GASTROINTESTINAL - Warts, Anogenital - External (human papilloma virus) General statement: Primary goal of treatment is removal of visible symptomatic warts.

 

 

Imiquimod Cream 5%

(Aldara Cream®)

Pregnancy: B; Lactation: Unk

 

Cream 5%: 250-mg single-use packets in box of 12 packets.

 

 

Adult: Apply with finger to the warts at bedtime three times per week. Gently rub in until cream is no longer visible. Leave on 6-10 hours, then gently wash area with soap and water. Continue until all warts have cleared or up to 16 weeks. Wash hands before and after application.

 

 

Important side effects: Itching and burning. Erythema is common. May take a rest period if needed to allow discomfort to subside.

 

Podofilox

(Condylox®)

Pregnancy: C; Lactation: Unsafe

Topical Solution 0.5%: 3.5 mL bottle.

 

Indicated for external genital warts only, not for perianal or mucous membrane application.

 

Adults: Apply minimal amount to cover wart with cotton-tipped applicator Q12H for 3 days, then none for 4 days. Allow to air dry before contact with opposing skin or clothing. Wash hands before and after use.

 

Repeat weekly until no warts are seen or up to 4 weeks.

 

 

Important side effects: Burning, pain, itching, inflammation, erosion, bleeding. Avoid contact with eye(s). If eye(s) contact occurs, flush with water immediately and seek medical evaluation.

 

Topical Gel 0.5%: 3.5-g tube.

Indicated for external genital and perianal warts, not for mucous membrane application.