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Aldara™ Cream 5% Imiquimod What is in this Leaflet This leaflet answers some common questions regarding Aldara. It does not contain all the out there information. It will not take the place of talking to your doctor or pharmacist. If you wish any more data about Aldara, please ask your doctor or pharmacist. All medicines have risks and edges. Your doctor has weighed the danger of you using Aldara against the advantages it can have for you. If you have got any considerations regarding using this medicine, raise your doctor or pharmacist. Keep this leaflet with the medication as you may wish to scan it again. Your Drugs The name of your medicine is Aldara. Aldara cream contains the active ingredient imiquimod. Imiquimod is an immune response modifier. It activates immune cells in the body. The immune cells then proceed to kill and remove the virus-infected or cancer cells. Although the precise method that Aldara works is unknown, it's believed to be thanks to its effects on the immune system. What Aldara is employed for Aldara is employed to treat solar keratosis (SK) on the face and scalp, superficial basal cell carcinoma (sBCC), and genital/perianal warts. Solar keratoses are thickened, scaly patches of skin caused by too much sun exposure. Solar keratosis is additionally known as actinic keratosis. Basal cell carcinoma is a kind of skin cancer. External genital/perianal warts (condyloma acuminata) are warts that appear on the surface of the penis or vulva (external feminine sexual organ) and round the anus. Aldara isn't recommended to be used in patients underneath the age of eighteen years as there have been no studies of its effects during this age group. Your doctor could prescribe Aldara for one more purpose. If you're not sure why you're using this drugs raise your doctor. Before using Aldara When you need to not use Aldara Don't use Aldara: if you're allergic to imiquimod or to any of the ingredients listed underneath "Product Description" on skin where there are open sores or wounds. Don't begin using Aldara until when the world has healed. on warts inside the vagina or inside the anus or inside the urethra (where you pass urine). The employment of Aldara cream on these areas has not been studied. on areas that are sunburnt if the packaging is torn, or shows signs of tampering. after the "use by" date shown on the box or sachet. Before you start to use Aldara Tell your doctor if: you are pregnant or will become pregnant. you are breastfeeding or will breastfeed. you're or you think you're HIV positive. you're taking any other medicines you have previously used Aldara cream or different similar preparations to treat your condition. you've got issues along with your immune system you have an abnormal blood count you currently have, or in the past have had, any other medical conditions. Using Aldara Dosage Aldara is used to treat many skin conditions. Your doctor will tell you where to apply Aldara cream, how often and for how long to use it for your condition. Aldara ought to be applied simply before bedtime and left on the skin for six-ten hours. Sufficient cream ought to be applied to hide the treatment area. Speak to your doctor if your condition re-seems once treatment. Solar Keratosis If your doctor has prescribed Aldara for the treatment of SK, the same old dosage is once daily, at bedtime, three times a week. For three times every week application, Aldara can be applied, for example, on Monday, Wednesday and Friday, or Tuesday, Thursday and Saturday. Continue applying Aldara cream for 4 weeks, followed by a period of 4 weeks while not any treatment. Your doctor can then check your skin condition. If any SK lesions stay, the treatment ought to be repeated for another four weeks. Superficial Basal Cell Carcinoma If your doctor has prescribed Aldara for the treatment of sBCC, it ought to be applied to the affected space once on a daily basis at bedtime for five consecutive days per week (Monday to Friday), or as counseled by your doctor. Treatment ought to continue for 6 weeks unless your doctor tells you otherwise. External Genital or Perianal Warts If your doctor has prescribed Aldara for the treatment of external genital or perianal warts, it is to be applied once daily, at bedtime, three times every week or as suggested by your doctor. For three times per week application, Aldara can be applied on Monday, Wednesday and Friday; or Tuesday, Thursday and Saturday. Treatment should continue till the warts are fully gone. Aldara should not be used for additional than sixteen weeks at a time. It usually takes eight-ten weeks for your warts to disappear but warts may clear as early as four weeks. If your warts reappear, speak to your doctor. If your skin reacts badly to Aldara, your doctor may recommend that you just stop treatment for some days. It is not necessary to create up the doses that you simply missed or to prolong the treatment period. How to use Aldara Before applying Aldara, wash the treatment space with delicate soap and water and allow it to dry totally. Open a sachet of Aldara and squeeze some cream onto your fingertip. Apply a skinny layer of Aldara cream onto the treatment area and rub it gently into the skin until the cream vanishes. For sBCC lesions enough cream ought to be applied to cover the lesion and regarding 1cm of surrounding skin. One sachet contains enough cream to cover a treatment area of twenty sq. centimetres (approx-imately 3 sq. inches). Once application of the cream, carefully dispose of the unused Aldara cream within the sachet where children cannot reach it. Wash your hands with gentle soap and water. Leave Aldara cream on the affected space for 6 to ten hours. Do not shower or bathe during now. After six-ten hours, the area where Aldara cream was applied should be washed with delicate soap and water. While you are using Aldara Don't use a lot of than the recommended quantity of Aldara cream. A skinny layer that completely covers the treatment area and surrounding skin is enough. Don't cowl the treatment space with bandages or other dressings when you have applied Aldara cream. Cotton gauze dressings are okay to use, if needed. Stop using Aldara cream if you become pregnant, and do not use it if you're breastfeeding. If you are using Aldara to treat SK: Aldara cream should not be applied in or close to the eyes, lips or nostrils. Do not use sunlamps or tanning beds, and avoid going into the sun as much as possible throughout treatment with Aldara cream. Wear protecting clothing if you go outside during daylight. New SK lesions might develop during treatment with Aldara cream. These lesions could resolve during the treatment period. Even though the initial SK lesions could clear with treatment, new lesions might develop in the future and require more treatment. Aldara cream is not a cure, since SK is considered to be a chronic skin condition. There isn't enough information to support the utilization of Aldara to treat SK on the hands and arms. Aldara cream should not be applied to an area greater than 25 sq. centimetres. If you are using Aldara to treat sBCC: Aldara cream should not be applied in or close to the hairline, eyes, ears, nose or lips. Do not use sunlamps or tanning beds, and avoid going into the sun as much as possible throughout treatment with Aldara cream. Wear protecting clothing if you go outside during daylight. Visit your doctor frequently if you're treating more than one sBCC lesion at the same time. If you are using Aldara to treat genital warts: Avoid sexual (genital, anal or oral) contact. If you decide to own sexual relations, apply Aldara cream once, not before, sexual activity. If you have already applied the cream, it ought to be washed off before sexual intercourse. Aldara cream may weaken condoms and diaphragms; thus, the cream should be washed off before using a condom or diaphragm throughout sexual issues. Alternate styles of contraception ought to be thought of. The impact of Aldara cream on the transmission of genital warts isn't known. Uncircumcised men with warts beneath the foreskin ought to pull the foreskin back every day and wash underneath it. If daily washing underneath the foreskin isn't meted out, tightness of the foreskin may occur. Early signs of tightness embody swelling and wearing away of the skin, or problem in pulling back the foreskin. If these symptoms occur, stop the treatment immediately and decision your doctor. Female patients ought to take special care if applying Aldara cream at the gap of the vagina as a result of native skin reactions on the fragile moist surfaces can result in pain or swelling, and could cause issue in passing urine. Don't use Aldara for additional than one course if you've got problems along with your immune system either thanks to illness or because of the medicines you are already taking. If you think this applies to you, talk to your doctor. Aldara cream has been prescribed for your use solely. Do not give it to anyone else even if you're thinking that their condition is the identical as yours. If you forget to use Aldara If you forget a dose, apply the missed dose of cream whilst you bear in mind and then continue on the regular schedule. Do not double the dose at any time to create up the missed dose. Aspect Effects All medicines can have facet effects and this might occur with the conventional use of Aldara. Tell your doctor as attainable if you do not feel well whereas you're using Aldara. More Common Facet Effects of Aldara The following effects have occurred throughout clinical trials with Aldara cream. If the following occur and are severe enough to worry you, tell your doctor. Application website reactions including redness, carrying away of the skin, flakiness, swelling, hardening underneath the skin, small open sores, crust that forms throughout healing, little bubbles beneath the skin, itching, burning, pain, tenderness, irritation, rash, soreness, stinging, sensitivity, skin color becomes lighter, bleeding, lumps on the skin, infection and pimples. Most of these skin reactions are mild to moderate, and are signs that the product is operating. If your skin reacts badly or the skin reaction becomes too uncomfortable when using Aldara cream, wash the cream off with delicate soap and water and make contact with your doctor. Your doctor might advocate that you stop treatment for some days. Flu symptoms, tiredness, fever, headache, diarrhoea, back pain, muscle pain, and swollen glands within the neck, armpit and groin. Some patients have experienced changes in skin colour (lighter or darker) in the realm where Aldara cream was applied. 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