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beachwoodoh
7 Posts |
 Posted - 10/10/2012 : 11:43:18
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| kdw57: I described my reaction to using Picato on my nose/upper cheeks on July 26. Hope that helps! |
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Janice Adkins
1 Posts |
Posted - 10/19/2012 : 09:29:03
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| I was prescribed the Picato Gel and fiven a co-pay card issued by McKesson, given to me by my P.A. for a reduced cost for this gel. She explained to me it was new on the market and thought it would give me excellent results. Too bad I can't afford it. I live in a small community in NW FL and have BCBS of FL insurance. The pharmacy said the insurance company would not pay a penny toward my prescription. Even though I have the RX plan with co-pays for generic and name brand scrips. The pharmacist told me that with the discount card my cost would be $443.00 and without the discount card it would be over $600.00!!!! I couldn't believe what I was hearing. I see where it cost one of the forum respondents, $51.00. I don't understand what is going on with the cost. My insurance company paid for the most part, 2 lasar procedures on my face, but won't pay a penny on this prescription. I'm waiting to hear from my P.A. on what the next step will be. I guess I will get another lasar treatment! |
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kitten9
7 Posts |
Posted - 11/02/2012 : 23:10:58
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What exactly is an adverse reaction? I used it one time, only on AK's and got big ole' blisters like the worst sunburn I have ever had 30 years ago! I used the 0.015%. I did not smear it all over, only used on the AK's, nose, cheek, forehead. Thanks. Red, burning, tightness, throbbing, then blisters within 2 hours. quote:
Originally posted by LEO Pharma
Hello! I work for LEO Pharma, Inc, the manufacturer of Picato® (ingenol mebutate)gel. If you would like to report suspected adverse reactions, please contact LEO Pharma, Inc at 1-877-494-4536, option #1 or FDA at 1-800-FDA-1088 or fda.gov/medwatch.
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jackkemp3
1 Posts |
Posted - 11/11/2012 : 13:53:45
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| Having had all the other cream treatments, I was excited to try Picato gel. Red hair, 70 years old. Very expensive. Under Dermo care had no reaction or results. Very disappointed. Have now undergone Levulan blue light treatment. Like the fact that it is much faster than creams. |
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Bill H
1 Posts |
Posted - 11/11/2012 : 15:37:58
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| I received a prescription from my derma. and started application on Thurs. 11/8/12.I was instructed to apply this gel for 3 days.Its now Sun. 11/11/12 and I have had a very negative reaction to this stuff.I only wish that I had paid more attention to the potential side effects.My scalp is very red and sensitive.A lot like a real bad sunburn.The two small places on my face are considerably worse.I shaved this morning and on one side there was no problem;however on the left side shaving removed a layer of my skin.This side of my face is so sore that I can't even apply aloe lotion on it.It burns and I had to wash it off.This side is also extremely sore and red.I'am scheduled to undergo Blu-U treatment on 11/20 12,but that is NOT GOING TO HAPPEN! I feel like I received the prescription from Hell.I'll call my Dr. on Mon. and cancel that procedure at this time.I just want to get an appointment with him and see what can be done to reverse the side effects of this Hell Gel.I certainly hope that everyone else does not experience these same side effects! |
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anivoc
668 Posts |
Posted - 11/12/2012 : 01:06:00
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| Wow..first report of no effect with picato gell ..definitely interested in hearing about your levulan blue light procedure experience. |
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kerry
1 Posts |
Posted - 11/12/2012 : 18:31:37
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I am curious as to how long I will need to be out of work? I was told to use it and expect to see results within 5 days, not according to what I've read. I work with children and do not want to look like a monster! |
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kitten9
7 Posts |
Posted - 11/12/2012 : 19:26:51
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If your reaction is blisters, they take 24 -48 hours to drain or pop, then 3 - 4 days of redness, peeling, don't force any peeling. If I try it again, I'll apply it with a toothpick. A little goes a long way.
Use Aquafor to keep spots moist, don't pick! At 6-7 days barely visible, although I can see the new tissue with a magnifying mirror. I also used a beige concealer. |
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kitten9
7 Posts |
Posted - 11/12/2012 : 19:36:54
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Oh yes, mine was $25 with the coupon, no insurance was used. My Life Insurance Co. tried to cancel me upon renewal. I guess I signed a waiver, they could see all my
Rxs!
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pbl54
1 Posts |
Posted - 02/03/2013 : 22:07:35
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| Hi. Picato gel has only today, 4th Feb 2013, been released in Australia. Could anybody tell me the cost per dose. Of course, its not on the PBS yet so will probably be pretty expensive... |
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accfan
10 Posts |
Posted - 02/04/2013 : 06:42:55
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| Hi pbl54. I completed a 3-day course of Picato in January 2013. I had met my insurance deductible, so there was no cost to me. My receipt said my insurance saved me about US $675.00 for the Rx. Of course, it could be entirely different in Australia. Good luck. |
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Lee
2 Posts |
Posted - 02/08/2013 : 13:35:54
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| I had to pay for the Picato out of my pocket which would be $600.00 . At the pharmacy they told me to go back to the Dr. and see if they had some type of coupon. I went back to the Dr. and they gave me a plastic card to activate with the drug company. If I had not found that out the Dr. office would have NOT shared the information. I then went and got the drug. I used this credit card from the drug manufacture of Picato and they took $250.00 off the cost of the $600.00 . I started mine today on my forehead. Within hours a red patch appeared on the area but no effect so far. I am to use it only twice. Yesterday the drug manufacture called and told me they would get back to me in 3 months to follow up on how well the drug worked . They did advise me of all the side effects and were very helpful and reassuring since I was so nervous to use this . I got more information from them then from my own Dr. |
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dasnyder
5 Posts |
Posted - 02/11/2013 : 12:22:55
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My insurance paid $1,870 - my co-pay was $30..00. I am shocked at the differences in prices from everyone (maybe it's because I am in Connecticut?)
I have a question I hope someone can answer. I was given three boxes of Picato - one to use each night for three nights. When I opened the first box, it had three tubes, but the instructions were to use one tube a night. I actually have 9 tubes and wonder if I was suppose to use three each night because I am covering my whole face. Has anyone else had this question? I am unable to get my doctor today and the pharmacist was unable to answer my question.
I'd appreciate your thoughts.
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dasnyder
5 Posts |
Posted - 02/11/2013 : 12:27:29
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quote:
Originally posted by Spot
I just started my treatment yesterday on my whole face. The reaction so far is like a mild sunburn, which is gone this morning. When I got up this morning my face was red with a blister on the side of my nose. My doctor was doing this treatment when I saw her and she has blisters all over her chin.
I will be back with day two results tomorrow, hoping no more blisters pop up.
After my insurance and a coupon from the pharmacy my cost was $ 25.00.
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dasnyder
5 Posts |
Posted - 02/11/2013 : 12:32:45
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I tried to send a question to "Spot" and apparently did something wrong. Now the message Spot sent is in my name *(sorry about that!)
I wanted to ask Spot if he/she needed to use three tubes a night to cover the whole face.
Thanks.
Dot |
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Lee
2 Posts |
Posted - 02/11/2013 : 13:14:37
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| Today is day 4 . I only did the treatment for 2 days . I got 3 tubs and used only 1 tub. Please tell anyone to get a plastic card from the Dr. so you can get the discount from the company. It saved me $200.00 The first day was the worse, but only mild tingling of the face. The 2nd day really was much easier. By the 3rd day, now of no treatment it was like an open wound and I spotted on the pillow case and sheets much more on the 4th night my sheets pillow case and sheets were very spotted with what looked like blood. I have no tingling from the spot . The spot is VERY read and looks nasty. |
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accfan
10 Posts |
Posted - 02/11/2013 : 14:42:58
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Hi dasnyder. The reason your insurance paid $1,870 is because you got the equivalent of 3 treatments. A normal course is 3 tubes in one box - you got 3 boxes of 3. The package insert says only apply to a 2 inch x 2 inch area, so clearly your dermatologist is going "off label" in your case.
Each person's reaction is different. If I had covered my entire face, I don't think I would have been able to sleep without pain killers. However, my doctor told me of another patient who had no reaction at all. My worst day was day 4 (after 3 days on). I wish you the best. |
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Sibo10
10 Posts |
Posted - 02/19/2013 : 04:31:15
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My experience with my first treatment with Picato on my scalp was intense pain, burning, intense attacks of goose-pimples (which was very painful when the skin on the scalp contracted). The reaction may depend on the level of the keratosis. In January I had 3 positive tumors surgically removed (thankfully small ones).
I was told not to use any creams or salves to reduce the reaction/pain as it is not yet known if they can 'negate' the process of Picato. So, grin and bear it (grimace and bear it?). It also states clearly that the treated area should not be covered. We suspect the active ingredient is UV sensitive; it needs light to function.
My second treatment starts on Friday and I am a 'bit' nervous.
(An interesting aside; here in Germany the treatment without insurance costs €150,00 - $200,00, so at $600 you are (again) being scammed by your drug companies  )
It's interesting to see how many are getting different advice from their skin doctors. In the instruction is specifically says that the COMPLETE treatment of three tubes should be used, (one per 24 hours). And the dermatologist who prescribed three tubes for the whole face obviously has no idea what he is doing. The treatment is for 4 sq inches (25 sq cm).
I've attached images of my treatment, after 1 day, 2 days, 3 days, 8 days and 15 days.
Picato after 1 day:
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Picato after 2 days:
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Picato after 3 days:
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Picato after 8 days:
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Picato after 15 days:
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Edited by - Sibo10 on 02/19/2013 12:14:33 |
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kitten9
7 Posts |
Posted - 02/19/2013 : 11:53:15
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quote:
Originally posted by accfan
My dr. recommended Picato for my face due to my relatively mild AK (doc has not tried it with any patients yet, afraid to use it on patients with severe AK). However, I have two concerns, barely addressed in this forum so far; I'm hopeful folks will respond if they can. First, everything I read says AK may lead to scc, but I have only had bcc's on my face. Does that matter? Second, my dr. said I would apply it to my whole face, but the prescribing information seems to imply that it should be limited to a 2" x 2" area (similar to imiquimod). What have others heard from their doctors on this? Thanks.
Yes, no more than a 2" x 2" area my Dr says. |
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Sibo10
10 Posts |
Posted - 02/19/2013 : 12:08:28
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quote:
Originally posted by kitten9
quote:
Originally posted by accfan
My dr. recommended Picato for my face due to my relatively mild AK (doc has not tried it with any patients yet, afraid to use it on patients with severe AK). However, I have two concerns, barely addressed in this forum so far; I'm hopeful folks will respond if they can. First, everything I read says AK may lead to scc, but I have only had bcc's on my face. Does that matter? Second, my dr. said I would apply it to my whole face, but the prescribing information seems to imply that it should be limited to a 2" x 2" area (similar to imiquimod). What have others heard from their doctors on this? Thanks.
Yes, no more than a 2" x 2" area my Dr says.
This is clearly stated in the instructions. The medicine is made in a concentrate for this size area. My doctor And I are trying this to save me from more cut & sew. Will have a sample of the area taken in the next week to send off for testing. Hopefully the results will be positive (negative).
I#m also reading that people are using creams to reduce the reaction to the medicine*. A bit silly in my opinion. Picato is basically a poison and it has to be left to do it's work - as nasty as it can be.
*Like drinking a few shots and beers after taking a headache pill.
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Edited by - Sibo10 on 02/19/2013 12:13:02 |
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accfan
10 Posts |
Posted - 02/27/2013 : 15:10:34
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| After a 3-day course of Picato on my nose Jan. 1-3, 2013, I got word today that a biopsy taken from my nose on 2/22/13 is positive for basal cell carcinoma. Needless to say, I'm not pleased. Wondering if I should try effudex. I know we're all unique, but I'm curious if anyone has tried both treatments, and how they compared - especially in effectiveness. |
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john691
7 Posts |
Posted - 02/27/2013 : 15:55:11
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| There is no simple answer to your question. I have used Effudex on my nose along with many other topical treatments. Numerous MOHS surgery, a forehead flap repair, and subsequent MOHS followed. If you think your BCC may be extensive, you might consider punch biopsies to determine the degree to which it has spread. Effudex, in my case, did not go deep enough and just helped to hide the real issue. A year ago, I went to the dermatologist for what I thought was a small spot but it was quite extensive. It is important to make sure that your treatment removes all of the BCC. If you decide on a topical treatment, a follow-up biopsy is a good idea. If you think that it is extensive and fear losing your nose, then consider Erivedge (vismodgeib), but this is not for the faint of heart. Good luck and let us know how it goes. |
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Trinda3
4 Posts |
Posted - 02/27/2013 : 17:04:15
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I am on day 2 of Picato, I have had bcc and scc removed by mohs. I was a sun worshiper and am blonde haired and blue eyed. I have had active FX (laser) on my face twice and thought it would remove the cancer. I have a lot less wrinkles but then had the cancer surgically removed. The last mohs they said it looked like someone opened me up and sprinkled pepper and I would be back. My derm prescribed Picato in hopes I won't have to go back. I had no keritosis that I could feel before my first application and now I can feel them all over my forehead and temples. Both my surgeries were to my left temple. I used efudex several times it only worked the first time. My face is red itches, I use it in the morning and wash it off after 6-7 hours. I called this morning and they said not to use anything on my face for two weeks after the first treatment. I really appreciate everyone's input and will report back. |
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elaineb29
1 Posts |
Posted - 02/28/2013 : 12:09:00
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Has anyone used picato gel on hands, arms or chest.
I am supposed to start it and would like to hear what others have experienced. |
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accfan
10 Posts |
Posted - 02/28/2013 : 13:22:15
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Thanks for the helpful background info, John691. After reading your post and that of Trinda3, I'm probably overreacting. This is just the 4th BCC on my nose. So far, no flaps, etc., although my derm said she may send me to plastic surgery to close this one, so maybe the biopsy doesn't look so good. This is the 3rd BCC on my nose in one year (Feb-Jun-Feb). I'm curious if that sounds typical. My derm has not seemed concerned, but it does make me wonder about the long term. If this keeps up, I may have to look into that Erivedge. Thanks again.
quote:
Originally posted by john691
There is no simple answer to your question. I have used Effudex on my nose along with many other topical treatments. Numerous MOHS surgery, a forehead flap repair, and subsequent MOHS followed. If you think your BCC may be extensive, you might consider punch biopsies to determine the degree to which it has spread. Effudex, in my case, did not go deep enough and just helped to hide the real issue. A year ago, I went to the dermatologist for what I thought was a small spot but it was quite extensive. It is important to make sure that your treatment removes all of the BCC. If you decide on a topical treatment, a follow-up biopsy is a good idea. If you think that it is extensive and fear losing your nose, then consider Erivedge (vismodgeib), but this is not for the faint of heart. Good luck and let us know how it goes.
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john691
7 Posts |
Posted - 03/01/2013 : 14:23:47
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| My experience with plastic surgery is that it does not need to happen right away. The first time I needed my nose repaired I felt a sense of urgency to get it done as soon as possible. It turned out that I had to wait two weeks for some tissue to granulate before the repair was done. The last time I needed a repair I went right from the mohs surgeon to the plastic surgeon. You can never be too prepared and you never know what to expect. I hope that yours is of the insignificant kind. |
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Trinda3
4 Posts |
Posted - 03/01/2013 : 15:41:50
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quote:
Originally posted by accfan
Thanks for the helpful background info, John691. After reading your post and that of Trinda3, I'm probably overreacting. This is just the 4th BCC on my nose. So far, no flaps, etc., although my derm said she may send me to plastic surgery to close this one, so maybe the biopsy doesn't look so good. This is the 3rd BCC on my nose in one year (Feb-Jun-Feb). I'm curious if that sounds typical. My derm has not seemed concerned, but it does make me wonder about the long term. If this keeps up, I may have to look into that Erivedge. Thanks again.
quote:
Originally posted by john691
There is no simple answer to your question. I have used Effudex on my nose along with many other topical treatments. Numerous MOHS surgery, a forehead flap repair, and subsequent MOHS followed. If you think your BCC may be extensive, you might consider punch biopsies to determine the degree to which it has spread. Effudex, in my case, did not go deep enough and just helped to hide the real issue. A year ago, I went to the dermatologist for what I thought was a small spot but it was quite extensive. It is important to make sure that your treatment removes all of the BCC. If you decide on a topical treatment, a follow-up biopsy is a good idea. If you think that it is extensive and fear losing your nose, then consider Erivedge (vismodgeib), but this is not for the faint of heart. Good luck and let us know how it goes.
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Trinda3
4 Posts |
Posted - 03/01/2013 : 15:45:02
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| My derm only do the biospy I go straight to the plastic surgeon for the mohs. I tried to get out of the biopsy last time because I already knew it was cancer just not what kind. |
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dasnyder
5 Posts |
Posted - 03/06/2013 : 12:59:39
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Note to Jack Kemp3:
I, too, have a red-heads complexion and the Picata gel had no affect after three days of treatment. I would have thought the lighter the skin the more painful the treatment! My dermatologist has suggested the Levulan Kerastick treatment which calls for applying the Kerastick and then going under the Blu-U light. Is this the treatment that you had and were satisfied with?
Hope to hear from you.
DASNYDER |
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dasnyder
5 Posts |
Posted - 03/06/2013 : 13:07:46
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TO ACCFAN:
Thank you for responding to my question about 3 boxes of Picato Gel that cost my insurance co. over $1800. I finally did get to talk to my doctor and you are right - I had gel for 9 days. My doctor said that was a mistake and she only prescribed 1 box of 3 tubes. However, since it had no effect on me I am still wondering if 1 tube is enough to cover the entire face (which I did).
I am now considering the Levulan Blue Light treatment, but after my experience with Picato, I don't have a lot of hope.
Thank you again.
DASNYDER |
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accfan
10 Posts |
Posted - 03/06/2013 : 13:48:53
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TO dasnyder:
Glad to hear you got the Picato cost/dosing sorted out, but sorry to hear about your lack of reaction to it. I reacted to it (i.e., bad sunburn, etc.), but not sure it did any good. That was in January, and this morning I had double Mohs, for two different nose BCCs. That makes 4 Mohs on the nose in 1 year, so the Dr. wants me to try Effudex next to try to slow the progression. Hopefully, it will be more effective than Picato was for me. |
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Trinda3
4 Posts |
Posted - 03/06/2013 : 14:10:45
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| I am still peeling on my face and a large scab on my scalp from the Picato. I had the levulan by a private dermatoligist on my arms and it made a huge difference in the AK's. I felt like I had stuck my arms in an oven. The pain subsided a few hours later then it was flaking a peeling for about 10 days. I had it done a second time in my healthcare dermatologist office it was a lot less invasive and had no pain and not much gain. Good Luck |
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Sibo10
10 Posts |
Posted - 03/06/2013 : 15:17:26
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This is my second treatment with Picato ( 2 x 2 in.). This is after 8 days. If the first treatment is anything to go by, the scalp should be better in about a week.
Picato Day 8:
81.27 KB |
Edited by - Sibo10 on 03/06/2013 15:21:37 |
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rred
1 Posts |
Posted - 03/19/2013 : 12:18:28
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| I have been prescribed Picato for my chest and neck area. Two months ago I had MOHS surgery for a SCC. I also had three SC in situ frozen. I do not see any posts for treatment of the chest area. My doctor suggested Picato over Efudex because it is quicker and not as painful to deal with. The only photos I can find are of facial treatment. Does anyone have experience with chest or neck treatment? I plan on starting treatment three days prior to my spring break so that I do not have to work during the most uncomfortable part. |
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accfan
10 Posts |
Posted - 03/19/2013 : 13:23:07
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| rred, I don't have experience with using Picato on the chest. However, since a dose is limited to a 2in x 2in area, I wouldn't think that would be an effective way to deal with a large area like the chest. Effudex doesn't have that limitation, but it does take a lot longer. |
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gesha
3 Posts |
Posted - 03/24/2013 : 19:19:21
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Was told by my doctor to use Picato for my face. I was scared starting the treatment after reading the post and researching the product and the side effects. I had to buck up and use it due to my bad skin with AKs. So..
Day 1 - applied in morning to my whole face avoiding eyes and mouth. Took about 3 hours for face to feel and look like a bad sunburn. No blisters. Stayed on Ibuprofen and washed off after 8 hours. Slept well.
Day 2 - Woke up without redness. Treated my face as on Day 1. Felt like a bad sunburn after applying 3 hours into the treatment. Got lots of small blisters on my forehead. Washed off at 8 hours and had to use ice packs and Ibuprofen before going to bed. Slept well.
Day 3 - (today) woke up with a small amount of redness and my eyes are puffy. No pain. Applied the Picato as the same for day 1 and 2. I have blotchy red areas on my face, mainly my forehead. Taking Ibuprofen. A little "burning" pain, but tolerable. Some small blisters on my forehead and my forehead feels rough. My eyes are still puffy and my face feels swollen/puffy. Doing ok thou.
I will keep you all posted. I am sure I will really peel. I hope this product works. I like that it is only has a 3 day application process. |
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Sibo10
10 Posts |
Posted - 03/25/2013 : 02:47:20
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quote:
Originally posted by gesha
Day 1 - applied in morning to my whole face...
Was this just one tube? The whole of the face is about 24 sq inches. The instructions say very, very clearly that one tube is to be used on a 2 x 2 inch area, that's 4 sq inches. So it may be possible that you wasted your time (and money) by applying it too thinly.
I spoke to my dermatologist, (who is in contact with the company), about this forum and he is rather amazed that some doctors are ignoring the explicit instructions given with the medicine and 'improvising' on the dosage.
Another question. Why wash it off so soon? Surely, if you are going through the treatment, you want the maximum effect. So why not leave it on overnight? |
Edited by - Sibo10 on 03/25/2013 02:53:03 |
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Sibo10
10 Posts |
Posted - 03/25/2013 : 03:12:34
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And the fun continues. Treatment 3, after 4 days.
I found a way to deal with the scab after it stops reacting, (around day 8). I soak a freshly laundered hand-cloth in hot water and press in onto the scab. Repeat 3/4 times. Then I 'compress' the scab by applying a cold gel-pack from the freezer, (wrapped in food-wrap as a precaution against 'nasties'). Over the next day or two I can then easily peel off the scab in large pieces.
Image Insert:
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gesha
3 Posts |
Posted - 03/25/2013 : 16:29:01
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My dermatologist told me to do my entire face avoiding the eyes and mouth area. I was to do this for 3 days. My box came with 3 tubes. One tube a day. There was no mention or did I read anywhere about only 2x2 squares and it did say that I could wash it off with mild soap after 6 hours. I waited for 8 hours. Today is day 4 and I still have red blotchy areas and my face and eyes are puffy. Lots of dry rough skin that is ready to peel. I have a follow up with my dermatologist in 3 months so we will see. I hope I do not have to do this again.
Day 1 - applied in morning to my whole face...
[/quote]
Was this just one tube? The whole of the face is about 24 sq inches. The instructions say very, very clearly that one tube is to be used on a 2 x 2 inch area, that's 4 sq inches. So it hamay be possible that you wasted your time (and money) by applying it too thinly.
I spoke to my dermatologist, (who is in contact with the company), about this forum and he is rather amazed that some doctors are ignoring the explicit instructions given with the medicine and 'improvising' on the dosage.
Another question. Why wash it off so soon? Surely, if you are going through the treatment, you want the maximum effect. So why not leave it on overnight?
[/quote] |
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Sibo10
10 Posts |
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phillymann
1 Posts |
Posted - 04/13/2013 : 17:30:06
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used the 0.015 picato as prescribed by dermatologist. AKs all over my bald head & forehead. first day, normal redness sunburn type, after second application very tender, redness slight blistering (was dreading third application) , third application - i was miserable, had to work from home since i look like a leper, hard to sleep since head hurt so much. its been two days since that last application, my head & forehead are one big scab, gonna try the aquafor i've read about on here to help with the dry itchiness..
I hope this wroks because this was a very painful treatment...
BTW thanks for all the info on this string =, very helpful... |
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accfan
10 Posts |
Posted - 04/14/2013 : 09:40:59
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| Phillyman, thanks for the post. Your skin reaction sounds fairly typical - not much fun. Please keep us posted on how it goes for you after this. |
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golfingmom
1 Posts |
Posted - 04/25/2013 : 21:22:26
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Completed second application last night. On day 3 and have a question. Is it alright to remove the gunky cells that accumulate in treated area? I have used aquaphor for the itching and dryness which has created a "gunky" mass in treatment area that is a recurring bcc. Other treatment area is blistery and itchy. Both are on forehead. Eyes are swollen and itchy, too. Sure hope this works. My insurance paid $1,300 for 4 tubes of .05%. Got to be better than Mohs.  |
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Sibo10
10 Posts |
Posted - 04/26/2013 : 03:06:38
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quote:
Originally posted by golfingmom
Is it alright to remove the gunky cells that accumulate in treated area? ...My insurance paid $1,300 for 4 tubes of .05%.
My dermatologist suggested that I leave the 'gunky' bits alone for at least a week. He was nervous about infection. As I wrote above, After a week or so I use a clean cloth with hot water to compress the gunk. Let it dry overnight and it peels off in sheets, and there is fresh, pink skin underneath.
The cost here in Germany for the medicine (3 x .05) is €160,00 ($210,00) |
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Picato
2 Posts |
Posted - 05/21/2013 : 01:36:33
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Have you seen these picato pictures. It looks like the skin responses are hardest the first days but after a couple of weeks they look much better.
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picato gel, ingenol mebutate, picato image, picato pictures |
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Picato gel (from radium weed or petty spurge)
