How do you determine which patients you prescribe 5-fluorouracil vs 5-fluorouracil with calcipotriene for actinic field disease?
Do you favor one treatment over the other?
Do you find one treatment more effective than the other?
Answer from: at Academic Institution
We tend to prescribe almost exclusively 5FU + calcipotriene as a compounded agent, the cost is reasonable usually around $50 for 30gms. Standard treatment is BID x 4 days, but many times use up to 7 days, and the response increases through 14 days with what patients experience.
Patient adhere...
Thank you Dr. @Goff for your answer.
I have mentioned 5-FU + Calcipotriene to multiple colleagues here in southern California, and was quite impressed with the speed of reaction and overall outcome when I first started utilizing it a few years ago.
Generally, I will start by discussing the need fo...
Comments
at NorthShore University HealthSystem Use 5-7 days on the face and up to 2 weeks on the ...
at Front Range Dermatology Associates I use whatever is cheapest - which generally is PD...
I have used fluorouracil 8 times and imiquimod once personally, as well as extensive prescribing in a 30-year career. I can tell you unequivocally that fluorouracil+calcipotriene is much more painful than any other formulation. Time will tell if it is any more effective. 5-fluorouracil used to be di...