Imiquimod — what it does and how to use it
Imiquimod is a topical cream that helps your skin fight abnormal cells and some viral lesions. You’ll hear it used for actinic keratosis (sun‑damaged spots), superficial basal cell carcinoma, and certain warts, including some genital warts. It doesn’t chemically burn the tissue — it wakes up your skin’s immune system so it attacks the problem. That means results take time and you’ll often see redness, scabbing, or flaking while it works.
How to apply imiquimod the right way
Follow your prescription exactly, but here are practical steps most people use: wash the area gently and dry it, apply a thin layer of cream to completely cover the lesion, wash hands after applying, and avoid covering the area with tight dressings unless your doctor says so. Many regimens call for applying at night and leaving the cream on for the number of hours your product label or doctor recommends. Don’t use it on irritated or broken skin, and avoid getting it in your eyes, nose, or mouth.
If you’re treating sensitive areas like the face or genitals, be extra gentle. Use the smallest effective amount and check with your prescriber if the reaction is very strong. Some people are told to apply 2–3 times per week, others up to daily for short stretches — the right schedule depends on the condition and the cream strength.
Side effects, warnings, and when to call a doctor
Local reactions are common: redness, itching, burning, pain, swelling, scabs, or temporary changes in skin color. These often mean the drug is working, but severe swelling, pus, fever, or spreading redness are warning signs — stop using it and contact your healthcare provider. If you have an autoimmune disease, are pregnant, breastfeeding, or on immunosuppressive drugs, talk to your doctor before using imiquimod. Avoid combining it with other strong topical products unless approved by your prescriber, because mixtures can boost irritation.
Expect to wait weeks to months for full results. For some conditions you may need repeat courses or follow-up removal procedures. Keep a photo diary if the area is hard to see — it helps you and your doctor judge progress without guesswork.
Storage and buying tips: imiquimod is usually prescription-only. Buy from licensed pharmacies and check expiry dates. Store at room temperature away from heat and light; throw away opened tubes if your doctor says so or if the product has passed its expiration. If you’re buying online, confirm the pharmacy is legitimate and requires a prescription.
Quick checklist: use a thin layer, follow the schedule, expect local irritation, contact your doctor for severe reactions, and never share your cream with others. If you’re unsure about the dose or how long to leave it on, call your prescriber — small adjustments make a big difference in comfort and results.