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Gel de Ingenol mebutato

Picato

Nota do autor clínico Michael Stewart 01/03/2020: In February 2020, the licence of ingenol mebutate (Picato®) was suspended as a precautionary measure while the European Medicines Agency (EMA) continues to investigate concerns about a possible increased risk of skin cancers. Ingenol mebutate will no longer be prescribed by doctors in the UK and EU. The advice for anyone who has used Picato® gel is to check your skin regularly and tell a doctor if you notice any new scaly red patches, open sores, or elevated or warty growths in the treatment area.

Em resumo

  • Ingenol mebutate gel is a topical treatment for solar keratoses on sun-damaged skin.

  • Solar keratoses are harmless skin growths but carry a small risk of turning into skin cancer.

  • Apply the gel as directed by your doctor, either for two or three days depending on the strength.

  • The treated area will likely become red, swollen, and peel as the gel works.

  • Contact your doctor if irritation becomes severe, troublesome, or if you suspect infection.

About ingenol mebutate gel

Tipo de medicamento

A topical treatment for sun-damaged skin

Usado para

Treating solar keratosis

Também chamado de

Picato® (discontinued)

Disponível como

Gel

A solar keratosis is a small, thickened, scaly growth which develops on the skin. It is the most common skin condition resulting from sun-damaged skin. Solar keratoses are also known as actinic keratoses. Solar keratoses usually develop on areas of skin which have received a lot of sun exposure. They are usually harmless, but there is a small risk that they may eventually turn into skin cancer. In themselves, solar keratoses are not cancerous.

Topical treatments (meaning you apply them to the skin) are useful if you have a lot of small solar keratoses. Ingenol mebutate is one of the treatments that are available. It kills the abnormal skin cells and fresh normal skin grows back. The brand name for ingenol mebutate gel is Picato®. There are two strengths of gel: the lower strength (150 micrograms/gram) is used for keratoses on the face or scalp, and the higher strength (500 micrograms/gram) is used for keratoses on other areas of the body.

Before using ingenol mebutate gel

To make sure this is the right treatment for you, before you start using ingenol mebutate gel it is important that your doctor knows:

  • Se você está grávida ou amamentando.

  • Se você já teve uma reação alérgica a uma preparação para a pele.

  • If you are taking or using any other medicines. This includes any medicines you buy without a prescription, as well as herbal and complementary medicines.

How to use ingenol mebutate gel

  • Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer's leaflet will give you more information about ingenol mebutate and a full list of the side-effects which you may experience from using it.

  • Use ingenol mebutate exactly as your doctor tells you to. Each tube is used for one application only, so open a new tube each time you use the gel. Find a convenient time in your day to apply it - do not use it straight after you have had a shower or bath, and do not use it less than two hours before you go to bed. Gently rub the gel on to the area to be treated and allow it to dry for about 15 minutes:

    • If you are using the 150 micrograms/gram strength on your face or scalp, apply the gel once a day for three days in a row.

    • If you are using the 500 micrograms/gram strength on your body or arms/legs, apply the gel once a day for two days in a row.

  • Once you have used the gel, wash your hands well (unless they are the treated area) and try to avoid touching the area for the next six hours. Do not wash the treated area during this six hours.

  • Only use ingenol mebutate on your skin - you must avoid it coming into contact with your eyes and mouth. If this does happen, wash the area with plenty of warm water straightaway.

  • As you use the gel, the area of skin you are treating is likely to become red and swollen. After a week it may blister and peel, but then it will begin to heal. Expect this reaction to happen, but if it becomes severe or if you are concerned about it, speak again with your doctor.

Obtendo o máximo do seu tratamento

  • Tente manter qualquer consulta regular com seu médico. Isso é para que seu médico possa verificar seu progresso.

  • Some people find it helps to apply a moisturising cream to the skin around the damaged areas to help soften the skin.

  • When you have had a lot of sun exposure, your risk of developing skin cancer on some other part of your skin is increased. Check your skin regularly and tell a doctor if you notice any changes, such as new moles, small dark patches developing, or a change in an existing mole.

  • There is some general advice which will help prevent any further sun damage to your skin. Avoid being out in the sun between 11 am and 3 pm. Always use a broad-spectrum sunscreen with an SPF of 30 or higher, and which protects against both UVB and UVA light. Apply plenty of the sunscreen, and re-apply it regularly, particularly after swimming and if you are sweating a lot.

Can ingenol mebutate gel cause problems?

Local irritation including redness, itching, pain, swelling and peeling can all occur. These effects are normal and show that the gel is working. If the discomfort becomes severe or troublesome, or if you think the area may have become infected, you should contact your doctor for further advice. Also, up to 1 in 10 people using the gel have experienced headache as a side-effect of treatment. If this happens to you, ask your pharmacist to recommend a suitable painkiller.

If you experience any other symptoms which you think may be due to the gel, speak with your doctor or pharmacist.

How to store ingenol mebutate gel

  • Mantenha todos os medicamentos fora do alcance e da vista das crianças.

  • Store the gel in a refrigerator.

  • The tubes are for single use only - do not store opened tubes to use later.

Informações importantes sobre todos os medicamentos

Informações importantes sobre todos os medicamentos

Esta preparação é apenas para uso na pele. Se alguém ingerir uma parte, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.

Se você comprar qualquer medicamento, verifique com um farmacêutico se é seguro tomá-lo com seus outros medicamentos.

If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking or using.

Este medicamento é para você. Nunca o dê a outras pessoas, mesmo que a condição delas pareça ser a mesma que a sua.

Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.

Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.

Relatar efeitos colaterais de um medicamento ou vacina

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Perguntas frequentes

What happens if I forget to apply ingenol mebutate gel at my usual time?

The article does not specify what to do if a dose is missed. It is best to follow your doctor's instructions precisely for the duration of the treatment course. If you miss an application, you should consult your doctor for advice rather than making assumptions about when to apply it next.

After my treatment with ingenol mebutate gel, will I be completely cured of solar keratoses?

Ingenol mebutate gel treats existing solar keratoses by killing abnormal skin cells. However, the article highlights that having had a lot of sun exposure increases your risk of developing skin cancer on other parts of your skin. It's important to regularly check your skin for changes and continue practicing sun protection to prevent new solar keratoses or other sun-related skin damage.

What should I do if I apply too much ingenol mebutate gel?

The article states that each tube is for one application only and provides clear instructions on the number of days to apply the gel. It does not give specific advice if too much is applied, but it strongly advises only using it as directed. If you are concerned you have applied too much, it would be prudent to contact your doctor.

Can I use other creams or makeup on the treated area while using ingenol mebutate gel?

The article advises against touching the treated area for six hours after application and not washing it during this time. While it doesn't explicitly restrict other creams or makeup, it does suggest that some people find it helps to apply a moisturising cream to the 'skin around the damaged areas' to soften the skin. For the treated area itself, especially during the application period, it's generally best to avoid other products unless your doctor has specifically advised otherwise.

Is it safe to get the treated area wet after the initial six-hour period?

The article instructs not to wash the treated area for six hours after application. Beyond this six-hour period, it does not specify any further restrictions on getting the area wet. However, during the healing process, the area may blister and peel, so gentleness is always recommended.

Leitura adicional e referências

Sobre o autorVer biografia completa

Imagem do autor

Michael Stewart, MRPharmS

Gerente de Revisão de Folhetos de Medicamentos – Contratado, Farmacêutico

BPharm (Hons), MRPharmS

Michael é um farmacêutico comunitário atuando nas Midlands e em South Yorkshire, com mais de 20 anos de experiência em aconselhamento sobre medicamentos e condições médicas. Ele tem uma sólida formação em treinamento em saúde, tendo produzido e ministrado cursos de treinamento para equipes de farmácia e funcionários de ambientes de cuidados residenciais, incluindo enfermeiros. Ele também contribuiu para conselhos consultivos de farmácia para o manejo de condições de baixa gravidade na comunidade.

Sobre o revisor

Imagem do autor

Sid Dajani

Sultan Dajani se formou na Escola de Farmácia de Londres em 1994 e se tornou o membro mais jovem eleito para o conselho da Sociedade Real de Farmácia desde sua fundação em 1842.

Histórico do artigo

As informações nesta página são escritas e revisadas por clínicos qualificados.

  • Próxima revisão prevista: 4 de nov de 2027
  • 9 de maio de 2023 | Última versão

    Última atualização por

    Michael Stewart, MRPharmS

    Revisado por

    Sid Dajani
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