Why is this medication prescribed?

Aldara is a topical medication prescribed for a few different skin conditions. It works by stimulating the immune system to help fight abnormal skin cells. Here are the main uses:

• Genital Warts: It’s commonly prescribed to treat external genital warts caused by human papillomavirus (HPV).
• Actinic Keratosis: This is a condition where rough, scaly patches develop on sun-exposed skin. Aldara helps in treating these pre-cancerous areas.
• Basal Cell Carcinoma: For some superficial basal cell carcinomas, Aldara may be used as a treatment option.

It’s important to follow your doctor’s instructions carefully when using this medication, as it can have side effects and interactions with other treatment

How should this medicine be used?

Aldara (imiquimod) should be used exactly as prescribed by your healthcare provider. Here’s a general guideline for its application:

• Clean and Dry the Area: Before applying Aldara, wash the affected area with mild soap and water, and then pat it dry.
• Apply a Thin Layer: Apply a thin layer of Aldara to the affected skin. You don’t need to rub it in; just spread it evenly.
• Wash Your Hands: After applying the medication, wash your hands thoroughly to avoid spreading the cream to other areas.
• Cover or Not: For some conditions, you might need to cover the area with a bandage or dressing, but follow your doctor’s specific instructions regarding this.
• Frequency of Application: The frequency of application depends on the condition being treated. It’s typically applied once daily, 2 to 3 times a week, but your doctor will give you specific directions.
• Duration of Treatment: Treatment duration can vary. For genital warts, it might be used for up to 16 weeks, while for actinic keratosis or basal cell carcinoma, it may be used for a different period. Follow your doctor’s instructions closely.
• Avoid Certain Areas: Avoid using Aldara on areas like the eyes, mouth, or nose, and do not use it on irritated or broken skin.
• Avoid Sun Exposure: Since Aldara can make your skin more sensitive to sunlight, it’s a good idea to avoid direct sun exposure or use sunscreen.

If you experience any side effects or have concerns about how to use the medication, consult your healthcare provider for advice.

Other uses for this medicine

Aldara (imiquimod) is primarily used for treating conditions like genital warts, actinic keratosis, and superficial basal cell carcinoma. However, it’s sometimes used off-label for other skin conditions or as part of a combination therapy.

What special precautions should I follow?

Special Precautions to Follow:

• Allergic Reactions: Be aware of any signs of an allergic reaction, such as rash, itching, swelling, or difficulty breathing. Seek medical attention if these occur.
• Skin Sensitivity: Avoid applying Aldara to irritated, broken, or inflamed skin. It can cause severe irritation if used on damaged skin.
• Sun Protection: Since Aldara can make your skin more sensitive to the sun, use sunscreen and avoid direct sun exposure.
• Avoid Certain Areas: Keep the medication away from your eyes, mouth, and nose. If contact occurs, rinse thoroughly with water.
• Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, plan to become pregnant, or are breastfeeding, as the safety of Aldara in these situations is not well established.
• Interactions: Inform your doctor of all other medications or treatments you are using to avoid potential interactions.
• Application Frequency: Adhere strictly to the prescribed frequency of application. Overuse can increase the risk of side effects.
• Hygiene: Wash your hands before and after applying Aldara, and avoid touching your face or other areas that could transfer the medication.
• Side Effects: Common side effects include redness, itching, and swelling at the application site. If these effects are severe or persistent, contact your healthcare provider.

Always follow the specific instructions provided by your healthcare provider, as they can offer guidance tailored to your particular situation.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Aldara. However, maintaining a balanced diet and staying hydrated can support overall skin health. If you have any concerns about your diet or how it might interact with your treatment, consult your healthcare provider.

What should I do if I forget a dose?

• Apply as Soon as Remembered: If you remember shortly after missing a dose, apply Aldara as soon as possible.
• Skip If Close to Next Dose: If it’s almost time for your next dose, skip the missed dose and apply the next dose at the regular scheduled time.
• Do Not Double Up: Avoid applying extra medication to make up for a missed dose.
• Consult Your Doctor: If you have missed multiple doses or are unsure about what to do, contact your healthcare provider for guidance.

What side effects can this medication cause?

Aldara (imiquimod) can cause a range of side effects, most of which are localized to the area where the medication is applied. Here are some common and less common side effects:

Common Side Effects:

• Redness: The skin at the application site may become red or inflamed.
• Itching: Itching or discomfort in the treated area is common.
• Swelling: The treated skin may swell.
• Dryness or Scaling: The area may become dry or develop scaly patches.
• Burning Sensation: Some users experience a burning or stinging sensation after applying the medication.

Less Common Side Effects:

• Ulceration: Rarely, the treated area may develop ulcers or sores.
• Blistering: In some cases, blisters may form on the treated skin.
• Discoloration: Changes in skin color or pigmentation can occur.
• Flu-like Symptoms: Some people might experience flu-like symptoms, such as fever, headache, or fatigue.
• Allergic Reactions: Severe allergic reactions are rare but possible. Symptoms might include rash, itching, swelling, severe dizziness, or difficulty breathing. Seek immediate medical attention if these symptoms occur.

If you experience any severe or persistent side effects, or if you have concerns about how the medication is affecting you, contact your healthcare provider. They can provide guidance on how to manage side effects and determine if any adjustments to your treatment plan are necessary.

What should I know about storage and disposal of this medication?

Storage and Disposal of Aldara:

• Storage:
  • Store Aldara in its original container or tube.
  • Keep the medication at room temperature, away from excess heat and moisture. Typically, this means storing it at temperatures between 68°F and 77°F (20°C to 25°C).
  • Do not freeze Aldara.
• Disposal:
  • Dispose of unused or expired Aldara according to your local regulations or take it to a pharmacy that offers medication take-back programs.
  • Avoid flushing the medication down the toilet or pouring it into a drain unless specifically instructed to do so.

In case of emergency/overdose

• If You Apply Too Much: If you accidentally apply more than prescribed or apply it too frequently, wash the area with water and mild soap to remove any excess. Monitor for increased side effects and consult your healthcare provider.
• If Swallowed: If you or someone else accidentally swallows Aldara, seek medical attention or contact your local poison control center.
• In Case of Severe Reactions: If you experience severe allergic reactions, such as difficulty breathing, swelling, or severe rash, seek immediate medical help or call emergency services.

What other information should I know?

• Follow Instructions: Always adhere to your healthcare provider’s instructions regarding the use of Aldara, including application frequency and duration of treatment.
• Avoid Sharing: Do not share Aldara with others, even if they have similar symptoms.
• Regular Check-ups: Regular follow-up with your healthcare provider may be necessary to monitor your response to the treatment and adjust it if needed.
• Report Side Effects: Keep your healthcare provider informed of any side effects or unusual reactions you experience during treatment.

If you have any questions or concerns about Aldara or its use, don’t hesitate to reach out to your healthcare provider for more detailed information.