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I get 60 and 80% Sal acid made up by my pharmacist in soft parrafin base, 25 or 50g jar for the pt only costs about $15, freeze the living daylights out of it with N2 then show the pt how to self manage applying acid and occlusive bandage....then it does not cost them hundreds of dollars to get rid of a wart that may not actually be bothering them that much and may have gone away by itself given time. This is for fairly healthy types...not the frail diabetic ones etc, common sense..
Regards Phill
Tim,
Sent you an email but here is what I use on V/P's
100% mono solution
66% sal.
Crystal of mono
Most plantar warts are 1cm diameter and 1 cm deep. Most are removed intact and if solution applied on Monday the V/P is removed on Friday. Final Tx Monday.
Does anyone know of "controlled trial" articles on the topic of medicament treatment on plantar warts, having a hell of a time finding randomised trial studies!
Authors' conclusions
There is a considerable lack of evidence on which to base the rational use of the local treatments for common warts. The reviewed trials are highly variable in method and quality. Cure rates with placebo preparations are variable but nevertheless considerable. There is certainly evidence that simple topical treatments containing salicylic acid have a therapeutic effect. There is less evidence for the efficacy of cryotherapy and some evidence that it is only of equivalent efficacy to simpler, safer treatments. Dinitrochlorobenzene appears to be effective but there were no statistically significant differences when compared with the safer, simpler and cheaper topical treatments containing salicylic acid. The benefits and risks of 5-fluorouracil, bleomycin, interferons and photodynamic therapy remain to be determined.
__________________ Stephen Tucker Eastern Health
Podiatry Manager
On the 31st October 2009 I left a reply. It appears that 3 years of data has gone missing on this thread.
I stated that it was pointless doing random control tests on V/P as people who have the warts want to get rid of them and are not interested in being part of a study which will get them nowhere.
Wart Treatment
Linear Mode
