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Dx Actinic Keratosis and Dx Wart/ Dx CondylomaTreatment:


Actinic Keratosis are precancerous skin lesions. Treatment is to chemical or mechanically (cryo-surgey or electro-surgery) remove them.
The least expensive therapy is the most effective: 5% Effudex®/ 5-FU Fluorouracil; 5% Aldara®/ imiquimod; salicylic acid. More expensive and no more efective are .05% ingenol mebutate; Diclofenac sodium 3% gel/ Solaraze®followed by cryosurgery.

Actinic Keratosis

The Merck Manual Home Edition states "is precancerous changes in skin after many years of chronic skin exposure. These lesions are surgically removed (curettage), frozen (cryotherapy) or burned off (electrocautery). Chemical removal uses topical 5-FU, Aldara® (imiquimod) or photodynamic therapy with aminolevulinate (light activated chemical therapy)."

All Medications Used in Treatment: Pricing and Drug Information:
1. Nucleoside Metabolic Inhibitors: Efudex®, Carac®, Fluoroplex®
2. Immune Response Modifiers: Aldara®, Picato®
3. NSAIDs: Solaraze®
4. Compounded colchicine topical:

Suggested Links:
*N.H.S. Choices

Compounded Product: A topical form of 0.5-1% colchicine is approved internationally and may be equally effective. Compounded Colchicine topical as well as 5-FU with azalaic acid are available through compounding pharmacies. A new over-the-counter 'ascorbic acid' is being tested as an alternative although initial reports are impressive.

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