Frequently asked questions

Wartner Cryotherapy Wart Remover contains an aerosol can with a mixture of dimethyl ether and propane, an applicator holder and foam applicators; it contains a file to remove calloused skin on top of the verruca prior to the treatment.

• removing warts on the face or the genitals;
• skin conditions with signs of inflammation;
• dark moles, dark-colored, hairy or otherwise unusual looking skin conditions which resemble warts;
• warts on children under the age of four.

• Temperature of the application
• Contact time on skin

Wartner Cryotherapy is based on the liquid nitrogen method of cryotherapy, which is used by doctors. Clinical studies have proved that Wartner Cryotherapy is as effective as liquid nitrogen.

A clinical study to compare efficacy, tolerance and safety of 2 types of cryotherapy (liquid nitrogen (LN) and dimethylether/propane (DMEP) was performed by family physicians for warts on 124 patients (174 warts). Design of the study: randomized, multi-centered, controlled clinical trial with single blind assessment. Conclusions: The results show that both cryogenic agents were >90% effective. Liquid Nitrogen has a temperature of -196ºC, whilst DMEP is -57ºC and therefore much less likely to cause deep tissue damage.

Dermatologists confirm Wartner Cryotherapy’s effectiveness: “the efficacy of Wartner Cryotherapy freezing fluid is as effective as commonly used liquid nitrogen (= doctor’s method). In case of thick callosity we remove the callosity by scraping in a gentle way and apply Wartner Cryotherapy freezing liquid effectively” Dr I H Boersma – Dermatologist – Albert Schweizer Hospital – Zwijndrecht, The Netherlands.

“The effectiveness of Wartner Cryotherapy is comparable to that of the classic technique (Liquid Nitrogen = doctor’s method) in every respect, and the freezing effect it has is similar to that obtained by Liquid Nitrogen, perhaps a little slower (20″ application instead of 3″ application), which I think is safer and less painful” Dr J M Gray – Dermatologist – Paris, France

Wartner 2^nd Generation reaches a temperature on skin of -50° which is the coldest therapeutic temperature reached on the market as a cryotherapy.

Based on clinical research, Wartner clearly outperforms competition in relation to therpautic temperature and saturation of the applicator.

If you follow all the directions in the instruction leaflet correctly, using Wartner Cryotherapy will not result in scarring. Skin discoloration may occasionally occur, but will disappear over time.

No, if you have several common warts or verrucas in the same area, treat only one at a time. Treat each remaining wart or verruca separately with a 2-week interval between treatments.

No. Wartner Cryotherapy should be applied with precision, but it’s not difficult. The information leaflet explains exactly how you should apply Wartner Cryotherapy.

You press the valve down firmly for three seconds.

No. After pressing the foam applicator into the valve for 3 seconds, 20 seconds need to be waited before application on skin. This waiting period allows the gas on the foam applicator to reduce even further in temperature, resulting in the most effective therapeutic temperature for a fast and convenient removal of the wart/verruca.

Warts: (max.) 20 sec.
Verrucas: (max.) 40 sec.

Each foam applicator may be used once only and should then be discarded to avoid spreading the virus.

Only one per hand or foot may be treated by Wartner Cryotherapy at a time.

Wartner Cryotherapy may be used up to 3 times per wart or verruca. You should leave a 2-week interval between treatments.

For old or persistent warts or verrucas, two or three applications maybe required. To help with treatment, remove the top layer of skin with a pumice stone or emery board; this will expose the core. Treat each wart or verruca with a 2-week interval between treatments. Consult your doctor if there is no improvement after three treatments.

A successfully treated wart or verruca usually means that it has been removed permanently. The body’s immune system will normally purge any remaining traces.

• If you are diabetic.
• If you are pregnant.
• If the common wart or verruca is located in a sensitive area with thin skin (e.g. the face, neck, armpits, chin, breast) or on genital warts.
• If the nearby or affected skin is inflamed.
• If you are not certain that the skin condition you are treating is a common wart or verruca.
• Wartner Cryotherapy should not be used on children under the age of four.

There are a number of possible side-effects:

• As with all freezing methods, the skin may turn white temporarily.
• A blister develops under the wart, but this is part of the treatment and is harmless.
• Using Wartner Cryotherapy may cause some discomfort.
• Applying the foam applicator to the wart or verruca for too long may lead to local tissue death. You should therefore follow the instructions carefully and apply the treatment for the time specified based on the size of the wart or verruca.
• Always use Wartner Cryotherapy very carefully and accurately. If you’re not careful, scars and nerve damage may occur.

• White coloration of the skin: as soon as you press the foam applicator onto the problem area, the skin turns white. This discoloration quickly decreases as soon as the foam applicator is removed.
• The appearance of a blister: this blister will disappear as soon as the wart or verruca falls off the skin. New skin will already have formed under the blister.
• Discomfort during use: a stinging sensation may occur when the foam applicator is pressed onto the skin. This stinging sensation quickly fades once the foam applicator is removed.
• Local tissue death: this will only occur during deep freezing of the skin. Therefore, never hold the foam applicator on a wart for more than 20 seconds (40 seconds for verrucas)
• Scars and nerve damage: this will only occur from careless use caused by not following the instructions on the information leaflet. Never hold the foam applicator on the wart for more than 20 seconds (40 seconds for verrucas) to ensure that there is no deep freezing and therefore no damage.

Always consult a doctor if the stinging sensation does not disappear or if other complications occur through using Wartner Cryotherapy.

Wartner Cryotherapy may be used by most adults. You can also use Wartner Cryotherapy to remove warts and verrucas on children over the age of four, but the treatment must be carried out by an adult.

Yes, Wartner Cryotherapy is suitable for children over the age of four.

We do not recommend the use of Wartner Cryotherapy to treat children under the age of four.

No. Do not use Wartner Cryotherapy if you are pregnant or breastfeeding.

It takes approximately 10-14 days for the wart or verruca to disappear.

If the wart or verruca doesn’t disappear after 14 days, you can treat it again. You can treat each wart or verruca with Wartner Cryotherapy a maximum of three times, with a 2-week interval between each treatment.

If the wart or verruca doesn’t disappear after three treatments, you should go to your doctor.

Wartner Cryotherapy has a number of important advantages. It saves time and is easy to use. You no longer have to wait at the doctor’s surgery. The liquid nitrogen that your doctor uses has a much lower temperature than Wartner Cryotherapy. Because of this Wartner Cryotherapy is less painful but just as effective.

The liquid nitrogen that your doctor uses has a much lower temperature than Wartner Cryotherapy. Because of this Wartner Cryotherapy is less painful but just as effective.

Make sure that the area stays clean. Do not pick at or scratch it. Protect blisters with an adhesive plaster and do not puncture them.

Yes. You can shower and swim after treatment with Wartner Cryotherapy.

No. Wartner Cryotherapy doesn’t harm the environment.

Wartner Cryotherapy is manufactured by Omega Teknika – Farnham Drive, Finglas, Dublin 11, Ireland, and is distributed by Omega Pharma by its local affiliates.

You can buy Wartner Cryotherapy at your local pharmacy or supermarket.

Wartner Wart Pen may not be used in the following cases:

• For removing warts on the face or the genitals;
• For treating skin conditions with signs of inflammation;
• For removing dark moles, dark-colored, hairy or otherwise unusual looking skin conditions which resemble warts;
• For removing warts on children under the age of four.
• If the common wart or verruca is located in a sensitive area with thin skin (e.g. the face, neck, armpits, chin, breast) or on genital warts.
• If the nearby or affected skin is inflamed.
• If you are not certain that the skin condition you are treating is a common wart or verruca.
• Consult a doctor if you are diabetic.
• Consult a doctor if you are pregnant or breast-feeding.

The Wartner Wart & Verruca Pen is a medical device indicated for treatment of common warts and verrucas. The pen applicator contains a new highly concentrated wart & verruca removal gel based on the traditional acid method.

The TCA gel allows the elimination of warts or verrucas thanks to a topical chemical eradication action. The gel induces the peeling of the keratotic tissue of the wart (or verruca) and allows the destruction of the causative virus. After wart (or verruca) desquamation, the skin will regenerate.

TCA is a corrosive agent and causes skin peeling within 10-15 minutes. Large amount of TCA gel might cause a slight tingling sensation that should disappear quickly.

If applied on the thin, damaged or sensitive skin, TCA may cause burning and painful sensation- but the sensation is transient and should disappear within few minutes. If painful sensation occurs the excess of the gel should be immediately cleaned out with water.

Yes, Wartner Wart Pen is safe to use if you follow the instructions carefully; however we do not advise use on children under the age of four.
CE Marked and classified as a Medical Device, which conforms to European guidelines (Council Directive 93/42/EEC amended by 2007/47/EC) Wartner Wart Pen has been assessed by several scientific and medical experts as being a safe method for the removal of warts and verrucas.

TCA is an effective acid gel for a convenient & fast removal of warts & verrucas

• TCA is scientifically proven to have a long lasting peeling effect on the wart, which allows a continuous action on the wart.  It destroys the HPV virus.
• The pH rate of TCA= 1.9 whereas salicylic acid has a pH rate of 2.4, which means that TCA is a stronger acid than salicylic acid.
• Wartner wart pen is in gel format while salicylic acid compositions are generally in liquid form. The gel allows having a more precise application on the affected spot without too much invasion of the healthy skin around it by using an innovative applicator.

If you follow correctly all the directions in the instruction leaflet, using Wartner Wart Pen will not result in scarring. It is important to use the product exactly as instructed as overexposure to the formula could cause temporary burning, temporary pain, mild temporary ulceration and temporary discoloration of surrounding skin.

Yes, if you have several common warts or verrucas in the same area you can treat them at the same time. However, in case you have 3 or more warts in the same area, please consult a doctor before using Wartner Wart Pen Wart Pen.

No. Wartner Wart Pen should be applied with precision, but it’s not difficult. The information leaflet explains exactly how you should apply Wartner Wart Pen.

When the Wartner Wart Pen is used for the first time, it is necessary to fully turn the dial on the top of the pen clockwise to load the gel into the brush tip until the first drop is visible.  Several full turns might be needed as the gel is stored at the top of the Pen (to avoid leakage prior to first treatment)

Do not turn the dial more than the amount of times necessary to release 1 drop of formulation, as this may result in over-dispensing of TCA and smearing on normal skin, which might cause severe irritation of the area.

It depends on the size of the wart or verruca (see instruction leaflet). Usually, 10 to 15 minutes are enough for the TCA to be absorbed on the wart.

Wartner Wart Pen should be applied twice daily for 4 days. After this treatment of 4 days, the skin will peel off over the next 4 days. You can carefully remove the peeling skin under lukewarm water. After the treatment, new skin (free from warts) will form. The wart may disappear from the first week of treatment. If the wart does not disappear completely, repeat the treatment after a break of 4 days. You can repeat this treatment schedule up to 4 times.

If the wart (or verruca) is small (size of a needle point), only apply the gel once a day

When the Pen is used for the first time, it is necessary to fully turn the dial on the top of the pen clockwise to load the gel into the brush tip until the first drop is visible. Several full turns might be needed as the gel is stored at the top of the Pen (to avoid leakage prior to first treatment).

STEP 1

Hold the pen vertically with the brush tip facing downwards. Slowly turn/click the dial on the top of the Pen clockwise to dispense the gel.

STEP 2

Allow the gel to flow into the brush tip for 3 to 5 seconds

STEP 3

Carefully apply the dispensed gel only on the wart or verruca (not on healthy skin surrounding it)

STEP 4

Let the gel dry for 10-15 minutes before putting on clothes or shoes. The Wartner Pen formula is very concentrated and only one drop is needed per application. Carefully cover the entire surface of the wart and not the healthy skin surrounding it. Once the treatment is completed, carefully clean the pen with a tissue before storage.

2 ADDITIONAL STEPS FOR VERRUCAS for optimal preparation and after-treatment

PRIOR TO THE TREATMENT

First, soak the foot in warm water for 5 minutes and then rub the callous carefully with a file (widely available for purchase) to expose the verruca. Dry it thoroughly so there is no water/moisture between the wart and the Wartner TCA gel. Do not apply the TCA gel when the skin is bleeding or broken. File not included.

STEP 1-4

Same as for the removal of warts as above. Once treatment is complete, carefully clean the Wartner Pen with a tissue before storage.

For verrucas, which are more persistent and more difficult to treat, 2 extra steps are needed prior to the treatment. First, soak the foot in warm water for 5 minutes and then rub the callous carefully with a file (widely available for purchase) to expose the persistent verruca. Dry it thoroughly so there is no water/moisture between the wart and the Wartner TCA gel. Do not apply the TCA gel when the skin is bleeding or broken. File not included.

If there is no improvement after the first treatment period of 4 days, repeat the treatment after a break of 4 days, you can repeat this treatment schedule up to 4 times. If there is no improvement after the 4 treatment, please consult a doctor.

A successfully treated wart or verruca usually means that it has been removed permanently. The body’s immune system will normally purge any remaining traces.

There are a number of possible side-effects:

• Using Wartner Wart Pen Wart Pen may cause some discomfort (transient tingling, burning sensation)In case of small warts, there is higher chance of wounding or discomfort experience, therefore the application should be limited to 1 time a day.
• Always use Wartner Wart Pen Wart Pen very carefully and accurately. If you’re not careful, scars and minor skin damage may occur.

• The appearance of a blister: this blister will disappear as soon as the wart or verruca falls off the skin. New skin will already have formed under the blister.
• Discomfort during use: a stinging sensation may occur when the gel formulation is left on the skin. This stinging sensation will fade within 10-15 minutes after application.
• Scars and nerve damage: this will only occur from careless use caused by not following the instructions on the information leaflet. Never use Wartner Wart Pen Wart Pen on healthy tissue, as TCA is a highly corrosive agent that will damage normal skin.
• In case the wart is very small and the treatment is maintained too long or too frequent, TCA may cause peeling of the deeper layers of the skin. If that occurs, the treatment should be immediately stopped. Thanks to natural regenerative properties of the skin- this damage is not permanent- a new & healthy skin will form instead.

Always consult a doctor if the stinging sensation does not disappear or if other complications occur through using Wartner Wart Pen Wart Pen.

Wartner Wart Pen may be used by most adults. You can also use Wartner Wart Pen to remove warts and verrucas on children over the age of four, but the treatment must be carried out by an adult. If you are diabetic, pregnant and/or breast-feeding, please consult a doctor before using Wartner Wart Pen Wart Pen.

Yes, Wartner Wart Pen is suitable for children over the age of four.

Yes, Wartner Wart Pen Wart Pen can be used by pregnant and breast-feeding women. However, consult a doctor before use.

The wart or verruca may disappear as from the first week. It takes in average between 1 to 4 weeks before the wart or the verruca disappears.

Make sure that the area stays clean. Do not pick at or scratch it. TCA treated skin may become hard (dead skin cells forming callus). Thick skin can be carefully removed using a file during bath or shower.

In order to protect healthy skin around the treated wart, white petrolatum cream can be applied, or a plaster can be used.

If treated wart is on the exposed/frequently used spot (like fingertip or joint), the treated area can be protected with a plaster.

Wartner Wart Pen is manufactured by medical brands, Veembroederhof 96, 1019 HC Amsterdam, the Netherlands.

Wartner Wart Pen is exclusively available in pharmacies. You can buy Wartner Wart Pen at your local pharmacy.

A callus (or callosity) is an especially toughened area of the skin which has become relatively thick and hard in response to repeated friction, pressure, or other irritation.

• Lower concentration of TCA gel: The Corn Pen contains TCA gel which is less concentrated compared to the Wart Pen. The TCA gel induces a peeling of the skin. As this occurs, the thickened skin / corn will disappear and new healthy skin will form.
• Bigger pen containing 4ml of gel
• When used, apply only once a day
• Tested in a self assessed study, 85% of people assessed of having a complete removal of their corn in just 1 week, clearly indicating that first visible results are reached within the first treatment period of 4 days. Effective from the first week.

• For treating skin conditions with signs of inflammation;
• For removing dark moles, dark-colored, hairy or otherwise unusual looking skin conditions which resemble corns;
• For removing corns or persistent calluses on children under the age of four.
• If the nearby or affected skin is inflamed.
• If you are not certain that the skin condition you are treating is a corn or persistent calluses
• Consult a doctor if you are diabetic.
• Consult a doctor if you are pregnant or breast-feeding.

Hold the blue end of the foam applicator between the thumb and index finger and squeeze until a small opening appears. Slide the opening of the foam applicator onto the stick of the applicator holder until the stick is no longer visible.

Hold the aerosol can in an upright position, away from your body and from incandescent flame, heat, direct sunlight and any electrical sources. Place the applicator holder with the foam applicator in the opening on the top of the aerosol can so that the foam applicator is no longer visible. Holding the aerosol can with one hand at the bottom, firmly press down the applicator holder with the other hand for 3 seconds (count from 21 to 23). You will hear a hissing sound whilst pressing. Remove the applicator holder with the foam applicator from the valve. The foam applicator is saturated with cold liquid and condensation will form.  This condensation is harmless.

After saturation of the foam applicator, wait for 20 sec before topical application in order to further reduce application temperature and thus ensuring a better efficacy of Wartner.

After the 20 seconds waiting time, push the applicator holder with the foam applicator lightly on the wart. For Warts: use the applicator for 20 seconds For Verrucas: use the applicator for 40 seconds Ensure constant contact with the area to be treated. The foam applicator should be applied to the area for the required treatment time.  A slight aching, stinging sensation will occur as a result of freezing.  After treating the wart, wait 2 minutes before using a tissue to remove the foam applicator from the holder. Discard the foam applicator after single use. Do not reuse the foam applicator or touch the tip of the foam applicator with bare hands to ensure that you don’t re-infect the skin with the wart virus.

2 ADDITIONAL STEPS FOR VERRUCAS for optimal preparation and after treatment

See above. Same as for the removal of warts

After applying for 40 seconds, you could experience some discomfort when pressure or friction occurs on the treated area. You may find it helpful to protect the sensitive area with a comfort plaster which is widely available for purchase. Comfort pads not included.