TreatmentAdvantagesDisadvantagesAdministrationCost*
Salicylic acidAvailable over the counter, inexpensiveRequires time to achieve responseDaily application of a 15 to 20 percent salicylic acid preparation$5 to $7
CryotherapyEasyScarring, painfulAverage of three or four treatments in the officeApproximate cost for initial visit plus cryotherapy to one wart is $250; three follow-up visits for cryotherapy to one wart are $360; total is $610
Pulsed dye laser therapyFewer treatmentsScarring, painfulAverage of one to three treatments in the officeApproximate cost for initial visit with laser treatment plus two follow-up treatments is $360
Imiquimod (Aldara)At-home use; pregnancy category BErythema, pruritus, erosions, bacterial infectionsThree times a week at home for nongenital warts$177 for 12-packet box of 5 percent imiquimod
Bleomycin (Blenoxane)Typically only one treatment neededPain during and after treatment, pigment changes, Raynaud’s phenomenon, expected necrotic eschar, scarring, nail damage, pregnancy category DIntralesional injection of 0.3 mL (0.15 units) every three to fourweeks in the office†Approximate cost for initial visit plus injection and possible follow-up injection is $495 15-unit vial is $304 (brand) or $192 to $309 (generic)
RetinoidsAt-home useLocal irritation, pregnancy category C, systemic side effects0.05 percent tretinoin cream (Retin-A), three months oral at home$48 to $54 for 45-g tube of topical tretinoin $447 for 30-day supply of acitretin (Soriatane) 25-mg tablets
Intralesional immunotherapyOnly need to treat one wartRare influenza-like symptomsInject every three to four weeks for an average of three treatments in the officeApproximately $190 for initial visit with injection of Candida and two follow-up injections