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Treatment of Viral Warts Condyloma accuminata - Podophyllum (resin) 20 % in Tinct. Benzoin co. Apply carefully with glass of road to the surface of the Warts . leave if for1- hours. Then wash it out with soap and water. Can be repeated every 5 to 7 day if required - Note Podophyllum is contraindicated in pregnancy and lactating mother - TCA- Trichlor acetic acid 80-90%nto be applied directly to the warts - Imiquimod ( Imiquod ) 5% cream applied overnight thrice a week for external genital and Perianal warts - For Postherpeitc neuralgia : Gabapantin 300 mg /d in 3 divided doses for 3 weeks increased to 600 mg/d for 4 week - Cidofovir gel for local application - Imiquimod 5% cream local application - Electrocauterisation or Cryosurgery ( liquid Nitrogen) - Common warts - 1) Keratolytics: Salicylic acid paint or Salicylic acid with Lactic acid - 2) CO2 Laser surgery for recalcitrant , chronic lesions. Cutaneous warts: - Surgical excision / Cryosurgery or Chemical cauterization Or Electrocauterisation - Pure Carbolic acid- Apply with glass rod - Or - Trichloracetic acid pure to be painted on warts. - Or - Salicylic acid 2.5 - Lactic acid 2.5 - Flexible collodion 15 - For external use - Salicylic acid 3.5 - alcohol (40%)120 - Paint daily at night till wart fall off (7 to 10 application) Or Glycolic acid 10-20% occlusion one/wkx 3-4 wks.