We report the successful treatment of a patient with a large plantar wart using Imiquimod 5% cream under occlusion with a 40% salicylic acid pad. This combination treatment modality likely allows successful delivery of Imiquimod through the thick skin on the plantar surface.
What is the most effective treatment for plantar warts?
- Other acids. Your doctor shaves the surface of the wart and applies trichloroacetic acid with a wooden toothpick. ...
- Immune therapy. This method uses medications or solutions to stimulate your immune system to fight viral warts. ...
- Minor surgery. ...
- Laser treatment. ...
- Vaccine. ...
Does vidarox really work?
Yes, you can. Many doctors have been recommending the use of VidaroX in treating wart outbreaks in combination with prescription medications. VidaroX works so well on its own, though, once you start using it, there’s no need to take anything else.
What are the uses of imiquimod cream?
Imiquimod cream is used to treat skin conditions such as actinic keratoses (also called solar keratoses) and superficial basal cell carcinoma. It belongs to a group of medicines known as immune response modifiers or topical immuno-modulators that work by helping to activate your immune system to fight these abnormal skin growths.
How long do you use imiquimod cream?
Imiquimod cream should be left on the skin for approximately 8 hours. Continue using imiquimod for a full 6 weeks, even if the superficial basal cell carcinoma appears to be gone, unless you are told otherwise by your doctor.
What is the most effective plantar wart treatment?
Topical treatment with salicylic acid is often regarded as a first-line approach to treating plantar warts. Salicylic acid is a keratolytic agent and works by debriding the skin. Salicylic acid 27% gel (general sale) should be carefully applied to the wart, once daily.
Does imiquimod work for common warts?
Conclusions: Patient-applied 5% imiquimod cream holds promise as an effective treatment of common warts and mollusca in a difficult-to-treat patient population.
How long does it take imiquimod to work flat warts?
Kim and colleagues treated 15 patients who had flat warts with imiquimod 5% cream applied nightly for 12 weeks. The cream was discontinued when the warts disappeared completely. At 12 weeks, 6 (40%) patients had complete clearance of the lesions, and 5 patients (33%) had an excellent response (76% to 99% clearance).
What do podiatrists use to treat plantar warts?
Salicylic acid is the “workhorse” for most podiatrists and family practitioners. Salicylic acid comes in varying strengths from over-the-counter (OTC) preparations at 17% to physician-only manufactured preparations of 55%.
How do you remove a plantar wart?
TreatmentFreezing medicine (cryotherapy). Cryotherapy is done in a clinic and involves applying liquid nitrogen to the wart, either with a spray or a cotton swab. ... Stronger peeling medicine (salicylic acid). Prescription-strength wart medications with salicylic acid work by removing a wart a layer at a time.
Does imiquimod shrink warts?
Genital/anal warts are caused by a virus called human papillomavirus (HPV). Since imiquimod does not destroy the virus but only helps to eliminate the wart, new warts may form, even while you are being treated.
What does a plantar wart look like when it comes out?
Plantar warts are usually flat, and either brown, gray or flesh-colored. They can sometimes have black dots in the center, which are tiny capillaries that supply the wart with blood. Warts can grow individually or appear in clusters.
Does imiquimod cause more warts?
New warts may develop while you are using the cream. Imiquimod will also not keep you from spreading genital warts to other people. Do not use cosmetics or any other skin care products on the treated areas, unless directed to do so by your doctor.
What does imiquimod cream treat?
Imiquimod cream is a cancer treatment and is also known by its brand name, Aldara. It is a treatment for: basal cell skin cancer (BCC) a skin condition called actinic (solar) keratosis.
How deep do plantar warts grow?
When first diagnosed, individuals often feel a “lump” on the bottom of the foot when standing, similar to having a stone in a shoe. If left untreated, plantar warts can grow up to 1 inch in circumference and may spread into clusters called mosaic warts.
Should I go to a dermatologist or podiatrist for plantar warts?
Most plantar warts aren't a serious health concern, but they may be bothersome or painful, and they can be resistant to treatment. You may need to see your Podiatrist to treat and remove plantar warts.
Why do I have so many plantar warts?
Plantar warts are caused by an infection with HPV in the outer layer of skin on the soles of the feet. The warts develop when the virus enters through tiny cuts, breaks or weak spots on the bottom of the foot. If left untreated, warts can last from a few months to 2 years in children, and several years in in adults.
Does imiquimod cause more warts?
New warts may develop while you are using the cream. Imiquimod will also not keep you from spreading genital warts to other people. Do not use cosmetics or any other skin care products on the treated areas, unless directed to do so by your doctor.
What happens if you put imiquimod on healthy skin?
Even normal looking skin may be affected, because it may contain invisibly abnormal cells. The skin may weep, peel, crack or even blister and then scab over. The area may be itchy or sore, painful and burn.
How do you know if imiquimod is working?
When using imiquimod to treat AKs or skin cancer, your skin should react. You may have redness, swelling, burning, itching, and tenderness. As the skin starts to heal, you will see scabs and flaking. These reactions indicate that the medicine is working.
Can I use imiquimod everyday?
Conclusions Topical 5% imiquimod cream is well tolerated and most effective in treating nodular BCC when applied once daily for 7 days per week for either 12 or 6 weeks.
How long does it take for a wart to go away with Zyclara?
Adults and children 12 years of age and older—If you use Zyclara®, apply a thin film to the wart once a day at bedtime for up to 8 weeks or until the wart is gone. If you use Aldara®, apply a thin film to the wart once a day at bedtime 3 times per week. Your doctor will tell you which days are best during the week. Use the medicine until the wart is gone, but for no longer than 16 weeks.
How to prime a Zyclara pump?
If you are using the Zyclara® cream pump for the first time, prime it by pressing the top of the pump until the cream appears.
Can you use IBM Micromedex more than once?
Drug information provided by: IBM Micromedex. It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation. This medicine is for use on the skin only.
Is IBM Watson Health copyrighted?
Copyright © 2021 IBM Watson Health. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.
Can you use the same medicine as different brands?
Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.
How should I use imiquimod topical?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
What is imiquimod used for?
What is imiquimod topical? Imiquimod topical (for the skin) is used to treat actinic keratosis (a condition caused by too much sun exposure) on the face and scalp. Imiquimod topical also treats genital warts on the outside of the body, in adults and children at least 12 years old. imiquimod topical is not a cure for genital warts.
What other drugs will affect imiquimod topical?
But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-count er medicines, vitamins, and herbal products.
How long does it take to take imiquimod?
Even if you have skipped some of your doses, do not add time to the total number of weeks you use imiquimod topical (2 weeks for actinic keratitis, 8 weeks for genital warts). Your doctor will need to check your skin on a regular basis.
What to do if imiquimod does not improve?
Call your doctor if the condition you are treating with imiquimod does not improve, or if it gets worse.
What is the purpose of imiquimod?
Imiquimod topical is also used to treat a minor form of skin cancer called superficial basal cell carcinoma, when surgery would not be an appropriate treatment. Imiquimod topical may also be used for purposes not listed in this medication guide.
How to use genital scabs cream?
Apply the cream in a thin layer and rub in completely. Use at bedtime and leave the medicine on for 8 hours. In the morning, wash the skin with water and a mild soap. Do not cover treated skin with any type of plastic bandaging (you may use cotton gauze). Wear only cotton underwear when treating genital warts.
Usual Adult Dose for Keratosis
2.5% and 3.75% cream: Apply a thin film once a day before bedtime to the affected area (either entire face or balding scalp) Comments: -Treatment should continue for two 2-week treatment cycles separated by a 2-week no treatment period. -Cream should be applied as a thin film to the entire treatment area and rubbed in until it is no longer visible. -Up to 2 packets or 2 pump actuations may be applied per application. -To be left on the skin for about 8 hours, after which, to be removed with mild soap and water. 5% cream: Apply topically to the affected area on the face or scalp (but not both concurrently) 2 times per week for a full 16 weeks Comments: -The treatment area is defined as one contiguous area of about 5 cm by 5 cm on the face (e.g., forehead or 1 cheek) or on the scalp. -Examples of a schedule of 2 times per week are Monday and Thursday, or Tuesday and Friday. -Cream should be applied to the entire treatment are and rubbed in until it is no longer visible. -Not more than 1 packet should be applied to the contiguous treatment are at each application. -To be applied prior to normal sleeping hours and left on the skin for about 8 hours, after which, to be removed with mild soap and water. Use: For topical treatment of clinically typical visible or palpable actinic keratoses of the full face or balding scalp in immunocompetent patients.
Usual Adult Dose for Condylomata Acuminata
3.75% cream: Apply a thin layer once a day to the external genital/perianal warts until total clearance or up to 8 weeks Comments: -Up to 1 packet or 1 full actuation of the pump of cream may be use at the treatment site for each application. -To be applied prior to normal sleeping hours and left on the skin for about 8 hours, then removed by washing the area with mild soap and water. -Nonocclusive dressings such as cotton gauze or cotton underwear may be used in the management of skin reaction 5% cream: Apply topically to external genital/perianal warts 3 times per week Comments: -Treatment should continue until there is total clearance of warts or up to a maximum of 16 weeks. -Examples of 3 times per week application schedules are Monday, Wednesday, Friday or Tuesday, Thursday, and Saturday. -To be applied prior to normal sleeping hours and left on the skin for 6 to 10 hours, then removed by washing the area with mild soap and water. Use: For the treatment of external genital and perianal warts (EGW)/condyloma acuminate.
Usual Adult Dose for Basal Cell Carcinoma
5% cream: Apply topical to a biopsy-confirmed superficial basal cell carcinoma 5 times per week for a full 6 weeks Comments: -To be applied prior to normal sleeping hours and left on the skin for about 8 hours, then removed by washing the area with mild soap and water. -The treatment area should include a 1 cm margin of skin around the tumor. -Sufficient cream should be used to cover the treatment area and rubbed in until it is no longer visible. Use: For the topical treatment of biopsy-confirmed, primary superficial basal cell carcinoma (sBCC) in immunocompetent adults, with a maximum tumor diameter of 2 cm, located on the trunk (excluding anogenital skin), neck, or extremities (excluding hands and feet), only when surgical methods are medically less appropriate and patient follow-up can be reasonably assured.
Usual Pediatric Dose for Condylomata Acuminata
12 years or older: 3.75% cream: Apply a thin layer once a day to the external genital/perianal warts until total clearance or up to 8 weeks Comments: -Up to 1 packet of cream may be use at the treatment site for each application. -To be applied prior to normal sleeping hours and left on the skin for about 8 hours, then removed by washing the area with mild soap and water. 12 years or older: 5% cream: Apply topically to external genital/perianal warts 3 times per week Comments: -Treatment should continue until there is total clearance of warts or up to a maximum of 16 weeks. -Examples of 3 times per week application schedules are Monday, Wednesday, Friday or Tuesday, Thursday, and Saturday. -To be applied prior to normal sleeping hours and left on the skin for 6 to 10 hours, then removed by washing the area with mild soap and water. Use: For the treatment of external genital and perianal warts (EGW)/condyloma acuminate.
Precautions
Safety and efficacy have not been established in patients younger than 12 years for the treatment of external genital warts. Safety and efficacy have not been established in patients younger than 18 years for the treatment of actinic keratosis or superficial basal cell carcinoma. Consult WARNINGS section for additional precautions.
Other Comments
Administration advice: -For topical use only; not for oral, ophthalmic, intra-anal, or intravaginal use. -Wash hands before and after use. -Avoid use in or on lips and nostril; do not use in or near the eyes. -Use of excessive amount of cream should be avoided and partially used packets discarded and not reused. -The pump should be primed before first time use by repeatedly depressing the actuator until the cream is dispensed; it is not necessary to repeat priming process. -Local skin reactions are common in all treatment areas; a rest period of several days may be taken if required by patient's discomfort or severity of the reaction; however, neither 2-week treatment cycle when treating actinic keratosis should be extended due to missed doses or rest periods. -A transient increase in lesion counts may be observed during treatment of actinic keratosis; response to treatment cannot be adequately assessed until resolution of local skin reactions. -Treatment should continue for the full treatment course even if all actinic keratoses appear to be gone; carefully re-evaluate patient if lesions that do not respond to treatment. Storage requirements: -Avoid freezing. -Store pump upright. General: -This drug has not been evaluated in children 2 to 12 years with molluscum contagiosum. -Treatment has not been studied for prevention or transmission of human papilloma virus (HPV). -The safety and efficacy have not been established in the treatment of: urethral, intra-vaginal, cervical, rectal, or intra-anal human papilloma viral disease; actinic keratosis when treated with more than one 2-cycle treatment course in the same area; patients with xeroderma pigmentosum; superficial basal cell carcinoma; immunosuppressed patients. Patient advice: -Wash hands before and after use. -Consult the patient information leaflet for further information..
Further information
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