Saturday, December 26, 2009

I'm sure many people have HPV - is there a certain cream you can use to remove warts? Safe for pregnancy?

There are several different ways a person can get rid of genital warts.





A doctor can prescribe a cream that the person can use at their convenience and at their home. Aldara cream and Condylox cream are available with a prescription.





If these creams don't work or the doctor doesn't want to try them, the doctor might suggest applying medication at the office. This is done by the doctor, is done in several visits and can be pretty expensive. Some of the medications that can be used include: Podophyllin resin (Podofin), Intralesional (injected into wart lesion) interferon, Fluorouracil (Efudex, Fluoroplex), and Trichloroacetic acid (TCA) or bichloroacetic acid (BCA).





A person can also have surgery to remove genital warts by freezing (cryosurgery), burning (electrocautery), or laser treatment. Surgery is occasionally used to remove large warts that have not responded to other treatment.





Although treatments can get rid of the warts, they do not get rid of HPV, so warts can recur after treatment. The body's immune system typically clears the virus anywhere from 8 to 13 months, but it occasionally remains in the body for a lifetime.I'm sure many people have HPV - is there a certain cream you can use to remove warts? Safe for pregnancy?
aldera. it s like $100 for 1 box containing 14 packs which last 1 month.They don't make the little ones fall off.Only big ones will fall off.They give your body what it needs to attack then in


shrinks them till there gone.Make sure u treat them hard.U don't want to have them when our baby's born.It could be very dangerious and it may take month to rid your self totally.there is no over night fix unless u burn um or laser um and then u still have to use the cream while it heals(WEEKS)because theey'll breed.The cream may cause chaffing so where cotton undies.





here more info on aldera.The side effects aren't half as bad as they say.





Actinic Keratosis


Aldara Cream is a skin-use only (topical) prescription medicine to treat certain types of actinic keratosis on the face and scalp of adults with normal immune systems.





Superficial Basal Cell Carcinoma


Aldara Cream is a skin-use only (topical) prescription medicine used to treat superficial basal cell carcinomas in adults with normal immune systems. It is used when surgical methods of removing the carcinoma are less appropriate. This skin cancer needs to be diagnosed by your healthcare provider.





External Genital and Perianal Warts


Aldara Cream is a skin-use only (topical) medicine used to treat external genital and perianal warts in people 12 years and older.





Safety Information:





When using Aldara Cream, the most common side effects involve skin reactions in the application area. These include redness, swelling, a sore, blisters, or ulcers, skin that becomes hard or thickened, skin peeling, scabbing and crusting, itching, burning and changes in skin color that do not always go away.





When using Aldara Cream for AK and sBCC, exposure to sunlight (including sunlamps) should be avoided or minimized during use of Aldara Cream because of concern of heightened sunburn susceptibility. Patient should be warned to use protective clothing (hat) when using Aldara Cream.





The effect of Aldara Cream on the transmission of external genital warts is unknown. Aldara Cream may weaken condoms and diaphragms. Sexual contact should be avoided while the cream is on the skin. New external genital warts may develop during treatment.I'm sure many people have HPV - is there a certain cream you can use to remove warts? Safe for pregnancy?
pregnant women should not use aldara. your doctor can try to treat them in the office or cut them off. after the pregnancy, you have many more treatment options
Genital warts are common during pregnancy...





There is no over the counter med that is recommended for use of genital warts.





Here are the Guidelines for treating with creams or acid.





Talk with your doctor regarding what is best for you. It is very rare for a mother to transmit her virus to her child during childbirth...your doctor should explain your risk for treatments and your risk for your child.





Good luck and I wish you well.








PREGNANCY


Podophyllin, podofilox, and fluorouracil should not be used in pregnant patients because of possible teratogenicity. Imiquimod is not approved for use in pregnant women, although treatment with this agent can be considered after informed consent has been obtained.14 TCA has been used in pregnant patients without adverse effects. Surgical excision, cryotherapy, and electrocautery are appropriate treatment options during pregnancy if treatment is necessary. Some guidelines indicate that cryotherapy is safe if only three to four treatments are given, based on an older case series of 34 pregnant women demonstrating the safety of some cryotherapy treatments.16 The goal of treatment in pregnant women primarily is to minimize neonatal exposure to the virus by reducing the number of lesions present during delivery. Anogenital warts and laryngeal papillomatosis are potential complications in infected children.


www.aafp.org/afp/20041215/2335.html - 62k








Recommended Regimens for External Genital Warts





Patient-Applied:





Podofilox 0.5% solution or gel. Patients should apply podofilox solution with a cotton swab, or podofilox gel with a finger, to visible genital warts twice a day for 3 days, followed by 4 days of no therapy. This cycle may be repeated, as necessary, for up to four cycles. The total wart area treated should not exceed 10 cm2, and the total volume of podofilox should be limited to 0.5 mL per day. If possible, the health-care provider should apply the initial treatment to demonstrate the proper application technique and identify which warts should be treated. The safety of podofilox during pregnancy has not been established.


OR


Imiquimod 5% cream. Patients should apply imiquimod cream once daily at bedtime, three times a week for up to 16 weeks. The treatment area should be washed with soap and water 6–10 hours after the application. The safety of imiquimod during pregnancy has not been established.





Provider-Administered:





Cryotherapy with liquid nitrogen or cryoprobe. Repeat applications every 1–2 weeks.


OR


Podophyllin resin 10%–25% in a compound tincture of benzoin. A small amount should be applied to each wart and allowed to air dry. The treatment can be repeated weekly, if necessary. To avoid the possibility of complications associated with systemic absorption and toxicity, two important guidelines should be followed: 1) application should be limited to %26lt;0.5 mL of podo-phyllin or an area of %26lt;10 cm2 of warts per session, and 2) no open lesions or wounds should exist in the area to which treatment is administered. Some specialists suggest that the preparation should be thoroughly washed off 1–4 hours after application to reduce local irritation. The safety of podophyllin during pregnancy has not been established.


OR


Trichloroacetic acid (TCA) or Bichloroacetic acid (BCA) 80%–90%. A small amount should be applied only to the warts and allowed to dry, at which time a white “frosting” develops. If an excess amount of acid is applied, the treated area should be powdered with talc, sodium bicarbonate (i.e., baking soda), or liquid soap preparations to remove unreacted acid. This treatment can be repeated weekly, if necessary.





http://www.cdc.gov/std/treatment/2006/ge…
Visual vaginal warts can be removed BY A DOCTOR. Aldera cream can help with the onset of another outbreak. If the warts bother you, are painful or just make you feel bad, you can have them removed with silver nitrate. This will burn them off, still, they can come back. After having them removed you can use the cream to help heal and prevent further out breaks. However, there really is no way to totally get rid of the virus, they are resistant to most medications.


Go to the Gyno, have her remove the visual outside warts and see what she says.

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