Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Trichloroacetic Acid 50% Topical Liquid

Trichloroacetic Acid 50% Topical Liquid is a concentrated, specially compounded preparation intended for precise application on skin or mucosal surfaces. This potent formulation is utilized for its cauterizing and keratolytic properties, making it an effective treatment for a variety of dermatological conditions. It is particularly beneficial for the removal of warts, including plantar and genital warts, as well as for the management of xerosis or ichthyosis, which are conditions characterized by dry, thickened, or scaly skin. Additionally, it is employed in the cosmetic treatment of skin tags, benign moles, and actinic keratosis, a precancerous skin growth caused by sun damage. The high concentration of Trichloroacetic Acid allows for the targeted destruction of abnormal skin cells, promoting the regeneration of healthier tissue. This topical liquid formulation is chosen for its localized effect, minimizing systemic absorption and reducing the potential for widespread side effects.

Want a different strength?
Click the Text Us button below.
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
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Are you a prescriber? Sign Up
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Topical Liquid
65d9021927fac6e23dc18169
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Trichloroacetic Acid (TCA) 50% Topical Liquid is a potent chemical cauterant and keratolytic agent used primarily in dermatology for its ability to precipitate proteins and exfoliate the skin. This high-concentration formulation is specifically designed for direct application to the skin or mucosal surfaces, where it acts by causing controlled damage to the epidermis and dermis, leading to the peeling of the top layers of skin. This process helps to remove or reduce unsightly or pathological skin changes, such as warts, benign skin growths, and certain types of hyperpigmentation. It is also employed in the cosmetic treatment of acne scars, fine lines, and wrinkles, promoting skin rejuvenation.

The application of TCA 50% Topical Liquid should be performed with precision and care, as the high concentration of the active ingredient can cause significant tissue damage if applied improperly. It is crucial to protect the surrounding healthy skin and to apply the solution only to the targeted lesion or area. The treatment area may initially turn white upon application, indicating protein precipitation. Over the subsequent days, the treated skin will darken, crust, and eventually peel off, revealing new, regenerated skin beneath.

Patients should be advised that the use of TCA 50% can be associated with a burning sensation upon application, and post-treatment care is essential to prevent infection and promote healing. Sun protection is also critical following treatment, as the new skin will be more susceptible to sunburn. Prescribers should ensure that patients are aware of the potential for scarring and changes in skin pigmentation, which can occur with the use of such a high concentration of TCA.

Due to the potency of TCA 50% Topical Liquid, it is typically reserved for use by healthcare professionals or under their direct supervision. It is not suitable for all skin types, and a thorough evaluation of the patient's skin condition and medical history should be conducted before proceeding with treatment. Additionally, prescribers should consider the depth of the lesion and the desired depth of peeling when determining the appropriateness of this formulation for a particular patient.

For patients and prescribers interested in using Trichloroacetic Acid 50% Topical Liquid, Bayview Pharmacy offers expert compounding services to ensure the highest quality and safety standards. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the proper use and handling of this formulation. If you have any questions or require further information, please do not hesitate to reach out to us at Bayview Pharmacy.

Drug Interactions

A small arrow pointing down

Trichloroacetic Acid (TCA) 50% Topical Liquid is a caustic chemical and a potent keratolytic agent that is used primarily for skin peeling, tattoo removal, and the treatment of warts, including genital warts. It works by causing the denaturation of proteins, leading to necrosis of the skin cells, which in turn promotes the regeneration of new skin. Due to its mechanism of action, TCA should be used with caution and under the guidance of a healthcare professional.

When considering the use of TCA 50% Topical Liquid, it is important to be aware of potential drug interactions. Although TCA is applied topically and is designed for localized effect, there is still a possibility for systemic absorption, especially when applied to large areas of the skin or to mucosal surfaces. Interactions may occur with concomitant use of other topical medications, particularly those that may affect skin integrity or those with similar caustic and irritating properties. Combining TCA with other keratolytic agents (such as salicylic acid or retinoids), abrasive soaps, or astringents may increase the risk of local irritation and should be approached with caution.

Patients should avoid using any products that may sensitize the skin to light (photosensitizing agents) while using TCA, as this could potentially increase the risk of phototoxic reactions. It is also advisable to minimize sun exposure and to use effective sun protection when going outdoors, to reduce the risk of hyperpigmentation or other UV-induced skin damage following TCA application.

Systemic interactions are less common with topical TCA application, but caution is still warranted. Medications that affect the immune system or wound healing, such as corticosteroids or immunosuppressants, may alter the response to TCA treatment and the healing process of the skin. Additionally, patients with a history of herpes simplex virus infections should be aware that TCA application may trigger a reactivation, and prophylactic antiviral therapy may be considered.

It is essential to inform the healthcare provider of all medications, supplements, and herbal products being used prior to starting treatment with TCA 50% Topical Liquid. This includes over-the-counter medications and any other topical treatments that are being applied to the area of concern. The healthcare provider can then assess for potential interactions and provide guidance on the safe use of TCA in conjunction with other therapies.

For any questions or concerns regarding the use of Trichloroacetic Acid 50% Topical Liquid or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide the necessary information and support to ensure safe and effective treatment for our patients and prescribers.

How Does it Work

A small arrow pointing down

Trichloroacetic Acid (TCA) 50% Topical Liquid is a highly concentrated chemical cauterant and keratolytic agent used primarily in dermatology for the removal of warts, skin tags, and for chemical peels. When applied to the skin, TCA causes the denaturation of proteins, leading to the destruction of epidermal and dermal cells. This process results in the peeling of the top layers of the skin, which can remove or reduce the appearance of superficial skin lesions.

The mechanism of action of TCA involves the coagulation of proteins in the skin. This coagulation leads to necrosis of the epidermis and part of the dermis, followed by regeneration of new skin tissue. As a result, TCA is effective in treating a variety of dermatological conditions such as actinic keratosis, which are precancerous skin lesions caused by sun damage, as well as other conditions like acne scars, melasma, and age spots. The depth of the peel and the extent of tissue removal can be controlled by the concentration of TCA used, the amount applied, and the duration of contact with the skin.

It is important to note that TCA peels should be administered with caution, as they can cause significant irritation and carry the risk of scarring, infection, and changes in skin color if not used properly. The 50% concentration is considered a very high concentration and should only be used by experienced healthcare professionals. Patients should be carefully selected and should understand the potential risks and benefits of the treatment. Post-treatment care is also crucial to ensure proper healing and to minimize complications.

For prescribers considering TCA 50% Topical Liquid, it is essential to conduct a thorough patient evaluation, including an assessment of skin type, condition severity, and patient medical history. Prescribers should provide detailed instructions on the application process, including the amount to apply, frequency, and duration of treatment, as well as post-application care. It is also important to discuss realistic expectations and potential side effects with the patient.

Patients should be advised to avoid sun exposure and to use sunscreen to protect the treated areas from UV radiation. They should also be informed about the signs of complications, such as excessive pain, infection, or unexpected changes in skin color, and instructed to contact their healthcare provider if such symptoms occur.

If you have any questions or require further information about the use of Trichloroacetic Acid 50% Topical Liquid, 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 the safe and effective use of this formulation.

Other Uses

A small arrow pointing down

Trichloroacetic Acid (TCA) 50% Topical Liquid is commonly recognized for its application in dermatology for the removal of warts, tattoo removal, and chemical peel procedures aimed at treating various skin conditions such as acne scars, hyperpigmentation, and fine lines. However, the versatility of this high-concentration formulation allows for a range of other dermatological uses. One prominent application is the treatment of xanthelasma, which are cholesterol-filled plaques on the eyelids. The caustic effect of TCA aids in the effective removal of these plaques.

In addition to its dermatological applications, TCA at this concentration may be employed by health professionals for cauterizing vascular malformations such as spider veins and certain types of hemangiomas. It should be noted that this use requires precision and care to avoid damage to surrounding tissues. TCA is also used occasionally for podiatric purposes, such as the treatment of ingrown toenails or plantar warts, where its keratolytic properties can aid in removing these troubled growths.

Outside of these more common applications, TCA has been indicated for use in verrucae or common warts removal, as well as molluscum contagiosum, due to its ability to provoke controlled chemical destruction of the epidermis and parts of the dermis, leading to tissue regeneration and viral elimination. Researchers have also explored the use of TCA in cutaneous leishmaniasis, where it may serve as a viable alternative when standard treatments are contraindicated or unavailable.

However, it is imperative to exercise caution with the use of TCA 50% Topical Liquid due to its highly corrosive nature, and it should only be applied by or under the close supervision of a healthcare provider experienced in its use. Providers must also consider the cosmetic outcomes of TCA application, as it can lead to hypopigmentation or scarring if not used correctly.

Patients and prescribers should be well-informed about the appropriate indications, potential side effects, and post-treatment care when using TCA for any of these off-label uses. Counseling on the importance of sun protection and wound care following TCA application is crucial. Furthermore, it is equally important to review a patient’s medical history for contraindications such as active infections, history of keloid scarring, or hypersensitivity to the compound.

For those interested in utilizing Trichloroacetic Acid 50% Topical Liquid for applications beyond the standard indications, it is advisable to engage in a thorough medical consultation prior to use. Should you have any questions regarding this formulation or its extended uses, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is equipped to provide you with the necessary guidance and support for safe and effective treatment outcomes.

Frequently Asked Questions

A small arrow pointing down

What is Trichloroacetic Acid 50% Topical Liquid used for?

Trichloroacetic Acid 50% Topical Liquid is used as a chemical cauterant and keratolytic agent. It is commonly applied to remove warts, skin tags, moles, and for the treatment of other skin disorders such as actinic keratosis. It essentially helps to remove dead skin cells and promote the growth of new, healthy skin cells.

How do I apply Trichloroacetic Acid 50% Topical Liquid?

Trichloroacetic Acid 50% Topical Liquid should be carefully applied exclusively to the affected area using an applicator or a small brush. It's important to avoid contact with healthy skin, and protective gloves should be worn during application. Follow the specific directions provided by your healthcare professional regarding application frequency and method.

Can Trichloroacetic Acid 50% Topical Liquid be used on any part of the body?

While it can be applied to various parts of the skin or mucosal surfaces, certain areas of the body are more sensitive and may require a more cautious approach or a lower concentration of the acid. Discuss with your healthcare provider the specific areas where you intend to use this product to ensure safe and appropriate use.

What should I do if I accidentally apply Trichloroacetic Acid to healthy skin?

If Trichloroacetic Acid comes into contact with healthy skin, you should rinse the area immediately with copious amounts of water and seek medical attention if necessary. The acid may cause burns or irritation to healthy tissue. It is best to contact your healthcare provider for further advice if this occurs.

Are there any side effects associated with Trichloroacetic Acid 50% Topical Liquid?

Common side effects include skin irritation, redness, swelling, and a burning sensation upon application. In some cases, hyperpigmentation or hypopigmentation as well as scarring can occur. If you experience severe discomfort or unusual symptoms, you should contact your healthcare professional immediately.

Is it normal for the skin to peel after using Trichloroacetic Acid 50% Topical Liquid?

Yes, peeling is a normal reaction as Trichloroacetic Acid 50% Topical Liquid causes exfoliation of the outer layer of the skin. Peeling usually begins a few days after application and can last for several days to a week depending on the individual healing process and the skin's response to the treatment.

How should I care for the treated area after application?

After applying Trichloroacetic Acid 50% Topical Liquid, it's important to keep the area clean, avoid picking at any scabs that form, and follow any specific wound care instructions provided by your healthcare provider. Sun protection is also crucial to reduce the chance of pigmentation changes.

Can I use makeup or other skincare products over the treated area?

It is typically not recommended to apply makeup or various skincare products to the treated area until the skin has fully healed. These products can irritate the skin further or interfere with the healing process. Always consult with your healthcare provider before resuming the use of such products.

How long does it take to see results after applying Trichloroacetic Acid 50% Topical Liquid?

The timeline for results can vary depending on the individual and the condition being treated. Some conditions may require multiple treatments to achieve desired results. Healing and regrowth of new, healthy skin can take several weeks. For a clearer timeframe, consult your healthcare provider.

Should I avoid sun exposure after applying Trichloroacetic Acid 50% Topical Liquid?

Yes, you should avoid direct sun exposure on the treated area because Trichloroacetic Acid can make your skin more prone to sunburn and hyperpigmentation. Always wear a broad-spectrum sunscreen with an appropriate SPF value and protective clothing when going outdoors during and after treatment until healing is complete.

Related Formulas

Related Products
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.