Pharm

Imiquimod

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Imiquimod, Aldara

  • Indication
  1. Genital Wart
  2. Recalcitrant Common Warts (not FDA approved)
  3. Molluscum Contagiosum (not FDA approved)
  • Contraindications
  1. Do not use on mucous membranes
  • Precautions
  1. Weakens Condoms and diaphragms
  2. Avoid sexual contact when cream is on skin
  • Dosing
  1. General
    1. Apply thin layer to external visible lesions
    2. Rub in cream until it disappears
    3. Wash off with soap and water in 6-10 hours
  2. Genital Warts
    1. Apply 5% cream to affected area qhs for 3 nights/week
    2. Apply at bedtime and wash off in 6-10 hours
    3. May repeat weekly cycles for up to 16 weeks
  3. Recalcitrant warts
    1. Apply 3 times per week for a maximum of 16 weeks
    2. Apparently very effective if extensive involvement
  4. Molloscum contagiosum
    1. Apply to skin lesion for 6-10 hours, then wash off
    2. Apply 3 times weekly for 4 to 16 weeks
  • References
  1. Edwards (2000) J Am Acad Dermatol 43:S12-7 [PubMed]