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Information on Aldara

Pronounced: AL-dah-rah
Generic name: Imiquimod

What is Aldara cream?

Aldara cream is used to treat external genital and perianal warts. Do not use it to treat internal warts.

How does Aldara cream work?

Aldara cream is an immune response modifier.

How do I use Aldara cream?

Aldara cream is rubbed directly on the wart(s). It should not be taken by mouth or used in or near the eyes.

To use Aldara cream:

Wash hands and open a new packet of Aldara cream just before bedtime
Apply a thin layer of cream on the wart(s)
Rub the cream in until it vanishes
Discard the open packet and wash hands
Leave the cream on the wart(s) for 6 to 10 hours
After 6 to 10 hours, wash the area where Aldara cream was applied with mild soap and water

Always apply Aldara cream as directed by your healthcare provider.

When should I use Aldara cream?

It is important to use Aldara cream as directed by your healthcare provider.

Typically, dosing is once a day, 3 days a week on:

Monday, Wednesday, and Friday, or
Tuesday, Thursday, and Saturday

Apply Aldara cream at bedtime, after bathing, so you do not wash off the cream.

Treatment with Aldara cream should continue until the warts are completely gone, or up to 16 weeks. Your healthcare provider can tell you how often and for how long you need to use Aldara cream.

Can I have sex while using Aldara cream?

Sexual contact should be avoided while the cream is on the skin. If you decide to have sexual relations, apply Aldara cream after–not before–sexual activity. If you have already applied the cream, it should be washed off before sexual activity. In addition, Aldara cream may weaken condoms and diaphragms; therefore the cream should not be left on during sexual activity. The effect of Aldara cream on transmission of genital warts is unknown.

What if I forget a dose?

Apply the missed dose of cream as soon as you remember and then continue on the regular schedule.

What can I expect from Aldara cream?

Results vary from person to person. Many people see reddening or swelling on or around the warts during the course of treatment.

In clinical trials, about one-half of patients completely got rid of their warts. In most patients, the warts disappeared in 8 to 12 weeks. However, some patients got rid of their warts in 4 weeks and others took up to 16 weeks. Patients should be aware that new warts may develop during therapy, as Aldara cream is not a cure. For best results with Aldara cream, follow your healthcare provider's instructions closely.

What are the possible side effects of Aldara cream?

There are some side effects associated with Aldara cream. Side effects are at the wart area and are usually mild to moderate.

Most common side effects are redness, peeling, pain, and swelling in the area where Aldara cream is applied. Skin color changes have also been reported. Some patients have also experienced burning and itching where Aldara cream was applied. These may be caused by the response of your body's immune system to the drug. However, if you experience a severe skin reaction, contact your healthcare provider.

What should I avoid while using Aldara cream?

Do not cover warts with bandages or other closed dressings. Avoid using overly large amounts of cream. A thin layer that completely covers each wart is enough.

Who should not use Aldara cream?

Aldara cream has not been studied in pregnant women. If you are pregnant, check with your healthcare provider to find out if he or she feels that Aldara cream is clearly needed. Additionally, Aldara cream should not be applied to warts inside the vagina or anus.