Aldara cream is to be applied 3 times a week, prior to normal sleeping hours, and left on the skin for 6-10 hrs. Examples of 3 times a week application schedules are: Monday, Wednesday, Friday; or Tuesday, Thursday, Saturday application prior to sleeping hours. Aldara treatment should continue until there is clearance of the genital/perianal warts or for a maximum of 16 weeks.
Local skin reactions (erythema) at the treatment site are common. A rest period of several days may be taken if required by the patient's discomfort or severity of the local skin reaction. Treatment may resume once the reaction subsides. Non-occlusive dressings such as cotton gauze or cotton underwear may be used in the management of skin reactions.
Administration: A thin layer is to be applied to the wart area and rubbed in until the cream is no longer visible. Aldara is packaged in single-use packets which contain sufficient cream to cover a wart area of up to 20 cm2; use of excessive amounts of cream should be avoided. Handwashing before and after cream application is recommended. The application site is not to be occluded. During the 6-10 hrs treatment period, showering or bathing should be avoided. Following the treatment period, Aldara cream should be removed by washing the treated area with mild soap and water.