Regarding HPV, Genital Warts, and Aldara 5% Cream...?

Question

I was diagnosed with genital warts roughly 2 weeks ago, and was prescribed Aldara 5% cream to be applied 3 times a week at bedtime and wash off in the morning when i woke up.

I have a 12 pack, that should last 12 weeks. I have applied the cream 3 times so far, and recently noticed a few more bumps appearing.

Is this normal??? I remember the doctor telling me that a few more warts might pop up, but is this truly normal???

Please, some great feedback from a medical person would be great. I have been so stressed because of this lately.

Thank you

Answer 1

See...you answered your own question! You don't need a doc! Your last sentence says it all - "I have been so stressed because of this." It is well known that stress can precipitate or worsen an outbreak of genital warts. This is completely normal. Is this your first outbreak? Aldara works well...it can cause some discomfort (burning) and irritation - frankly, your sensitive skin may become a bit "raw" down there to put it bluntly (bear with it!)- however, if the warts disappear 100% with this treatment - you have a very good chance of going years without another outbreak or not having another outbreak at all! Aldara has great stats when it works completely. Now, you will never be free of the virus so always use a condom/dental dam. Remember, you can still pass the virus even if you can't see any warts.

So...you are normal - this is normal - try to keep yourself healthy physically and mentally to get over the hump of this outbreak!

Hope this helps!

Answer 2

Aldara (Imiquimod) is the best treatment on the market especially as it has the lowest recurrence rate (10%) of any other available treatment. Aldara is supplied as a cream and is applied directly to the wart. It causes CD8+ and CD4+ cells to produce interferon-alpha, interleukins-2 and -12, all of which combine to help these cells destroy the wart. These cells retain their ability to attack HPV infected cells and thus reduce the chances of the wart returning. Aldara comes in a 5% strength cream; when used 3 times weekly in one clinical trial, it was effective in as many as 77% of women and 40% of men. In another study the results were slightly better, mainly because the cream was used daily. Everyday use, however, was associated with greater skin irritation, which explains why the thrice-weekly dose is preferred, though skin irritation does occur on the 3x weekly regimen, too. The symptoms you described (rash) is hard to diagnose without seeing it, but it is most likely skin irritation. You should always let your healthcare practioner know when any new symptom appears while on treatment for anything. Some warts can be resistant. I would finish the full 12 week cycle and if the warts are still present, you may need to look at more invasive treatments (with trained physicians) like CO2 laser, trichloracetic acid, electroexcision, scissor excision and fulguration may require local/general anesthesia. Low rates of complications if performed by an experienced physician. HOWEVER, warts often have a high persistence/recurrence rate, but more than 90% of patients with external genital warts experience complete clearance within 2 years with or without treatment...but just because the warts disappear does not necessarily mean the HPV has cleared. I know it's complicated!!! Patients with later stages of HIV also tend to respond poorly to treatment. PS . Aldara should be wiped off after 6-8 hours. Do you sleep for longer than that? If so, you may want to think about washing it off after about 7 hours and going back to bed.

Answer 3

Imiquimod is thought to work by helping the body's immune system fight viruses, including the human papillomavirus (HPV) that causes genital warts. It also may shrink the warts.

Imiquimod is a cream available by prescription, but it can be applied at home. You apply it to genital warts three times a week before going to bed. Wash your hands after applying the cream. Leave the cream on for 6 to 10 hours and then wash it off. You can use the imiquimod cream until the warts disappear or for up to 4 months.

Why It Is Used
Imiquimod is likely to be the medication treatment your health professional recommends first for external genital warts.

Imiquimod may be used at home after a health professional teaches you how to apply it.

It is not known whether imiquimod is safe to use during pregnancy or on children under the age of 12. In the United States, the U.S. Food and Drug Administration (FDA) has approved imiquimod for anyone age 12 and older.

Answer 4

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Answer 5

Yes it is possible. I had the same thing happen to me.

It also took about 5 weeks for my warts to go away using Aldara cream. I actually started to wonder if it was working or not. My doctor told me to just be patient and keep using it and they eventually went away.

Good luck!

Answer 6

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