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The mechanism of action of Aldara is still unknown. The active chemical Imiquimod is believed to improve the immune response of the cells when applied. The activated immune cells travel to areas of infection and eliminate the infected cells. This action is believed to provide cure to the skin infections such as genital warts. Aldara has no antiviral activity.

No major side effects have been reported with the use of Imiquad. Some of the common side effects observed are redness, swelling, tenderness and thickening of the skin where it is applied. Severe symptoms such as bleeding, sores, nausea, fever and diarrhea are rare and if seen require the attention of a medical practitioner.

Aldara is a topically administered drug. The dosage is different for different types of infections and should be used as indicated. It should be used in pregnant women and nursing mothers only if the potential benefit justifies the risk. Imiquimod should not be used near lips, eyes and nostrils. It should not be used for longer than indicated since longer usage can lead to other side effects or severe skin reactions.

The dosage is different for the three different conditions that Aldarais used to treat. For Actinic Keratosis, Imiquimod cream is used once a day for 2 days in a week. Each day that it is used for should be separated from the previously used day by 3-4 days. Application is generally recommended for 16 continuous weeks.For superficial basal cell carcinoma, Imiquimod cream is used once a day for 5 days a week. Application is recommended for 6 continuous weeks.For external genital warts, Aldara cream is used once a day for 3 days a week. Application is recommended for 16 continuous weeks or till the warts completely disappear.