I live in New Zealand where medication and treatment is free with few exceptions. When the ulcers appeared I went to the District Nurse Clinic at the Hospital Outpatients everyday for debriding and dressing. Once the ulcers were under control I went every two days, and now I go every three days, so there is consistent attention and opinion each visit. I don't always see the same Nurse and a Senior Nurse often pops in to see the progress. Each visit we discuss "shall we change or continue" with what we're doing. The end goal is resolve all issues. I now have one ulcer left from the 2nd outbreak, caused by the attempted change to pentoxyfilene in November '19 from 300mg aspirin, but developed some dermatitis – prob/poss from having the leg covered for the last 14 months. For the first time I am using a steroid, Dermol 0.05% and it is working, to stop the skin breaking down.
I am currently using Acticoat Flex 3 on the ulcer which is a silver coated stretchy polyester that allows the passage of exudate. There is a time frame around using most products and I have also used Iodosorb, an iodine ointment, with great results too. I use Microdacyn wound care spray to clean the leg.
For side effects of medication and how to help with that, there's a really good book – Drug Muggers by Pharmacist Suzy Cohen. You can buy the e-book/kindle on Amazon for $7? This version you can search, far better than any index. It's a great book everyone who takes medication should have.
Hope you get some good nights sleep.