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Sergei Smirnov
Sergei Smirnov

Buy Genital Wart Cream

If your warts aren't causing discomfort, you might not need treatment. But if you have itching, burning and pain, or if you're concerned about spreading the infection, your doctor can help you clear an outbreak with medications or surgery.

buy genital wart cream

Imiquimod (Aldara, Zyclara). This cream appears to boost your immune system's ability to fight genital warts. Avoid sexual contact while the cream is on your skin. It might weaken condoms and diaphragms and irritate your partner's skin.

Podophyllin and podofilox (Condylox). Podophyllin is a plant-based resin that destroys genital wart tissue. Your doctor applies this solution. Podofilox contains the same active compound, but you can apply it at home.

Patients often ask the pharmacist for advice about warts. It is imperative to inquire about the location and appearance of the lesions. Warts in some locations (e.g., hands, feet) can be self-treated, but warts in other areas (e.g., face, mucous membranes, genitals) require referral to a physician.

An estimated 16% of the general populations suffers from warts.1 Warts, or papillomas, are caused by a group of viruses known as human papillomaviruses (HPVs).2,3 These double-stranded viruses stimulate basal cell division to produce lesions that are generally located in the upper epithelial tissues.1 There are more than 150 related viruses and over 200 subgroups represented in this group, but not all are responsible for causing warts.1,2 Warts on the hands and feet are not transmitted as readily as sexually related HPVs, usually being caused by HPV subtypes 1, 2, 4, 27, and 57.2,4 Thirty-five types are known to infect the genital tract, most commonly subtypes 16, 18, 31, 33, 45, and 59 for squamous cell carcinoma and adenocarcinoma of the cervix.4 Types 6 and 11 are commonly associated with warts in the anogenital area.4

Most types of warts exhibit an age-related epidemiology, occurring with greater frequency in those aged 12 to 16 years.1,5 There is also a different risk by gender, with females developing warts more often and earlier in life; incidence peaks at 13 years in females, but at 14.5 years in males.1 Immunodeficiency can also increase the risk for warts.5

Another risk factor is having existing warts, which is a predictor of future warts.1 Transferring a virus to oneself is known as autoinoculation. Patients with warts should be advised not to bite, pick, or otherwise damage them, as doing so can release viral particles. These particles can implant on adjacent skin surfaces and may eventually cause crops of warts in a closely circumscribed area. Biting a wart can allow the virus to implant on the tongue, mucous membrane, or lips. Children should be instructed not to bite their fingernails or pick at hangnails, as both of these nervous habits can lead to skin breakage and increase the risk of warts. Shaving can spread an existing wart to new areas.6 For this reason, the face in men and the legs in women are common attack sites.5

Patients may ask the pharmacist where or how they contracted the virus. HPV can have a long latency period (perhaps 8 months or more), so it is usually impossible to identify the causal location or behavior.3 Infected patients may have touched a wart on another person.5 They may have contacted a fomite (i.e., an object that may be contaminated with infectious organisms), such as a towel that an infected person used to dry himself. They may have walked barefoot in an area where an infected person walked with bare feet, the most common means by which plantar warts are spread. In this case, pharmacists can help identify such common wart inoculation sites as swimming pools, gyms, and communal shower stalls. Patients may recall a specific skin break that allowed penetration, such as tattooing or skin piercing.

Plantar Warts: Plantar warts are usually located on the sole of the foot, an area also known as the plantar surface.1,8 Continual pressure caused by walking pushes the wart inward, so that plantar warts are referred to as endophytic (growing inward). The pressure of walking causes discomfort that may be mild (like a rock in the shoe) or intensely painful, hampering such normal activities as walking and running.7 These warts may also exhibit black spots on the surface. Patients may develop several plantar warts that are connected beneath the skin surface, a condition known as mosaic warts.

Subungual and Periungual Warts: When the patient has warts on the hands or feet, they may spread to the areas around the fingernails or toenails. They can also grow underneath the nails. Those beneath the nails are extremely difficult to cure.7

Untreated warts often disappear without any treatment, a phenomenon known as spontaneous regression. However, the patient cannot predict whether this will eventually occur, and waiting for it allows the wart to spread the virus to the patient and to others. Therefore, it is preferable to seek appropriate care to remove the wart(s).

Nonprescription Medications: Nonprescription products are only safe and effective when treating common or plantar warts.1 Patients should not treat any other type of wart and should not apply wart products to birthmarks, moles, or unusual warts with hair growing from them. They should not treat warts on the face, mucous membranes, or genitals. Patients who wish to treat hand warts should be advised to keep the hands as dry as possible during treatment, as overhydration of the stratum corneum can facilitate viral release (with the exception of the suggested pretreatment soaking). Wart products should be avoided if the skin is irritated, infected, or erythematous. Patients with diabetes mellitus or poor circulation should not use them due to an increased risk of infection. The maximum time of use is 12 weeks. If the wart remains after this, the patient should be instructed to see a physician.

The only safe and effective nonprescription wart medication is salicylic acid.1,11 Preparations are available in gels or collodion-based liquids (5%-17% salicylic acid), patches (12%-40%), and a karaya gum/glycol patch (15%). Collodion-based liquids should not be used around fire or flame and must be tightly capped after use to prevent evaporation of the ether. If visible crystals appear in a bottle, it must be discarded. Patients should not inhale the vapors from collodion-based products. They should presoak the area for 5 minutes and dry it thoroughly before application of the product.

Liquids should be applied one or two times daily with the applicator. Patients may surround the wart with petrolatum to help prevent it from reaching healthy skin. Plasters/patches are cut to size, applied, and left on for 48 hours, after which a new one is applied.

Freezing Therapies: Physicians have long applied cryotherapy to cure warts. A typical regimen is liquid nitrogen at -196C (-321F) applied until the wart has a 2 mm white halo surrounding it.4 Some physicians continue this application until the halo has been present for 20 seconds. Pain and blistering are common.

Occlusion: Collodion-based products occlude the area, perhaps augmenting their efficacy. This has led to the widespread practice of placing duct tape over the wart. Despite positive reviews in the lay media, there is little evidence to support its efficacy.13

Warts can appear anywhere on the body, although not all types should be self-treated. For example, you cannot self-treat warts on the face. Nonprescription wart products work by slowly eating into the area where they are applied. Eventually, they expose the wart and slowly destroy it. There is a slight chance that the skin might look abnormal after the wart is eradicated. If this were to occur on the face, it would be a permanent scar.

Similarly, you cannot self-treat warts on the mucous membranes, such as inside the nose or mouth. Wart products are only safely applied to the outer layer of dead skin, and mucous membrane is living tissue.

Before you try to treat a wart, you should be sure that it is not something else. Never apply wart products to birthmarks, as they could scar the skin. If the suspected wart has hair growing from its surface, it is best to seek medical advice, as warts typically do not exhibit hair growth. You should never try to remove a mole with wart products. Doing so could cause pain, bleeding, and scarring.

Legitimate nonprescription wart products all have salicylic acid as the active ingredient. You can choose from several dosage forms. Liquids are easy to use. You simply apply the liquid with the applicator supplied (usually a small brush) until the wart is covered. Make sure you do not get the product on healthy skin, as the salicylic acid will eat into healthy skin just as it does with the wart.

You may also choose a patch; these products are easy to use as well. Some are precut circles. You should first remove the adhesive, then center the patch over the wart, pressing it to ensure it adheres well. Other patches are small rectangles or squares that allow you to cut the size needed before pressing it over the wart.

If your skin problem is really a wart, nonprescription wart products should begin to slowly eat it away. You should notice improvement within a week, and complete removal of the wart within a few weeks, although the exact time is dependent on the size of the wart, its location, and whether you apply the product exactly as directed.

There are several different ways to treat genital warts, depending on where the warts are and how much of your skin they cover. Like all medicines and procedures, these treatments can have different side effects, costs, and benefits. Talk with your doctor or nurse to decide which genital warts treatment option is best for you.

Some of these treatments might sound kind of scary, but they all work by removing the warts, which removes any symptoms and lowers your chances of passing the HPV infection that caused them to anyone else. Your doctor or nurse can give you a numbing medicine to make you more comfortable. 041b061a72


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