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Ingenol mebutate gel

Picato

Clinical author's note Michael Stewart 01/03/2020: In February 2020, the licence of ingenol mebutate (Picato®) was suspended as a precautionary measure while the European Medicines Agency (EMA) continues to investigate concerns about a possible increased risk of skin cancers. Ingenol mebutate will no longer be prescribed by doctors in the UK and EU. The advice for anyone who has used Picato® gel is to check your skin regularly and tell a doctor if you notice any new scaly red patches, open sores, or elevated or warty growths in the treatment area.

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About ingenol mebutate gel

Tipo de medicamento

Un tratamiento tópico para la piel dañada por el sol

Utilizado para

Treating solar keratosis

También llamado

Picato® (discontinued)

Disponible como

Gel

Una queratosis solar es un pequeño bulto engrosado y escamoso que se desarrolla en la piel. Es la afección cutánea más común derivada de la piel dañada por el sol. La queratosis solar también se conoce como queratosis actínica. Suelen aparecer en zonas de la piel muy expuestas al sol. Suelen ser inofensivas, pero existe un pequeño riesgo de que acaben convirtiéndose en cáncer de piel. En sí mismas, las queratosis solares no son cancerosas.

Topical treatments (meaning you apply them to the skin) are useful if you have a lot of small solar keratoses. Ingenol mebutate is one of the treatments that are available. It kills the abnormal skin cells and fresh normal skin grows back. The brand name for ingenol mebutate gel is Picato®. There are two strengths of gel: the lower strength (150 micrograms/gram) is used for keratoses on the face or scalp, and the higher strength (500 micrograms/gram) is used for keratoses on other areas of the body.

Before using ingenol mebutate gel

To make sure this is the right treatment for you, before you start using ingenol mebutate gel it is important that your doctor knows:

  • Si está embarazada o en periodo de lactancia.

  • Si alguna vez ha tenido una reacción alérgica a un preparado cutáneo.

  • If you are taking or using any other medicines. This includes any medicines you buy without a prescription, as well as herbal and complementary medicines.

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How to use ingenol mebutate gel

  • Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer's leaflet will give you more information about ingenol mebutate and a full list of the side-effects which you may experience from using it.

  • Use ingenol mebutate exactly as your doctor tells you to. Each tube is used for one application only, so open a new tube each time you use the gel. Find a convenient time in your day to apply it - do not use it straight after you have had a shower or bath, and do not use it less than two hours before you go to bed. Gently rub the gel on to the area to be treated and allow it to dry for about 15 minutes:

    • If you are using the 150 micrograms/gram strength on your face or scalp, apply the gel once a day for three days in a row.

    • If you are using the 500 micrograms/gram strength on your body or arms/legs, apply the gel once a day for two days in a row.

  • Once you have used the gel, wash your hands well (unless they are the treated area) and try to avoid touching the area for the next six hours. Do not wash the treated area during this six hours.

  • Only use ingenol mebutate on your skin - you must avoid it coming into contact with your eyes and mouth. If this does happen, wash the area with plenty of warm water straightaway.

  • As you use the gel, the area of skin you are treating is likely to become red and swollen. After a week it may blister and peel, but then it will begin to heal. Expect this reaction to happen, but if it becomes severe or if you are concerned about it, speak again with your doctor.

Aproveche al máximo su tratamiento

  • Try to keep any regular appointments with your doctor. This is so your doctor can check on your progress.

  • A algunas personas les ayuda aplicar una crema hidratante sobre la piel de las zonas dañadas para suavizarla.

  • When you have had a lot of sun exposure, your risk of developing skin cancer on some other part of your skin is increased. Check your skin regularly and tell a doctor if you notice any changes, such as new moles, small dark patches developing, or a change in an existing mole.

  • Hay algunos consejos generales que le ayudarán a evitar que el sol siga dañando su piel. Evite exponerse al sol entre las 11.00 y las 15.00 horas. Utiliza siempre un protector solar de amplio espectro con un FPS igual o superior a 30 y que proteja tanto de los rayos UVB como de los UVA. Aplíquese abundante cantidad y vuelva a aplicársela con regularidad, sobre todo después de nadar y si suda mucho.

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Can ingenol mebutate gel cause problems?

Local irritation including redness, itching, pain, swelling and peeling can all occur. These effects are normal and show that the gel is working. If the discomfort becomes severe or troublesome, or if you think the area may have become infected, you should contact your doctor for further advice. Also, up to 1 in 10 people using the gel have experienced headache as a side-effect of treatment. If this happens to you, ask your pharmacist to recommend a suitable painkiller.

If you experience any other symptoms which you think may be due to the gel, speak with your doctor or pharmacist.

How to store ingenol mebutate gel

  • Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.

  • Store the gel in a refrigerator.

  • The tubes are for single use only - do not store opened tubes to use later.

Información importante sobre todos los medicamentos

Información importante sobre todos los medicamentos

Este preparado es para uso cutáneo exclusivamente. Si alguien lo ingiere, acuda al servicio de urgencias de su hospital. Llévese el envase, aunque esté vacío.

Si compra algún medicamento, compruebe con el farmacéutico que es seguro tomarlo con sus otros medicamentos.

Si va a someterse a una operación o a un tratamiento dental, informe a la persona que le realice el tratamiento de los medicamentos que está tomando o utilizando.

Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.

No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.

Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.

Informar de los efectos secundarios de un medicamento o vacuna

Si experimenta efectos secundarios, puede notificarlos en línea a través del sitio web de la Tarjeta Amarilla.

Lecturas complementarias y referencias

Historia del artículo

La información de esta página ha sido redactada y revisada por médicos cualificados.

  • Fecha prevista para la próxima revisión: 4 de mayo de 2026
  • 9 de mayo de 2023 | Última versión

    Última actualización

    Michael Stewart, MRPharmS

    Revisado por expertos

    Sid Dajani
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