorption is typically minimal. However, there is still a possibility for interactions, particularly with other topical agents. Concurrent use of other skin treatments, especially those that may cause irritation or alter the skin barrier, such as retinoids, benzoyl peroxide, salicylic acid, or other acids, may increase the risk of irritation or potentiate the effects of TCA. Patients should avoid using other topical medications on the treated areas unless directed by a healthcare provider.

Patients should also be cautious when using cosmetics or medicated cleansers, as these may interact with TCA by causing additional skin irritation or by affecting the action of the TCA. It is generally recommended to avoid the use of any potentially irritating skin products on the areas where TCA is applied.

It is important to protect the treated areas from sun exposure, as TCA can increase the skin's sensitivity to UV radiation. Patients should use a broad-spectrum sunscreen and wear protective clothing over treated areas to prevent hyperpigmentation and sunburn. Additionally, the use of TCA on sunburned skin is not recommended due to the increased risk of severe irritation or chemical burns.

While systemic interactions are unlikely with topical TCA, patients should inform their healthcare provider of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements. This is particularly important if the patient is on medications that affect wound healing or the immune system, as these could theoretically alter the response to TCA treatment.

As with any medication, allergic reactions are possible. Patients with a known allergy to TCA or any of the formulation's components should not use this product. Signs of an allergic reaction may include hives, itching, redness, swelling, or difficulty breathing. If any of these symptoms occur, patients should seek immediate medical attention.

Patients should follow the specific application instructions provided by their healthcare provider to minimize the risk of interactions and adverse effects. If there are any questions or concerns about the use of TCA 20% Topical Cream or potential drug interactions, patients and prescribers are encouraged to reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

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Trichloroacetic Acid (TCA) 20% Topical Cream is a chemical cauterant and keratolytic agent that, when applied to the skin, causes the denaturation of proteins in the epidermis and dermis layers. This denaturation process results in the controlled destruction of skin layers, which is beneficial for the treatment of various dermatological conditions. The mechanism of action of TCA involves the coagulation of epidermal and dermal proteins, leading to necrosis of the affected tissue and subsequent peeling or sloughing off of dead skin cells. This process stimulates the regeneration of new skin, improving the texture and appearance of the treated area.

The 20% concentration of TCA in this topical cream is commonly used for the treatment of conditions such as actinic keratosis, which is a precancerous skin lesion caused by long-term sun exposure. The action of TCA helps to remove damaged outer layers of skin, revealing healthier, more youthful skin beneath.

The formulation of this TCA 20% Topical Cream is designed to be dispensed in a pump mechanism, which offers several advantages. The pump allows for a more hygienic and convenient method of application, reducing the risk of contamination that can occur with jar packaging. It also provides a controlled dosage, ensuring consistent application and minimizing the risk of applying too much product, which could lead to excessive skin irritation or damage. The semisolid preparation of the cream allows for a smooth and even application over the affected area, facilitating better contact with the skin and enhancing the efficacy of the treatment.

It is important for both patients and prescribers to understand that the use of TCA should be approached with caution. The skin should be prepared properly before application, and the cream should only be applied to the area intended for treatment. Protective measures should be taken to safeguard surrounding healthy skin and mucous membranes from accidental exposure. Following application, patients may experience a burning sensation, redness, and subsequent peeling of the skin, which are expected outcomes of the treatment. It is crucial to follow post-application care instructions to support healing and to protect the skin from sun exposure, as the new skin will be more sensitive to UV radiation.

For any questions or concerns regarding the use of Trichloroacetic Acid 20% Topical Cream, or to discuss its suitability for specific skin conditions, 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 formulation.

Frequently Asked Questions

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What is Trichloroacetic Acid 20% Topical Cream used for?

Trichloroacetic Acid (TCA) 20% Topical Cream is used for skin peels and the treatment of warts, skin tags, and other localized skin issues that require a potent chemical exfoliant. It helps in removing the top layers of skin to allow new, healthier skin cells to emerge.

How do I use the TCA 20% Topical Cream pump?

To use the pump, hold the container upright and press down on the pump mechanism to dispense a small amount of the cream onto your fingertip or a cotton applicator. Apply it directly to the affected area carefully, avoiding contact with healthy skin.

Can I apply TCA 20% Topical Cream to my whole face?

No, TCA 20% Topical Cream should be used for localized treatment only. It is a strong chemical exfoliant and when used over large areas, it can cause severe irritation or damage to the skin. Always consult with a healthcare provider before expanding the treatment area.

How often should I apply TCA 20% Topical Cream?

The frequency of application should be determined by your healthcare provider based on your specific condition and skin type. It is important to follow their instructions carefully to avoid burns or over-exfoliation.

What should I do if I experience irritation after applying the cream?

If you experience irritation, wash the area gently with water and discontinue use immediately. Contact your healthcare provider for further guidance.

Are there any areas I should avoid when applying TCA 20% Topical Cream?

Yes, avoid contact with your eyes, nostrils, mouth, and any mucous membranes as the cream can cause severe irritation or burns. Also, refrain from applying it to broken or irritated skin.

Should I wear sunscreen after using TCA 20% Topical Cream?

Yes, your skin will be more sensitive to sunlight after using TCA 20% Topical Cream. It's advisable to apply broad-spectrum sunscreen with an SPF of at least 30 to protect the treated areas from harmful UV rays, especially if you will be spending time outdoors.

Can TCA 20% Topical Cream be used with other skin treatments?

You should consult with your healthcare provider before combining TCA 20% Topical Cream with other skin treatments. Certain products may interact with TCA, potentially causing increased irritation or adverse effects.

How should I store the TCA 20% Topical Cream?

The cream should be stored at room temperature, away from direct sunlight and heat. Keep the pump container tightly closed when not in use to prevent the product from drying out or becoming contaminated.

What should I do if I accidentally ingest TCA 20% Topical Cream?

If ingestion occurs, do not induce vomiting. Rinse out the mouth with water and seek immediate medical attention or contact a poison control center.

Is TCA 20% Topical Cream safe for all skin types?

Not all skin types respond the same to chemical exfoliants like TCA. Individuals with sensitive skin, or those with certain skin conditions, should consult with their healthcare provider to determine if TCA 20% Topical Cream is appropriate for their skin type.

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.

Trichloroacetic Acid 20% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

In office, as directed