Teen Derm Gel

Sun protection in the management of melasma, vitiligo & photosensitive dermatoses.

Calcium Chloride (Teen Derm Gel) Injection, USP, 10% is indicated:

In the treatment of hypocalcemia in conditions requiring a prompt increase in plasma calcium levels (e.g., neonatal tetany and tetany due to parathyroid deficiency, vitamin D deficiency and alkalosis) and for prevention of hypocalcemia during exchange transfusions.

As adjunctive therapy in the management of acute symptoms in lead colic.

In the treatment of magnesium intoxication due to overdosage of magnesium sulfate.

In severe hyperkalemia, to combat deleterious effects on electrocardiographic (ECG) function, pending correction of the potassium level in the extracellular fluid.

In cardiac resuscitation, particularly after open heart surgery, when epinephrine fails to improve weak or ineffective myocardial contractions.

For Dermatologic Use: Salicylic Acid (Teen Derm Gel) 6% 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 (Teen Derm Gel) 6% is a topical aid in the removal of excessive keratin on dorsal and plantar hyperkeratotic lesions.

Topical preparations of 6% Salicylic Acid (Teen Derm Gel) have been reported to be useful adjunctive therapy for verrucae plantares.

Triclosan (Teen Derm Gel) is used in a variety of common household products, including soaps, mouthwashes, dish detergents, toothpastes, deodorants, and hand sanitizers. It is also used in health care settings in surgical scrubs and personnel hand washes. (Dental cavity; Dental plaque; Gingivitis;)

Temporarily relieving minor pain and inflammation.

Trolamine Salicylate is a topical salicylate pain reliever. It works by reducing swelling and inflammation in the muscle and joints.

Xylitol (Teen Derm Gel) is a naturally occurring alcohol found in most plant material, including many fruits and vegetables. It is extracted from birch wood to make medicine.

Likely Effective for...

•Preventing dental caries (tooth decay).

Possibly Effective for...

•Reducing episodes of ear infections (otitis media) in preschool children.

Insufficient Evidence to Rate Effectiveness for...

•Prevention of dry mouth or as a sugar substitute for people with diabetes.

Salicylic Acid (Teen Derm Gel) is a keratolytic (peeling agent). Salicylic Acid (Teen Derm Gel) causes shedding of the outer layer of skin.

Salicylic Acid (Teen Derm Gel) topical (for the skin) is used in the treatment of acne, dandruff, seborrhea, or psoriasis, and to remove corns, calluses, and warts.

Salicylic Acid (Teen Derm Gel) topical may also be used for purposes not listed in this medication guide.

Balsam Peru increases blood flow to a wound area, and also helps fight bacteria.

Castor oil prevents skin cells from breaking down, which aids in wound healing.

Balsam Peru and castor oil topical (for the skin) is a combination medicine used to treat bed sores and other skin ulcers. This medication can help promote healing and relieve pain caused by these conditions.

Balsam Peru and castor oil topical may also be used for purposes not listed in this medication guide.

Applies to the following strengths: 100 mg/mL

Usual Adult Dose for:

• Hypocalcemia
• Hypermagnesemia
• Hyperkalemia
• Asystole
• Electromechanical Dissociation

Usual Pediatric Dose for:

• Hypocalcemia

Additional dosage information:

• Renal Dose Adjustments
• Liver Dose Adjustments
• Precautions
• Dialysis
• Other Comments

Usual Adult Dose for Hypocalcemia

500 to 1000 mg IV one time. This dose should be repeated every 1 to 3 days as needed and tolerated to normalize the serum calcium level.

Usual Adult Dose for Hypermagnesemia

500 mg IV one time This dose may be repeated as necessary in severe cases of hypermagnesemia (where discontinuation of exogenous magnesium is inadequate) to temporarily reverse many of the toxic effects of magnesium in the central nervous system.

Usual Adult Dose for Hyperkalemia

500 to 1000 mg IV one time. This dose may be repeated as necessary in cases of extreme hyperkalemia cardiotoxicity when P waves are absent, the QRS complexes are widened, and when constant ECG monitoring is available. The use of calcium does not reduce the serum potassium level, but counteracts the effects of hyperkalemia on cardiac excitability. Thus, additional therapy aimed at lowering serum potassium levels should be promptly initiated.

Usual Adult Dose for Asystole

500 mg IV one time. This dose may be repeated at 10 minute intervals as needed, although studies have shown that one or more injections often leads to clinically significant hypercalcemia in cardiac arrest patients. Alternatively, in extreme emergency situations, 200 to 800 mg may be injected directly into the ventricular cavity by experienced personnel. Calcium Chloride (Teen Derm Gel) should not be tried unless epinephrine has been tried and failed. The American Heart Association no longer recommends the routine use of Calcium Chloride (Teen Derm Gel) during cardiopulmonary resuscitation. However, consideration may be given when calcium channel blocker toxicity is suspected.

Usual Adult Dose for Electromechanical Dissociation

500 mg IV one time. This dose may be repeated at 10 minute intervals as needed, although studies have shown that one or more injections often leads to clinically significant hypercalcemia in cardiac arrest patients. Alternatively, in extreme emergency situations, 200 to 800 mg may be injected directly into the ventricular cavity by experienced personnel. Calcium Chloride (Teen Derm Gel) should not be tried unless epinephrine has been tried and failed. The American Heart Association no longer recommends the routine use of Calcium Chloride (Teen Derm Gel) during cardiopulmonary resuscitation. However, consideration may be given when calcium channel blocker toxicity is suspected.

Usual Pediatric Dose for Hypocalcemia

Neonatal (Note: Dosage expressed in mg of Calcium Chloride (Teen Derm Gel)):

Hypocalcemia: IV: 10 to 20 mg/kg/dose, repeat every 4 to 6 hours if needed

Cardiac arrest in the presence of hyperkalemia or hypocalcemia, magnesium toxicity, or calcium antagonist toxicity: IV or intraosseous (IO): 20 mg/kg; may repeat in 10 minutes if necessary. If effective, consider IV infusion of 20 to 50 mg/kg/hour

Tetany: IV: 10 mg/kg over 5 to 10 minutes; may repeat after 6 hours or follow with an infusion with a maximum dose of 200 mg/kg/day.

Hypocalcemia: IV: Dosage expressed in mg of Calcium Chloride (Teen Derm Gel):

Manufacturer recommendation:

Children: 2.7 to 5 mg/kg/dose every 4 to 6 hours

Alternative pediatric dosing:

Infants and Children: 10 to 20 mg/kg/dose, repeat every 4 to 6 hours if needed

Cardiac arrest in the presence of hyperkalemia or hypocalcemia, magnesium toxicity, or calcium antagonist toxicity: IV or IO: Dosage expressed in mg of Calcium Chloride (Teen Derm Gel):

Infants and Children: 20 mg/kg; may repeat in 10 minutes if necessary. If effective, consider IV infusion of 20 to 50 mg/kg/hour.

Hypocalcemia secondary to citrated blood infusion: IV:

Give 0.45 mEq elemental calcium for each 100 mL citrated blood infused

Tetany: Dose expressed in mg of Calcium Chloride (Teen Derm Gel):

IV:

Infants and Children: 10 mg/kg over 5 to 10 minutes; may repeat after 6 hours or follow with an infusion with a maximum dose of 200 mg/kg/day.

Renal Dose Adjustments

Patients with renal dysfunction have an increased risk of hypercalcemia. Periodically checking the serum calcium level, especially if signs or symptoms of hypercalcemia are detected, is recommended.

Liver Dose Adjustments

Data not available

Precautions

Calcium Chloride (Teen Derm Gel) is contraindicated in patients with hypercalcemia, ventricular fibrillation, and in digitalized patients.

Calcium Chloride (Teen Derm Gel) injection contains aluminum. Patients with impaired renal function should be monitored for clinical signs of aluminum toxicity with prolonged parenteral administration of Calcium Chloride (Teen Derm Gel). Clinicians should be aware these patients may achieve a level of aluminum accumulation capable of causing central nervous system and bone toxicity, as well as, tissue loading.

Dialysis

Calcium is removed by hemodialysis. To ensure a positive net calcium flux into the patient during dialysis, a dialysate calcium concentration of 3.0 to 3.5 mEq/L is usually required. Mid-dialysis hypercalcemia is not uncommon when this concentration is used.

Calcium is removed by peritoneal dialysis. The standard peritoneal dialysate contains 3.5 mEq/L of calcium (in 1.5 % dextrose) to maintain a positive calcium balance and to prevent calcium losses. When higher concentrations of dextrose are used, the net calcium balance may be negative because of a greater convective removal of calcium during ultrafiltration, which counterbalances the diffusion of calcium from the dialysate to the patient.

Other Comments

Administer at a rate not to exceed 0.5 to 1 mL/min (50 to 100 mg/min). Each 1 g of Calcium Chloride (Teen Derm Gel) contains 270 mg elemental calcium, or 13.6 mEq of calcium.

Calcium Chloride (Teen Derm Gel) is extremely irritating to the veins. A slow infusion rate through a small bore needle into a large vein may minimize this venous irritation. Extravasation or accidental injection into perivascular tissue may result in severe necrosis and sloughing.

Intramuscular injection should be avoided.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

More about Calcium Chloride (Teen Derm Gel)

• Calcium Chloride (Teen Derm Gel) Side Effects
• During Pregnancy
• Drug Interactions
• Pricing & Coupons
• Drug class: minerals and electrolytes

Consumer resources

• Calcium Chloride (Teen Derm Gel)

Professional resources

• Calcium Chloride (Teen Derm Gel) (FDA)
• Calcium Chloride (Teen Derm Gel) (Wolters Kluwer)

Related treatment guides

• Asystole
• Electromechanical Dissociation
• Hyperkalemia
• Hypermagnesemia
• Hypocalcemia

Rx only

FOR TOPICAL USE ONLY.

NOT FOR OPHTHALMIC, ORAL OR INTRAVAGINAL USE.

DESCRIPTION

Virasal is a topical preparation containing 27.5% Salicylic Acid (Teen Derm Gel) in a proprietary film-forming vehicle that comprises isopropyl alcohol, butyl acetate, polyvinyl butyral, isopropyl metacresol, trimethyl pentanyl diisobutyrate, phenic acid and acrylates copolymer. The pharmacologic activity of Virasal is generally attributed to the keratolytic activity of Salicylic Acid (Teen Derm Gel) which is incorporated into a polyacrylic, film-forming virucidal vehicle designed to cover the wart without the need for a bandage. The structural formula of Salicylic Acid (Teen Derm Gel) is:

CLINICAL PHARMACOLOGY

Although the exact mode of action for Salicylic Acid (Teen Derm Gel) in the treatment of warts is unknown, its activity appears to be associated with its keratolytic action, which results in mechanical removal of epidermal cells infected with wart viruses.

The virucidal complex incorporated into Virasal’s proprietary vehicle is designed to help reduce risk of reinfection at the wart site, as well as prevent viral contamination of the product under normal usage.

INDICATIONS AND USAGE

Virasal is indicated for the topical treatment and removal of common warts and plantar warts.

CONTRAINDICATIONS

Patients with diabetes or impaired blood circulation should not use Virasal. Virasal also should not be used on moles, birthmarks, and unusual warts with hair growing from them, or warts on the face.

PRECAUTIONS

Virasal is for external use only. Do not permit Virasal to contact eyes or mucous membranes. If contact with eyes or mucous membranes occurs, immediately flush with water for 15 minutes. Virasal should not be allowed to contact normal skin surrounding wart, since localized irritation may occur. Treatment should be discontinued if excessive irritation occurs. Virasal is flammable. Keep away from fire or flame. Keep bottle tightly capped when not in use.

ADVERSE REACTIONS

A localized irritant reaction may occur if Virasal is applied to the normal skin surrounding the wart. Any irritation may normally be controlled by temporarily discontinuing use and by applying the medication only to the wart site when treatment is resumed.

DOSAGE AND ADMINISTRATION

Prior to applying Virasal, soak wart in warm water for five minutes. Remove any loosened tissue by gently rubbing with a brush, wash cloth, or emery board. Dry wart site thoroughly. Using the brush applicator supplied, apply Virasal twice to entire wart surface, allowing the first application to dry before applying the second. Continue treatment once or twice a day as directed by physician. Be careful not to apply to surrounding skin.

Clinically visible improvement will normally occur during the first or second week of therapy. Maximum resolution may be expected after four to six weeks of Virasal use.

HOW SUPPLIED

Virasal is supplied in 10ml amber bottles with a brush applicator (NDC 42783-312-10).

Store at controlled room temperature, 15° to 30°C (59° to 86°F).

Manufactured for:

Elorac, Inc.

Vernon Hills, IL 60061

U.S. Patent Pending

Revised 06/2011

221619

Topical/Cutaneous

Oral hygiene; Acne; Skin disinfection; Disinfection of hands and wounds

Adult: Available in concentrations up to 2% in soaps, creams, and solutions.

Apply liberally to affected area as needed. May also be used by adults.

Calcium Chloride (Teen Derm Gel) is contraindicated for cardiac resuscitation in the presence of ventricular fibrillation or in patients with the risk of existing digitalis toxicity.

See also:
What is the most important information I should know about Salicylic Acid (Teen Derm Gel)?

Less common or rare

Skin irritation not present before use of Salicylic Acid (Teen Derm Gel) (moderate or severe)

Frequency not known

Dryness and peeling of skin

flushing

redness of skin

unusually warm skin

Symptoms of Salicylic Acid (Teen Derm Gel) poisoning

Confusion

diarrhea

dizziness

fast or deep breathing

headache (severe or continuing)

hearing loss

lightheadedness

nausea

rapid breathing

ringing or buzzing in ears (continuing)

severe drowsiness

stomach pain

vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

-Skin irritation not present before use of Salicylic Acid (Teen Derm Gel) (mild) -stinging

See also:
What is the most important information I should know about Triclosan (Teen Derm Gel)?

Do not use on burned or denuded skin; as an occlusive dressing, wet pack or lotion; as vaginal pack or tampon, on mucous membranes or for routine prophylactic total body bathing.

Should not be used on persons hypersensitive to any of its components nor on persons who have demonstrated primary light sensitivity to halogenated phenol derivatives because of the possibility of cross-sensitivity to hexachlorophene.

you are allergic to any ingredient in Trolamine Salicylate

you have had an allergic reaction to aspirin or other salicylate products

•You are pregnant or breast-feeding.

Use Salicylic Acid (Teen Derm Gel) shampoo as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• To use shampoo as a scalp treatment: Use before bathing. Do not wet hair. Apply Salicylic Acid (Teen Derm Gel) shampoo with the applicator directly to affected areas of the scalp. Leave on for 5 minutes, gradually increasing the treatment time up to 1 hour, or as directed by your doctor. After treatment, rinse thoroughly with water. Wash your hands after each use. You may use a non-medicated shampoo after using Salicylic Acid (Teen Derm Gel) shampoo, if desired.
• To use shampoo as a medicated shampoo: Wet hair, apply Salicylic Acid (Teen Derm Gel) shampoo with the applicator directly to scalp, and massage vigorously for several minutes. Rinse thoroughly. Be sure to wash your hands after each use. Use Salicylic Acid (Teen Derm Gel) shampoo daily until the condition clears, or as directed by your doctor.
• To use the gel on the skin: Moisten the affected area and keep damp for at least 5 minutes before you apply Salicylic Acid (Teen Derm Gel) shampoo. Apply Salicylic Acid (Teen Derm Gel) shampoo to the affected area as directed. Cover the treated area at night unless your doctor tells you otherwise. If applying to an area that cannot be covered, check with your doctor for instructions. Wash Salicylic Acid (Teen Derm Gel) shampoo off in the morning.
• To use gel as a scalp treatment: Apply Salicylic Acid (Teen Derm Gel) shampoo with the applicator directly to affected areas of the scalp. Avoid contact with unaffected hair or skin. Leave the medicine on for 10 to 20 minutes initially, gradually increasing the treatment time to one hour, or as directed by your doctor. The gel may be washed off using the medicated shampoo or warm water in a bath or shower.
• Wash hands immediately after you use Salicylic Acid (Teen Derm Gel) shampoo, unless your hands are part of the treated area.
• If you miss a dose of Salicylic Acid (Teen Derm Gel) shampoo, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Salicylic Acid (Teen Derm Gel) shampoo.

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth.

Topical medicine is for use only on the skin. Do not get this medicine in your eyes or nose. Avoid inhaling the spray.

Wash your hands before and after applying this medicine.

Apply a thin layer of medication to the wound. Balsam Peru and castor oil is usually applied 2 or 3 times daily. Follow your doctor's instructions.

Shake the spray form of this medicine before each use. Hold the can about 12 inches from your skin and spray enough medicine to coat the wound.

After applying the medicine, you may cover the wound with a bandage dressing, or leave the wound open to the air. Your doctor will tell you whether you should cover the wound or not.

If you need to remove the medicine, gently wash it off with water.

Some forms of this medicine are flammable. Do not use near open flame or while you are smoking. Do not smoke until the medicine has completely dried on your skin.

Use this medication regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Store at room temperature away from moisture and heat. Do not allow the medicine to freeze.

Keep the spray canister away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty spray canister.

Use: Labeled Indications

Treatment of hypocalcemia and conditions secondary to hypocalcemia (eg, tetany, seizures, arrhythmias); emergent treatment of severe hypermagnesemia

Off Label Uses

Beta-blocker overdose

Data from one human case report and an animal study suggest that Calcium Chloride (Teen Derm Gel) may be helpful in beta blocker overdose.

Based on the American Heart Association (AHA) Guideline for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, the Experts Consensus Recommendations for the Management of Calcium Channel Blocker Poisoning in Adults, and the American College of Cardiology/American Heart Association/Heart Rhythm Society (ACC/AHA/HRS) Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay, Calcium Chloride (Teen Derm Gel) is an effective and recommended treatment option in the setting of calcium channel blocker overdose.

Hyperkalemia, severe

Based on the American Heart Association (AHA) Guideline for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Calcium Chloride (Teen Derm Gel) is an effective and recommended treatment to stabilize the myocardial cell membrane in patients with severe hyperkalemia (K+ >6.5 mEq/L with toxic ECG changes).

Malignant arrhythmias (including cardiac arrest) associated with hypermagnesemia

Based on the American Heart Association (AHA) Guideline for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Calcium Chloride (Teen Derm Gel) is effective and recommended for the treatment of malignant arrhythmias (including cardiac arrest) in patients with hypermagnesemia.

This medication is used on the skin to treat common skin and foot (plantar) warts. Salicylic Acid (Teen Derm Gel) helps cause the wart to gradually peel off. This medication is also used to help remove corns and calluses. This product should not be used on the face or on moles, birthmarks, warts with hair growing from them, or genital/anal warts.

Salicylic Acid (Teen Derm Gel) is a keratolytic. It belongs to the same class of drugs as aspirin (salicylates). It works by increasing the amount of moisture in the skin and dissolving the substance that causes the skin cells to stick together. This makes it easier to shed the skin cells. Warts are caused by a virus. Salicylic Acid (Teen Derm Gel) does not affect the virus.

How to use Salicylic Acid (Teen Derm Gel) topical

Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.

This medication is for use on the skin only. To avoid irritation, do not let this medication come into contact with your eyes, nose, mouth, groin, or any broken skin. If you do get the medication in those areas, flush the area with cool water for 15 minutes. Wash hands after use.

First, soak the corn, callus, or wart in warm water for about 5 minutes to soften the treatment area. Dry thoroughly. Your doctor may direct you to use a pumice stone, callus file, or emery board to carefully remove the top dead layers of skin after soaking and before applying the medication. This dead skin removal is only to help the medication work better. Do not try to rub the wart or callus off.

If you are using a liquid/gel, apply a few drops or a thin coat of the medication to cover the entire wart, callus, or corn using the applicator if provided. Be careful to apply it only to the affected area and not the surrounding skin. Let dry for 5 minutes. Depending on the brand used, you may need to apply the medication twice with each treatment. Check your product package and follow the directions carefully. You may cover the area loosely with a bandage. Repeat this procedure 1 to 2 times daily for up to 2 weeks for corns and calluses and 12 weeks for warts or as directed by your doctor.

If you are using a medicated pad or bandage, you may need to cut the pad so that it covers the treatment area completely but does not touch the surrounding skin. Peel off the protective covering and place the patch/bandage over the area. Leave in place according to package directions. Remove and place a new patch/bandage as directed (usually every 8 to 48 hours depending on brand). Repeat this procedure for up to 2 weeks for corns and calluses and 12 weeks for warts.

Dosage is based on your medical condition, product type/brand, and response to treatment. Do not use large amounts, apply this medication more often, or use it for a longer period than directed. Your condition will not clear faster, but the chance for side effects may be increased.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day.

If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.

Acne, Infections, skin antisepsis.

Baloxavir Marboxil: Polyvalent Cation Containing Products may decrease the serum concentration of Baloxavir Marboxil. Avoid combination

Bictegravir: Calcium Salts may decrease the serum concentration of Bictegravir. Management: Bictegravir, emtricitabine, and tenofovir alafenamide can be administered with calcium salts under fed conditions, but coadministration with or 2 hours after a calcium salt is not recommended under fasting conditions. Consider therapy modification

Bisphosphonate Derivatives: Polyvalent Cation Containing Products may decrease the serum concentration of Bisphosphonate Derivatives. Management: Avoid administration of oral medications containing polyvalent cations within: 2 hours before or after tiludronate/clodronate/etidronate; 60 minutes after oral ibandronate; or 30 minutes after alendronate/risedronate. Exceptions: Pamidronate; Zoledronic Acid. Consider therapy modification

Calcium Acetate: Calcium Salts may enhance the adverse/toxic effect of Calcium Acetate. Avoid combination

Calcium Channel Blockers: Calcium Salts may diminish the therapeutic effect of Calcium Channel Blockers. Monitor therapy

Cardiac Glycosides: Calcium Salts may enhance the arrhythmogenic effect of Cardiac Glycosides. Monitor therapy

CefTRIAXone: Calcium Salts (Intravenous) may enhance the adverse/toxic effect of CefTRIAXone. Ceftriaxone binds to calcium forming an insoluble precipitate. Management: Use of ceftriaxone is contraindicated in neonates (28 days of age or younger) who require (or are expected to require) treatment with IV calcium-containing solutions. In older patients, flush lines with compatible fluid between administration. Consider therapy modification

Deferiprone: Polyvalent Cation Containing Products may decrease the serum concentration of Deferiprone. Management: Separate administration of deferiprone and oral medications or supplements that contain polyvalent cations by at least 4 hours. Consider therapy modification

DOBUTamine: Calcium Salts may diminish the therapeutic effect of DOBUTamine. Monitor therapy

Dolutegravir: Calcium Salts may decrease the serum concentration of Dolutegravir. Management: Administer dolutegravir at least 2 hours before or 6 hours after oral calcium. Administer dolutegravir/rilpivirine at least 4 hours before or 6 hours after oral calcium salts. Alternatively, dolutegravir and oral calcium can be taken together with food. Consider therapy modification

Eltrombopag: Polyvalent Cation Containing Products may decrease the serum concentration of Eltrombopag. Management: Administer eltrombopag at least 2 hours before or 4 hours after oral administration of any polyvalent cation containing product. Consider therapy modification

Elvitegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Elvitegravir. Management: Administer elvitegravir 2 hours before or 6 hours after the administration of polyvalent cation containing products. Consider therapy modification

Multivitamins/Fluoride (with ADE): May increase the serum concentration of Calcium Salts. Calcium Salts may decrease the serum concentration of Multivitamins/Fluoride (with ADE). More specifically, calcium salts may impair the absorption of fluoride. Management: Avoid eating or drinking dairy products or consuming vitamins or supplements with calcium salts one hour before or after of the administration of fluoride. Consider therapy modification

Multivitamins/Minerals (with ADEK, Folate, Iron): May increase the serum concentration of Calcium Salts. Monitor therapy

PenicillAMINE: Polyvalent Cation Containing Products may decrease the serum concentration of PenicillAMINE. Management: Separate the administration of penicillamine and oral polyvalent cation containing products by at least 1 hour. Consider therapy modification

Phosphate Supplements: Calcium Salts may decrease the absorption of Phosphate Supplements. Management: This applies only to oral phosphate and calcium administration. Administering oral phosphate supplements as far apart from the administration of an oral calcium salt as possible may be able to minimize the significance of the interaction. Exceptions: Sodium Glycerophosphate Pentahydrate. Consider therapy modification

Raltegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Raltegravir. Management: Administer raltegravir 2 hours before or 6 hours after administration of the polyvalent cations. Dose separation may not adequately minimize the significance of this interaction. Consider therapy modification

Tetracyclines: Calcium Salts may decrease the serum concentration of Tetracyclines. Management: If coadministration of oral calcium with oral tetracyclines can not be avoided, consider separating administration of each agent by several hours. Exceptions: Eravacycline. Consider therapy modification

Thiazide and Thiazide-Like Diuretics: May decrease the excretion of Calcium Salts. Continued concomitant use can also result in metabolic alkalosis. Monitor therapy

Thyroid Products: Calcium Salts may diminish the therapeutic effect of Thyroid Products. Management: Separate the doses of the thyroid product and the oral calcium supplement by at least 4 hours. Consider therapy modification

Trientine: Polyvalent Cation Containing Products may decrease the serum concentration of Trientine. Management: Avoid concomitant administration of trientine and oral products that contain polyvalent cations. If oral iron supplements are required, separate the administration by 2 hours. If other oral polyvalent cations are needed, separate administration by 1 hour. Consider therapy modification

Vitamin D Analogs: Calcium Salts may enhance the adverse/toxic effect of Vitamin D Analogs. Monitor therapy

See also:
What other drugs will affect Salicylic Acid (Teen Derm Gel)?

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to Salicylic Acid (Teen Derm Gel) or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Young children may be at increased risk of unwanted effects because of increased absorption of Salicylic Acid (Teen Derm Gel) through the skin. Also, young children may be more likely to get skin irritation from Salicylic Acid (Teen Derm Gel). Salicylic Acid (Teen Derm Gel) should not be applied to large areas of the body, used for long periods of time, or used under occlusive dressing (air-tight covering, such as kitchen plastic wrap) in infants and children. Salicylic Acid (Teen Derm Gel) should not be used in children younger than 2 years of age.

Geriatric

Elderly people are more likely to have age-related blood vessel disease. This may increase the chance of problems during treatment with Salicylic Acid (Teen Derm Gel).

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

See also:
What other drugs will affect Triclosan (Teen Derm Gel)?

Some drugs, like insulin, may interfere with the body’s lipase system. This kind of interaction seems, however, to be of only limited clinical importance.

Heparin in clinical doses causes a transient increase in lipolysis in plasma, resulting in a transient decrease in triglyceride clearance due to depletion of lipoprotein lipase.

Soybean oil has a natural content of vitamin K1. This is considered important only for patients treated with coumarin derivatives, which interfere with vitamin K1.

Incompatibilities: Intralipid 10%/20% can only be mixed with other medicinal products for which compatibility has been documented.

Tell your doctor of any over-the-counter or prescription medication you may take especially any ear medications. Do not start or stop any medicine without doctor or pharmacist approval.

See also:
What are the possible side effects of Calcium Chloride (Teen Derm Gel)?

Adverse Reactions

Frequency not defined. IV:

Cardiovascular (following rapid IV injection): Bradycardia, cardiac arrest, cardiac arrhythmia, hypotension, syncope, vasodilation

Central nervous system: Feeling abnormal (sense of oppression; with rapid IV injection), tingling sensation (with rapid IV injection)

Endocrine & metabolic: Hot flash (with rapid IV injection), hypercalcemia

Gastrointestinal: Dysgeusia (chalky taste), gastrointestinal irritation, increased serum amylase

Local: Local tissue necrosis (following extravasation)

Renal: Nephrolithiasis

Postmarketing and/or case reports: Cutaneous calcification

See also:
What are the possible side effects of Salicylic Acid (Teen Derm Gel)?

Less common or rare

Skin irritation not present before use of Salicylic Acid (Teen Derm Gel) (moderate or severe)

Frequency not known

Dryness and peeling of skin

flushing

redness of skin

unusually warm skin

Symptoms of Salicylic Acid (Teen Derm Gel) poisoning

Confusion

diarrhea

dizziness

fast or deep breathing

headache (severe or continuing)

hearing loss

lightheadedness

nausea

rapid breathing

ringing or buzzing in ears (continuing)

severe drowsiness

stomach pain

vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

-Skin irritation not present before use of Salicylic Acid (Teen Derm Gel) (mild) -stinging

See also:
What are the possible side effects of Triclosan (Teen Derm Gel)?

Benzoyl peroxide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

dryness or peeling of skin

feeling of warmth.

tingling.

slight stinging.

If you experience any of the following symptoms, call your doctor immediately:

burning.

blistering.

itching.

redness.

rash.

swelling.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); skin redness or irritation

Xylitol (Teen Derm Gel) is safe in the amounts found in foods. It seems safe as a medicine for most adults in amounts up to about 50 grams per day. Avoid higher doses. There is some concern that extremely high doses for long periods of time (more than three years) can cause tumors. Xylitol (Teen Derm Gel) can cause diarrhea and intestinal gas. It is probably safe for children as a medicine in amounts up to 20 grams per day.

Avobenzone (Teen Derm Gel), a hydroquinone-based sunscreen lotion, is used to lighten the freckles, hyperpigmentations, age spots, melasma and liver spots due to hormonal drugs, skin injury, pregnancy and oral contraceptive pills. Avobenzone (Teen Derm Gel) reduces the recurrence rate of black spots due to sunlight or ultraviolet light exposure. Avobenzone (Teen Derm Gel) inhibits the discoloration process by interfering with melanocyte physiology.

Calcium Chloride (Teen Derm Gel) is an ionic compound of calcium and chlorine. It is highly soluble in water and it is deliquescent. It is a salt that is solid at room temperature, and it behaves as a typical ionic halide. It has several common applications such as brine for refrigeration plants, ice and dust control on roads, and in cement. It can be produced directly from limestone, but large amounts are also produced as a by-product of the Solvay process. Because of its hygroscopic nature, it must be kept in tightly-sealed containers. [Wikipedia]

Each mL contains anthraquinone glycosides 50 mg, Salicylic Acid (Teen Derm Gel) 10 mg and alcohol 60%.

An aromatic ether that is phenol which is substituted at C-5 by a chloro group and at C-2 by a 2,4-dichlorophenoxy group. It is widely used as a preservative and antimicrobial agent in personal care products such as soaps, skin creams, toothpaste and deodorants as well as in household items such as plastic chopping boards, sports equipment and shoes. [ChEBI]