Dermatology Handbook
For UK audiences

The essential guide to product selection

Actinic keratoses treatments

Actikerall 5mg/g + 100mg/g Cutaneous Solution
Almirall

Actikerall 5mg/g + 100mg/g Cutaneous Solution

A cutaneous solution containing 5 mg of fluorouracil and 100 mg of salicylic acid per 1g of solution.
Alacare
Medac

Alacare

After topical application of 5-aminolevulinic acid, protoporphyrin IX (PPIX) accumulates intracellularly in the treated actinic keratosis lesions. The intracellular PPIX is a photoactive, fluorescing compound and, upon light activation in the presence of oxygen, singlet oxygen is formed which causes damage to cellular compartments of the light-exposed target cells, in particular the mitochondria.
Aldara
Viatris

Aldara

Cream containing 5% imiquimod, an immune response modifier that is effective against viral infections and acts as an anti-tumour agent, principally by induction of alpha interferon and other cytokines.
Ameluz 78 mg/g Gel
Biofrontera

Ameluz 78 mg/g Gel

Gel with 78 mg/g 5-aminolevulinic acid hydrochloride
Fluorouracil 5% Cream
Viatris

Fluorouracil 5% Cream

Topical cytostatic cream preparation with 5% fluorouracil that exerts a beneficial therapeutic effect on neoplastic and pre-neoplastic skin lesions without damaging normal skin. The pattern of response follows this sequence: erythema, vesiculation, erosion, ulceration, necrosis and epithelialisation. Formerly Efudix.

Klisyri 10mg/g Ointment
Almirall

Klisyri 10mg/g Ointment

An ointment for actinic keratosis containing 10mg/g tirbanibulin, applied daily over a 5-day course.
Metvix Cream
Galderma

Metvix Cream

After topical application of Metvix (methyl aminolevulinate), porphyrins accumulate intracellularly in the treated skin lesions. The intracellular porphyrins (including PplX) are photoactive, fluorescing compounds and, on light activation in the presence of oxygen, singlet oxygen is formed, which causes damage to cellular compartments, in particular the mitochondria. Light activation of accumulated porphyrins leads to a photochemical reaction and thereby phototoxicity to the light-exposed target cells
Solaraze 3% Gel
Almirall

Solaraze 3% Gel

An NSAID gel for actinic keratosis containing 3% diclofenac.
Tolak Cream
Pierre Fabre Group

Tolak Cream

Tolak is a topical treatment cream for actinic keratosisi containing 40.mg of fluorouracil (5-FU). Apply for 4 weeks, as tolerated.
Zyclara
Viatris

Zyclara

Cream with 3.75% imiquimod, is an immune response modifier that is the lead compound of the imidazoline family.