Head-to-head comparisons of medication uses, side effects, warnings, and more.
Fluorouracil (Efudex) topical
Picato (ingenol mebutate)
Fluorouracil (Efudex) topical
Picato (ingenol mebutate)
Summary of Efudex vs. Picato
Summary for Antimetabolite
Prescription only
Fluorouracil (Efudex) topical is an antimetabolite. It's available as 5% topical cream and solution, and as 2% solution. Both strengths can treat actinic keratosis, a precancerous skin condition caused by exposure to ultraviolet (UV) light over time. But only fluorouracil 5% is approved to treat basal cell carcinoma, a type of skin cancer. Fluorouracil (Efudex) topical is applied directly on the affected area(s) twice daily for 2 to 6 weeks, depending on what condition you're being treated for. Side effects of this medication can include skin burning, crusting, and irritation.
Summary for Topical gel
Prescription only
Picato (ingenol mebutate) was a medication used for actinic keratosis. It was a gel that was applied directly on the skin. It has been discontinued in the United States because it's linked to higher a risk of skin cancer.