within a couple days of starting treatment my patients are starting to see some redness and irritation that escalates for about a week. By the end of the 2nd week they have started to see the redness decrease by the 4th week complete clearance. I have had one patient with much slower result on the body but the face seems to be more routine with that period.
The drug is not covered by most insurance companies at this time and depending on which course can be anywhere from $700-900 for the treatment for a cash pay patient.
I used picato on my lip. My doctor gave me a coupon, so I only paid $25 although I was told the cost was $550.00. The first day after applying it, my lip was slightly burned. After the second application, my lip was swollen and blistered. When I put the gel on the third evening, my lip was burning and throbbing. I was extremely uncomfortable that night. My lips remained swollen and painful for 3 more days. After that, they were substantially better. I was told that day 7 would be the worst, but, luckily, I did not experience discomfort for that long.
My dermatologist prescribed Picato for a small pre-cancerous lesion on the left side of my nose. I previously had Mohs surgery for a larger basal cell carcinoma on the right side of my nose. The dermatologist gave me a coupon card good for three separate purchases. My co-pay was $25 for three tubes, which were to be used for three days--each tube discarded after one use. Without the card, my insurance co-pay would have been $50. The pharmacist said without insurance the cost would have been $600.
I completed the first treatment last night (2 hours before bedtime). My dermatologist instructed me to coat my entire nose with the gel, not just the small lesion. Almost immediately I began to feel a burning sensation and experienced mild redness. When I woke up this morning, My nose looked like it had severe sunburn and it was throbbing. It was slightly swollen. Because I have a job that requires me to be in public, my dermatologist told me it would be OK to cover the area with makeup, so I did. I used Lycogel, which is suggested for use after cosmetic procedures. The Lycogel did a reasonable job of covering the area. I also used Dermablend loose setting powder. I did have a sensation that a small amount of pus was oozing from the area, but once I removed the makeup, the oozing seemed to stop. My dermatologist did not say anything about using moisturizing cream, so I did use Roc after I washed my face this morning. Probably a mistake. I used a mild Clinique moisturizer after washing my face this afternoon, and that felt really good.
I didn't expect such an immediate reaction on the first day. After reading other comments, I am nervous about continuing the treatment. I had hoped to time the treatments so that the worst part of the reaction would be during the weekend. However, I'm expecting tomorrow morning to be pretty bad. I appreciate Valorsmom's comments. I hope my the reaction tonight and tomorrow will not be a severe as the first night.
I just started my first treatment. My face feels hot, but seems okay, just red. It looks and feels like I got a sunburn. The cost is only $25. Ask your dermatologist for a co-pay card. My pharmacist said it would have cost me $700. Since the drug was just recently approved in the US, they are trying to promote it, so the co-pay cards are readily available, and can be used for up to 3 refills.
My physician prescribed Picato for face. Checked with local pharmacy and was quoted $700 for one script. Called my insurance to check on my coverage and was told that through Medco, I could get 3 boxes for $70. Also, Picato provides a discount card. Be sure to ask about it. Could cost as low as $25 with card. Doctor told me to put on at night 2 hours before bed. Leave on at least 6-8 hours. First day was like a sun/windburn. 2nd day, lots of swelling and blisters. Didn't want to put 3rd dose on at all. Opted to put it on at 6:30 p.m. and shower it off at 12:30. The second day was the worst because I dreaded putting on next dose! Made me very emotional. The 3rd application was brutal and itched like crazy. Took Benadryl/Tylenol/Motrin to sleep. Put Neosporin w/pain killer on face. Really helped with pain and itching.
I suggest putting on Picato in the afternoon for 8 hours and then shower off before bed. Then apply Aquofor/Neosporin and take lots of Benadryl. Can't sleep otherwise due to burning, itching and anxiety from the ordeal. It's not fun but I survived it.
I just did the 3 nights of Picato. This was the 2nd year in a row I did this. I have a history of BCC. It cost me $25 with coupon and my prescription insurance. Night 1, I knew to take 2 advil before I applied the gel. Mild burning. Nights 2 and 3, took Advil again and had mild burning. I am on day 5 (2 days after last dose) and the itching is unbearable! I tried coconut oil and Aquaphor and it helps but does not eliminate. Face is blotchy. Under eye swelling was noticable on day 3, almost half as much on day 5. My face is scaly and rough like sandpaper and is peeling pretty significantly, but I have had no blistering or weeping. My first go-round last year was not nearly as bad a reaction. As of today, I would say the itching is the worst side effect. I am 52 and live in Texas but born and raised in the northeast. A sun-worshiper and tanning bed person for many years. Guess I deserved the BCC. They had to remove half of my nose and required a plastics closure so I am careful now. Hope the info helps. I found these sites helpful.
Well, prices have gone up, as I got cash quotes of $1000 from Walgreens and $975 from CVS. Fortunately my insurance covered and I paid $7 copay. So -- doc didn't tell me there were these weird side effects everybody's talking about. I finished my 2nd night of using it on both my legs. I have NO redness, NO itching, NO pain -- just went on here to find out when my spots would be gone and now I'm freaking out that within a week I'll look like a leper!!! Oh well, too late now, LOL Gotta say the way they package this stuff isn't so hot -- finally had to cut those little tubes to get the rest of it out -- for that price I'm not wasting ANY of it!!!
I have recently used it on my cheeks nose and forehead. Normally I have my solar keratosis removed with liquid nitrogen but my dermatologist no longer does this on the face.
You apply it three days in a row and thats it.
After the first day but especially on the second day any mutated cells start to blister and go red and bumpy. Its quite ugly for a while. However it clears up really quickly. I would start on a Friday night and try work from home or not do much the following week if its on your face,
The results were very good for me, the scaly skin went and there are no scar or discolouration marks on my face.
The prices in the US for this cream is insane. It costs £65 in the UK for the three tube treatment. That's less than $100! Someone is ripping you guys off.
I hope my description helped.
I started using Picato on Sunday night. The first day was ok, some blistering. The second day was lots worse! Swelling, blistering, itching. But today, my eyes are swollen so badly that's it's difficult to see. I'm extremely dry and itchy. So glad I'm finished with the gel treatment! Question, can I use Aquaphor now that I'm finished with the treatment or will that burn? I definitely don't want anymore burning sensations!! I've done Effudex and I will most certainly say this treatment is far worse than that! The only good thing is that you only have to apply it for 3 nights!
I used picato on my arm, had redness and flaking skin for a few days, nothing more. I used on my chest and it became extremely red and burning. it got worse after 2nd applications. multiple open lesions, crusting, open blisters, and very painful pustules. I am 7 days out and hope this will get better with time. I have been putting aquaphor on lesions which does relive pain. not painful enough to take any analgesic, but I have high pain tolerance. I have had multiple cryotherapy to area in the past. I did have drug card from the company, and the copay was $40. insurance was billed $700.
Research before using!!! I've just gone back to my doctor as I have second degree burns on half of my chest from using Picato gel!!! He said "Oh sorry about that, that's a really bad reaction, I probably won't be prescribing this anymore.." So glad I could be the guinea pig! :( I am so emotional. He told me it would scar less than having the (tiny) solar ketosis frozen off but now half of my chest is burned down two layers!! This is going to take weeks, if not months to heal and I could be permanently scarred. Research this gel and other options EXTENSIVELY before using it as prescribed as I did. If I could post a picture, I would. Nobody would ever use it if you saw my chest right now. F*** my life!! :(
- Picato Information for Consumers
- Picato Information for Healthcare Professionals (includes dosage details)
- Side Effects of Picato (detailed)
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