As analyzed in the course of treatment, the warts are usually asymptomatic and difficult to create complications; accordingly, the administration of drugs is recommended only in exceptions, as well as in the case of warts particularly resistant and durable, and relapses.
Until a few years ago the warts were treated with methods of electrocoagulation or minimally invasive surgery, these practices now seem be disused: in fact, it was observed that because of these techniques the possibility of permanent scarring and recurrence of relapses are quite high, which may frustrate the result obtained.
Only in exceptional cases, the warts are removed with laser therapy .
When necessary, you can treat the wart with liquid nitrogen ( cryotherapy ) or by applying directly on the lesion specific drugs, such as lactic acid , salicylic acid, resins podofilliniche (for the treatment of genital and anal warts). In therapy can also be used immunomodulatory drugs, retinoids and antiviral.
Until a few years ago the warts were treated with methods of electrocoagulation or minimally invasive surgery, these practices now seem be disused: in fact, it was observed that because of these techniques the possibility of permanent scarring and recurrence of relapses are quite high, which may frustrate the result obtained.
Only in exceptional cases, the warts are removed with laser therapy .
When necessary, you can treat the wart with liquid nitrogen ( cryotherapy ) or by applying directly on the lesion specific drugs, such as lactic acid , salicylic acid, resins podofilliniche (for the treatment of genital and anal warts). In therapy can also be used immunomodulatory drugs, retinoids and antiviral.
The following are the classes of drugs most used in therapy against warts, and some examples of specialty drug; The medical doctor choose the active ingredient and the dosage most suitable for the patient, based on the severity of the disease, the health status of the patient and his response to treatment:
- Salicylic acid (eg. Trans Versal) is the first-line drug keratolytic used for the healing of warts of the hands and feet. It is recommended to apply the product directly on the skin affected by warts, 1-2 times a day. The drug is available in the form of liquid, cream, lotion or foam. Once a week, you should rub the wart with a lime, so as to remove the excess skin. Salicylic acid is also available in combination with lactic acid (eg. Kerafilmver Collod.) And copper acetate (eg. Verel Collodio sol.).
- Silver nitrate (eg. Argent N FN COLL): This medicine is the silver salt of nitric acid, used in therapy for the treatment of warts of the hands and feet. Available special applicator, it is recommended to put the instrument on damaged skin for a few minutes, every 24 hours. Do not repeat more than 6 applications. It is recommended to remove the skin surface (cell death) before proceeding with the next application. Bandage the area with a sterile gauze after application of the drug.
- Glutaraldehyde: other substance keratolytic acting disinfectant, indicated for the treatment of warts of the hands and feet. Available as a 10% solution, the dosage plan to apply the product directly to the wart, twice a day.
- Podophyllin resin: This medicine is often associated with salicylic acid for topical application, especially for external genital and anal warts. The drug is a substance capable of blocking the cellular mitosis : when used to treat bacterial infections, is able to eradicate the infection. Consult your doctor.
- Liquid nitrogen: this substance is the protagonist of the technique called cryotherapy (or cold therapy). It is essential that the liquid nitrogen is handled by experienced staff, having regard to its dangers. Cryotherapy is used to treat warts when the drugs described above do not report benefits to the patient who is suffering. Cryotherapy can cause pain, swelling and hypersensitivity. Its efficacy for the treatment of warts is comparable to that exerted from salicylic acid (topical application).
- Retinoic acid or tretinoin (eg. Retin-A , Vesanoid) : these drugs are derivatives of vitamin A : topical application of these active substances (substances to the forefront for the treatment of acne ) is shown to destroy the cells that form the wart. The drug acts by promoting desquamation of keratinocytes and stimulates cell renewal. This medicine can sometimes be prescribed for oral administration. Do not expose yourself to the sun during treatment with retinoids. Do not use during pregnancy and lactation: the drug is a teratogen .
- Bleomycin (eg. Bleomycin CRN, Bleomycin VTE): The drug belongs to the class of antivirals; since the warts originate from an infection supported by the virus HPV, the administration of this drug is indicated for the removal of the pathogen which, consequently, results in the healing of the wart. For the dosage, consult your doctor.
Imiquimod (ie. Aldara) : the drug is a substance immunomodulatory, is indicated for the treatment of genito-anal warts, which for common warts. The drug is available in cream (250 mg sachets containing 12.5 mg of active substance: imiquimod 5%): apply the product on the skin three times a week, for up to 16 weeks. The suspension of the drug does not guarantee immunity from warts.
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