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Item C219. Treatment Options for Genital Warts.

Medication Treatment Instructions Treatment Duration


Patient-applied treatments
Imiquimod Apply at bedtime 3 times Up to 4 months
5% (or 3.75%) cream a week; wash off in the
morning.
Podofilox Apply twice daily for 3 Up to 4 weeks
0.5% solution or gel days; then 4 days with no
treatment; then repeat

Sinecatechins Apply ointment 3 times Up to 4 months


15% ointment daily

Provider-applied treatments
Trichloroacetic acid Apply a small amount to Can repeat weekly
80%-90% solution wart; allow to dry. until warts resolve

Cryotherapy (liquid Provider applies liquid More than 1 treatment


nitrogen); provider nitrogen to lesions may be needed
should be trained
Adapted from Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually trans-
mitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1-137.

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