Pediatric Medication

Brand Names: US

Aldara; Zyclara; Zyclara Pump

Brand Names: Canada

Aldara P; Apo-Imiquimod; Vyloma; Zyclara

What is this drug used for?

  • It is used to treat genital warts.
  • It is used to treat perianal warts.
  • It is used to treat skin harmed by the sun and some skin cancers.

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child’s skin has not healed from other care or surgery.
  • If your child is using another drug that has the same drug in it.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Have your child’s skin checked often. Talk with the doctor.
  • This drug will not cure genital or perianal warts. Your child may get new warts while using this drug. Tell the doctor if your child gets any new warts.
  • Your child may get sunburned more easily. Avoid lots of sun, sunlamps, and tanning beds. Use sunscreen and dress your child in clothing and eyewear that protects him/her from the sun.
  • People using this drug may get skin reactions where this drug is used or around the area. These reactions may include burning, crusting, dryness, flaking, itching, oozing, pain, redness, scabbing, scaling, sores or ulcers, or swelling. If these reactions get very bad, a break from using this drug may be needed as told by the doctor. Talk with the doctor.
  • Call the doctor right away if your child has a skin reaction that bothers him/her or if the reaction makes it hard to keep putting this drug on. Call the doctor right away if your child has a skin reaction that causes problems with daily living.

If your child is or may be sexually active:

  • Your child must not have any form of sex when this drug is on the genital or anal skin.
  • For genital or perianal warts only: Condoms or diaphragms may not work to prevent pregnancy. Have your child use some other kind of birth control while taking this drug.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Flu-like signs. These include headache, weakness, fever, shakes, aches, pains, and sweating.
  • Bleeding.
  • Swollen gland.
  • Vaginal pain or swelling.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Change in color of skin. This may not go back to normal.
  • Headache.
  • Upset stomach.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

All products:

  • Follow how to use as you have been told by the doctor or read the package insert.
  • Do not use more or for longer than you have been told. This may raise the chance of a very bad skin reaction or other side effect.
  • Do not give by mouth. Use on your child’s skin only. Keep out of your child’s mouth, nose, and eyes (may burn).
  • Do not put in the vagina or anus.
  • Give at bedtime.
  • Wash hands before and after use.
  • Clean affected part before use. Make sure to dry well.
  • Put a thin layer on the affected part and rub in gently.
  • Do not put on sunburned skin.
  • Avoid putting on healthy skin.
  • Do not use coverings (bandages, dressings) unless told to do so by your child’s doctor.
  • Throw away any part of the packet not used after use.
  • Do not let your child bathe, shower, or swim after using.
  • Leave on the skin for as long as the doctor told you to, then wash off.
  • Prime pump before first use.

What do I do if my child misses a dose?

  • Skip the missed dose and go back to your child’s normal time.
  • Do not put on 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?

All products:

  • Store at room temperature. Do not freeze.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.
  • Store upright with the cap on.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Last Reviewed Date



© 2015 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.
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©2015 Memorial Sloan Kettering Cancer Center - Generated on November 27, 2015