Use of Aldara

I have been using Aldara for 4 weeks now and have developed severe crusting, burning and redness. I am treating Actinic Keratitis and am very concerned with the progress. Should I continue and if I do, when could I expect a resolution of the problems. If I discontinue the cream, should I apply any topical antibiotics to speed up the healing. Thank you

[Alan Rockoff, MD]

Aldara causes severe crusting and oozing, which shows that it's working.  I think you should call the doctor who recommended it, to see whether you need to continue.  For actinic keratoses, which are pre-cancerous rather than cancerous, four weeks of what I presume is daily use may well be enough.  As soon as you stop, the redness and crusting will go away.  Please call your doctor today.

Thanks.

Dr. Rockoff