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Imiquimod
Imiquimod is a topical cream primarily used to treat specific types of skin conditions such as actinic keratosis, superficial basal cell carcinoma, and certain types of genital warts. By stimulating the body's immune responses, Imiquimod helps your body fight off these conditions. However, it sometimes results in skin irritations and flulike symptoms as the body fights off the ailment.
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Frequently Asked Questions
Can I apply makeup over Imiquimod?
Yes, but only after the cream has been absorbed and the area is dried completely.
Can I wash the area where I applied Imiquimod?
Yes, but you should wait for at least 8 hours after applying the cream.
Can Imiquimod be used on children?
Imiquimod is typically not recommended for children under 12 since it hasn't been thoroughly studied in this age group.
What should I do if I feel unwell while using Imiquimod?
If you feel ill or have flulike symptoms, contact your healthcare provider.
Comprehensive Drug Guide
How Does Imiquimod Work?
Imiquimod prompts the release of cytokines, which are protein messengers that stimulate your immune system to attack certain types of skin conditions.
What is Imiquimod Used For?
FDA indications: Actinic keratosis, certain types of superficial basal cell carcinoma, and certain types of external genital and perianal warts.
Offlabel uses: Some dermatologists prescribe it for offlabel uses such as skin cancers, molluscum contagiosum, and other skinrelated conditions.
Common Dosages
Cream: 5%, 3.75%
Typical Dosing
FDA Approved Indications
- Actinic keratosis: Apply 3 times per week, just before bedtime, for up to 4 weeks. A second 4week course may be carried out if the lesions haven't completely cleared.
- Superficial basal cell carcinoma: Apply 5 times per week, just before bedtime, for up to 6 weeks.
- External genital warts: Apply 3 times per week, just before bedtime, until the lesion clears, or up to a maximum of 16 weeks.
Who Shouldn't Take Imiquimod?
- If you are allergic to any ingredient in the cream.
- If you have autoimmune conditions it can potentially trigger an overactive immune response.
- Pregnant and breastfeeding women should use it only if needed and under the direction of a healthcare provider.
Advice From The Pharmacist
- Always apply only the prescribed amount.
- Avoid exposure to sunlight and sunlamps; use sunscreens and protective clothing over treated areas.
- Do not use it in or near the mouth, eyes, or open wounds.
- If you experience severe skin reactions, discontinue use and contact your doctor.
- The treatment area may look unsightly during therapy and a few weeks after treatment but this is normal.
- Symptoms typically resolve in 2 weeks after stopping the treatment.
Side Effects of Imiquimod
Common Side Effects
- Common side effects include skin irritation, redness, dryness, itching, and peeling.
Uncommon/Severe Side Effects
- Uncommon side effects include flulike symptoms, headache, nausea, diarrhea, tiredness, and body aches.
- Rare but serious side effects such as chest pain, blistering, and ulceration should be reported to your healthcare provider right away.
Risks and Warnings of Imiquimod
- Studies have not indicated any significant drug interactions.
Interactions with Imiquimod
Common Drug Interactions
- No known food interactions.
