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Fluorouracil cream

Brand names: Efudex, Carac

Fluorouracil cream removes precancerous sun damage spots (actinic keratoses) and some superficial skin cancers.

Brand namesEfudex, Carac
Type of medicineTopical chemotherapy
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

Treated areas get red, crusty, and sore before they heal over a few weeks.

What it's used for

  • Actinic keratosis
  • Superficial basal cell carcinoma

How to take it

  • Apply as directed for 2 to 4 weeks, then let the skin heal.
  • Wash your hands well after; avoid eyes, nose, and mouth.
  • Stay out of the sun.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Redness, crusting, burning, and soreness
Call 911Severe vomiting, diarrhea, mouth sores, or fever (rare severe reaction in people with DPD deficiency)

Warnings

  • Keep it away from pets; small amounts can be deadly to dogs.

Other medicines, foods, and alcohol

  • None known.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Not used in pregnancy.

Missed doses, overdose, and storage

If you miss a dose

Apply it when you remember, then go back to your usual schedule. Don't apply extra to make up for it.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.