Vein Treatment: Q&A
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What is Polidocanol?
i have spider veins and vascular lines on my legs. I've tried scleratherapy in the past but dont like the *shadowing*. Is Polidocanol better, can I get it in the US?
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14 Doctor Answers |
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anon
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Polidocanol was approved as sclerosing agent in the US in March 2010
And the brand name is Asclera. Polidocanol along with STS are in the "detergent" class of sclerosing agents and considered the safest. The "shadowing" you mention may be post-inflammatory hyperpigmentation (PIH) which sometimes may take up to 1-2 months to resolve. It is also possible that the shadowing is from formation of grouped or matted telangiectasia near the treated vessel. Asclera can cause PIH but less commonly...
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Best Technique for Sclerotherapy of Spider Veins
Polidocanol is a sclerosant solution classified as a chemical detergent. It can be used in foam solution sclerotherapy but is not FDA approved in the United States at this time. There are alternative solutions in the United States and these can be administered by a board certified vein specialist.
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What is polidocanol? Polidocanol for sclerotherapy
Polidocanol is a synthetic long chain fatty alcohol that is FDA approved under the trade name Asclera for sclerotherapy. It is reported to have a very low incidence of allergic reaction. It is painless upon injection and of importance, does not induce skin necrosis upon dermal injection.
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Brand name is Aslcera, yes it is now available in the US
The brand name of Polidoconal is Asclera, and it is not FDA approved and available in the US. Go to a very experienced surgeon for the best results and less chance of blushing.
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A great agent for sclerotherapy
Polidocanol is a sclerosing agent, meaning it is used as an injection,either as a liquid or as a foam, to treat a variety of vein conditions, including telangiectasias, spider veins, reticular veins, and varicose veins. It offers the potential advantage of being more comfortable during injection that other agents (e.g. sodium tetradecyl sulfate, hypertonic saline) as its molecular structure works as an anesthetic (numbing agent) in the area of injection. According to...
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Asclera
Polidocanol and Sotradecol are both considered detergents. They are both FDA approved. The Shadows you mentioned may be either Post Injection Hyperpigmentation which is inflammatory in nature and may take a few months to resolve. It may also be matting. Post injection hyperpigmentation does occur in both but according to most literature to a less degree in asclera.The risk of matting telangiectasias can be minimized by making sure not to rupture the...
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Polidocanol available in US
Polidocanol (Asclera) got U.S. FDA approval March 2010. The "shadowing" you refer to could be temporary discoloration which is still a potential side effect with Asclera. The "shadowing" you refer to may also be matting of veins which is the occurrence of multiple tiny little vessels that show up after having sclerotherapy. That can be treated with Vbeam laser. Asclera still has potential side effects which can be minimized by seeing a...
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A Sclerosing Solution
Polidocanol ( Aethoxyckerol) is a sclerosing solution very popular in Europe. It has attained its popularity for a variety of reasons. Originally an anesthetic, it is virtually painless upon injection, unlike hypertonic saline which induces quite a bit of pain. Another advantage is that it poses minimal risk of extravasation necrosis as compared with other agents. This allows injectors to be less anxious about causing scarring on our patients.
There are two big drawbacks to using...
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Polidocanol is a sclerosant used to treat leg veins.
There are several ways to treat spider veins in the legs.
The most common, and still considered the 'gold standard', is with sclerotherapy.
Laser can also be a good option if the vessels are so tiny that it is nearly impossible to cannulate them with a needle and sometimes as an option when treating large, bulging vessels by entering inside of the vessel and sealing them from within.
There are several sclerosants available and all will adequately do the job. Sometimes it is just...
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Sclerotherapy and Polidocanol
Polidocanol is a sclerosant used for the treatment of leg veins. While available and popular in Europe, Polidocanol is still not FDA-approved in the United States. It is expected to be approved in the U.S. sometime in 2010. In general, a sclerosing solution (sclerosant) works by causing irritation and inflammation in the wall of the vein into which it is injected. This results in fibrosis of the vessel, followed by occlusion of the lumen, thereby reducing the appearance of the vein...
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