Label: SALICYLIC ACID- salicylic acid lotion
SALICYLIC ACID- salicylic acid cream

  • NDC Code(s): 45802-806-01, 45802-818-41
  • Packager: Perrigo New York Inc
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: unapproved drug other

Drug Label Information

Updated 07/12

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  • SPL UNCLASSIFIED SECTION

    Rx Only

    FOR DERMATOLOGICAL USE ONLY. NOT FOR OPHTHALMIC, ORAL OR INTRAVAGINAL USE.

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  • DESCRIPTION

    Salicylic Acid Cream, 6% contains 6% salicylic acid USP incorporated into an emulsion vehicle consisting of ammonium lactate, behentrimonium chloride and isopropyl alcohol, cetyl alcohol, dimethicone 350, disodium EDTA, glycerin, glyceryl stearate SE, methylparaben, mineral oil, PEG-100 stearate, phenoxyethanol, propylparaben, purified water, stearyl alcohol and trolamine.

    Salicylic Acid Lotion, 6% contains 6% w/w salicylic acid USP incorporated into an emulsion vehicle consisting of ammonium lactate, behentrimonium chloride and isopropyl alcohol, cetyl alcohol, dimethicone 350, disodium EDTA, glycerin, glyceryl stearate SE, methylparaben, mineral oil, PEG-100 stearate, propylparaben, purified water, stearyl alcohol and trolamine. Salicylic acid is the 2-hydroxy derivative of benzoic acid having the following structure:

    structural formula

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  • CLINICAL PHARMACOLOGY

    Salicylic acid has been shown to produce desquamation of the horny layer of skin while not effecting qualitative or quantitative changes in the structure of the viable epidermis. The mechanism of action has been attributed to a dissolution of intercellular cement substance. In a study of the percutaneous absorption of salicylic acid in a 6% salicylic acid gel in four patients with extensive active psoriasis, Taylor and Halprin showed that the peak serum salicylate levels never exceeded 5 mg/100 ml even though more than 60% of the applied salicylic acid was absorbed. Systemic toxic reactions are usually associated with much higher serum levels (30 to 40 mg/100 ml). Peak serum levels occurred within five hours of the topical application under occlusion. The sites were occluded for 10 hours over the entire body surface below the neck. Since salicylates are distributed in the extracellular space, patients with a contracted extracellular space due to dehydration or diuretics have higher salicylate levels than those with a normal extracellular space. (See PRECAUTIONS.)

    The major metabolites identified in the urine after topical administration are salicyluric acid (52%), salicylate glucuronides (42%) and free salicylic acid (6%). The urinary metabolites after percutaneous absorption differ from those after oral salicylate administration; those derived from percutaneous absorption contain more salicylate glucuronides and less salicyluric and salicylic acid. Almost 95% of a single dose of salicylate is excreted within 24 hours of its entrance into the extracellular space.

    Fifty to eighty percent of salicylate is protein bound to albumin. Salicylates compete with the binding of several drugs and can modify the action of these drugs; by similar competitive mechanisms other drugs can influence the serum levels of salicylate. (See PRECAUTIONS.)

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  • INDICATIONS AND USAGE

    For Dermatologic Use: Salicylic Acid is a topical aid in the removal of excessive keratin in hyperkeratotic skin disorders, including verrucae, and the various ichthyoses (vulgaris, sex-linked and lamellar), keratosis palmaris and plantaris, keratosis pilaris, pityriasis rubra pilaris, and psoriasis (including body, scalp, palms and soles).

    For Podiatric Use: Salicylic Acid is a topical aid in the removal of excessive keratin on dorsal and plantar hyperkeratotic lesions. Topical preparations of 6% salicylic acid have been reported to be useful adjunctive therapy for verrucae plantares.

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  • CONTRAINDICATIONS

    Salicylic Acid should not be used in any patient known to be sensitive to salicylic acid or any other listed ingredients. Salicylic Acid should not be used in children under 2 years of age.

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  • WARNINGS

    Prolonged and repeated daily use over large areas, especially in children and those patients with significant renal or hepatic impairment, could result in salicylism. Patients should be advised not to apply occlusive dressings, clothing or other occlusive topical products such as petrolatumbased ointments to prevent excessive systemic exposure to salicylic acid. Excessive application of the product other than is needed to cover the affected area will not result in a more rapid therapeutic benefit. Concomitant use of other drugs which may contribute to elevated serum salicylate levels should be avoided where the potential for toxicity is present. In children under 12 years of age and those patients with renal or hepatic impairment, the area to be treated should be limited and the patient monitored closely for signs of salicylate toxicity: nausea, vomiting, dizziness, loss of hearing, tinnitus, lethargy, hyperpnea, diarrhea, and psychic disturbances. In the event of salicylic acid toxicity, the use of Salicylic Acid should be discontinued. Fluids should be administered to promote urinary excretion. Treatment with sodium bicarbonate (oral or intravenous) should be instituted as appropriate. Patients should be cautioned against the use of oral aspirin and other salicylate containing medications, such as sports injury creams, to avoid additional excessive exposure to salicylic acid. Where needed, aspirin should be replaced by an alternative non-steroidal anti-inflammatory agent that is not salicylate based.

    Due to potential risk of developing Reye’s syndrome, salicylate products should not be used in children and teenagers with varicella or influenza, unless directed by a physician.

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  • PRECAUTIONS

    For external use only. Avoid contact with eyes and other mucous membranes.

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  • DRUG INTERACTIONS

    The following interactions are from a published review and include reports concerning both oral and topical salicylate administration. The relationship of these interactions to the use of Salicylic Acid is not known.

    I. Due to the competition of salicylate with other drugs for binding to serum albumin the following drug interactions may occur:

    DRUG DESCRIPTION OF INTERACTION
    Sulfonylureas Hypoglycemia potentiated.
    Methotrexate

    Decreases tubular reabsorption; clinical toxicity

    from methotrexate can result.

    Oral

    Anticoagulants
    Increased bleeding.

    II. Drugs changing salicylate levels by altering renal tubular reabsorption:

    DRUG DESCRIPTION OF INTERACTION
    Corticosteroids Decreases plasma salicylate level; tapering doses of steroids may promote salicylism.
    Acidifying Agents Increases plasma salicylate level.
    Alkanizing Agents Decreased plasma salicylate levels.

    III. Drugs with complicated interactions with salicylates:

    DRUG DESCRIPTION OF INTERACTION

    Heparin

    Salicylate decreases platelet adhesiveness and interferes with hemostasis in heparin

    treated patients.
    Pyrazinamide Inhibits pyrazinamide induced hyperuricemia.
    Uricosuric Agents Effect of probenemide, sulfinpyrazone and phenylbutazone inhibited.

    The following alterations of laboratory tests have been reported during salicylate therapy:

    LABORATORY TESTS EFFECT OF SALICYLATES
    Thyroid Function Decreased PBI; increased T3 uptake.
    Urinary Sugar False negative with glucose oxidase; false positive with Clinitest with high-dose salicylate therapy (2-5g q.d.).
    5-Hydroxyindole acetic acid False negative with fluorometric test.
    Acetone, ketone bodies False positive FeCl3 in Gerhardt reaction; red color persists with boiling.
    17-OH corticosteroids False reduced values with >4.8g q.d. salicylate.
    Vanilmandelic acid False reduced values.
    Uric acid May increase or decrease depending on dose.
    Prothrombin Decreased levels; slightly increased prothrombin time.

    Pregnancy category C

    Salicylic Acid has been shown to be teratogenic in rats and monkeys. It is difficult to extrapolate from oral doses of acetylsalicylic acid used in these studies to topical administration as the oral dose to monkeys may represent six times the maximal daily human dose of salicylic acid when applied topically over a large body surface. There are no adequate and well-controlled studies in pregnant women. Salicylic Acid should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

    Nursing Mothers

    Because of the potential for serious adverse reactions in nursing infants from the mother’s use of Salicylic Acid, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. If used by nursing mothers, it should not be used on the chest area to avoid the accidental contamination of the child.

    Carcinogenesis, Mutagenesis, Impairment of Fertility

    No data are available concerning potential carcinogenic or reproductive effects of Salicylic Acid has been shown to lack mutagenic potential in the Ames Salmonella test.

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  • ADVERSE REACTIONS

    Excessive erythema and scaling conceivably could result from use on open skin lesions.

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  • OVERDOSAGE

    See Warnings.

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  • DOSAGE AND ADMINISTRATION

    The preferable method of use is to apply Salicylic Acid thoroughly to the affected area and to cover the treated area at night after washing and before retiring. Preferably, the skin should be hydrated for at least five minutes prior to application. The medication is washed off in the morning and if excessive drying and/or irritation is observed a bland cream or lotion may be applied. Once clearing is apparent, the occasional use of Salicylic Acid will usually maintain the remission. In those areas where occlusion is difficult or impossible, application may be made more frequently; hydration by wet packs or baths prior to application apparently enhances the effect. (See WARNINGS.) Unless hands are being treated, hands should be rinsed thoroughly after application. Excessive repeated application of Salicylic Acid will not necessarily increase its therapeutic benefit, but could result in increased local intolerance and systemic adverse effects such as salicylism.

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  • HOW SUPPLIED

    Salicylic Acid Cream, 6% is available in 400g

    (NDC 45802-806-01) bottles.

    Salicylic Acid Lotion, 6% is available in 14 fl oz (414 ml)

    (NDC 45802-818-41) bottles.

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  • STORAGE AND HANDLING

    Store at controlled room temperature 20° - 25°C (68° - 77°F). Do not freeze.

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  • SPL UNCLASSIFIED SECTION

    MADE IN ISRAEL

    MANUFACTURED BY

    PERRIGO

    YERUHAM, ISRAEL 80500

    Perrigo

    : 5C200 RC J1

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  • PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

    Salicylic Acid Lotion, 6%

    Rx Only

    Salicylic Acid Lotion, 6% Front Label

    Salicylic Acid Lotion, 6% Front Label

    Salicylic Acid Lotion, 6% Back Label

    Salicylic Acid Lotion, 6% Back Label

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  • PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

    Salicylic Acid Cream, 6%

    Rx Only

    Salicylic Acid Cream, 6% Front Label Image

    Salicylic Acid Cream, 6% Front Label Image

    Salicylic Acid Cream, 6% Back Label Image

    Salicylic Acid Cream, 6% Back Label Image

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  • INGREDIENTS AND APPEARANCE
    SALICYLIC ACID 
    salicylic acid lotion
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:45802-818
    Route of Administration TOPICAL DEA Schedule     
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    SALICYLIC ACID (SALICYLIC ACID) SALICYLIC ACID 6 mL  in 100 mL
    Inactive Ingredients
    Ingredient Name Strength
    AMMONIUM LACTATE  
    BEHENTRIMONIUM CHLORIDE  
    ISOPROPYL ALCOHOL  
    CETYL ALCOHOL  
    DIMETHICONE 350  
    EDETATE DISODIUM  
    GLYCERIN  
    GLYCERYL MONOSTEARATE  
    METHYLPARABEN  
    MINERAL OIL  
    PEG-100 STEARATE  
    PROPYLPARABEN  
    WATER  
    STEARYL ALCOHOL  
    TROLAMINE  
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:45802-818-41 414 mL in 1 BOTTLE
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    Unapproved drug other 09/27/2007
    SALICYLIC ACID 
    salicylic acid cream
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:45802-806
    Route of Administration TOPICAL DEA Schedule     
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    SALICYLIC ACID (SALICYLIC ACID) SALICYLIC ACID 6 g  in 100 g
    Inactive Ingredients
    Ingredient Name Strength
    AMMONIUM LACTATE  
    BEHENTRIMONIUM CHLORIDE  
    ISOPROPYL ALCOHOL  
    CETYL ALCOHOL  
    DIMETHICONE 350  
    EDETATE DISODIUM  
    GLYCERIN  
    GLYCERYL STEARATE SE  
    METHYLPARABEN  
    MINERAL OIL  
    PEG-100 STEARATE  
    PHENOXYETHANOL  
    PROPYLPARABEN  
    WATER  
    STEARYL ALCOHOL  
    TROLAMINE  
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:45802-806-01 400 g in 1 BOTTLE
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    Unapproved drug other 09/07/2007
    Labeler - Perrigo New York Inc (078846912)
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