Efudix is a topical cream that is commonly used to treat precancerous skin conditions, such as actinic keratosis and Bowen’s disease. The cream contains a powerful medication called fluorouracil, which works by killing rapidly dividing cells. It is typically applied to the affected area once or twice daily for several weeks, depending on the severity of the condition. While Efudix can cause some side effects, such as redness, swelling, and crusting of the skin, it is generally considered safe and effective for treating precancerous lesions.
Efudix – put on the affected area twice per day with a finger.
NB: To the upper lip only once a day.
Wash hands after applying the cream.
Avoid contact with eyes, nostrils and lips.
No make-up, moisturiser, soap or sunscreen to the area during the treatment (a small amount of foundation is okay).
It is important to get the area very wet in the shower at least once daily, no swimming.
Please be sure to see me in ______ days after starting Efudix. (Make this appointment before starting Efudix treatment).
If the reaction is marked or severe, contact the surgery to be seen immediately.
The expected reaction is: –
1st week – mild redness or minimum reaction.
2nd and 3rd week – red, crusted, possibly uncomfortable.
During or at the end of 3rd week – see your dermatologist – usually, Efudix is ceased, however, some patients need treatment for up to 6 weeks.
4th to 6th week – Recovery – may be pink for one to ten weeks (this can be covered with foundation).
If cream builds up, gently remove the excess cream with unscented Dove soap.
Avoid excessive sunlight. Do not use it while pregnant.