Picato (ingenol mebutate) gel?

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RE: Picato (ingenol mebutate) gel?

by Malibu27 on Tue Jul 10, 2012 06:20 PM

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I was told to use the cream first thing in the morning... which I did.  I was never told to wash the cream off after 6 hours.  I was only told not to take a shower for at least 6 to 8 hours after I put the cream on.  I shower every morning so I never did wash the cream off until the next morning when I showered.  I didn't think you were supposed to wash it off.  I would put the cream on every morning around 6 am. 
 
The first day wasn't to bad when I put it on, burned a but that was about it, and as the day went on it felt and looked like sunburn, it made it hard to sleep, I used ice to help with the burning and pain. 
 
The second day was pretty bad, swelling and looked like I had sun poising and it got worse throughout the day, by the time I got home from work I was in a lot of pain.  I couldn't sleep at all that night. Use ice to help.
 
The 3 and last day, was the worse day of all, when I put the cream on it burned, I got blisters all over my face and it got worse as the day went on, it look horrible (thank God it was a Saturday and I didn't have to be around people). All day it was, burning, itching, swelling, and at this point ice didn't help much at all.  I was in a lot of pain and it look really bad with blisters all over my face.  
 
The next day, on day 4 when I woke up my face was covered in scabs, but I wasn't in much pain. Again it looked horrible but I didn't need to use ice.
 
 On day 5 all the scabs started to come off every time I would washed my face (I washed my face a lot that day : )  No pain...just ugly.
 
 On day 6 my face was clear and felt great.  I was shocked at how I went from a face full of scabs to a smooth feeling clear face.
 
A week after using Picato, my face looked and felt great.
 
A month after using Picato, my face still looks and feels great.. no side affects at all.
 
It's been almost 2 months now since I use the cream and I have to say I am very glad I did. It was totally worth what I went through to get when I am now.  :  )
 
Good luck to all.
 
Jinger

RE: Picato (ingenol mebutate) gel?

by andreaki on Wed Jul 11, 2012 12:43 AM

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Jinger, what do you do when you go outside?  Do you put anything on?  Does the sun bother you face-does it get red, etc.?  My dermitologist wanted me to us zyclara(sp?) for AK's, which I didn't because of side effects and length of time.  It seems like Picato is the way to go.  I have an appointment in Sept. and may suggest that I use it.

It is great hearing from everyone about your experiences.  I will let you know what is going to happen to me.  I may have to wait until the end of Sept. as we are going on vacation in Sept.  Thank you all for sharing

RE: Picato (ingenol mebutate) gel?

by pjh2ae on Wed Jul 11, 2012 02:24 AM

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I put it on my face and wound up with huge oozing blisters ; I had to take pain pills the 2nd night.  I was completely clear after 10 days.   The drug rep told my doctor that will not happen on my arms. It has been 2 hours & I am beginning to feel it, however, I only used 3 tubes.  After what you said I think I need 3-4 on each arm- I just did not know if insurance will let me get that many boxes at a time.  How do you look & feel  after completing both days

RE: Picato (ingenol mebutate) gel?

by Malibu27 on Wed Jul 11, 2012 01:11 PM

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The sun doesn't bother me at all. I love the sun, but since all of this I try not to go out when it is really sunny out. I also use sun block but living in Virginia Beach and being fair skin some times it still doesn't make me feel safe, some times I use a hat. My face looks the same as it did a week after I used the Picato. I have no side affects at all.

RE: Picato (ingenol mebutate) gel?

by FLsk8Mom on Thu Jul 12, 2012 12:33 AM

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Day 5.  I look almost normal again. I woke up and had some swelling under my eyes again, but it went down as the day went on. No pain and no itching. I still have some red spots where my skin reacted the worst, and I'm still peeling a little. Also a little tender in those areas.  Aquaphor is helping keeping the skin soft, and really helped yesterday when it was cracking and sore.

As far as I can tell, the AK spots are gone. My skin seems smooth and so far I'm pleased at how it's turned out. If this truly got rid of the AK without surgery, them I'm really happy I did this.

My Doctor did not give me much info at all. Basically she told me she wanted me to use this drug and gave me a flyer from the pharma company. I did the other research myself, then asked some questions before I used it. She never told me not to wash it off, I left it on between 6-8 hours since that's what the paperwork said that came with it. It makes sense not to wash it off though to get max benefit. (So now I'm wondering if I actually got the max benefit)

So basically to anyone who is going to use this, the best thing I can tell you is to ask lots of question, and if possible use it in the morning or daytime, not at night. At least from my experience. 

Melody

RE: Picato (ingenol mebutate) gel?

by mgemler on Sat Jul 21, 2012 02:38 AM

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I plan to start the Picato tomorrow morning.  My dermatologist told me to use one tube for the three days on/around my nose first---- and do other sections of my face at a later time.

However, I just finished reading all the info in the brochure, and it specifically says, "Only use a tube of Picato gel1time. Throw away any open tube of Picato gel after use even if there is still medicine left in it."

Now I'm not sure what to do (and, of course, it's Friday night, so can't call the doctor until Monday).  Use one tube tomorrow morning on several sections of my face, the second tube on Sunday, etc.?  Wait and call the doctor on Monday?  

 

RE: Picato (ingenol mebutate) gel?

by debjean on Sat Jul 21, 2012 03:56 PM

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Sorry, didn't get back with you yesterday.  I'd just use the one tube all three days and hold the other 2 tubes for yr other parts of face.   My dr kind of told me that when I did mine.  Picato instructions are that you can wash off after 6 hrs, the nurse told me 8, the doctor said if the pain was too much that even if you washed it off after one hour you'd still get some effect so I guess what I'm saying is it's kind of trial and error right now!    Good luck!     Debbie

RE: Picato (ingenol mebutate) gel?

by mgemler on Sat Jul 21, 2012 04:19 PM

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Thanks, Debbie!  I feel more reassured that someone else's doctor gave the same instructions.  Just applied it---- glad to know what to expect from the stories/info shared on this  site :)

RE: Picato (ingenol mebutate) gel?

by mgemler on Sun Jul 22, 2012 07:52 PM

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update:

I'm going to "do" my face in stages---- soooo glad I don't have to deal with the pain that other's have described.   My nose/upper cheeks look and feel like I have a severe sunburn.  However, it's manageable-- probably because it isn't my entire face.

I suggest applying the gel in the morning---- and keep busy!

RE: Picato (ingenol mebutate) gel?

by Jdc0626 on Tue Jul 31, 2012 10:27 PM

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I just finished my third day with Picato for my lip. Thank goodness I read these posts in advance so I knew what to expect. The pain on day two was intense. I also suggest to do the treatment in the morning. At my worse pain, I put baby Ambesol on my lip to numb it. Also, if you are doing only one lip, be sure not to get the gel on the other lip or your tongue. It burns!!! Last but not least, my insurance (which is usually very good) would not cover the cost. It was $700 for three little, itsy bitsy tubes!! I paid out of pocket because I don't want to mess around with this thing on my lip. Overall, I would recommend this product for the small area that I used it for. For those who did their whole face in one shot, I have the deepest sympathy!
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