Aldara (imiquimod) is a prescription topical cream for the treatment of external genital warts.
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Aldara cream may weaken condoms and diaphragms so sexual contact should be avoided while the cream is on the skin. A woman who is or becomes pregnant while using Aldara cream should notify her health care provider immediately. Do not use Aldara to treat internal genital warts (inside the vagina or anus). Do not apply Aldara to broken skin. Aldara may increase skin sensitivity to sunlight. Use protective clothing or avoid the sun while using Aldara.
Tell your doctor of all nonprescription and prescription medication you use. Aldara is not likely to interact with oral medications.
Aldara cream is an immune response modifier. It stimulates the body's own immune system to eliminate infected cells. Aldara does not cure genital warts but can effectively clear them up as quickly as 4 weeks, although the average time to healing is 10 weeks and may take as long as 16 weeks. Results vary from person to person. Aldara cream doesn't destroy healthy skin.
Genital warts can be treated surgically (with laser therapy, freezing or burning them off) or application of topical creams. Aldara can be applied by the patient at home, causes discomfort in very few users, and has only mild side effects involving skin irritation.
Typically, dosing is once a day, 3 days a week (Monday, Wednesday, and Friday or Tuesday, Thursday, and Saturday). Apply Aldara cream at bedtime after bathing so you do not wash it off. Treatment with Aldara should continue until the genital warts are completely gone, or up to 16 weeks.
Most people who use Aldara cream experience no pain. One of the most common side effects is redness. This may be a sign that your immune system is working. Other common side effects are peeling skin, itching, flaking, and swelling around the warts.
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