Efudex (florouracil) is an anti-metabolite medication approved by the Food and Drug Administration (FDA) to treat cancerous or pre-cancerous lesions and spots on the skin. Efudex is a prescription topical cream that is applied to the affected area and can be used as an effective alternative to chemotherapy drugs because of its ease of use and accessibility. When applied, the cream interferes with the metabolic and cell regeneration process of cancerous or pre-cancerous cells, interrupting their reproduction rate and attempting to eliminate the mutated cells. Efudex can effectively stop the cell reproduction and halt the cancer from spreading, treating a number of different conditions, such as actinic keratosis and basal cell cancer of the skin. The board-certified dermatologists and skin care professionals at Bay Area Cosmetic Dermatology can help San Francisco area patients diagnose and treat skin conditions like actinic keratosis and basal cell carcinoma with prescription Efudex.
"I went to Bay Area Dermatology because a few of the girls in my office recommend it. I had developed a really bad case of melasma on my cheeks and upper lip. When I made an appointment they had asked me if I had a preference as to who I wanted to see. I told the receptionist that I had Asian skin so if I could get someone that is familiar with treating common Asian skin issues that would be fantastic. I was scheduled an appointment with Dr. Hui.At my first meet with Dr. Hui she confirmed that I did indeed have melasma and that my next step was to start getting chemical peels 4-6 weeks apart. Wow. Holy smokes! So far I've received 3 chemical peels and the melasma is almost gone. It's at the point where I am able to cover it up with just foundation. Yippee! At my most recent appointment I received my first laser treatment with Mary. I had a 1pm appointment and was seen quickly to start the numbing process. I am one of those people that benifit from the extra time with the numbing cream so I appreciate that the ladies got me started immediately. I was so numb that I barely felt a thing. Definitely one of the easiest laser procedures I have ever done."- J.C. / Yelp / Dec 02, 2017
"BEST DOCTOR I’ve ever seen!!! She truly is one of a kind! I’ve seen Dr. Hui-Austin for a couple of years now for everything from Moh’s surgery to cosmetic treatments and she always amazes me with her kindness, skill and compassion. She has an innate eye for detail and is so gentle I never feel a thing. She always knows just what I need to look and feel my very best. I cannot say enough good things about her and would recommend her to anyone I knew!!!"- S.B. / Google / Sep 25, 2018
"I love coming here to get my hydra facial done. I have seen Dr. Austin for my skin issues, who is absolutely amazing. I also love getting my facial done with Meghan. Meghan is the sweetest and most detail-oriented esthetician? in that clinic."- J.S. / Yelp / Aug 31, 2018
"I have struggled with severe acne for my whole life and have spent thousands of dollars on proactive, x-out, bioré, natural solutions like witch hazel, tea tree oil, etc. None of these products worked for me and some of them made my skin severely dry, red, or caused my hyper-pigmentation to be more noticeable. I was losing hope that I would ever have clear skin until I came across TCA peels (trichloroacetic acid) on youtube, I saw that there was a lot of positive reviews as well as horror stories , but I felt like I was out of options so I decided to set up a consultation at Bay Area Cosmetic Dermatology, I didn't feel like my skin could get any worse so even if the skin peel didn't work, I felt that It was still worth the risk. When I first arrived, it was a 250 dollar fee for new patients and they looked at my skin and offered several products for a skin care regiment and they told me that my skin issues were caused because my body produced a little more testosterone then a normal woman. They prescribe me spironolactone to help prevent further extreme break outs and tranexamic acid to help with my hyper-pigmentation, after one month I noticed a severe decline in break outs. Before I was on these medications I was getting 5 - 10 new pimples every week plus back acne, after being on these medications it was like 1 or 2 every month. After getting my acne settled, we then started to work on my hyper pigmentation, I had expressed that I wanted a TCA peel but Dr.Austin told me that with my skin tone a TCA peel would be too extreme and might remove the melanin from my skin. I didn't want to ruin my skin tone but I also didn't want the dark spots, Dr.Austin then recommended that I get a less deep peel and we decided to go with either a lactic acid peel or a glycolic acid peel. When I received my first peel I noticed dramatic changes. I still had a lot hyper pigmentation but it was very different from before. I am now 7 peels in and I am very happy with my results! I wish I would have come here sooner, it would have saved me thousands in skin care products that didn't work for me. Each peel I received was 250$, and worth every penny. The pictures below show my current skin condition and what it looked like after my first 3 peels (sorry I only started taking pictures after the first 3!), I will also post what it looks like when its peeling, will update with more photos after this current peel is completely done. These pictures were taken 3 months apart each other."- A.A. / Yelp / Aug 25, 2018
"Did a cortisone shot for $50 and squeezed me in next day. Other places in town were quoting me $200 plus! Glad I found this place"- A.H. / Yelp / Aug 22, 2018
Efudex is most commonly used to treat two skin conditions:
- Actinic Keratosis: actinic keratosis is a patch of scaly skin that forms commonly on the face, hands, arms, and head due to overexposure of ultra violet (UV) rays. This condition usually takes years to develop and can be diagnosed by examining the abnormal patch of skin. Actinic keratosis does not necessarily equate with cancer, however it can lead to skin cancer over time if it is not properly treated or prevented. Efudex is used to treat actinic keratosis and can be a successful cancer prevention method. It is important to consult with one of our dermatologists to determine if this method might be right for you.
- Basal Cell Carcinoma: basal cell carcinoma is a type of skin cancer that is formed by excessive exposure to the sun and artificial UV lights. The cancerous region appears as a transparent legion on the skin, typically in regions that receive the most sun exposure, like the face and neck. This kind of carcinoma begins in the basal cells, the type of cells within the skin that are responsible for the reproduction process of new cells. When cancerous cells invade, Efudex can be effective in interrupting this regeneration process, potentially leading to the destruction of the cancerous cells. Our skilled dermatologists are highly-equipped to assess your needs and help decide if this is the proper treatment method for you.
What to Expect
Patients may apply Efudex/fluorouracil cream themselves, directly on the legion or cancerous area of the skin. Depending on the severity of the condition, Efudex may be applied regularly or periodically over different periods of time. The cream should be applied using fingertips (metal applicators should be avoided) and hands should be washed after coming into contact with the cream. One of our skilled dermatologist will determine the patient's dosage and treatment schedule depending on their condition and the level of skin damage. After the patient has applied the cream for the prescribed amount of time, one of our dermatologists will determine if the cream may be discontinued via emailed photo of the treatment area or in person office visit.
The most common reactions to Efudex treatment include: itching, irritation, burning, swelling, or other discomfort around the treated area. Treated lesions may become red, blister, and/or scab. Not to worry, however, this is a normal side effect and a sign that the treatment is working to destroy precancerous and cancerous cells. Usually, these symptoms will subside and heal after the entire treatment process is complete. Patients should avoid taking aspirin while using Efudex and it should not be used on women who are or may become pregnant to avoid serious complications. Before using Efudex please talk to your doctor about any current medications and review your medical history. Patients should report any side effects or concerns while using Efudex.
WHERE TO PURCHASE YOUR RX
We have our own formula of high quality, prescription Fluorouracil available for our patients to purchase right here at Bay Area Cosmetic Dermatology. Skip the trip to the pharmacy and purchase from us directly. Consult your insurance provider first to be sure, but our prices are often less than the price you pay even with insurance at the pharmacy.
Plan Your Procedure
Effective Cancer Prevention
Efudex is an FDA-approved medication that has been proven to reduce and interrupt mutated cell production. If you're experiencing signs of skin cancer or pre-cancer lesions, Bay Area Cosmetic Dermatology invites you to schedule a consultation and discuss your possible treatment options with our skilled, board-certified dermatologists. If you're a good candidate for Efudex, then this can be an ideal cancer prevention method or treatment, offering potential skin restoration and healing.