Picato is a drug against actinic keratosis, or a sun-damaged skin. The gel contains ingenol mebutate, a drug that destroys damaged skin cells so that new skin cells can replace them. More information

Important! We do not offer any products ourselves, but offer the possibility to request a treatment (possibly with medication).

If you wish to obtain certain medication, you can buy these products at your own pharmacy or instruct us to arrange this in your name at a registered EU pharmacy. For prescription only medication we also arrange a consultation for you with a registered EU doctor.
* Instruction costs include VAT.

Instruction costs
Service – Instruction costs

Picato 150 mcg/g gel 3 x 0.47 g + Consultation + Service fee


Picato 500 mcg/g gel 2 x 0.47 g + Consultation + Service fee


What is Picato?

Picato is a drug against actinic keratosis, or a sun-damaged skin. The gel contains ingenol mebutate, a drug that destroys damaged skin cells so that new skin cells can replace them. You can order Picato online through the pharmacies that work with Dokteronline.com.

What is this medication used for?

With actinic keratosis the skin is damaged in certain places (often in the face, forearms or on the back of the hands) by years of exposure to sunlight. Small, rough spots appear, often light brown of colour. Actinic keratosis can turn into skin cancer in some cases. Therefore, but also because the spots are disfiguring, it is best to treat this condition. Picato tackles actinic keratosis by destroying the damaged skin cells. This creates an immune response and the damaged skin cells are disposed of. Then healthy skin cells replace them.

How to use Picato?

The partner pharmacies offer Picato available online in two different strengths.

  • Picato 150 micrograms is specifically designed for facial skin and scalp.
  • Picato 500 micrograms is intended for the rest of the body.

Apply the gel to a clean, dry skin. Do not cover the treated skin with a dressing or plaster. Wash your hands immediately after applying the gel and do not let the product get into eyes, nose or mouth. Use Picato at least two hours before going to bed. Avoid touching the treated skin for six hours and do not wet your skin. Do not apply makeup, sunscreen and other cosmetics on the skin until the treatment period is over. The treatment period usually is of two days for the body and three days for the facial skin. Picato has a very short shelf life. Store the tube in the refrigerator. Use a new tube every day and throw it away after use, even if there is some gel left in it.


Unless a doctor advises otherwise, the dosage for Picato is as follows:

  • Adults: apply once daily some gel on the affected area(s) for two days (body) or three days (face/scalp).

Read the instructions before use.

Side effects

Skin reactions often appear after the application of Picato. The treated skin can become red or swollen and painful or itchy. Sometimes sores or blisters also occur. These reactions are part of the healing process and disappear over time. More information about the side effects can be found in the leaflet.

When is it best not to use this medication?

Picato is not always a suitable drug. Do not use this medication:

  • If you are allergic to ingenol mebutate or any of the excipients used;
  • On open wounds;
  • To treat actinic keratoses on the eyelids, lips, inside of the ears or around the nostrils.

Are you using any other medication for the skin? A doctor knows if you can combine it with Picato.

Pregnancy / driving / alcohol

Do not use Picato if you are pregnant and only in consultation with a doctor if you are breastfeeding. This medicine does not affect your ability to react. There is no warning with regards to the use of alcohol.