Prescription
Prescription RequiredCompoundedSalicylic Acid | Lactic Acid |
This compounded solution contains salicylic acid, lactic acid, and trichloroacetic acid to soften and break down thick, wart-infected skin. The acids work together to remove layers of the wart a little at a time while helping prevent the virus from spreading. It is meant for external use on common warts or plantar warts as directed by a licensed healthcare provider.
Requires a valid prescription from your provider. Not sure if it's right for you? Ask a pharmacist.
These statements have not been evaluated by the Food and Drug Administration. Compounded products are not FDA-approved and are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary. This information is for educational purposes only and is not medical advice — always consult your healthcare provider before starting any new treatment.
Clinical information
Medication information for patients and providers.
Use as directed by your healthcare provider. Apply a thin coat to each wart once daily unless told otherwise. Allow the solution to dry before covering or putting on socks or shoes. If you miss a dose, apply it as soon as you remember unless it is close to your next dose. Do not apply two doses at the same time. Your provider will decide how long you should continue treatment.
All three acids are keratolytics, meaning they break down the tough outer layer of skin (keratin). Salicylic and lactic acids loosen and dissolve dead skin cells so the wart tissue can be removed. Trichloroacetic acid adds a stronger chemical peel that helps destroy virus-infected cells. You may notice mild softening or whitening of the wart in the first few days. Visible shrinking often starts after 1–2 weeks, but complete removal may take 6–12 weeks of steady use. Once the wart is gone, normal skin slowly grows back.
Do not use if you are allergic to salicylic acid, lactic acid, trichloroacetic acid, or any component of this product (may cause severe rash or swelling). Do not use on the face, genitals, mucous membranes, or broken, infected, or irritated skin (can cause burns). Do not use on moles, birthmarks, or any growth that has hair, color changes, or bleeding—see a provider for those. Do not use if you have diabetes, poor blood flow, or nerve damage in the hands or feet unless your provider specifically approves (higher risk of severe skin injury). Not for children under 2 years of age. Avoid if you are pregnant or breastfeeding unless your provider decides the benefit outweighs the risk, because large areas of skin exposure could increase systemic absorption.
Using other topical products that peel or dry the skin (such as retinoids, benzoyl peroxide, topical alcohol, or strong soaps) at the same spot may increase redness, burning, or peeling—space applications or use only one product at a time. Oral medicines that raise skin sensitivity to irritation or sunlight (such as isotretinoin, some antibiotics like doxycycline) may heighten local side effects. Avoid covering the treated area with tight, air-proof dressings unless told by your provider; this can increase acid absorption and irritation. Tell your provider about all prescription drugs, over-the-counter medicines, and herbal supplements you use, even if you apply them to a different body area.
Very common (more than 1 in 10 people): mild stinging or burning for a few minutes after application, slight skin whitening. Common (1–10 in 100 people): redness, dryness, flaking, mild pain, peeling. Uncommon (1–10 in 1,000 people): blistering, dark or light spots after healing, small surface scar. Rare but serious (less than 1 in 1,000 people): deep chemical burn, severe swelling, signs of infection (pus, spreading redness), or a widespread allergic reaction (hives, trouble breathing). Most minor effects improve within a few days after stopping the medicine. Seek medical help right away if you notice severe pain, spreading redness, or signs of allergic reaction.
Store tightly closed at room temperature (68–77 °F, 20–25 °C) in an upright position. Keep away from heat, sparks, and open flame; the solution is flammable. Protect from direct sunlight and do not freeze. Keep out of reach of children and pets. Do not transfer to other containers. Discard unused or expired product through a pharmacy take-back program or mix with cat litter or coffee grounds in a sealed plastic bag before throwing in household trash.
Frequently asked questions.
Most people start to see the wart shrink after 1–2 weeks of daily use, but full removal can take 6–12 weeks. Sticking to the treatment schedule every day gives the best chance of success.
No. This product is too strong for delicate areas such as the face, genitals, or mucous membranes and can cause burns. Ask your healthcare provider about safer options for those locations.
Wipe it off right away with a damp cloth and wash the area with mild soap and water. If redness or burning lasts more than a few hours, call your healthcare provider.
Covering is not required unless your provider tells you to. If friction from shoes or clothing is a problem, you may use a breathable bandage once the liquid is completely dry.
Children under 2 should not use it. Older children can use it only under a healthcare provider’s supervision because young skin is more sensitive and can burn easily.
Wait at least 1 hour, or until the solution is fully dry and set, before swimming or showering. Water can wash away the medicine if it has not completely dried.
Most warts heal with little or no scarring if you apply a thin coat and avoid picking at the area. Deep burns from overuse or covering large areas can raise the risk of a small scar.
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