Hi
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Following last month's article in Pod Now about Pliaglis Cream I thought I'd try and get my hands on some to try in clinic.
Problem 1 was finding a supplier. Eventually, Clinidirect supplied after much to-ing and fro-ing of POMs annotation evidence and due acquisition and supply paperwork.
Problem 2 The cost!!!! £50 a tube roughly (tiny tube, single use)
Problem 3 Delivery & Storage - has be stored in a drug fridge at 3-8 degrees (luckily have drug fridge) and therefore had to be delivered in a refrigerated van (so don't expect the usual Pod supplies to be stocking it soon!).
I had a PNA and 2 verruca needlings to do today so thought I'd give the stuff a go.
It needs to be applied 30-40 minutes before injection which can be a little tricky as you need to send the patient out to sit with their foot up somewhere whilst it takes effect. You apply a 1mm thick application to the injection site and it forms a gel-sheet that peels off easily in a sheet.
It achieved good analgaesia on the thinner skin of the hallux and the patient did not report any pain (but obviously still felt the LA stinging as the liquid was introduced).
In Pod Now it suggested it could be useful on plantar warts. On the plantar surface only minimal analgaesia was achieved and so I would not recommend it over VPs but it could be useful to inject through if you can access the VP from the foot margins for a floatation.
It's only my first attempt so there may be some user error here - possibly leaving the cream in situ for longer.
My first thoughts though are that it is probably not particularly practical for use in private practice on grounds of storage, single use and cost. Could be useful for extremely needle phobic patients and charged out as a premium service.
It'd be interesting to hear if anyone else has tried it.
Leah
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