Sclerodex for Spider Veins?

Spider veins are typically stemming from a blue underlying vein, which is typically treated with one of 2 FDA-approved solutions, Sodium Tetradecyl Sulfate (STS) or Polidocanol (either as a solution or foam).  In that same session the small spider veins can then be treated successfully with either polidocanol or glycerin.  If the underlying reticular veins (blue veins feeding the spider veins) are not treated, the spider veins will most likely not resolve.

Sclerodex is not widely used for spider veins and not the best choice, in my opinion.  Pilodocanol and hypertonic saline are my preferred choices.

Sclerodex is a glucose/saline solution used to inject veins.  Polidocanol (Asclera) and sodium tetradecylsulfate (STS) are more commonly used and both of them can be used in a foamed solution which is now considered the state of the art for sclerotherapy.  Although sclerodex may work, it would not be my first choice.