Drug Guide
Ammonium Lactate
Classification
Therapeutic: Emollient, moisturizer
Pharmacological: Lactic acid derivative, keratolytic, humectant
FDA Approved Indications
- Dry, scaly skin conditions such as xerosis, ichthyosis, psoriasis, and eczema
Mechanism of Action
Ammonium lactate acts as a humectant, attracting and retaining moisture in the skin, and as a keratolytic agent, promoting exfoliation of dead skin cells.
Dosage and Administration
Adult: Apply to affected areas once or twice daily or as directed by a healthcare provider.
Pediatric: Use as directed by a healthcare provider; safety and efficacy in children under 2 years have not been established.
Geriatric: Use with caution; monitor for skin irritation.
Renal Impairment: No specific dose adjustment; use with caution as systemic absorption is minimal.
Hepatic Impairment: No specific dose adjustment.
Pharmacokinetics
Absorption: Minimal systemic absorption when applied topically.
Distribution: Local skin effects, not systemic.
Metabolism: Metabolized locally in skin tissues.
Excretion: Excreted via skin; negligible systemic excretion.
Half Life: Not applicable for topical use.
Contraindications
- Hypersensitivity to ammonium lactate or its components.
Precautions
- Use cautiously on broken or infected skin; avoid ingestion.
Adverse Reactions - Common
- Skin irritation, burning, or stinging (Common)
Adverse Reactions - Serious
- Allergic contact dermatitis (Rare)
Drug-Drug Interactions
N/ADrug-Food Interactions
N/ADrug-Herb Interactions
N/ANursing Implications
Assessment: Assess skin condition and tolerance during application.
Diagnoses:
- Impaired skin integrity related to skin dryness.
Implementation: Instruct patient on proper application technique; apply to clean, dry skin.
Evaluation: Monitor skin condition for improvement and adverse reactions.
Patient/Family Teaching
- Apply as directed; do not overuse.
- Avoid applying to broken or infected skin.
- Report any signs of irritation or allergic reaction.
Special Considerations
Black Box Warnings: N/A
Genetic Factors: N/A
Lab Test Interference: N/A
Overdose Management
Signs/Symptoms: Localized skin irritation or allergic reaction.
Treatment: Discontinue use; symptomatic treatment for skin irritation.
Storage and Handling
Storage: Store at room temperature, away from moisture and heat.
Stability: Stable under recommended storage conditions.