ALPHA HYDROXY ACID LOTIONS
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I would like an informal poll of the list members' favorite alpha hydroxy
acid lotions, commercial or compounded.   Lachydrin 12% lotion seems
dreadfully expensive to most of my patients and many do not like the feel or
fragrance.    Some patients have come to me requesting "MD Formulations"
which they can obtain at a rather high price from a local colleague -- I 
have preferred to have my local pharmacist fill prescriptions for compounded 
8% glycolic acid in Aquanil lotion.  Diane seems to like Aqua Glycolic 
lotion. Does anyone have any favorites and what is the best value for the 
money?
    
Walter H. Wood
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Alpha Hydrox - The least expensive in the pharmacy.

Daniel Mark Siegel MD
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Neostrata Skin Smoothing cream/lotion

Jonathan Yu, MD
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Aqua Glycolic Lotion taps into my conservative spot-they were the first.
When I was a resident Van Scott was talking a lot about alpha hydroxy
acids-he talked for many years. I was surprised when it eventually caught
on.   

Diane Thaler
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Neo Strata
And I use Neostrata Solution with 2% clindamycin daily or bid for
pseudofolliculitis barbae (stings, but it often works well - give 99
refills).

KC Smith MD FRCPC
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Aqua Glycolic comes as an astringent and a body /face wash as well. I
wonder if one could add clinda to the astringent if desired. Personally, I
don't like products that sting if they can be avoided. Have you noticed a
big difference between clinda alone, or with glycolic acid? What do you
think pseudofolliculitis barbae is-and based on that definition, why
clinda/glycolic would work? 

Diane Thaler
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My favorite is Aqua Glycolic  we have seen dramatic improvement in patients
with rather marked actitic damage .one woman with extensive DSAP lesions had
dramatic clearing of lesions.

R Ceilley
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