New Foot Medication
New Foot Medication
NEW FOOT
MEDICATION
One of the more ominous complications of diabetes
is "diabetic foot disease," a package of difficulties that can include
diminished sensation (neuropathy), dry skin, impaired circulation, and very slow healing.
Diabetics face heightened risk of infection from undetected, slow-healing foot injuries.
At the worst, gangrene can develop, and amputation may become necessary.
The biggest problem, once an infected foot wound
or ulcer has been identified, has been to get it to close. In some cases, conventional
wound care (pressure relief, debridement, frequent bandage changes, close medical
supervision) is insufficient. The search has been to find substances that will stimulate
new tissue growth, and get the wound closed.
Research has centered on "growth
factors," substances that stimulate the migration of new cells to the wound site.
Regranex (becaplermin), by Ortho-McNeil, is one such, and is manufactured using
recombinant DNA technology. The gene for human platelet-derived growth factor is inserted
into yeast, which then makes the growth factor.
The becaplermin is inserted into a sterile gel,
then topically applied to the affected area. When used with a program of good wound care,
clinical tests showed measurable improvement in healing of wounds, sufficient to win FDA
approval. However, Regranex is best seen as an addition to established procedures of good
wound care, rather than a replacement for those steps.
Prevention is still the best medicine! However,
if you do experience foot complications, your podiatrist now has a new medication to treat
them. Regranex should be available, by prescription only, now.
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