What agents are used for different types of Sclerotherapy? Does everyone use the same strength solution, or does it depend on the severity of the varicose veins being treated?
What Are the Types of Sclerotherapy Options?
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There are essentially 3 classifications of sclerotherapy solutions-detergents, osmotic and chemical. The most commonly used sclerotherapy agents are sodium tetradecyl sulfate, polidocanol, saline and glycerine. There are other agents but rarely used anymore. Polidocanol and tetradecyl can be converted into a foam solution and this is called foam sclerotherapy which is currently the most popular method of sclerotherapy. All solutions can be used in different strengths depending on the veins being treated.
Sclerotherapy and lasers
There are a few choices when it comes to using a solution for sclerotherapy. I have used them all, and they all do work. Depending on the size of the blood vessel, one can use more concentrated solutions. However, the risk of complications also can increase.
I have found that combining sclerotherapy with the Vbeam laser can really help get better results. Some tiny veins are too small to be injected and the laser gets rid of them in as few as one treatment!
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Sclerotherapy at Toronto Dermatology Centre
We use Sclerodex for sclerotherapy at theToronto Dermatology Centre. The treatment is usually done every 6 weeks, and 3-5 sessions are reqiured.
Many options work
There are several options for the sclerotherapy solution, and in my experience, having used them all, they really do all work. The success lies more in the hands of the person doing the treatment rather than which solution is used. Sclerotherapy is useful for spider veins, but not the larger rope-like varicose veins.
Different sized varicose spider veins require different solutions and/or concentrations.
Foam sclerotherapy is what most docs use now and either asclera or sotradecal are the most common ones. Scleremo or glycerin is used for the tiniest of spider veins while hypertonic saline is not used much anymore. Expect to pay about $450-600 per session and usually 3 sessions are needed with each about 6 weeks apart. Sincerely,
Products for Sclerotherapy
There are several products available on the market for Sclerotherapy.
Asclera, Sotradecol, Hypertonic Saline, Glycerin.
Asclera for example comes in two strengths: .5 and 1.0 ml. If I am treating very small spider veins, I will use the .5ml Asclera. If I have to treat veins which are larger (know as reticular veins) I prefer to use a stronger concentration of the drug.
Many physicians will have there preference for a particular product, but in the last year Asclera became very popular and is used by many doctors who treat spider veins. In my practice I only use Asclera and I find it to be very effective in treatment of spider veins, with very little adverse reactions and no complications thus far.
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