Too dilute to be effective
I have been using both Picato and the actual sap from a Euphorbia Peplus plant with very good results. Once a day for 3 days and the if there is any AK or surface basal cell cancer there is a strong reaction. If I read the label correctly this gel is NOT 2.5% ingenol mebutate but 2.5% Euphorbia Peplus (the sap). Even the labeling says to use this product every day for WEEKS which is not what Picato recommends. Also, while Picato requires refigeration this gel is stored at room temperature.  After using the gel for 5 days now I would say that there is a slight reaction but no where near as effective as the actual sap or Picato.<br />After using for 2 weeks now there is no reaction to AKs identified in 2 different locations. I have to give this a 1 star review as it is just not effective.
Rating: 1 stars