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Fluorouracil 5%/Glycolic Acid 50% Topical Cream

The Fluorouracil 5%/Glycolic Acid 50% Topical Cream is a specialized dermatological compound that combines the antineoplastic properties of fluorouracil with the exfoliating effects of glycolic acid. This semisolid preparation is dispensed in a pump mechanism, ensuring a convenient and controlled application to the skin. The cream is primarily indicated for the localized treatment of actinic keratoses, which are precancerous skin lesions caused by long-term exposure to ultraviolet (UV) radiation. Additionally, it may be used off-label for the management of superficial basal cell carcinomas. The dual-action formula is designed to not only help reduce the lesions but also improve the overall texture and appearance of the skin by promoting exfoliation and cellular turnover.

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Fluorouracil
Glycolic Acid
Topical Cream
6564d4242a8d3b418036460e
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Formula Information

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Fluorouracil 5%/Glycolic Acid 50% Topical Cream is a compounded medication specifically formulated to provide a dual-action treatment for various skin conditions. Fluorouracil, a chemotherapeutic agent, is primarily used for its ability to target and disrupt the growth of abnormal skin cells. This makes it particularly effective in the treatment of actinic keratosis, a precancerous skin condition caused by excessive sun exposure, as well as superficial basal cell carcinomas. By incorporating fluorouracil at a 5% concentration, the cream can help to reduce the number of atypical cells and lesions on the skin's surface.

Glycolic acid, an alpha hydroxy acid (AHA), is included at a high concentration of 50% to complement the effects of fluorouracil. Glycolic acid serves as a potent exfoliant, promoting the shedding of the outermost layer of dead skin cells to reveal healthier, more vibrant skin underneath. This exfoliation also enhances the penetration of fluorouracil, improving its efficacy. Additionally, glycolic acid's role in stimulating collagen production aids in the overall improvement of skin texture and tone, which can be beneficial in the management of photoaging.

The cream is formulated as a semisolid preparation and is dispensed in a pump mechanism container. This delivery system is designed to ensure a convenient, hygienic, and controlled application, which is crucial for the precise dosing and localized treatment of skin conditions. The pump mechanism also helps to protect the integrity of the active ingredients by minimizing their exposure to air and light, which can lead to degradation.

Patients prescribed this formulation should be aware that the use of fluorouracil can cause local skin reactions, including redness, irritation, and inflammation, which are typically signs of the medication's activity. It is important to follow the prescriber's instructions regarding application frequency and duration of treatment to optimize results and minimize side effects. Sun protection is also advised when using products containing AHAs due to increased photosensitivity.

Prescribers considering this formulation for their patients should assess the suitability based on the individual's skin condition, medical history, and potential for skin irritation. Monitoring and follow-up are recommended to evaluate the treatment's effectiveness and to manage any adverse reactions.

If you have any questions or require further information about the Fluorouracil 5%/Glycolic Acid 50% Topical Cream, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to both patients and healthcare providers to ensure the safe and effective use of this specialized medication.

Drug Interactions

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The combination of fluorouracil 5% and glycolic acid 50% in a topical cream is used primarily for the treatment of various skin conditions, including actinic or solar keratoses and superficial basal cell carcinomas. Fluorouracil is a topical chemotherapy agent that works by interfering with DNA synthesis, thereby preventing the growth of abnormal cells. Glycolic acid is an alpha hydroxy acid that exfoliates the skin, which can enhance the penetration and effectiveness of fluorouracil.

When using this combination cream, it is important to consider potential drug interactions. Fluorouracil may interact with other topical preparations, particularly those that are abrasive or irritating to the skin. Concurrent use of other exfoliating agents, such as retinoids or salicylic acid, may increase the likelihood of skin irritation or enhance the absorption of fluorouracil, potentially leading to increased systemic exposure and toxicity. Patients should avoid using any other topical products on the treated area without first consulting with their healthcare provider.

Additionally, since glycolic acid can alter the skin barrier, it may affect the absorption of other topical medications applied to the same area. Care should be taken when applying different topical treatments concurrently, and a sufficient time interval should be allowed between applications. It is also advisable to avoid the use of occlusive dressings over the area treated with fluorouracil and glycolic acid cream, as this may increase the absorption of the active ingredients.

Patients should be aware that the use of this topical cream can increase the sensitivity of the skin to sunlight, leading to a higher risk of sunburn. It is recommended to use effective sun protection and avoid unnecessary or prolonged exposure to sunlight and UV lamps during treatment. Inform patients that the use of certain medications, such as tetracyclines, thiazides, sulfonylureas, phenothiazines, and certain other drugs known to cause photosensitivity, may exacerbate this effect.

It is also important to consider that systemic absorption of fluorouracil, although generally low with topical application, can still occur. Therefore, interactions with systemic medications that affect the metabolism or action of fluorouracil, such as leucovorin, warfarin, and certain antiviral medications, should be monitored closely. Patients should provide a complete list of their current medications, including over-the-counter drugs and supplements, to their healthcare provider to assess for potential interactions.

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 available to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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The Fluorouracil 5%/Glycolic Acid 50% Topical Cream is a specialized formulation that combines the chemotherapeutic agent fluorouracil with the alpha hydroxy acid glycolic acid. This cream is designed to be used topically on the skin and is dispensed in a pump mechanism that allows for precise and controlled application. The semisolid preparation ensures that the active ingredients are delivered directly to the affected area, providing localized treatment.

Fluorouracil is an antimetabolite that works by interfering with DNA synthesis, thereby inhibiting the proliferation of rapidly dividing cells. This makes it particularly effective in treating actinic keratosis and superficial basal cell carcinomas, which are conditions characterized by abnormal cell growth on the skin. By applying fluorouracil topically, the medication targets the abnormal cells while minimizing systemic exposure and side effects.

Glycolic acid, on the other hand, is an alpha hydroxy acid that promotes exfoliation of the skin. It works by breaking down the bonds between dead skin cells, allowing them to be sloughed away more easily. This reveals the healthier, living cells beneath and improves the texture and appearance of the skin. In this formulation, glycolic acid also enhances the penetration of fluorouracil, making the treatment more effective. Additionally, glycolic acid's exfoliating action can help reduce the risk of scarring and hyperpigmentation that may result from skin lesions.

When combined, these two active ingredients create a potent topical cream that not only treats precancerous and cancerous skin lesions but also improves the overall condition of the skin. The pump mechanism of the dose form ensures that the correct amount of cream is dispensed each time, which is crucial for maintaining the consistency of the treatment and minimizing the risk of irritation or overdose.

Patients using this formulation should be aware that it may cause localized skin reactions, including redness, irritation, and photosensitivity. It is important to follow the prescriber's instructions carefully and to protect the treated areas from sun exposure. Prescribers considering this formulation for their patients should evaluate the specific skin condition being treated and consider the potential benefits and risks associated with the combination of fluorouracil and glycolic acid.

If you have any questions about this formulation or its use in treating specific disease states, please 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 ensure the safe and effective use of this topical cream.

Other Uses

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Fluorouracil is primarily known for its use in treating actinic or solar keratoses as well as superficial basal cell carcinomas, conditions that involve abnormal growth of skin cells that can potentially lead to cancer. Simultaneously, glycolic acid is renowned for its exfoliating properties, promoting skin peeling and regenerative effects. When combined in a 5% Fluorouracil/50% Glycolic Acid topical cream, this formulation offers the benefits of both active ingredients. While the main indication is for the treatment of the aforementioned precancerous and cancerous skin conditions, it is worth noting that this potent combination may have other dermatological applications such as enhancing the appearance of the skin by reducing age spots, fine lines, and wrinkles, thanks to its rejuvenating properties derived from glycolic acid. However, patients and prescribers should exercise caution and consult a dermatologist before using this formulation for any off-label uses, as the potent nature of fluorouracil can lead to significant inflammation and irritation if not used with proper medical guidance. It is essential to use this cream exactly as prescribed, and it should be limited to lesion or treatment-specific areas only.

The pump mechanism of the dispensing container may offer a controlled method of delivery that could serve to limit the exposure of the medication to unaffected skin, potentially reducing irritation to surrounding skin areas. Additionally, glycolic acid could facilitate deeper penetration of fluorouracil, potentially making the cream more effective in treating the intended skin lesions. It is also noteworthy that the cream's formulation could induce photosensitivity; therefore, patients are advised to wear protective clothing and apply broad-spectrum sunscreen when exposed to sunlight to prevent additional skin damage.

Due to the aggressive nature of fluorouracil, it is generally not recommended for use on moles, warts, or other benign skin conditions without consulting a healthcare professional. If there are queries about this product, its use for conditions other than actinic keratoses or superficial basal cell carcinoma, or its compatibility with other skin treatments, both patients and prescribers are encouraged to reach out to us at Bayview Pharmacy for more information. We are dedicated to ensuring safe and effective use of our compounded formulations and are here to support you with any questions or concerns you may have.

Frequently Asked Questions

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What is Fluorouracil 5%/Glycolic Acid 50% Topical Cream used for?

Fluorouracil 5%/Glycolic Acid 50% Topical Cream is commonly used to treat various skin conditions, including actinic keratosis and superficial basal cell carcinomas. It is a combination therapy that leverages the anti-tumor effect of Fluorouracil with the exfoliating properties of Glycolic Acid to treat affected skin areas.

How do I apply Fluorouracil 5%/Glycolic Acid 50% Topical Cream?

To apply the cream, use the pump mechanism to dispense a small amount onto clean, dry skin, focusing on the affected areas. Spread thinly and evenly while avoiding contact with the eyes, nostrils, and mouth. Always follow the application instructions provided by your healthcare provider.

Can I use this cream on other parts of my body?

You should only use Fluorouracil 5%/Glycolic Acid 50% Topical Cream on areas of the skin as directed by your healthcare provider. If you are unsure about the area of application, consult your provider before use.

How often should I apply the cream?

The frequency of application will depend on the condition being treated and the instructions given by your healthcare provider. Do not adjust the dosage or frequency without consulting them first.

Are there any side effects of using this compounded cream?

As with any medication, side effects can occur with the use of Fluorouracil 5%/Glycolic Acid 50% Topical Cream. Common side effects include skin irritation, redness, swelling, dryness, and peeling at the site of application. If you experience severe discomfort or signs of an allergic reaction, contact your healthcare provider immediately.

What should I do if I accidentally get the cream in my eyes?

If the cream comes into contact with your eyes, rinse them thoroughly with water and seek medical attention if irritation persists or if you have concerns.

Can I wear makeup over the treated area?

It is generally recommended to avoid using makeup or other skincare products on the treated area unless your healthcare provider has given you specific instructions that it is safe to do so.

How should I store this cream?

Store the cream at room temperature away from direct sunlight and heat. Keep the container tightly closed when not in use. Consult the label or your pharmacist for more specific storage instructions.

Can I go out in the sun after applying this cream?

Exposure to sunlight can increase the risk of a reaction and may intensify side effects. Always use a sunscreen and protective clothing when going outdoors, and discuss any concerns with your healthcare provider.

What should I do if I miss a dose of Fluorouracil 5%/Glycolic Acid 50% Topical Cream?

If you miss a dose, apply the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra cream to make up for a missed dose.

How long does the treatment with this cream last?

The duration of treatment with Fluorouracil 5%/Glycolic Acid 50% Topical Cream varies depending on the individual case and is determined by your healthcare provider. It is important to follow their guidance and not discontinue the medication without consulting them.

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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.