Imiquimod

 IMIQUIMOD - TOPICAL (imm-ICK-qwih-mawd)                        

COMMON BRAND NAME(S): Aldara

 USES: This medication is used for external genital and external anal warts (or condyloma).

 HOW TO USE THIS MEDICATION: Wash hands before and after use. Rub a thin layer to affected wart area, usually 3 times weekly at bedtime. Use externally only and leave on the skin for 6-10 hours. This drug is packaged in a single use packet and should only be used once. Do not use any leftover cream from an opened pouch. Do not cover warts with bandages or other closed dressings. After the 6-10 hour period, remove the cream by washing the area with mild soap and water. Follow MD instructions exactly and complete your prescribed treatment which is normally until the warts are gone or for a (usual) maximum of 16 weeks. Learn proper use techniques.

 SIDE EFFECTS: Usually the skin reactions that occur are mild or moderate. Redness, skin erosion (wearing away), flaking, swelling, itching/burning or scabbing might occur. If these persist or worsen, notify your doctor promptly. Should a severe skin reaction occur, remove the medication by washing the area with mild soap and water and promptly contact your doctor. Report promptly any flu-type symptoms (e.g., fever, muscle aches) or rash if they occur while using this medication. If you notice other effects not listed above, contact your doctor or pharmacist.

 PRECAUTIONS: Before using this drug, tell your doctor your medical history, especially of any allergies (including drug allergies), previous drug or surgical treatment of the genital or anal wart area or any skin conditions. Sexual contact should be avoided while the drug is on the skin. This medication may weaken condoms and vaginal diaphragms. Tell your doctor if you are pregnant before using this drug. It is not known whether this drug is excreted into human milk. Consult your doctor before breast-feeding. Caution is advised using this drug in persons under 18 years of age.

 DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you use. Do not start or stop any medicine without doctor or pharmacist approval.

 OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. This medicine may be harmful if swallowed. Symptoms of overdose may include severe flaking, cracking, or swelling of affected area; fainting; weakness; and dizziness.

 NOTES: Expect gradual improvement, with some redness occurring. New warts may develop during treatments as this drug is not a cure. Do not share this medication with others.

 MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

 STORAGE: Store at room temperature below 86 degrees F (30 degrees C) away from light and moisture. Avoid freezing.