What is in Sclerotherapy Solution?

The three most commonly used agents are concentrated salt water (hypertonic saline), Sotradechol and Polidocanol. Different physicians have different comfort levels with the different agents. The newest technique involves using the agent in a foam to provide longer lasting contact with the vessel once injected but this might be reserved for slightly larger veins.

* Asclera® (polidocanol) is FDA –approved for
the treatment of spider veins The procedure is an injection procedure called
sclerotherapy and is administered by a healthcare provider with expertise in
treating small, uncomplicated spider veins .

fAsclera® is a sclerosing agent that is injected into the vein. It works by irritating the cells lining the
inside of blood vessels. #Aschleratreatsveins   #legveintreatments  #schlerotherapy

Asclera® (polidocanol) is an FDA -approved
product used to inject into broken capillaries and spider veins as an aesthetic
treatments. Is is done by an experienced health -care provider that
has the expertise to treat uncomplicated spider and reticular veins (
under 3mm in diameter. The treatments require fastidious attention and
several treatments with healing times in between to obtain optimal results,
therefore, pricing will vary with individuals.Asclera  works by damaging
the endothelium of the cells lining the inside of blood vessels. This causes
blood platelets and cellular debris to attach to the lining of the vessels;
eventually, cellular debris and platelets cause the blood vessel to clot. Over
time, the clotted vein will be replaced with tissue.#Pilodocinoltreatsspiders    #Ascleralegtherapy  #Aschleraspiderveins

Sclerotherapy is a method used to treat spider veins. We inject Polidocanol into the vessels, causing them to shrink. The procedure is non-invasive, quick, requires no down time. For best results please contact a board certified dermatologist. Thank you for your question!

We use Asclera® (polidocanol) solution to treat unwanted spider veins of the lower extremities.  The solution doesn't burn like hypertonic saline and the procedure is very tolerable.  It can take a few sessions depending on the size and amount of spider veins.  You can return to normal light activities right away, but we ask you to refrain from vigorous exercise or hot baths for a few days, and to wear your compression stockings for up to one week.

There are 3 types of sclerotherapy solutions -detergents, osmotics and irritants. Of these. the most commonly used are detergents (polidocanol and sodium tetradecyl) , osmotic (hypertonicsaline) and irritant (glycerin). The detergents can be converted into a foam solution which is currently the gold standard for sclerotherapy. These solutions can be formulated into different concentrations and, often times. multiple solutions and concentrations may be used during the treatment

Polidocanol (Asclera) and Sodium tetradecyl sulfate (Sotradecol) are the two FDA approved medications in the United States for sclerotherapy.  Although they both provide good cosmetic results, I prefer polidocanol / Asclera as I have gotten slightly better results and patient satisfaction ratings with it.  They are both man-made manufactured chemicals and are classified pharmaceutically as dilute detergents.  They are safe with a low side-effect profile.

There is also hypertonic saline (very high concentration salt water), Glycerine, or Sclerodex (mixture of saline & dextrose), but I tend to prefer the Asclera and Sotradecol.  The others either cause too much discomfort during injection or have specific issues with side-effects that I like to avoid.  Hypertonic saline in particular has quite a bit of pain / discomfort associated with the injections, although it does seem to give good cosmetic results in most patients.

 

I hope that information was helpful to you.

There are several solutions that are commonly used in sclerotherapy. However, none are perfect and all have certain drawbacks. Sotradecol and more recently, Asclera (polidocanol), are both FDA approved for sclerotherapy.  I chose to use these agents in my procedures because they are safe, effective, and cause the least amount of side effects. These agents produce better results and do not have the cramping or pain commonly associated with hypertonic saline (salt water).  Some physicians also use glycerin for tiny vessels.

Best,

Dr. Mann

the most common ones are

1. sodium tetradecyl sulfate

2. polidocanol (aethoxysclerol)

3. hypertonic saline or saline and dextrose

4. glycerin +/- chromate

5. iodine

the vein size being treated dictates the appropriate solution.

Cheers

Sodium tetradecyl sulfate is the only currently the FDA-approved sclerosant. We have also used hypertonic saline in the past with mixed results and a a lot of pain.  This new product works better and is less painful. I have used it for over 3 years with no complications.
www.dsboulder.com