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Classification: Sexual Health
Generic Name: Imiquimod - topical
Typical Brand Names: Aldara

Aldara cream contains the active ingredient imiquimod, which is a type of medicine called an immunomodulator. It is used to treat genital warts and small superficial skin cancers.

Imiquimod acts by stimulating the body's own defence mechanisms. It is thought that it works by binding to immune cells in the skin, causing them to release natural defence chemicals called cytokines. One such cytokine is called alpha interferon.

Alpha interferon and other cytokines have many functions in the immune system. They help fight viral infections by preventing viruses from multiplying in cells. They also prevent abnormal or malignant cells from increasing in numbers.

Genital warts are caused by the human papilloma virus (HPV). This cream stimulates the body to attack the virus, which cures the wart.

Superficial (non-malignant) skin cancers called basal cell carcinomas occur when certain skin cells multiply in an abnormal and uncontrolled way. This cream stimulates the body to attack the abnormal cells, which shrinks the cancerous growth.

For warts on the genitals and around the anus, the cream should be applied in a thin layer to the warts and rubbed in until it vanishes three times a week (for example monday, wednesday, friday) before going to bed. The cream should be left on for 6 to 10 hours each time and then washed off with mild soap and water. The treatment is continued until the warts are cleared (up to a maximum of 16 weeks per episode of warts).

Product Name Price
Aldara 5% - 12 Packs $296.75
Aldara 5% - 24 Packs $560.00
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 Aldara Directions To Use

How much Aldara you use and how often it is used depend on many factors, including the condition being treated and the age and weight of the patient. If you have any questions about the amount and/or frequency of Aldara being used, talk with your health care provider.
Carefully read the patient leaflet provided with Aldara and reread it each time you get this prescription refilled.

Use Aldara exactly as prescribed by your health care provider.
Aldara is for topical use only. Avoid contact with the eyes.
Wash your hands before and after using Aldara.
Apply Aldara in a thin layer to the affected area 3 times a week(Monday, Wednesday, and Friday, or Tuesday, Thursday, and Saturday)before bedtime. Gently rub the cream in until it is no longer visible.
Do not apply excessive amounts of Aldara to the affected area.
Do not wrap or otherwise cover the treated area with bandages or wear tight-fitting clothing unless specifically directed by your doctor.

Remove Aldara with warm water and mild soap 6 to 10 hours after you apply it.
Aldara can weaken condoms or vaginal diaphragms. Do not use condoms or diaphragms while using Aldara. Avoid sexual (genital, anal, oral) contact while the cream is on the skin.
Males who have not been circumcised and are treating warts under the foreskin should pull back the foreskin and clean the area daily. Skin reactions such as redness, erosion, flacking, and swelling may occur at the application site or surrounding area. Most skin reactions are mild to moderate. If a serious skin reaction or discomfort occurs while using Aldara, remove Aldara with soap and water. Talk with your doctor before using this Aldara again. Use cotton gauze or wear cotton underwear until the reaction stops.

Contact your health care provider before using this Aldara in children under 12 years of age. Do not take any other over-the-counter or prescription Aldaras without talking with your health care provider. This includes any herbal preparations or dietary supplements.

 Aldara Warnings and Side Effects

If you notice severe skin irritation or flu-like symptoms (diarrhea, fatigue, fever, headache, or muscle pain), check with your doctor. It may be necessary for you to reduce the number of times a day that you use the medicine or to stop using the medicine for a short time until your skin is less irritated or your flu-like symptoms disappear. Avoid having genital, oral, or anal sex while the medicine is on your skin. Make sure you wash the cream off your skin before you engage in any sexual activity. Also, the medicine contains oils that can weaken latex (rubber) condoms, diaphragms, or cervical caps causing them not to work properly to prevent pregnancy. Do not use any other skin product on the same skin area on which you use this medicine, unless directed otherwise by your doctor. Do not share your medicine with others, even if you think that they have the same condition you have. If you are pregnant, check with your health care provider.

Usually the skin reactions that occur are mild or moderate. Redness, skin peeling, flaking, swelling, skin becoming hard or thick, itching/burning, skin color changes that do not go away, or scabbing and crusting may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Should a severe skin reaction occur (e.g., sore, blister, ulcer), remove the medication by washing the area with mild soap and water and promptly contact your doctor. A severe reaction also includes any effects that restrict your daily activity or make using the product very difficult. Tell your doctor immediately if any of these unlikely but serious side effects occur: flu-type symptoms (e.g., fever, muscle aches), mild dizziness. If you notice any other effects not listed above, contact your doctor or pharmacist.

 Aldara Missed Dose

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

 Aldara Storage

Store at room temperature below 77 degrees F (25 degrees C) away from light and moisture. Do not freeze. Be sure to safely throw away any used packets or expired medication. Keep all medicines away from children and pets.

 Aldara Overdose

Persistent topical overdosing of Aldara Cream could result in an increased incidence of severe local skin reactions and may increase the risk for systemic reactions.

 Aldara More Information

Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use Aldara Cream for a condition for which it was not prescribed. Do not give Aldara Cream to other people, even if they have the same symptoms you have. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about Aldara Cream that is written for the healthcare provider.

 Aldara Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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