External genital and perianal warts are cause by a virus called Human Papilloma Virus. These wart-like growths are oftentimes referred to as condyloma acuminata. While Aldara itself has not been demonstrated to have any of its own antiviral activity, Aldara cream is an immune response modifier that stimulates the body's own immune response system and helps the body fight this virus. It may do this via the induction of cytokines like alpha-interferon. Alpha-interferon is a complex compound normally produced by the human body that does have potent antiviral activity.

In a large clinical trial 50% of patients had complete clearing of their warts. The mean time to complete wart clearing was 10 weeks.

• Wash hands and open a new packet of Aldara cream just before bedtime.
• Apply a thin layer of cream on the wart(s).
• Rub the cream in until it vanishes.
• Discard the open packet and wash hands.
• Leave the cream on the wart(s) for 6 to 10 hours.
• After 6 to 10 hours, wash the area where Aldara cream was applied with mild soap and water.
  
  Typically, dosing is once a day, 3 days a week: Monday, Wednesday, and Friday, or Tuesday, Thursday, and Saturday

  Apply Aldara cream at bedtime, after bathing, so you do not wash off the cream. Treatment with Aldara cream should continue until the warts are completely gone, or up to 16 weeks.

Because Aldara cream doesn't cure Human Papilloma Virus, the cause of genital and perianal warts, new warts may form during treatment.

Aldara cream may weaken condoms and diaphragms, so sexual contact should be avoided while the cream is on the skin.

How Aldara cream affects the spread of genital warts to a partner is not known.

A woman who is or becomes pregnant while using Aldara cream should notify her health care provider immediately.

Do not use Aldara to treat internal (inside the vagina or anus) warts.

Skin color changes to the application site have also been reported.

Do not cover warts with bandages or other closed dressings.

Avoid using overly large amounts of cream.

A thin layer that completely covers each wart is enough.

Aldara is often misspelled, as many people hear the word verbally and write it down or spell it the incorrect way. Here are a few of the most common misspellings for Aldara : Alldara, aldala, aladara, allahdarah, alladarah, oulala and alala . Full correct name of this drug is "Aldara".