Picato (Ingenol Mebutate) Drug Information: Description, User Reviews, Drug Side Effects, Interactions

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May 27, 2012

Picato

Actinic Keratosis »

What is an actinic keratosis, and what does it look like?

An actinic keratosis (AK), also known as a solar keratosis, is a small, rough spot occurring on skin that has been chronically exposed to the sun. Actinic keratoses generally measure in size between 2-6 millimeters in diameter (between the size of a pencil point and that of an eraser). They are usually reddish in color, with a rough texture and often have a white or yellowish scale on top. Actinic keratosis often occurs against a background of sun damage, including sallowness, wrinkles, and superficial blood vessels.

In addition to feeling rough, actinic keratoses may feel sore or painful when fingers or clothing rub against them.

Specialized forms of actinic keratoses include cutaneous horns, in which the skin protrudes in a thick, hornlike manner, and actinic cheilitis, which refers to scaling and roughness of the lower lip and blurring of the border of the lip and adjacent ski...

Read the Actinic Keratosis article »

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Adult Skin Problems Slideshow Pictures

Quiz: Can You Identify These Skin Conditions?

Gallery of Skin Problems and Image Collection

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PICATO®
(ingenol mebutate)

DRUG DESCRIPTION

Picato® (ingenol mebutate) gel, 0.015% or 0.05% is a clear colorless gel for topical administration, which contains the active substance ingenol mebutate, an inducer of cell death.

The chemical name of ingenol mebutate is: 2-Butenoic acid, 2-methyl-, (1aR,2S,5R,5aS,6S,8aS,9R,10aR)-1a,2,5,5a,6,9,10,10a-octahydro5,5a-dihydroxy-4-(hydroxymethyl)-1,1,7,9-tetramethyl-11-oxo-1H-2,8a-methanocyclopenta [a]cyclopropa[e]cyclodecen-6-yl ester, (2Z) - or (1aR,2S,5R,5aS,6S,8aS,9R,10aR)-5,5a-dihydroxy-4-(hydroxymethyl)-1,1,7,9-tetramethyl-11oxo-1a,2,5,5a,6,9,10,10a-octahydro-1H 2,8a-methanocyclopenta[a]cyclopropa[e]cyclodecen-6yl (2Z) 2 methylbut-2-enoate.

The molecular formula is C₂₅H₃₄O₆ and molecular weight is 430.5. Ingenol mebutate is represented by the following structural formula:

PICATO® (ingenol mebutate) Structural Formula Illustration

Ingenol mebutate is a white to pale yellow crystalline powder.

Picato® gel, 0.015% and 0.05% contains 150 mcg and 500 mcg of ingenol mebutate, respectively in each gram of gel consisting of isopropyl alcohol, hydroxyethyl cellulose, citric acid monohydrate, sodium citrate, benzyl alcohol and purified water.

Picato® gel is clear colorless gel and supplied in unit dose laminate tubes, for single use, containing a nominal fill weight of 0.47 g, with a deliverable weight of 0.25 g. The tubes should be discarded after single use.

Last reviewed on RxList: 2/6/2012
This monograph has been modified to include the generic and brand name in many instances.