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 01, 2017
"I just can't say enough about Dr. Welsh and her team. Everyone who took care of me was super patient and knowledgeable. Dr Welsh answered all my questions - a lot of questions - and recommended a treatment plan. She and her team were all very kind and I feel like they really took the time to make sure I was comfortable. The experience couldn't have been better. Katie and Chelsea are my favorite for sure."- R.I. / Google / Mar 09, 2020
"I have been a patient of Kathleen Welsh for a few years now and I will continue to go back to her for years to come. Dr. Welsh helped me clear my severe hormonal acne through both topical medications and oral medications. I have also received laser treatments to clear the scarring and redness caused by my acne. Fr. Welsh is the most understanding, kind, and smart doctor I have seen and I highly recommend her to anyone in anyone in need of dermatology services."- S.D. / Yelp / Mar 08, 2020
"From the moment you walk into the office, you know you're at the best. I will not trust anyone else with my skin, so Dr. Welsh is just going to have to stay in practice forever! Dr. Welsh is an artist and there is no one better. She takes the words right out of your mouth as she gets to work and tells you what she's thinking which always matches exactly what I'm thinking! There is no one better, period. I always see Katie McCormick and Dr. Welsh, and have seen many others over the years. Every person in that office is at the top of their game and utmost professionals, with Katie being a stand-out. They run a tight ship and it's a wonder to watch everyone work as a team and like clock work. On a personal note, I'm shocked at looking at another review that is negative and even mentions racism. I don't want to begin a whole conversation here, but I felt I had to mention this as my husband and I run a non-profit for immigrants of every color and Dr. Welsh has been our biggest supporter. I am sorry for that reviewers experience, and haven't walked in her shoes, but my personal experience is that Dr. Welsh is kind, empathetic and compassionate, and makes certain that she surrounds herself with a staff that shares those same values. By the way, if you take a look around the office, you'll see many colors of skin. Also, it's literally Dr. Welsh's business to understand every color of skin and how each reacts to every procedure. I'm Native American and Dr. Welsh spoke to me about what that means for expectations and reactions when considering different treatment plans. Bottom line, I won't go anywhere else. Go see Dr. Welsh. You won't be disappointed. You will look the best you ever have!"- T.T. / Yelp / Mar 08, 2020
"I'd like to thank Dr. Welsh for providing a second opinion that helped resolve a tricky dermatological diagnosis. She was kind and professional and asked all the right questions. I would definitely recommend her!"- A.R. / Yelp / Mar 08, 2020
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.