Medical uses of salicylic acid

Last updated
Salicylic acid
Salicylic acid pads.jpg
Cotton pads soaked in salicylic acid for medical use
Clinical data
Trade names Various trade names
AHFS/Drugs.com Multum Consumer Information
Routes of
administration
topical
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability low
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
Chemical and physical data
Formula C7H6O3
Molar mass 138.122 g·mol−1
3D model (JSmol)
  • c1ccc(c(c1)C(=O)O)O
  • InChI=1S/C7H6O3/c8-6-4-2-1-3-5(6)7(9)10/h1-4,8H,(H,9,10)
  • Key:YGSDEFSMJLZEOE-UHFFFAOYSA-N

Salicylic acid is used as a medicine to help remove the outer layer of the skin. [1] As such it is used to treat warts, skin tags, calluses, psoriasis, dandruff, acne, ringworm, and ichthyosis. [1] [2] For conditions other than warts, it is often used together with other medications. [2] It is applied to the area affected. [1]

Contents

Side effects include skin irritation, and salicylate poisoning. [2] Salicylate poisoning tends to only occur when applied to a large area and in children. [2] Use is thus not recommended in children less than two years old. [2] It comes in a number of different strengths. [3]

It is on the World Health Organization's List of Essential Medicines. [4] [5] It is also available mixed with coal tar, zinc oxide, or benzoic acid. [3]

Medical uses

Salicylic acid as a medication is used to help remove the outer layer of the skin. [1] As such it is used to treat warts, calluses, psoriasis, dandruff, acne, ringworm, and ichthyosis. [1] [2]

Because of its effect on skin cells, salicylic acid is used in some shampoos to treat dandruff.[ medical citation needed ]

In modern medicine, salicylic acid and its derivatives are constituents of some "skin-reddening" products.[ medical citation needed ]

Side effects

Concentrated solutions of salicylic acid may cause hyperpigmentation on people with darker skin types (Fitzpatrick phototypes IV, V, VI), without a broad spectrum sunblock. [6] [7] Due to sun sensitivity, sun protection is recommended when using salicylic acid on sun-exposed skin. [8]

Pregnancy

No studies examine topical salicylic acid in pregnancy. The risks of aspirin late in pregnancy are probably not relevant for a topical exposure to salicylic acid, even late in the pregnancy, because of its low systemic levels. Topical salicylic acid is common in many over-the-counter dermatological agents and the lack of adverse reports suggests a low risk. [9]

Overdose

Side effects include skin irritation, and salicylate poisoning. [2] Salicylate poisoning tends to only occur when applied to a large area and in children. [2] Use is thus not recommended in children less than two years old. [2] It comes in a number of different strengths. [3]

Salicylic acid overdose can lead metabolic acidosis with compensatory respiratory alkalosis. In people presenting with an acute overdose, a 16% morbidity rate and a 1% mortality rate are observed. [10]

Mechanism of action

Salicylic acid works as a keratolytic, comedolytic and bacteriostatic agent, causing the cells of the epidermis to shed more readily, opening clogged pores and neutralizing bacteria within, preventing pores from clogging up again and allowing room for new cell growth. [11] [12]

History

Dioscorides, in the first century AD, described the use of an extract of what might have been willow bark (a plant he called Itea), [13] 'being burnt to ashes, and steeped in vinegar,' [14] for taking away 'corns and other like risings in the feet and toes.' The active ingredient in this mixture could have been salicylic acid, but it is a modern myth that willow was ever used to ease aches and pains or reduce fevers. [11] [15]

Related Research Articles

<span class="mw-page-title-main">Nicotinamide</span> Dietary supplement and medication

Niacinamide or nicotinamide is a form of vitamin B3 found in food and used as a dietary supplement and medication. As a supplement, it is used by mouth to prevent and treat pellagra (niacin deficiency). While nicotinic acid (niacin) may be used for this purpose, niacinamide has the benefit of not causing skin flushing. As a cream, it is used to treat acne, and has been observed in clinical studies to improve the appearance of aging skin by reducing hyperpigmentation and redness. It is a water-soluble vitamin. Niacinamide is the supplement name, while nicotinamide is the scientific name.

<span class="mw-page-title-main">Salicylic acid</span> Chemical compound used in medicines and industry

Salicylic acid is an organic compound with the formula HOC6H4COOH. A colorless, bitter-tasting solid, it is a precursor to and a metabolite of aspirin (acetylsalicylic acid). It is a plant hormone, and has been listed by the EPA Toxic Substances Control Act (TSCA) Chemical Substance Inventory as an experimental teratogen. The name is from Latin salix for willow tree, from which it was initially identified and derived. It is an ingredient in some anti-acne products. Salts and esters of salicylic acid are known as salicylates.

<span class="mw-page-title-main">Acne</span> Skin condition characterized by pimples

Acne, also known as acne vulgaris, is a long-term skin condition that occurs when dead skin cells and oil from the skin clog hair follicles. Typical features of the condition include blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects skin with a relatively high number of oil glands, including the face, upper part of the chest, and back. The resulting appearance can lead to lack of confidence, anxiety, reduced self-esteem, and, in extreme cases, depression or thoughts of suicide.

<span class="mw-page-title-main">Plantar wart</span> Medical condition

A plantar wart, or verruca vulgaris, is a wart occurring on the bottom of the foot or toes. Its color is typically similar to that of the skin. Small black dots often occur on the surface. One or more may occur in an area. They may result in pain with pressure such that walking is difficult.

<span class="mw-page-title-main">Dandruff</span> Skin condition of the scalp

Dandruff is a skin condition that mainly affects the scalp. Symptoms include flaking and sometimes mild itchiness. It can result in social or self-esteem problems. A more severe form of the condition, which includes inflammation of the skin, is known as seborrhoeic dermatitis.

<span class="mw-page-title-main">Ichthyosis vulgaris</span> Skin disorder

Ichthyosis vulgaris is a skin disorder causing dry, scaly skin. It is the most common form, and one of the mildest forms, of ichthyosis, affecting around 1 in 250 people. For this reason it is known as common ichthyosis. It is usually an autosomal dominant inherited disease, although a rare non-heritable version called acquired ichthyosis exists.

<span class="mw-page-title-main">Tretinoin</span> Medication

Tretinoin, also known as all-trans retinoic acid (ATRA), is a medication used for the treatment of acne and acute promyelocytic leukemia. For acne, it is applied to the skin as a cream, gel or ointment. For leukemia, it is taken by mouth for up to three months. Topical tretinoin is also the most extensively investigated retinoid therapy for photoaging.

<span class="mw-page-title-main">Benzoyl peroxide</span> Chemical compound with uses in industry and acne treatment

Benzoyl peroxide is a chemical compound (specifically, an organic peroxide) with structural formula (C6H5−C(=O)O−)2, often abbreviated as (BzO)2. In terms of its structure, the molecule can be described as two benzoyl (C6H5−C(=O)−, Bz) groups connected by a peroxide (−O−O−). It is a white granular solid with a faint odour of benzaldehyde, poorly soluble in water but soluble in acetone, ethanol, and many other organic solvents. Benzoyl peroxide is an oxidizer, which is principally used as in the production of polymers.

Keratolytic therapy is a type of medical treatment to remove warts, calluses and other lesions in which the epidermis produces excess skin. In this therapy, acidic topical medicines, such as Whitfield's ointment or Jessner's solution, are applied to the lesion in order to thin the skin on and around it. This therapy causes the outer layer of the skin to loosen and shed.

<span class="mw-page-title-main">Hyperpigmentation</span> Darkening of an area of skin or nails caused by increased melanin

Hyperpigmentation is the darkening of an area of skin or nails caused by increased melanin.

<span class="mw-page-title-main">Keratosis pilaris</span> Skin condition characterized by small bumps caused by overproduction of keratin

Keratosis pilaris is a common, autosomal-dominant, genetic condition of the skin's hair follicles characterized by the appearance of possibly itchy, small, gooseflesh-like bumps, with varying degrees of reddening or inflammation. It most often appears on the outer sides of the upper arms, thighs, face, back, and buttocks; KP can also occur on the hands, and tops of legs, sides, or any body part except glabrous (hairless) skin. Often the lesions can appear on the face, which may be mistaken for acne or folliculitis.

<span class="mw-page-title-main">Betamethasone</span> Steroid medication

Betamethasone is a steroid medication. It is used for a number of diseases including rheumatic disorders such as rheumatoid arthritis and systemic lupus erythematosus, skin diseases such as dermatitis and psoriasis, allergic conditions such as asthma and angioedema, preterm labor to speed the development of the baby's lungs, Crohn's disease, cancers such as leukemia, and along with fludrocortisone for adrenocortical insufficiency, among others. It can be taken by mouth, injected into a muscle, or applied to the skin, typically in cream, lotion, or liquid forms.

<span class="mw-page-title-main">Calamine</span> Cream or lotion for treating skin conditions

Calamine, also known as calamine lotion, is a medication made from powdered calamine mineral that is used to treat mild itchiness. Conditions treated include sunburn, insect bites, poison ivy, poison oak, and other mild skin conditions. It may also help dry out skin irritation. It is applied on the skin as a cream or lotion.

Selenium disulfide, also known as selenium sulfide, is a chemical compound and medication used to treat seborrheic dermatitis, dandruff, and pityriasis versicolor. It is applied to the affected area as a lotion or shampoo. Symptoms frequently return if treatment is stopped.

<span class="mw-page-title-main">Benzyl benzoate</span> Chemical compound

Benzyl benzoate is an organic compound which is used as a medication and insect repellent. As a medication it is used to treat scabies and lice. For scabies either permethrin or malathion is typically preferred. It is applied to the skin as a lotion. Typically two to three applications are needed. It is also present in Balsam of Peru, Tolu balsam, and in a number of flowers.

<span class="mw-page-title-main">Clindamycin/benzoyl peroxide</span> Type of medication

Clindamycin/benzoyl peroxide is a topical gel used for the treatment of acne. It is a fixed-dose combination of clindamycin, as the phosphate, an antibiotic, and benzoyl peroxide, an antiseptic.

Whitfield's ointment is an acidic ointment used for the topical treatment of dermatophytosis, such as athlete's foot. It can have a slight burning effect that goes away after a few minutes. It is named after Arthur Whitfield (1868–1947), a British dermatologist.

<span class="mw-page-title-main">Pimple</span> Type of comedo

A pimple or zit is a kind of comedo that results from excess sebum and dead skin cells getting trapped in the pores of the skin. In its aggravated state, it may evolve into a pustule or papule. Pimples can be treated by acne medications, antibiotics, and anti-inflammatories prescribed by a physician, or various over the counter remedies purchased at a pharmacy.

<span class="mw-page-title-main">Urea-containing cream</span>

Urea, also known as carbamide-containing cream, is used as a medication and applied to the skin to treat dryness and itching such as may occur in psoriasis, dermatitis, or ichthyosis. It may also be used to soften nails.

<span class="mw-page-title-main">Sodium thiosulfate (medical use)</span>

Sodium thiosulfate, also spelled sodium thiosulphate, is used as a medication to treat cyanide poisoning, pityriasis versicolor, and to decrease side effects from cisplatin. For cyanide poisoning, it is often used after the medication sodium nitrite and is typically only recommended for severe cases. It is either given by injection into a vein or applied to the skin.

References

  1. 1 2 3 4 5 "Salicylic acid topical medical facts". Drugs.com. Archived from the original on 17 August 2017. Retrieved 15 January 2017.
  2. 1 2 3 4 5 6 7 8 9 World Health Organization (2009). Stuart MC, Kouimtzi M, Hill SR (eds.). WHO Model Formulary 2008. World Health Organization. p. 310. hdl:10665/44053. ISBN   9789241547659.
  3. 1 2 3 British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. pp. 814–815, 825, 833. ISBN   9780857111562.
  4. World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl: 10665/325771 . WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  5. World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl: 10665/345533 . WHO/MHP/HPS/EML/2021.02.
  6. Grimes PE (January 1999). "The safety and efficacy of salicylic acid chemical peels in darker racial-ethnic groups". Dermatologic Surgery. 25 (1): 18–22. doi:10.1046/j.1524-4725.1999.08145.x. PMID   9935087.
  7. Roberts WE (2004). "Chemical peeling in ethnic/dark skin". Dermatologic Therapy. 17 (2): 196–205. doi:10.1111/j.1396-0296.2004.04020.x. PMID   15113287. S2CID   44991940.
  8. "Beta Hydroxy Acids in Cosmetics". Center for Food Safety and Applied Nutrition, Office of Cosmetics and Colors Fact Sheet. U.S. Food and Drug Administration. 7 March 2000. Archived from the original on 2007-12-21. Retrieved 2007-11-23.
  9. O'Connell K, Shepard M, Ormond K, Pergament E (2000). "Acne and Pregnancy". Illinois Teratogen Information Service. Archived from the original on 11 January 2009. Retrieved 3 June 2012 via Fetal-exposure.org.
  10. Salicylate Toxicity at eMedicine
  11. 1 2 Madan RK, Levitt J (April 2014). "A review of toxicity from topical salicylic acid preparations". Journal of the American Academy of Dermatology. 70 (4): 788–792. doi:10.1016/j.jaad.2013.12.005. PMID   24472429.
  12. Bosund IN, Erichsen I, Molin N (1960-10-01). "The Bacteriostatic Action of Benzoic and Salicylic Acids". Physiologia Plantarum. 13 (4): 800–811. doi:10.1111/j.1399-3054.1960.tb08103.x. ISSN   1399-3054.
  13. Dioscorides P (2000). De Materia Medica (PDF). Translated by Osbaldeston TA. Ibidis. ISBN   0-620-23435-0 . Retrieved 12 January 2022.
  14. Gerard J. "Of the Willow Tree". Herball, or Generall Historie of Plantes. Retrieved 12 January 2022.
  15. Propatier S (22 May 2014). "The Mythology of Aspirin". Skeptoid Media, Inc. Retrieved 12 January 2022.