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What is asclera and is it safe?

I know that asclera is used to treat varicose veins and spider veins, but how exactly does it work? Is it safe? I heard that it has been used in Europe for a long time but is new here, why did it take so long to come to the US?

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Doctors Answers (8)

Asclera is an FDA approved medication that we use to perform sclerotherapy. We inject it into your spider veins and the medication will irritate the wall of the vein, eventually causing it to close. The medication is safe and it works well to treat spider veins.

The medicine that is in Asclera , Polidocanol , has been in the USA for over 30 years. It is used safely. The FDA made the Sclerosants re-apply for approval and Asclera the new brand name for the previous generic drug Polidocanol came to be. So it really was already here. It works as a detergent like soap that washes the lining of the veins.

Asclera is an FDA approved sclerosant used with injection sclerotherapy to treat medium and small sized veins. It is a medical grade detergent similar to Sotrodecol (also FDA approved for sclerotherapy) and also has some anesthetic properties so is slightly more comfortable in sclerotherapy of spider veins. Sotrodecol was already widely used in the United States, had already been FDA approved, and the chemical structures of the two agents is very similar so the process of getting Asclera approved was unnecessarily slow and frustrating for many vein doctors that were using it off-label for many years prior to being approved in the United States. It is both safe and effective for sclerotherapy.

Asclera works well in most cases and is safe when used appropriately. USA always trails behind Europe in use of medications.

Asclera is the only drug currently approved by the FDA for the treatment of spider veins by injection. It has a superb safety record in Europe, and has been used in this office for about 2 years. The results are excellent and all patients who have had injections before prefer this medicine.

It has been around since the 1960s or 60s. It is the most common used world wide for the treatment of veins. We have used it for years in the US. It has been compounded in the US for years but recently was FDA approved. It is very safe for the treatment of veins and is considered a detergent based sclerosant. It costs a lot of money to put a medication through the FDA approval process this is why it took so long to come to the United States.

Asclera is an excellent sclerosing agent which has been used in Europe since the 1960's. It is as safe as Sotradecol, the other FDA-approved sclerosing agent available since 1946. Perhaps it took so long to come to the U.S. because we already had Sotradecol, and they are both very effective. Your treating doctor can review any concerns you may have.

Asclera is the patented version of Polidochanol. This has also been used here in the USA for many, many years along with Sodium Tetradecyl Sulphate (now branded as Sotradecol). They were always used for sclerotherapy of spider veins but it was considered "off label" and not officially FDA approved. Most physician had these products compounded. They are a class of "medical grade detergents" which damage the lining of the veins causing them to collapse. When veins no longer have flow or integrity, the body will reabsorb them over time. The patented version offer stability, consistency and longer shelf life than compounded version. However, with that comes increased cost. Both are equally effective treatments for spider veins.

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