13.12 Warts and Calluses
Viral warts and verrucas are benign and self-limiting and can be managed within primary care; treatment may be required for up to three months.
Cryotherapy is not appropriate for viral warts on the feet since it is usually ineffective; it can cause significant scarring and can exacerbate warts. Surgical treatment is also inappropriate.
For external genital warts. Applied weekly in genitourinary clinic (or at a general practitioner’s surgery by a trained nurse after screening for other sexually transmitted diseases)
For external genital and perianal warts. May damage latex condoms and diaphragms. Excipients include benzyl alcohol, cetyl alcohol, stearyl alcohol, hydroxybenzoates (parabens), polysorbate 60
Silver nitrate sticks are used for cauterisation in theatre and umbilical granulomas in primary care
- First Line Drugs
- Second Line Drugs
- Specialist Initiated or Recommended Drugs
- Specialist Initiated Drugs with Shared Care Guidelines
- Specialist Only Drugs
- Mixed Status