I have had skin tags on and off for years and I have never used any type of topical on them. Simply cut them off with sterilized clippers or trimmers. It's easier and cheaper and I have never experienced the profuse bleeding that some have described. If I had I probably wouldn't be so comfortable with cutting them off. I wonder if the bleeding is a sign of going too deep or cutting at an angle. Though the medical profession would never recommend taking care something yourself I'm sure that's how a doctor would do it. Why pay to have him cut it off or buying a topical?