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ghostcat

USA
1 Posts

Posted - 01/24/2013 :  14:35:23  Show Profile  Reply with Quote
I just finished using 5% fluorouracil on my entire face. I was prescribed a 3 week treatment twice a day but decided to quit at day 20 due to a severe bloody nose. Granted, I have chronic nosebleeds but this one was really bad and one of the possible serious side-effects of 5FU is thrombocytopenia, which is difficulty clotting, which can cause bleeding into the brain. This bleed did not respond to the nose spray as usual, so since I had had a pretty good response to the FU, I chose to stop 2 days short. I notice that some posters here recommend an extended course but I would hope that everyone will check with their doctor on that. I'm still doing the backs of my hands as prescribed by my trusty dermatologist. Her reasoning for the 3-weeks to the face and 4-weeks to the hands is that the skin turnover for the face is 3 weeks whereas for the hands, 4 weeks. So unless your doc states you should go further, I really wouldn't do it. FU is certainly a very miserable treatment, but I would rather do an additional one in the future, if it is necessary, than prolong the misery unnecessarily and risk some dangerous side-effects. Best wishes to everyone.
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dolfan

USA
39 Posts

Posted - 01/24/2013 :  16:28:11  Show Profile  Reply with Quote
thanks for posting ghostcat. I was talking to a buddy about fu today and he said that one week is all that is needed. he also gets nose bleeds real bad so I will warn him.
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Sutiro

Australia
5 Posts

Posted - 01/25/2013 :  19:37:43  Show Profile  Reply with Quote
I am at day 10 of applying efudix twice daily and not a lot is happening yet. The cream does not absorb and has been sitting on the skin caking up with each application. Is this normal or should I clean it off before each application?
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JackRussell

USA
18 Posts

Posted - 01/26/2013 :  09:13:34  Show Profile  Reply with Quote
Caking up? That does not sound like Efudex. Efudex has a sllightly grease-like feel. You apply it to clean skin cleared of all make up, lotions, everything, in a very very thin coat. Wash your face with water before every application. It is best not to apply any lotions, make up or anything over it during the course of tratment. Within a very short time there is really no redidue.
If you apply twice a day, once in the morning and then aging 12 hours later, then by day seven your face will begin to turn reddish in those places where there is sun damage. If there is no sun damage then there will be no red.
Either it is not Efudex or you are applying it over or under something else like make up, etc.
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deruo

Canada
21 Posts

Posted - 01/26/2013 :  17:17:05  Show Profile  Reply with Quote
Sutiro, like JackRussell, I have to say that the cream itself shouldn't be caking up, unless you aren't removing it or using far too much, or applying it on top of makeup or something. My first tube was thicker in consistency than the second, but it never caked.

Or did you mean it's caking up because you're applying it over scabby, peeling skin?
I found this rather tricky to do and uncomfortable (and later on in treatment... a bit of a relief getting some moisture on my skin, even if it was Efudex) but it never caked per se.

Either way, I agree with Jack... wash your face prior to each application (with a mild cleanser if your skin is very tender) and then apply a thin layer to your skin. Do not apply anything at all prior to application of Efudex, just in the off chance you are doing so.
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Sutiro

Australia
5 Posts

Posted - 01/26/2013 :  21:16:55  Show Profile  Reply with Quote
deruo & jack russell thanks for your quick responses. The cream is marketed as Efudix in Australia but it seems to be the real deal - Fluorouracil 5% w/w. The instructions that come with it basically say to do everything in accordance with what the doctor says. All my doctor said was to use it one spot at a time with a new spot every two weeks and not to come back complaining of the pain if I use more than that. His skin clinic is a surgery and is always booked out. I've had 8 BCCs cut out so far at $300 a go, so I understand why they are reluctant to promote Efudix. It empowers the patient and reduces the demand for surgeries. I won't be going back to that doctor so I am self medicating at the moment while travelling in SE Asia.

The cream is water resistant and so far I have had no nasty side effects. The ulceration is commencing under the cream and I'm getting a tingling feeling particularly when I bend down. I am a male, so no cosmetics or anything else are being used. It might be a new generation of the cream that I am using? On the packet it lists all the side effects but it also says that I may not experience any of these, fingers crossed. Anyway I'll try removing the old cream before applying the new. Thanks again for your help.
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deruo

Canada
21 Posts

Posted - 01/26/2013 :  21:42:55  Show Profile  Reply with Quote
Hi Sutiro,

Okay, I think some of our confusion may be over what you're using. I notice that in Australia it's called Efudix vs Efudex in other parts of the world. Essentially the same 5% Fluorouracil. I also see that Efudix comes in an ointment form and yours could have been manufactured by ICN.

Efudex (made by Valeant out of Quebec, Canada, and possibly others) comes in cream form or at least thats what I used and am familiar with.

Obviously, the ointment would be water resistant and I can see where it may clump. Actually, I think that may be a better way to go as my face was so dry and tight (and painful) that I used Aquaphor (an ointment) to get relief.

I would still try to wash as much of the old product off before you apply a fresh batch. It's interesting you mentioned the tingling when you bent over. My face usually started tingling at night. Like a million mosquito bites all at once. It was fine during the day... just happened at night - usually around midnight. So much so that I couldn't sleep without some heavy duty help.

In any event, I'm not surprised at how busy your Dr is. Most of my Australian friends have had or know someone who's gone through this, and even my Dr here in Canada does little else but treating AKs and sun-damaged skin.

Hang in there!

Edited by - deruo on 01/26/2013 22:46:03
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JackRussell

USA
18 Posts

Posted - 01/28/2013 :  14:51:21  Show Profile  Reply with Quote
Hi Sutiro -
Something you mentioned in your post caught my eye. You mention surgery, usually that is performed on basal cell. If that is in fact what you are treating then 2 weeks is inadequate. Really, 2 weeks is inadequate for pretty much all actenic and basal, but Dr's have resigned themselves to prescribibg the 2-week therapy because such a high proportion of the people who do this cannot tolerate the discomfort. Since 2 weeks will kill, say, 60% of what needs to be killed, Dr's figure let just do the 2 and be thankful and then in a another year or two do another two weeks.. and so on. With Basal cell, you must treat it aggressively, which usually means 6 weeks minimum. My girlfriend had basal cell surgically removed and required two follow up cosmetic surgeries to fix the scar. The next time she needed basal cell removed I talked her into Efudex. She braved through 8 weeks. Three 3 months after treatment she looked great. (She should be here touting the benefits of Effudex. She is so glad she went that route, pain and all.)
P.S. Stay out of the sun. Efudex makes you overly suseptable to photo damage. And going forward after treatment you will be suseptable even more than before treatment.
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Sutiro

Australia
5 Posts

Posted - 01/28/2013 :  23:51:03  Show Profile  Reply with Quote
Thanks Jack
I'll do it for as long as I can stand it. Day 13 and so far it's a doddle???l (I'll regret saying that) No pain but things are slowly starting to happen. My wife cleaned off the caked on cream on my forehead with a cotton bud. At least 10 raw sunspots can be seen. I'll have to postpone my modelling career:)
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dolfan

USA
39 Posts

Posted - 01/29/2013 :  18:34:30  Show Profile  Reply with Quote
So should someone who cannot avoid the sun, not do Efudex?
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JackRussell

USA
18 Posts

Posted - 02/08/2013 :  12:39:03  Show Profile  Reply with Quote
Hi Dolfan - Sorry for the late response.
If you cannot avoid the sun then you will have to put on 50 spf and cover up as much as possible. Up until now, many of us have gotten use to doing very little for protection from the sun. Protecting ourselves seems a big inconvenience but it is just what we have to live with going forward. I have actually changed some of what I do outside so that I am in the direct sun less often.
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Sutiro

Australia
5 Posts

Posted - 02/10/2013 :  19:48:06  Show Profile  Reply with Quote
I'm now on day 4 of the recovery period. I stopped the Efudix treatment after 21 days, not because of pain or discomfort, (apart from pus running down my face at night) but because I felt it had done its job. I've had no trouble showering. It was actually quite soothing. Redness appeared mainly around the heavy ulceration and didn't spread further. I used lots of vaseline on these areas. It is one of the best moisturizers and costs very little. The wound is healing very quickly now but it is still heavily scabbed.

I think now that everyone reacts differently to the treatment. I am keeping a photographic record of it all and will find a forum to post it on to help someone else considering the treatment.
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DONAL101

Ireland
2 Posts

Posted - 02/20/2013 :  14:01:26  Show Profile  Reply with Quote
Hi, my first post here. For the last few years I have had a number of scaly patches across my forehead, temples and nose. I am 41 years of age, Irish and naturally have very fair skin with freckles. I have also had a fair exposure to sun over the years. I went to a Dermatologist who prescribed me Efudix 5%. I applied the Efudix as a spot treatment only as opposed to applying to the whole face. After day 3, about 15 red spots stated to appear, by day 7 these spots are now looking very angry. My Dermatologist advised me that this would happen but nothing can prepare you for the mess it makes of your face ! I am a Police officer and deal with the public every day, I am now very conscious of how I look and am considering how i deal with this. I am only at day 7 and I am thinking of stoping the treatment to the 15 spots and apply to 3 spots at a time. I know this would take the next 9-12 months to treat my whole face but the visual impact would be less alarming. Has anybody tried this ? What happens if you stop the treatment after only 7 days, will the red spots disappear ? ......
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blsnbelles

USA
2 Posts

Posted - 02/20/2013 :  15:56:51  Show Profile  Reply with Quote
No I did my whole face a year a go in April. By June my face was pretty much clear. I must admit I was shocked at the amount of cancerous cells I had on my face and, when I go back to my dermo in April and if I have to do it again I would. I didn't stop going out in public and offered information to people letting them know that I was doing chemo on my face because I'm a Melanoma survivor. I can't tell you how many people knew about the treatment or heard of someone they know that has done it. Some knew what was up with the sores on my face and asked if I was using Fluororacil (Efudix). Otherwise I knew it wasn't forever and if someone didn't like it too bad it wasn't there health that was at risk, it was mine.
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deruo

Canada
21 Posts

Posted - 02/20/2013 :  16:41:32  Show Profile  Reply with Quote
Donal101, welcome! Your skin sounds very similar to mine, but I didn't see any nastiness until about week two. When I started my dermo suggested I do my forehead first and then the rest of my face. I did the whole shot at once and I'm glad I did. Yes, it was trying but I was worried that if I did one part of my face, I may never get around to doing the rest. I would advise against stopping the treatment without consulting your Dr. and sticking with it as he/she suggested. I think most people here would suggest sticking it out and going to the max. Just my 2 cents.
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blsnbelles

USA
2 Posts

Posted - 02/20/2013 :  17:31:28  Show Profile  Reply with Quote
My hubby was told by the dermo to do his nose only about 6 months ago so, Donal101 good for you, now what do I tell my hubby to get his nose done finally, although I agree with deruo the whole face is much better at once rather than fooling with it throughout a year. And I actually meant to say "pre cancerous" cells. The efudix won't do anything to parts of the face that haven't any pc cells. At least that is what I found on my face.
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DONAL101

Ireland
2 Posts

Posted - 02/21/2013 :  02:04:29  Show Profile  Reply with Quote
Many thanks, i will consult with my dermatologist to wee what options he suggests, in the mean time I will battle on........
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dolfan

USA
39 Posts

Posted - 03/02/2013 :  06:46:53  Show Profile  Reply with Quote
I'm on day 12 of Efudex on my chest and it is starting to get active. I like the way it takes so long, because it gets you in a routine of applying the cream, before the reaction starts.
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dolfan

USA
39 Posts

Posted - 03/03/2013 :  13:43:19  Show Profile  Reply with Quote
wow! things are cooking now
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dolfan

USA
39 Posts

Posted - 03/13/2013 :  19:14:04  Show Profile  Reply with Quote
I cannot imagine doing my face.
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andrewecd

5 Posts

Posted - 03/21/2013 :  02:35:16  Show Profile  Reply with Quote
I am 49 male and on day 18. I was prescribed 14 days for face and had scabs etc falling off, but had some Efudex left so went for 17 days till tube empty. Must be mad, I know! Tightens up a lot after you stop and now crazy itching, burning etc. Nose and cheeks are cracked and on fire.
I couldn't get any appointment as had concerns on day 14. Doctor was "too busy" (nice to hear that as a patient) so eventually spoke to her on the phone.
She did say some people need to extend treatment, others considerably less, depends on many factors....Ok, so wouldn't it make sense to schedule another appointment at 10 or 14 days to check on my progress!!!
She also said overuse of Efudex can damage our skin that is trying to heal if used too long. The 3 extra days I did would not be a problem, though.
My only advice would be to make a few appointments before you start so the Derm can assess your situation/progress etc. They were always too busy once I had started!
Wonder what the next week will bring..?
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deruo

Canada
21 Posts

Posted - 03/21/2013 :  10:04:35  Show Profile  Reply with Quote
Andrewecd, I suspect you'll have a couple of days of tightening and peeling as the stuff continues to work for a period of time after you've stopped using it. Not to worry, I think a week from now you'll be much less red and the cracking and itching will resolve quite quickly. After a week I had a lovely red glow that was still pretty bad (who's kidding who!) but it was a GREAT deal better.

Good advice about pre-booking appointments.
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andrewecd

5 Posts

Posted - 03/21/2013 :  16:20:19  Show Profile  Reply with Quote
Thanks Deruo. Yes, still tightening. Was peeling before i stopped the cream, but more bits still to come I imagine. The tightness and stinging make my eyes water a lot. I would make a great Halloween zombie.
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andrewecd

5 Posts

Posted - 03/22/2013 :  08:21:20  Show Profile  Reply with Quote
Still summer-ish in Sydney and always seem to have the sun in my face when driving to work and on the way home. I think the sun is playing games with my solar nuked face? If I have to do it again it will be in winter. Itching and soreness is better than yesterday. Still shedding skin and now waiting for cheeks to explode..!! Iam on day 20 now and 3 days off Efudex
Anyone else currently Efudexing?
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dolfan

USA
39 Posts

Posted - 03/23/2013 :  07:09:57  Show Profile  Reply with Quote
My chest is completely healed, but does not look any different than before I used it. I'm not sold on efudex as a cure, but more as a wake up call as to what my future holds for me. It is going to take 10 tubes to treat all of my areas. LOL
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DannyB

1 Posts

Posted - 04/08/2013 :  17:20:00  Show Profile  Reply with Quote
I used efudex as prescribed for a month and never got a reaction.
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andrewecd

5 Posts

Posted - 04/09/2013 :  17:32:51  Show Profile  Reply with Quote
Danny, from what I understand that is good as you have no abnormal cells to react?
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JackRussell

USA
18 Posts

Posted - 04/10/2013 :  07:58:20  Show Profile  Reply with Quote
Danny -
I would be highly suspect if no reaction whatsoever was seen after one month. Either the product was defective or it wasn't being applied properly. It has to be applied twice a day to clean dry skin. For an area the size of the face you will use a tube in not much more than 2 weeks. You cannot apply anything to the face for at least 2 hours after applying it.
It is vertually impossible not to get a reaction after 30 days. Inevitably, over that amount of time, the Effudex would effect some normal cells. Effudex is carpet bombing and some good cells get called up in the campaigne.
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Sutiro

Australia
5 Posts

Posted - 05/07/2013 :  18:52:27  Show Profile  Reply with Quote
I'd like to do one more post to sum up my experience. It may provide some feedback for those considering the treatment. I completed a 21 day, two applications per day regime on my forehead in February. Fourteen days later a two square inch scab peeled off leaving a smooth pink patch of skin. This patch is still evident three months later. I then commenced another regime on a larger area on the top of my head with the efudix cream I had left. I had enough for two applications per day for ten days and then once per day for three days more, then let it heal. The skin reacted within two days with lots of neon lights appearing. The whole process was completed in three weeks and the result was excellent. Ten sunspots were completely removed, no blemishes and the skin left smooth. I'm of the opinion that for me the 21day, twice a day regime was overkill and it burnt the skin more than was necessary. I am an obvious fan of efudix and am pleased to be able to have control of the condition into the future. I hope this has been of help to someone and thank you to those who provided me with feedback when I needed it.

Cheers
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Snitz

1 Posts

Posted - 05/14/2013 :  16:24:01  Show Profile  Reply with Quote
Here in the UK, they don't tell you anything about what the treatment is going to be like. You get given a leaflet that shows the stages of the treatment, red skin, peeling etc, but no mention of the pain.

I did the treatment for 4 weeks and after day two, it started to burn. By day 7, I was in agony. I didn't bother with painkillers or cream to try and cool my skin down. I just persevered. I would look at the leaflet, showing the guy on week 3, with a smile and I would think.."Wait till I get hold of you, you lyin barsteward!"

After the 4 weeks were up, I looked like an extra out of 'Burning Inferno'

Local schools asked me to come do a talk on the 'Dangers of Masturbation'!

The local Red Cross group asked if I would come along on a Monday evening so their volunteers could practise on a burn victim!

When the the traffic lights up the road blew a fuse, the council asked if I would stand in as a STOP sign!

Two weeks later though and the skin sloughed off and I was left with skin that hadn't been that soft since I was in nappies.

It didn't get rid of it all though. I still get a few spots back on my nose and head.

Would I use it again?

Yes, it is still better than having lumps cut out of you..
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anivoc

639 Posts

Posted - 05/15/2013 :  21:55:21  Show Profile  Reply with Quote
Snitz...funny stuff for a not so funny journey...

Cool that you can joke about it now..

Glad you healed up and thanks for sharing your experience

Tom
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deruo

Canada
21 Posts

Posted - 05/15/2013 :  22:51:16  Show Profile  Reply with Quote
quote:
Originally posted by Snitz

Here in the UK, they don't tell you anything about what the treatment is going to be like. You get given a leaflet that shows the stages of the treatment, red skin, peeling etc, but no mention of the pain.


This seems to be fairly common in other countries too, Snitz. My Dr. told me I "may experience a little bit of reddening". An understatement if ever I heard one. I didn't even find out it was a topical chemotherapy drug until I got odd looks from the Pharmacist and decided to Google what it was I had just purchased, while in the parking lot sitting in the car.

Drs. need to realize that some patients want to know what to expect, especially when we start looking like napalm burn victims and can't get in to see the Dr. We'd like to know as much as we can beforehand.
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FionaKirk

Australia
4 Posts

Posted - 07/06/2013 :  00:34:22  Show Profile  Reply with Quote
Hi, I'm hoping there are still people on this forum.

I started my Efudix treatment 6 days ago. I was never told by my Cancer Specialist of the degree of this treatment nor that it was Chemotherapy. So to eliminate time off work I combined having my 4 wisdom teeth extracted on Monday (today is Saturday), I also started Efudix Monday night. I ended up with an infection in one extraction and an ear ache, so have been taking Codeine and amoxicillin. I am wondering if these medications would have stopped the Efudix working correctly as I have had very little reaction at all. Glad for no reaction as I read more and more about it, but also want my BCC's to go already having a 5cm tumor removed from my peck area. I am treating me whole face due to 4 BCC and several precancerous areas. Appreciate any help.

Fi
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deruo

Canada
21 Posts

Posted - 07/06/2013 :  06:48:24  Show Profile  Reply with Quote
FionaKirk, I seriously doubt that codeine and amoxicillin would have any effect on the Efudex/Efudix reaction. (In fact, the codeine may be handy to have in a few weeks! ;-) I seem to recall that it was about a week to 9 days before I started seeing any real reaction after applying 2x per day. You didn't mention but how many times per day are you applying and for how many weeks?
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FionaKirk

Australia
4 Posts

Posted - 07/06/2013 :  11:19:10  Show Profile  Reply with Quote
Thank you so much Deruo for your reply. It's so nice to know someone who has been there and is willing to be around and still answer questions. I wish you were sitting here with me holding my hand as I am quite scared about the whole thing. I will advise everyone not to have teeth extracted the same week you start this, but I guess I wouldn't have done that should I have known the full extent of what Efudix is. I will make sure I keep those codiene on hand then for a few weeks time. Thank you again from Canberra AU
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deruo

Canada
21 Posts

Posted - 07/11/2013 :  18:48:23  Show Profile  Reply with Quote
How are you doing FionaKirk?
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FionaKirk

Australia
4 Posts

Posted - 07/11/2013 :  21:32:40  Show Profile  Reply with Quote
Good Afternoon, I think I will call you my hero! You did 30 days? I am at day 11 and very red itchy and sore and can't believe I have 10 days to go. I am thankfully not at work but will be Monday week because my boss is a grump and time off always puts him out. Funny I am at a loss for words, not usual for me - I think being quiet in my mind helps....

Fiona x
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Cheeno

Australia
4 Posts

Posted - 07/12/2013 :  06:33:35  Show Profile  Reply with Quote
I have used Efudex several times but recently my doctor prescribed a new treatment - Picato. It effectively does in 3 days what Efudex does in 2 weeks. It can only be used on small areas at a time and is pretty new - I think developed in Australia but has been available in USA for several months; available in Australia only for a few months. I am very happy with the results and was only out of action for a week as opposed to several weeks with Efudex
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deruo

Canada
21 Posts

Posted - 07/12/2013 :  10:31:54  Show Profile  Reply with Quote
Picato sounds very interesting Cheeno. If you hadn't mentioned it here I never would have spent an hour reading about it this am instead of working! ;-) I'd jump at the chance to do in 3 days what took 21-30 with Efudex. It would seem to be a walk in the park comparibly speaking. I have a followup with my Dr in November for my 6 month check-up so maybe I'll ask her about it.

Fiona, I think anyone that has done a treatment of Efudex is a hero. Believe me there were days where I was ready to give up, especially towards the end. I skipped a treatment and then felt guilty and worried whether skipping that one would mean having to do it all over again. That inspired me to continue. Now that it's a distant memory, I'd only hesitate a little to do it again.
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Nutty

United Kingdom
1 Posts

Posted - 07/14/2013 :  02:38:13  Show Profile  Reply with Quote
I have almost finished 4 weeks x twice a day of Efudix treatment.3 days to go! Reading everyone's comments has really helped, I was told very little about the treatment except that the skin had to get very red and sore for the cream to work. I only had a few patches, but the cream has picked up lots of places that I didn't realise I had. I have had to carry on working - I teach, but the kids have been very good, although I haven't given them all the details. My face is very sore now, but I'm looking forward to Wednesday when I can stop. Can anyone suggest some cream to help the recovering process? How long should my skin take to get back to normal? Thanks to everyone who has posted their experiences, it has really helped.
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deruo

Canada
21 Posts

Posted - 07/14/2013 :  11:25:10  Show Profile  Reply with Quote
quote:
Originally posted by Nutty

Can anyone suggest some cream to help the recovering process? How long should my skin take to get back to normal?



Nutty, I found that anything cream-based hurt too much for the first few days after treatment ended. I only used a product called Aquaphor (which is much like Vaseline or petroleum jelly) for a few days to relieve the tightness. After that, I applied nothing except sunscreen (if I was going outside). You will probably find that the first few days after treatment ends to be the worst as the Efudex continues to do its stuff. Then, the intense redness, flaking and pain subsides quite quickly. You'll probably be amazed at what a difference a week makes. Mind you you'll probably be various shades of pink for several months, and I found that the patchy pink patches would intensify after washing or applying sunscreen/moisturizer to my face, for about an hour or so. I think it was about 4 months before I think my skin was back to normal. Most of my friends thought it was back to normal well before that.

As far as cream to help the recovery process, I don't think that is necessary, though your Dr. may have other ideas, depending how raw and oozing you are by day 30.

Hang in there, those last few days are difficult!
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jamesd

USA
7 Posts

Posted - 07/14/2013 :  11:56:02  Show Profile  Reply with Quote
after cancer is dead try a poltice of flaxseed meal mixed with hotwater to form a paste cover with steril dressing wash and change daily cancer will fall out when ready 7 to 10 days we use a mixture of 10 drops iodine, 10 drops carbolic acid, one quarter teaspoon copper sulfate ground super fine to 3.5 ounce jar vaseline. hardley ever leaves a scar, be careful, getting hard to find good iodine, carbolic acid the best antiseptic ever, almost impossible

Edited by - jamesd on 07/14/2013 12:01:54
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FionaKirk

Australia
4 Posts

Posted - 07/16/2013 :  00:03:08  Show Profile  Reply with Quote
Good Afternoon to fellow Efudix survivors :)). I am now at day 15 it seems forever ago that I started and forever to go to get to day 21. I have thank goodness not turned red to 100% of my face but a good 85%. It is truly amazing to see the size of cancer in my face and the depth it seems to be. I had a fantastic response fairly quickly to the large areas of cancer but only in the last 3 days many smaller ones so maybe they were deeper, I'm not sure? But I do have another appointment at the Cancer Clinique in two days to see if they are going to extent treatment another week... I sooooo hope not! In way of relief the Doctor at the Cancer Clinique told me to wash my face with QV it is a cream and cleanser but has no chemicals perfumes etc. it is an incredible relief does stings a tad at first but gives a little relief before having to apply efudix again. They said to use QV cream once I finish too to help with putting moisture back into the skin as it heals. She also said no matter how tempting it is do not rub or peel skin off, do not rub under water to get it off just let it fall off naturally and you will have less burning and tenderness. Anyway that's just some of my experience.

Oh and a big thank you to Deruo who has been a wonderful help through all of this xoxo
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andrewecd

5 Posts

Posted - 07/16/2013 :  19:38:05  Show Profile  Reply with Quote
Fiona. Not long to go, good luck. It is well worth the journey in the end. You will get many comments on how great your skin looks when all over. I was told to use the QV cream also. It worked very well. I continue to use it after shaving.
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drboyd

USA
1 Posts

Posted - 07/18/2013 :  00:33:54  Show Profile  Reply with Quote
Sorry to jump in at the tail end (or maybe not) of this thread, but I just finished my last day of efudex (21 days times 1/day) this morning. I plan to tell the doctor that it will be quicker, easier, and less painful to do this next time with a welding torch.

My face looks roughly like I was dragged behind a cattle truck by my heels - and to make it worse, I've been in a large meeting for two days now (one more day to go) and I'm wearing a baseball cap pulled low over my bright red forehead - so I don't scare the nice people. And of course, the cap just makes my forehead itch all the more.

Tomorrow morning, I plan to start with some antibiotic ointment and cortisone - hopefully my life will start to be ever-so-slightly less wretched as time passes.

Eeeewwwrf! That's what I say about efudex!
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Matt

Australia
1 Posts

Posted - 07/23/2013 :  02:15:37  Show Profile  Reply with Quote
quote:
Originally posted by Cheeno

I have used Efudex several times but recently my doctor prescribed a new treatment - Picato. It effectively does in 3 days what Efudex does in 2 weeks. It can only be used on small areas at a time and is pretty new - I think developed in Australia but has been available in USA for several months; available in Australia only for a few months. I am very happy with the results and was only out of action for a week as opposed to several weeks with Efudex



G'day Cheeno,

I have been given the same advise by my Dermatologist as you did in regards to Efudix for treating AK on my forehead, a nine week program of applying it twice a day on Saturday and Sunday only. I think my dermatologist believed I worked a 5 day week when I actually do 21 days on 7 days off!. How did this regime work for you?, did it successfully clear the AK, BCC's?. How bad did your skin flare up?. Sorry for the questions, it's just I'm about to start my 21 day swing in the middle of nowhere and would like to know what to expect. My Derm said very little, didn't say anything about it being a chemo drug and just said I'd get a smaller reaction this way, nothing about how much smaller mind you!.
I've noticed your now going down the Picato route, I am tempted to look into this because I have been advised it is quicker and just as effective..

Matt
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Cheeno

Australia
4 Posts

Posted - 07/24/2013 :  08:06:03  Show Profile  Reply with Quote
I didn't get as strong a reaction to the twice a week over several weeks Efudex treatment as I had hoped for. That's why my doctor tried Picato - I had a very good reaction to Picato and it was much quicker - very red and scabby for 4 - 5 days then cleared up very quickly. It is only for use on a small area at a time.
With the extended Efudex treatment I didn't really flare up badly at all - just some mild redness and at no time did I feel that I couldn't be seen in public. I found it tedious to continue for the extended time - 10 - 12 weeks
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zengrrl

1 Posts

Posted - 09/27/2013 :  00:44:00  Show Profile  Reply with Quote
Hello All - in whatever time era you read this,

Thanks for this great forum of users, where we can learn so much more than from our practitioners! I'm Day 8 of 14 days 2x/d for Actinic Keratosis on my nose & a spot on my wrist. While I have 4 small bright red open spots + a reddened background matrix over the rest of my nose, I'm not having pain, only discomfort so far. The derm MD had recently excised a patch on my nose as a containment + biopsy tho, so that part of my nose was brand new skin anyway. It seems like the pain reaction may be related to severity of the skin problem & the amount of surface area involved. Some people here had to treat a lot more area than I'm doing.

In the previous 20 yrs of AK treatment with other derm MDs, my nose was "treated" with Vaseline, retinol, cut, frozen & most recently (before fu5) was Aldara, which made me grow a few "horns" as it reacted with hidden spots. The removals gave about 1-1.5 yrs clean & the Aldara gave me 2+ yrs the first x, but only about 6 mos the second x. So I chose fu5 out of the 3 options the current derm MD gave me - hoping that the bio-chemical approach seemed at least more effective than just removal & I hadn't tried fu5 yet.

Many strong spirits on the site & generous to spend time helping others going through this journey. The variability in regimes is confusing - hopefully rationally related to the specific Needs of the individual situation, but the MDs are not doing enough education with their patients to explain about the spectrum or regime. This site is so helpful to fill in that deficit!
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craigeppelstun

Australia
1 Posts

Posted - 09/28/2013 :  21:32:19  Show Profile  Reply with Quote
I am 44 fair skinned australian builder male and have sun damaged skin.
I am on day 6 and of effedex and at this moment have no effects from the ointment
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Deb333

USA
1 Posts

Posted - 10/01/2013 :  21:42:03  Show Profile  Reply with Quote
Can anyone tell me what I can use for pain when I start efudex cream for my lips?
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