Old Corn Treatment: WP

Hi, I have had success with cantharidin (a blistering agent which usually targets the derm-epidermal layer). It is very painful, pain peaking around 6 hours after application. Felt padding can help deflect pressure from the blister suring gait. Follow up no sooner than 1 week (as it is too painful to do anything before 1 wk). It can get rid of the wart in one treatment. Recalcitrant warts also benefit, you may need to re-apply or continue with other treatment modalities.
I usually warn patients, make sure they don't have any important events to attend the following week (like get married, a golf tournament, a marathon run, etc).
The only concern is risk of lymphatic blockage, competes for clearance with some other medications, alcohol, etc.

 

Hi there,

I currently work in a podiatry practice in London that has been around for years and we still use WP ointment fairly regularly on some patients that have long standing ongoing neurovascular corns. Most of our WP ointment has an expiration date of 3 years on it but i couldn't tell you the exact percentage of pyro/wp in the mixture. We source it from a company called "mobilis".

Interms of side effects we have some patients who specifically request it as it allows them to go an extra week or two before having the corns retreated, none of them have had any adverse reactions, although like any chemicals you obviously need to look at it on a case by case basis.

I trained in NZ and have worked there and in Aus and had never come across it before, i must admit although an "old fashioned" treatment option in some cases it definately works well.

 

I admit to using WP ointment on neurovascular corns with excellent results in pain relief and general improvement of the lesion. It is still available from one of the Podiatry suppliers in the UK and I bought some quite recently. I also use TBCo and would use Castellani's paint if I could still get it! (Not for neurovascular corns though!)

 

I still use pyrogallol, it is very effective with fibrfous corns, combined with regular thorough enucleation and deflective padding insoles/orthotics.

 

hi
my preferred method is cryo. i use a small applicator pen and as previously said not too cold so can be applied slightly longer or more frequently. Main problem is everyone expects a quick solution and it does not happen. Here in uk in podiatry clinics they are hardly treated and patients are sent away to go back to their GP! :
these patients are not seen as worthy or cost effective!
but for medicament types cryo, avoca caustic pen and pyro best ones by far.