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Olux Foam for Leaking Toes?
from Ken

My current predicament — been “current” for 15 years now — is itchy toes that end up raw, oozing and cracking.  The fluid that oozes from my toes is a clear liquid that seems to build up and then, when I’m unable to stop from itching, it drains. 

My P treatments have included topicals, UV, methotrexate and, most recent, cyclosporine, which I stopped a few months ago.  My dermatologist has warned me for years that all the treatments I’ve been on relieve the extremities last.

I’m waiting for Amevive before I begin any new treatments, provided things don’t get much worse.  Do you think my toes might benefit from Olux Foam?  -Ken

*****

Ed’s Response:  P on the toes I’m intimately familiar with ... oozing clear liquid is, however, new to me.  I build up piles and piles of dead skin between my toes.  The piles don’t turn into typical plaques because, I suppose, they’re moist and compressed.  When I’ve not tended to them in a long time, the plaque piles sometimes slough off at the slightest provocation (like spreading my toes).  In general, the P on my feet is becoming complicated by my generally diminishing sense of feeling in my feet — a creeping consequence of diabetes.  If there’s anything at all to smile about it would be this:  Plaques on the bottom of my feet used to mature into painful callus-like structures.  Now, with feeling diminishing, these don’t hurt anymore.

All I know about Olux foam I’ve learned anecdotally from people sending me email.  What seems to be happening is that people are trying it all over — rather than just for the scalp — and often finding that it works “all over.”  One of the problems with any topical is getting the product to stay put long enough for the medicine to be absorbed.  Carefully applied, this should be a minor consideration for people who wear socks and shoes all day (i.e., get the socks on over the medicine — without wiping it all off or having it absorbed into the sock’s fabric — and you should be set).  I understand the Olux foam base evaporates quickly upon contact with skin during which the active ingredient — clobetasol propionate — penetrates deep into the skin.  Do you need that kind of delivery horsepower for your feet?  You can get clobetasol propionate as a generic ointment (what I use).  If your feet spend most of their time in socks and shoes, one would think this quasi-occlusion would enable the ointment to penetrate sufficiently.  On the other hand, if you run amok barefoot or in sandals, maybe the foam is a better idea.

If you try Olux foam on your feet, Ken, please let us know how it works.

If Amevive hits the streets before Enbrel becomes available for the ~20,000 of us on the waiting list, you and I will be trying it at the same time.  -Ed

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