![]() Cotton pads soaked in salicylic acid for medical use | |
Clinical data | |
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Trade names | Various trade names |
AHFS/Drugs.com | Multum Consumer Information |
Routes of administration | topical |
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Pharmacokinetic data | |
Bioavailability | low |
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Chemical and physical data | |
Formula | C7H6O3 |
Molar mass | 138.122 g·mol−1 |
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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]
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]
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 ]
Concentrated solutions (20-30%) 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]
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]
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]
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]
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]
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 orally (swallowed 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.
Salicylic acid is an organic compound with the formula HOC6H4COOH. A colorless (or, white), bitter-tasting solid, it is a precursor to and a metabolite of acetylsalicylic acid (aspirin). 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.
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.
A plantar wart 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.
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.
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.
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 acute promyelocytic leukemia, it is effective only when the RARA-PML fusion mutation is present and is taken by mouth for up to three months. Topical tretinoin is also the most extensively investigated retinoid therapy for photoaging.
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 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.
Hyperpigmentation is the darkening of an area of skin or nails caused by increased melanin.
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.
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 secretions resulting from 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.
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.
Clindamycin/benzoyl peroxide, sold under the brand name Benzaclin among others, 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.
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.
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.
Podophyllum resin, also known as podophyllum or podophyllin, is a resin made from the roots of the American mandrake. It is used as a medication to treat genital warts and plantar warts, including in people with HIV/AIDS. It is not recommended in HPV infections without external warts. Application by a healthcare provider to the skin is recommended.
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.