Picato

  • Ingenol mebutate

Picato gel is used to treat solar or actinic keratosis, a skin condition identified by scaly thickened patches caused by overexposure to the sun.

If you want access to trusted medication fast, Treated.com can help. Each order placed through our online pharmacy is reviewed by a registered doctor before being processed.

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150 mcg

Used for the face and scalp. Each tube contains 70 micrograms of ingenol mebutate. Applied once a day for three consecutive days.

3 Tubes - £165.00
500 mcg

Used for the body’s trunk and its extremities. Each tube contains 225 micrograms of the active ingredient ingenol mebutate. Applied daily for two consecutive days.

2 Tubes - £165.00
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Picato is a topical medicine prescribed to treat the skin condition known as solar or actinic keratosis. Picato gel has been manufactured by pharmacy brand Leo to help renew sun damaged skin cells. It is available in two strengths so that it can treat the skin on the body as well as the face and scalp. The 150 micrograms/gram gel is used once daily for three consecutive days to treat the face and scalp; whereas the 500 micrograms/gram gel can be used on the body, arms, hands and legs once daily for two consecutive days.

  1. Two or three day course 
  2. Easily applied gel
  3. Restores healthy skin cells

Solar keratosis occurs due to minor but repeated sun damage. The cells which make up our skin are usually adept at dealing with the ultraviolet rays given off by the sun. However, over time these cells can become damaged making it more difficult for it to repair overexposed areas. This can lead to the formation of dry and scaly patches on the skin known as solar keratosis. The thickened skin can appear red, pink or brown with a white or yellow crusty top. People with fair skin, blue eyes, freckles, red hair and a tendency to burn easily when exposed to the sun’s rays are most likely to develop patches of keratosis. The condition can take years to develop which means that it is more often found in people over the age of 40 but younger people can be affected too. Men are more commonly diagnosed than women. You are more likely to be found to have actinic keratosis if you use sunbeds, work outdoors or have a weakened immune system.

The best way to prevent solar keratosis from forming is by limiting all sun exposure. If being exposed to the sun is unavoidable then sun protection of SPF 15 or higher should be used.

Keratosis patches can sometimes resolve on their own. However, the majority will remain present on the skin and, if left untreated, there is a small chance that they might develop into skin cancer, known as squamous cell carcinoma. Early treatment can reduce the possibility of the keratosis becoming cancerous. Topical treatment such as Picato gel may be prescribed to help repair the damaged skin. The product contains the active ingredient ingenol mebutate which is thought to encourage the skin’s natural immune system. If Picato topical treatment does not resolve the symptoms then further medical assessment is advised.

Here at Treated.com we make it simple for you to buy Picato gel from our GPhC-registered pharmacy. All you need to do is select the relevant product and complete our online medical assessment. Your answers will be reviewed by our qualified practitioner. After approval they will prescribe the medication and pass this onto our pharmacy, who will then dispense the medication so that it is delivered directly to you by our secure courier service.

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How to use Picato

Adhering to the instructions provided by your doctor when using Picato should help reduce the likelihood of side effects and encourage the best results from the treatment.

  1. For each application a new tube should be used. 
  2. Apply the contents of one tube to the affected area (5cm x 5cm) using your fingertip.
  3. Following application let the area dry for 15 minutes and do not touch or wash it for six hours.
  4. Wash your hands with soap and water immediately after use. If you are treating your hands, you should only wash your fingertips. 
  5. Avoid using this medication immediately after a shower or less than two hours before going to bed. 
  6. Leave the area free from bandages.

Full instructions can be found in the patient information leaflet.

Download Picato 150mg PDF

Download Picato 500mg PDF

Picato side effects

It is likely that after using this product the treatment area may become red and develop scabs. This can usually last for up to one week after use, whilst the treatment is working, but improvement should be noted within four weeks.

All medicines can produce unwanted side effects. Not everyone will develop them but it is still important that you are fully aware of the potential reactions. Further medical attention may be required if a serious reaction is observed. You can read more about the potential side effects in the enclosed patient information guide.

Very Common (1 in 10 people or more):
Blisters, swelling, sores, redness, a burning sensation at the site of application.

Common (1 in 10 people or less):
Skin infection, itching, irritation, headaches.

Uncommon (1 in 100 people or less):
Numbness, ulcers and fluid discharge.

This list serves only as a brief overview of the potential side effects related to Picato. More information can be sought in the patient information leaflet.

Taking it with other medicines

When completing our online health assessment you should list any other treatment you are using or have recently used. This is so that our doctors can make an informed decision as to whether the product you have selected is safe for you to use.

Conditions to look out for

If you are pregnant, trying to become pregnant or are breastfeeding please inform the prescribing practitioner.

Q&A: our Picato discussion forum

Can I still drink alcohol?

There are no known interactions between Picato and alcohol. However, we would recommend limiting your intake, so that you can continue to administer the gel in the manner prescribed by your doctor.

Will I still be able to drive?

Picato does not affect your ability to drive.

Can I take the medicine while pregnant?

You should avoid use of Picato when pregnant.

How should I store it?

Keep the product out of sight and reach of children. Store in a refrigerator (2°C-8°C). Do not exceed the expiry date.

Am I allergic to anything in the medicine?

Do not use this product if you are allergic to ingenol mebutate, isopropyl alcohol, hydroxyethylcellulose, citric acid monohydrate, sodium citrate, benzyl alcohol, purified water.

Is it available over-the-counter?

No. You will require a prescription from a registered doctor in order to buy Picato online.

Is it right for me?

You can find out by taking our confidential questionnaire. A qualified physician will carefully review your case and conclude whether or not this medication is suitable for you. Once this is established a prescription will be issued and sent to our dispensing pharmacy. The product will be delivered to your door within one business day.

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We promise to keep your details secure and private. We will never sell your information or share it with third parties. Whatever treatment you buy online from us, we will send in plain, unmarked packaging via our secure courier service.

Delivery on all items is included in the price. After your order has been dispatched, you’ll be supplied with a tracking number, allowing you to follow the progress of your items every step of the way. We deliver to anywhere in the UK, so whether you’re in London, Birmingham, Manchester, Glasgow or Cardiff, your order will be at your door within just 24 hours of approval from our doctor.

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