Treatment FAQ

what if efudex gets on healthy skin during treatment

by Eulalia Stoltenberg Published 2 years ago Updated 2 years ago

What to expect with Efudex results The purpose of using Efudex, topical chemotherapy, is to bring precancerous cells to the surface and remove them in the form of dead skin. When treatment is done, the actinic keratoses (AKs) your doctor diagnosed will, hopefully, be replaced with new, healthy skin.

Full Answer

What is the average recovery time after you stop using Efudex?

The medication is usually applied to the effected area until the point where the old skin comes off or a lesion forms, and it is at around this time that your doctor will ask you to stop using Efudex. After the period of treatment, which usually lasts two to four weeks, you need another one to two months of healing.

When should I stop using Efudex treatment?

When should I stop using efudex treatment?

  • Wait anywhere from 30 minutes to an hour after washing to apply any lotion or cream.
  • Anything burns when first applied.
  • Vanicream Lite Lotion is my go-to.
  • Wash with water and mild soap in the shower and do not rub the area.
  • The ten minutes following a shower or washing are key.

Does fluorouracil hurt healthy skin?

Topical fluorouracil is used to treat actinic keratosis and superficial basal and squamous cell skin cancers. The medication destroys sun-damaged skin cells, but can also damage normal skin and cause skin irritation. Topical fluorouracil (5-FU) comes as a topical cream, available in 2 strengths.

Does fluorouracil affect healthy skin?

When treatment is stopped the skin heals rapidly. It takes two to four weeks for healthy new skin to replace the sun-damaged skin destroyed by the fluorouracil cream. After healing, the treated areas are often redder than normal and may feel more sensitive; this redness and sensitivity will gradually fade over a few weeks.

What is Efudex used for?

How to get rid of fluorouracil in eyes?

Can you take Efudex while pregnant?

Can Efudex cause hives?

Can you use Efudex on skin?

See more

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What happens if you put Efudex on healthy skin?

When used according to the approved prescribing information Efudix should have minimal effect on healthy skin.

Does healthy skin react to fluorouracil?

Fluorouracil (flure oh yoor' a sill) is a drug that is used to treat actinic keratoses. This is a pre-cancerous skin growth caused by the sun. Fluorouracil reacts against the pre-cancerous sun-damaged skin but does not usually affect normal skin.

Can I use Efudix cream on broken skin?

Be very careful not to allow Efudix to come into contact with mucous membranes, such as eyes, eyelids, nostrils and lips. Do not apply Efudix to broken skin or open cuts as it is may be absorbed into the bloodstream and may cause side effects. Wash your hands carefully and thoroughly immediately after using Efudix.

Can Efudix damage your skin?

What are the side effects of Efudix cream? The main side effect is skin irritation (dermatitis). The cream works by directly destroying the sun-damaged skin cells. This will cause intense inflammation, crusting, redness and oozing of the whole area treated.

How quickly is fluorouracil absorbed into the skin?

Following application of fluorouracil 5% cream, approximately 6% of the topical dose is absorbed systemically, with peak plasma concentrations attained in 1 hour. Absorption of the drug into cells may be selectively greater in diseased skin than in normal skin.

Does fluorouracil cream enter the bloodstream?

Both studies demonstrated that fluorouracil is minimally absorbed into the systemic circulation.

What happens if you use too much Efudex?

The most frequent adverse reactions to EFUDEX occur locally and are often related to an extension of the pharmacological activity of the drug. These include burning, crusting, allergic contact dermatitis, pruritus, scarring, rash, soreness, and ulceration.

Do you rub Efudix cream in?

How to apply the Efudix cream? - Wash the skin with lukewarm water. After your skin is completely dry, apply a thin film of the cream to the affected skin and rub it gently onto your skin. Apply a small amount of medication to the affected skin, using just enough to cover the area with a thin film.

What does the ulceration stage of Efudex look like?

What does it look like? Since most Efudex users experience redness and irritation, I will start there. Erosion, for me, means that the entire area I am treating is bright red but contains much darker spots where the actinic keratoses are most concentrated. These darker spots tend to pucker and may even begin to scab.

Can you have a mild reaction to Efudex?

It is very important to understand that your skin will react during the treatment. Some people have a mild reaction, others have a severe reaction. The reaction involves redness, inflammation, irritation, crusting and peeling.

Does fluorouracil cream cause scarring?

Scarring. Most people using this drug get skin reactions where this drug is used. These reactions include burning, dryness, irritation, redness, pain, and swelling. Irritation may last for 2 weeks or longer after you stop using this drug.

Does fluorouracil cream weaken your immune system?

A new study shows two chemotherapy drugs prevalent in the clinic-gemcitabine and 5-fluorouracil-may influence the immune response in a way that facilitates tumor growth.

Is Skin Cancer Cream Worth Taking? - MedShadow Foundation

When April Pulliam first treated her chest with the chemotherapy cream Efudex, the itching, burning, seeping sores were to be expected, as the cream activated potentially precancerous spots. The nausea, nagging headaches and fatigue were not. “I was surprised that a cream could make me feel tired and run-down,” the third-grade teacher from Bolivar, Tennessee,

How to know when to stop applying Fluorouracil Cream USP 5%?

Ok, Three weeks to four weeks, twice daily, and I would recommend that If you have a lot of dealing with the general public and it's your face we're are talking about , do It In sections or you will be In for a very bumpy ride, I mean this stuff Is mean It goes Into attack mode and I'm not kidding, can be painful, Itching, burning crusting, oozing, last but not least scarring from scratching ...

How to Heal After using Efudex | Healthfully

Instructions. Use an antibiotic called Mupirocin 2% and a corticosteroid Fluticasone Propionate 0.05%. These are two types of topical creams that doctors usually prescribe on the first and second days of healing after your Efudex treatment has been stopped 1.Mix and apply the two creams on the affected area two to three times daily, but preferably once after waking up and another one in the ...

How to stop efudex from itching?

Use a topical cortisone to help decrease itching or irritation while using Efudex. Apply Locoid Lipocream, Cortaid, Desowen lotion, Desonide Lotion, or Hydrocortisone cream, two to three times a day only if needed for itching or irritation.

How does Efudex work?

Efudex acts like a private detective in that you treat an entire area and it selectively finds the damaged areas and treats them. If there is no skin damage, there is no reaction and no redness or irritation. If however, there is even invisible damage, it highlights these areas and treats them.

How long does it take for efudex to work?

The treated areas may begin to get itchy, red, irritated, or sensitive by 10-14 days. Once you finish the full 4 week treatment, the areas calm down over the next 1-3 weeks. There are multiple other treatment alternatives for patients who are unable or don’t wish to have Efudex treatment.

What is the Efudex program?

Efudex ( fluorouracil)is a topical cream that has remained the GOLD STANDARD for treatment of pre-cancers called actinic keratosis. It is an optional treatment for fair skin individuals with multiple or recurrent actinic keratosis. It is particularly useful for those with a history ...

Can Efudex clear skin cancer?

It really isn’t as useful for more developed or advanced skin cancers and can’t clear these like pre-cancers. The goal of your therapy with Efudex is to be pro-active and potentially cut down on your total number of pre-cancers and future skin cancers.

Can you use efudex on your face?

EFUDEX ® is the only topical treatment approved by the FDA to be used almost anywhere on the skin, including the face, scalp, hands, arms, shoulders, and trunk. However, application of EFUDEX ® to mucous membranes should be avoided. 1 In addition, EFUDEX ® should not be applied in the eyes.

How long does it take for chemo cream to heal?

For me, using a chemo cream that will cause such discomfort and pain to treat something that may not even materialize, to take a month or more to heal from that after applying it for a month, and then to have to do it again in a year (or more often), isn’t something that I want to do.

Can Efudex be used on pets?

Knowing the risk Efudex can have on pets. There’s no question that using Efudex can be hard on a person. I’ve read many stories, both in our community and online as well, about the nausea and light sensitivity that are also part of Efudex treatment, in addition to the pain and discomfort.

Does Efudex help with AK?

That dermatologist told me that Efudex was great for treating any actinic keratosis areas people may have. However, I learned in my research that at most, 10% of AK turn into cancer, which means that 90% or more do not.

Healing after Efudex: your tender, new skin

If you are using Efudex now or gearing up to start treatment, you will soon realize that the area following treatment is nothing like it was when you started. Healing after Efudex can be hard! You may, in fact, wonder if your skin will ever look normal again.

I've finished my Efudex treatment. What's next?

Your doctor may or may not address the next steps with you. From discussions I have had with friends and other skin cancer patients, it seems we all receive varying levels of advice for healing after Efudex.

Your skin after healing from Efudex is fragile!

Keep in mind, redness will likely persist, and you may want to baby that area for a good while. Healing after Efudex can be emotional, difficult, confusing, frustrating, and uncomfortable. When in doubt, give your doctor a call. Your medical providers can answer questions that arise post-treatment.

Emily Hayward's Story: Changing the Way We Look at Skin Cancer

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The SkinCancer.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

Nolene's Efudex story

"Sharing my Efudex story has helped many other s reduce Efudex pain by using Damask Rose Day Creme during and after the treatment. Ever since discovering this wonderful cream I still use it and many other Simplicité products - my skin has certainly never been better." Nolene Wood

Pain and discomfort while using Efudex

Unless you have used Efudex yourself or known someone going through the treatment it's difficult to understand the sort of pain and discomfort you experience over the entire period of using it.

Simplicité Damask Rose Day Creme relieves pain of Efudex

Robin told me that Simplicité Damask Rose Day Creme was soothing and highly nutritive so would help. She said she would post me the product. I received it next morning and immediately applied some to my face.

In weeks 3 and 4 the cream stung for a couple of minutes at first

By the time I got to weeks 3 and 4 of the Efudex treatment my skin was very, very raw so the Damask Rose Cream really stung for about two minutes at first.

Dermatologist approved post-Efudex help

When I went for my next dermatologist checkup appointment at the three-week point, I showed him what I was using instead of Vaseline. He checked the ingredients listed on the jar and said it was fine to keep on with what I was doing as the Damask Rose Day Creme didn’t contain anything that would hinder Efudex treatment. I continued with the Efudex for just over four weeks of treatment and towards the end I was applying the Damask Rose Day Creme three to four times through the day to relieve the pain and discomfort..

What to use after Efudex treatment

When I finished the Efudex treatment my skin was red and raw. It improved dramatically each day as I continued to use Damask Rose Day Creme.

Skeptical doctor: Damask Rose Day Creme "really works" for pain relief during Efudex

"The day had arrived where I was going to embark again on undergoing Efudex skin treatment for sun damage to my skin from years of childhood sun cream neglect. Anyone who has gone through Efudex skin therapy would tell you it's not one of life’s greatest experiences with significant skin pain developing after about 10 days."

How do you know if Efudex is working?

You know the Efudex is working when the actinic keratoses begin deepening in color (as inflammation sets in), and then especially when scabs begin forming over them.

How long does it take for Efudex to work?

It can easily be that the “apply daily for two weeks ” protocol doesn’t work, but that waiting a week, and then applying again for one week, may then start showing a response. Another factor to consider is that Efudex doesn’t necessarily show signs of working DURING the treatment.

Can squamous cell carcinoma be treated with Efudex?

Squamous cell carcinoma can be the result of actinic keratoses that are left untreated. This skin cancer, though on the same continuum as actinic keratosis, will almost never respond to Efudex. For squamous cell carcinoma, some form of surgery is usually the course of treatment.

What is Efudex used for?

Efudex (for the skin) is used to treat scaly overgrowths of skin (actinic or solar keratosis ). Efudex is also used to treat superficial basal cell carcinoma. Efudex may also be used for purposes not listed in this medication guide.

How to get rid of fluorouracil in eyes?

Rinse with water or saline if this medicine gets in your eyes. Do not let Efudex build up in the skin folds around your mouth, nose, or eyes. Use caution when applying the medicine around these areas. Avoid using other medications on the areas you treat with fluorouracil unless your doctor tells you to.

Can you take Efudex while pregnant?

Do not use Efudex if you are pregnant. It could harm the unborn baby or cause birth defects.

Can Efudex cause hives?

Efudex side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using Efudex and call your doctor at once if you have: severe pain or swelling of treated skin; severe itching, burning, or irritation; new or worsening skin sores;

Can you use Efudex on skin?

Apply only enough medicine to cover the affected skin with a thin film. Do not apply Efudex to skin that is irritated, peeling , or infected or on open wounds. Wait until these conditions have fully healed before using this medicine.

How to treat efudex?

These are two types of topical creams that doctors usually prescribe on the first and second days of healing after your Efudex treatment has been stopped 1. Mix and apply the two creams on the affected area two to three times daily, but preferably once after waking up and another one in the evening . During this time, expect your skin to crack and bleed and sting, and expect your eyes to swell.

How long does it take for Efudex to heal?

After the period of treatment, which usually lasts two to four weeks, you need another one to two months of healing.

How to treat a stinging scab?

Use an analgesic such as Tylenol to reduce the pain from the fourth to sixth days of healing. Expect a more stinging pain, a bloody broken skin and severe itchiness on the affected part. Apply sunscreen to protect the healing skin when you go out.

Can you use cosmetics on basal cell skin cancer?

Local treatments other than surgery for basal and squamous cell skin cancers. Tips. During the healing process, never use any cosmetics or other skin products. If ever you forget an application of the creams, simply resume application as prescribed by your doctor without increasing or doubling the dose.

How to report fluorouracil side effects in Canada?

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Precautions . Before using fluorouracil, tell your doctor or pharmacistif you are allergic to it; or to flucytosine; or to capecitabine; or if you have any other allergies.

What is fluorouracil used for?

This medication is used on the skin to treat pre-cancerous and cancerous skin growths. Fluorouracil belongs to a class of medications known as anti-metabolites. It works by blocking the growth of abnormal cells that cause the skin condition.

What is Efudex used for?

Efudex (for the skin) is used to treat scaly overgrowths of skin (actinic or solar keratosis ). Efudex is also used to treat superficial basal cell carcinoma. Efudex may also be used for purposes not listed in this medication guide.

How to get rid of fluorouracil in eyes?

Rinse with water or saline if this medicine gets in your eyes. Do not let Efudex build up in the skin folds around your mouth, nose, or eyes. Use caution when applying the medicine around these areas. Avoid using other medications on the areas you treat with fluorouracil unless your doctor tells you to.

Can you take Efudex while pregnant?

Do not use Efudex if you are pregnant. It could harm the unborn baby or cause birth defects.

Can Efudex cause hives?

Efudex side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using Efudex and call your doctor at once if you have: severe pain or swelling of treated skin; severe itching, burning, or irritation; new or worsening skin sores;

Can you use Efudex on skin?

Apply only enough medicine to cover the affected skin with a thin film. Do not apply Efudex to skin that is irritated, peeling , or infected or on open wounds. Wait until these conditions have fully healed before using this medicine.

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