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1 Indications And Usage Imiquimod Cream Is Indicated For The Topical Treatment Of: • Clinically Typical, Nonhyperkeratotic, Nonhypertrophic Actinic Keratoses (Ak) On The Face Or Scalp In Immunocompetent Adults ( 1.1 ) • Biopsy-Confirmed, Primary Superficial Basal Cell Carcinoma (Sbcc) In Immunocompetent Adults; Maximum Tumor Diameter Of 2.0 Cm On Trunk, Neck, Or Extremities (Excluding Hands And Feet), Only When Surgical Methods Are Medically Less Appropriate And Patient Follow-Up Can Be Reasonably Assured ( 1.2 ) • External Genital And Perianal Warts/condyloma Acuminata In Patients 12 Years Old Or Older ( 1.3 ) Limitations Of Use: Efficacy Was Not Demonstrated For Molluscum Contagiosum In Children Aged 2-12 ( 1.4 , 8.4 ) 1.1 Actinic Keratosis Imiquimod Cream Is Indicated For The Topical Treatment Of Clinically Typical, Nonhyperkeratotic, Nonhypertrophic Actinic Keratoses On The Face Or Scalp In Immunocompetent Adults. 1.2 Superficial Basal Cell Carcinoma Imiquimod Cream Is Indicated For The Topical Treatment Of Biopsy-Confirmed, Primary Superficial Basal Cell Carcinoma (Sbcc) In Immunocompetent Adults, With A Maximum Tumor Diameter Of 2.0 Cm, Located On The Trunk (Excluding Anogenital Skin), Neck, Or Extremities (Excluding Hands And Feet), Only When Surgical Methods Are Medically Less Appropriate And Patient Follow-Up Can Be Reasonably Assured. The Histological Diagnosis Of Superficial Basal Cell Carcinoma Should Be Established Prior To Treatment, Since Safety And Efficacy Of Imiquimod Cream Have Not Been Established For Other Types Of Basal Cell Carcinomas, Including Nodular And Morpheaform (Fibrosing Or Sclerosing) Types. 1.3 External Genital Warts Imiquimod Cream Is Indicated For The Treatment Of External Genital And Perianal Warts/condyloma Acuminata In Patients 12 Years Old And Older. 1.4 Limitations Of Use Imiquimod Cream Has Been Evaluated In Children Ages 2 To 12 Years With Molluscum Contagiosum And These Studies Failed To Demonstrate Efficacy. [See Use In Specific Populations ( 8.4 )]. 1.5 Unevaluated Populations The Safety And Efficacy Of Imiquimod Cream In Immunosuppressed Patients Have Not Been Established. Imiquimod Cream Should Be Used With Caution In Patients With Pre-Existing Autoimmune Conditions. The Efficacy And Safety Of Imiquimod Cream Have Not Been Established For Patients With Basal Cell Nevus Syndrome Or Xeroderma Pigmentosum.
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