Effective Treatments for Warts: Exploring Options and Alternatives - Dermatology

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Treatment of Warts


I have been treating warts for four years (through cryotherapy and laser treatment), as they are located on both sides of my cheeks.
The doctor suggested that I visit a teaching hospital (which has a specific medication) or purchase LedaMed out of pocket.
I would like to ask: 1.
What is the specific medication available only at teaching hospitals, and what are its side effects? 2.
LedaMed is quite expensive; is there a locally manufactured ointment with the same active ingredients? Where can I purchase it?

YY, 50~59 year old female. Ask Date: 2015/11/09

Dr. Wu Yuxin reply Dermatology


1.
Unclear.
2.
I have not heard of any Taiwanese pharmaceuticals available at the moment.

Reply Date: 2015/11/09

More Info


Warts, caused by the human papillomavirus (HPV), can be persistent and challenging to treat. Your experience with cryotherapy and laser treatments over the past four years highlights the difficulty many face in managing these lesions, especially when they are located on visible areas like the face. Let's explore the effective treatments available for warts, including the options you mentioned.

1. Specialized Treatments at Teaching Hospitals: Teaching hospitals often have access to advanced treatments and medications that may not be widely available in standard clinics. One such treatment that is commonly used is Imiquimod (Aldara). This topical medication works by stimulating the immune system to fight the virus causing the wart. The side effects can include local irritation, redness, and sometimes flu-like symptoms. Another potential treatment is 5-fluorouracil (5-FU), which is a chemotherapy agent that can be used topically to destroy wart tissue. Side effects may include skin irritation and inflammation.

2. Over-the-Counter Options: If cost is a concern with medications like Aldara, you might consider alternatives that are available over the counter. Salicylic acid is a common ingredient in wart treatments, available in various forms such as gels, pads, and ointments. It works by exfoliating the wart tissue and can be effective with consistent use. While it may take several weeks to see results, it is generally well-tolerated with minimal side effects, primarily local skin irritation.

3. Taiwanese Alternatives: Regarding your inquiry about a Taiwanese equivalent to Aldara, it's essential to consult with a local pharmacist or dermatologist. They can provide information on available products that contain similar active ingredients or have comparable efficacy. In Taiwan, there may be local formulations that utilize salicylic acid or other compounds effective against warts.

4. Other Treatment Options: In addition to the treatments mentioned, there are other methods to consider:
- Cantharidin: This is a blistering agent applied by a healthcare provider that can effectively treat warts.

- Cryotherapy: Although you have already undergone this treatment, it remains one of the most common methods for wart removal.

- Laser Therapy: This is effective for stubborn warts but can be costly and may require multiple sessions.

- Duct Tape Occlusion Therapy: This home remedy involves covering the wart with duct tape for an extended period, which some studies suggest may help in wart removal.

5. Consultation and Follow-Up: Given your history of persistent warts, it is advisable to continue consulting with a dermatologist. They can assess the warts' characteristics and recommend the most appropriate treatment plan tailored to your needs. Regular follow-ups are crucial, especially if you are trying new treatments, to monitor for effectiveness and any potential side effects.

In conclusion, while there are various treatment options available for warts, including specialized medications at teaching hospitals and over-the-counter alternatives, it is essential to consult with a healthcare professional to determine the best course of action for your specific situation. Your ongoing communication with your healthcare provider will ensure that you receive the most effective and safe treatment for your warts.

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