What is Verrutop®?
Verrutop® is a new type of professional treatment for verrucae. It is suitable for adults and some children over 6 years of age.
Verrutop® contains Nitrizinc complex which is comprised of an aqueous solution of organic acids (lactic, oxalic, and acetic acids), inorganic acids (nitric acid) and copper and zinc salts.
It is a topical treatment that is applied every 7 to 14 days by the podiatrist.
Verrutop® has a declared effectiveness of 89% for all warts after 3 to 6 sessions, with 50% of people reporting resolution after 3 treatments.
How does it work?
Verrutop does not act by freezing or burning the tissues. Instead it denatures the viral protein and desiccates (dries up) the wart tissue, which then falls off the skin, leaving intact skin underneath.
Verrutop® initially turns the verruca white, grey, or yellowish in colour. The treatment is generally painless, but there is a chance of some temporary discomfort after the treatment including a burning sensation, tenderness, or itching. After a few days, the verruca may continue to change colour, sometimes to black. And it can also detach from the skin.
What are the benefits of using Verrutop®?
After Verrutop® has been applied to your verruca you do not normally need any paddings or dressings to protect the area. Unlike other treatments you do not have to keep your foot dry after Verrutop® has been applied.
You can shower as normal and go about your day to day activities unrestricted. You do not need to have an anaesthetic.
Does it hurt?
The application of Verrutop does not hurt.
Afterwards you may experience a little irritation around the verruca. There may be some temporary discomfort after the treatment including a burning sensation, stinging, tenderness, or itching.
How many treatments will I need?
This varies from patient to patient. You may require between 3 and 6 treatments.
If you are sensitive or allergic to any of the ingredients in Verrutop® you will be unsuitable for this treatment.
Verrutop® has few contraindications but cannot be used if you are pregnant or breastfeeding, have diabetes, have problems with your circulation or if you have peripheral neuropathy (damage to the nerves causing lack of sensation in the feet).
Verrutop® cannot be used in conjunction with other verruca treatments.
Before using Verrutop® :
The podiatrist will need to check if there have been any changes since your assessment. Please inform the podiatrist if you think you may be pregnant, if you are breastfeeding, if your medical history has changed or you have changed medications.
Your circulation will be checked, and your podiatrist will perform a few tests to check the sensation in your feet is normal. Please remove all nail varnish from toenails before attending the clinic – this enables us to better assess your circulation.
Your podiatrist will make sure you are suitable for Verrutop® and will fully explain the treatment prior to its use. Your podiatrist will discuss all the possible side effects at your consultation before proceeding with the treatment. You will be required to give written consent before the procedure can proceed.
What will happen during the consultation?
You will be awake during the procedure and will not require any anaesthesia.
Photos will be taken of the verruca(s) before and after each treatment to monitor progress.
Hard skin (callus) overlying the verruca(s) will be pared back using a sterile blade.
The healthy skin surrounding each verruca will be protected (masked) and the liquid Verrutop® applied using a small applicator.
Padding and dressings are not normally needed but a small sterile dressing may be applied once the treatment has dried.
You will be given a post-op advice sheet about how to look after your feet and a follow-up appointment in 7 to 14 days will be booked before you leave.
You will be able to walk normally after the procedure.
After the procedure:
After the procedure you would not require any time off work and can go about your day to day activities as normal.
For maximum effectiveness you will be required to dab each treated verruca with surgical spirit twice a day. This supports the drying process and encourages a better outcome. The podiatrist will supply a bottle of surgical spirit.
For a few days after treatment the verruca(s) may change colour. They may look white, grey, yellowish and can turn black. The verruca may start to detach from the skin prior to your follow up appointment – you will need to contact the podiatrist if this happens.
The podiatrist will book you a follow up appointment and give you an advice sheet.
You will be advised to contact the podiatrist as soon as possible should you experience any problems or have any concerns.