Liverpool Cream not worked what treatment's next ??

Passtheshampoo

Passtheshampoo

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Ok so I know the vet will advise me what's next after she has heard back from2 Prof K but wanted to hear what other horses had gone through if the LC hadn't worked. My filly had LC applied in May and a second lot in July. Of the 2 scabs which have come off the sarcoids are still there (no change in size). She still has about 8-10 black scabs which are stuck solid so no idea what is under those. How long do they usually take to drop off?
I'm still covered by insurance for another 6 months and have about £3.5k cover remaining towards vets bills. I feel awful having put my girl through the discomfort of the treatment especially as it doesn't look to have worked. I was really tempted initially to treat using homeopathic treatments myself but decided to go down the vet/insurance claim route. I suppose now I'm using the vet I will have to follow their advice. Just feeling very down at the mo about the whole sarcoid thing.
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Hi Really sorry to hear the LC hasn't worked. My boy had sarcoids on 2 occaisions and the cream worked a treat. The second time I also used Global Herbs Sarcex supplement. No idea whether this had any influence but they did drop off and heal quicker than the 1st time round so I'm a fan!!!. I dont think there's any fool proof remedy and its probably best to take vet advise. I'm open to all ideas, but I am dubious that homeopathic remedies will work alone.
 
Don't panic yet, I had to have at least a couple of courses on my boy, I think they maybe they change the ingredients if it doesn't work?? Also, my boy's big sarcoid stayed scabbed for many, many months- I thought the LC hadn't worked but eventually it dropped off and all was fine!
 
usually your vet will aplly the LC on day one day 2 then 3 days after and then four to five days after then wait. some take a while to drop off some need another course of treatment. get your vet to reassess. maybe a stronger mix of cream required? usually works really well, but sarcoids come in several forms. some may require more agressive treatment.
 
My Vet told me that if it didn't work at the second attempt it was unlikely to be recommended to try again. But don't panic yet. My mare had a second course on 3 sarcoids end Feb/ early March & 2 of the scabs finally came off last month & the 3rd only started lifting about 3 weeks ago. Given the way the others came off will probably take another month to come off completely. The 2 that have come off are fine.
Since using the cream I have come across loads of people who have used it over several parts of the country & not one has been warned that some horses take a long time to heal. I do wish Vets would warn people how long it can take - I get the impression that, although the scabs are normally off in 2-3 months, it's not that rare for it to take longer & then people worry.
 
Have you tried homeopathic remedies - my mare had a sarcoid removed and another one grew near the site. It was growing fast and bleeding and vet quoted about £600 for Liverpool Cream. I purchased a homeopathic sarciod remedy from Holistic Pet Supplies and had a very good response. It has nearly gone it just looks like an old tick bite. It stopped in its tracks almost immediately and has gradually disappeared. It also cleared up the fungal growth in her ears at the same time - all for £6!
 
Prof. K could well recommend radiotherapy next. Good job you still have plenty of insurance cover left. Good luck, but at least you have an expert on your side.
 
Hi, My mother is a equine laser therapist and has had some amazing results with sarcoids. The first horse she treated had them all over his body, some of them were really agressive. The laser has got rid of all but one, which has reduced in size it's just taking a bit longer. Check out http://www.omegalaser.co.uk/
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Take GREAT care either treating sarcoids yourself or getting alternative treatment. Remember that any alternative treatment needs to be agreed by your vet. The problem arises because many, many dodgy patches LOOK like sarcoids but aren't. People then treat this non-sarcoid with all sorts of weird and wonderful and the dodgy patch goes. The temptation then is to believe that your treatment cured a sarcoid when the dodgy patch may NOT have been a sarcoid and may have healed entirely on its own. The big danger with treating TRUE sarcoids (and only a biospy will tell you that for certain) is that any surgical intervention is likely to cause the sarcoid to become more aggressive. Remember that true sarcoids are skin cancer. Beware of putting anything on a true sarcoid that says on the bottle that it aids skin healing (eg tea tree oil and aloe vera): anything that would encourage the rogue cells of a skin cancer to start multiplying should be avoided.
 
Will add a vote for the laser treatment. After two sessions of Liverpool cream on eight very aggressive sarcoids, vet recommended laser treatment. Has worked amazingly well, but be prepared for a longish healing period. Don't mess around with homeopathic treatments - you are dealing with cancer.
 
What Box of Frogs & AML said. I bet any Vet can recount several horror stories about what can happen when true sarcoids are messed with & people are unlikely to confess to these on any forum.
 
Please just take more pics of the current sarcoids and ask your vet to send them back to DK.
Having successfully treated several horses with them I know he sometimes has to tweak the treatment regime, but no way should you think they can't help you.
They are currently snowed under with requests (someone I know has been advised of that) but because you are already being treated I'm sure you would be a priority.
Liverpool have a really good record of successful treatments but it isn't fair of you to not allow them to finish the job.
I'm surprised there has been no change, normally you can tell it's worked.
 
Thanks to everyone who has replied. I feel much better in the knowledge that there are other avenues to take and the scabs will eventually drop off. Perhaps the ones that are still stuck on will have lovely new sarcoid free skin underneath... I can only keep everything crossed. As Box of Frogs has mentioned if sarcoids can only be truly diagnosed using a biopsy how does Prof Knottenbelt diagnose from photos alone? Is it a case of if it looks like one treat as if it were?
 
The problem with sarcoids is that doing the biopsy to confirm the diagnosis can make them more aggressive or harder to treat so Vet's usually assume it's sarcoid & proceed from there. Prof Knottenbelt uses the photos to decide what treatment is appropriate for that sarcoid, given that horses history, on the assumption it is a sarcoid.
As someone else said, that's the big problem with knowing which treatments work, some of the lesions treated won't have been sarcoids & may well have disappeared og their own accord.
In my early days of getting acquainted with sarcoids my old Vet did a biopsy on a lump leaving me terrified that my horse was going to die of cancer. I went home & in 10 mins googling had found a picture of a typical nodular sarcoid that looked exactly like hers & realised that the biopsy was perhaps not a good idea. The biopsy confirmed it was a sarcoid. After the biopsy that lump grew from the size of a very small hazelnut to that of a a very large walnut. The skin split & the lump fell out (yucky!) but several small fibroblastic ones have since come up in the area. It was a real lesson to me on what can happen if you mess with a sarcoid. Luckily that one was not in an area that affected riding her (behind her teats).
 
Thanks hairycob, from your previous experience it seems a wise decision not to carry out a biopsy. I'm glad that we have an expert in this country who is able to help our horses. Just hope he manages to sort out my girl.
 
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