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Aldera working without erythema?

I was prescribed aldara for the treatment of genital warts about two weeks ago and have used it as directed by my provider. The patch of lesions is located on the shaft of my penis, are small, relatively flat, and 1-2 cm in size. I started aldara therapy roughly two to three weeks after onset of lesions. My only concern is that the Aldera isn't triggering an immune response like it should. I have no erythema, edema or any other typical "side effects". The warts appear to be somewhat diminished but I'm not sure if it's just wishful thinking or actual results. I'm roughly 3 weeks in and am curious about whether or not I need to seek other therapy. My provider does not seem to be completely versed on this therapy and I'm looking for a little guidance.

Does this medication need to illicit erythema in order to be successfully triggering an immune response or is it working without overt "side effects" such as erythema, edema, etc?
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207091 tn?1337709493
COMMUNITY LEADER
Well, some people do have a lower recurrence rate, but if aldara isn't working for you - and it might still be a bit early to know that - then it won't help recurrence rates.

I'm a fan of freezing them.  It works MUCH faster, and while some people have to keep going back, others don't have to return at all.

Its your call.  Perhaps a visit to an std clinic could help sort it all out for you.

Aj
Helpful - 0
Avatar universal
I guess because they appear to be more like a large dime sized patch instead of one singular lesion. My provider also mentioned that recurrence rates are lower with Aldara as well.

I just know that with abscesses and similar skin infections, the erythema is indicative of an immune response. I don't have that with Aldara, which seems to be they key to this medications MOA. Any suggestions?
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207091 tn?1337709493
COMMUNITY LEADER
Are you seeing ANY changes in the warts themselves?

Its good if you aren't seeing side effects, but if the warts aren't changing at all after a few weeks, you might want to follow up.

Any reason they just didn't freeze them off?

Aj
Helpful - 0
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