Formulation of trichloroacetic acid with help of a syringe

Avitus John Raakesh Prasad; Animesh Saxena; Vivek Kumar Dey

doi:10.4103/JCAS.JCAS_107_20

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SHORT COMMUNICATION

Year : 2021 | Volume : 14 | Issue : 4 | Page : 452-453

Formulation of trichloroacetic acid with help of a syringe

Avitus John Raakesh Prasad¹, Animesh Saxena², Vivek Kumar Dey²
¹ S. P. Derma Center, Dermatosurgery and Cosmetology Laser Clinic, Madurai, Tamil Nadu, India
² People’s College of Medical Sciences & Research Centre, Bhopal, Madhya Pradesh, India

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Date of Web Publication

13-Feb-2022

Abstract

We describe a unique method for formulating trichloroacetic acid (TCA) in different strengths with the help of a syringe.

Keywords: acne scars, peels, trichloroacetic acid

How to cite this article:
Prasad AJ, Saxena A, Dey VK. Formulation of trichloroacetic acid with help of a syringe. J Cutan Aesthet Surg 2021;14:452-3

How to cite this URL:
Prasad AJ, Saxena A, Dey VK. Formulation of trichloroacetic acid with help of a syringe. J Cutan Aesthet Surg [serial online] 2021 [cited 2022 May 25];14:452-3. Available from: https://www.jcasonline.com/text.asp?2021/14/4/452/337590

Introduction

Trichloroacetic acid (TCA) in a strength of 30% to 100% is used for acne scars,^[1] molluscum contagiosum, verruca vulgaris, freckles, and xanthelasma.^[2] The formulation of TCA solutions in clinics is a cumbersome process, as there is no standard method; thus, clinicians either prefer buying preprepared solutions in different strengths or are dependent on local chemists.

Report

With the help of a syringe, TCA can be formulated in clinics in desired amounts and concentrations. For doing so, we need to use the formula C1V1= C2V2, where C1 is the initial concentration of a solution, C2 is the desired concentration, and V2 is the volume that we want to prepare. By substituting values in the formula, we will get the volume of solution needed for the preparation of solution, that is V1; for example, to prepare 2ml (V2) of 70% TCA(C2) with 100% TCA(C1) the value of V1 we will get is 1.4ml. TCA is available in the form of crystals that need to be liquified. For formulating the earlier mentioned concentration, measure 1gm of 100% TCA crystals with the help of a digital pocket weighing machine in a glass petri dish, cover it with a wider glass petri dish that serves as a lid, and finally transfer the dish to a hot water bath (90ºc) for 10 min [Figure 1] for the crystals to liquify. Pull the plunger of a 2-ml syringe (which is marked up to 2.5ml) to the 0.5 ml mark so that TCA does not come in contact with the rubber head of the plunger. Then, take 1.4 ml of TCA; while keeping the syringe in an upright position, transfer the content to a glass vial [Figure 2]. Next, take 0.6 ml of distilled water in the same syringe and transfer it to the same vial. The result is a 2 ml 70% TCA. In the same manner, for preparing 15ml(V2) of 50% TCA (C2), use a 20-ml syringe, take 7.5ml(V1) of 100% TCA(C1), and add 7.5ml of distilled water. The solution prepared can be used for one month.

Figure 1: Trichloroacetic acid crystals in hot water bath

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Figure 2: Liquified 100% TCA with air gap to prevent contact with plunger

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In this manner, 100 gm of TCA crystals were procured from Qualikems Fine Chem Pvt. Ltd. for 238 INR, and these can be used to formulate 280ml of 50% TCA, which will cost 0.85 INR per ml; however, commercially available peels in the same concentration cost 80–136 INR per ml.

Conclusion

The method described in this article is both easy to use in clinics and cost-effective, which will also benefit patients as the cost of the procedure will be reduced for clinicians.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1.	Bhardwaj D, Khunger N An assessment of the efficacy and safety of CROSS technique with 100% TCA in the management of ice pick acne scars. J Cutan Aesthet Surg 2010;3:93-6.
2.	Nahas TR, Marques JC, Nicoletti A, Cunha M, Nishiwaki-Dantas MC, Filho JV Treatment of eyelid xanthelasma with 70% trichloroacetic acid. Ophthalmic Plast Reconstr Surg 2009;25:280-3.