Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Actikerall
5-FU / salicylic acid
Prescription only
Actikerall prescribed online(5-FU / salicylic acid)
Actikerall is a topical solution with 5-fluorouracil and salicylic acid. It treats thicker spots of actinic keratosis. Your clinician reviews your photos and decides if it is right for you.
Start my assessmentAt a glance
- Topical solution (5-FU and salicylic acid)
- For thick actinic keratosis spots
- A course of up to about 12 weeks
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Do not use Actikerall if you are pregnant. Apply it only on the spot, and keep it away from your eyes, mouth and healthy skin. Expect redness and crusting.
How your clinician sets your plan
Your clinician decides which spots to treat, how often to apply the solution and for how long. The plan depends on the spots, your skin and how it reacts.
Considerations include
- Thickness of each spot
- Number and location of spots
- Skin sensitivity and past reactions
- Past sun-damage treatments and results
- Pregnancy plans and breastfeeding
How Actikerall works
Actikerall softens thick spots and targets damaged cells
Actikerall has two parts. Salicylic acid softens and peels the thick, hard layer on top of the spot. 5-fluorouracil then reaches the sun-damaged cells and blocks their growth.
The skin reacts as the damaged cells die. After treatment, new and healthier skin grows back.
Modern Dermatology
Actikerall
5-FU / salicylic acid
Prescription only
Recommended for
- Thick actinic keratosis spots
- A few isolated spots
- Spots on the face, scalp or hands
- Spots that thin creams do not clear
- People who can care for sore skin for some weeks
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Softens thick skin
Salicylic acid lifts hard scale
Blocks DNA building
Hits fast-growing damaged cells
Clears single spots
Applied only to the spot
Lets new skin grow
Healthy skin replaces the old
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYour clinician decides if Actikerall is right for you. You share your history and photos, and a Canadian-licensed medical professional reviews them. If Actikerall is prescribed, a Canadian pharmacy fills it.
Actikerall combines two medicines. Salicylic acid softens the thick top layer, and 5-fluorouracil blocks the growth of sun-damaged cells. Healthy skin then grows back.
A course can last up to about 12 weeks. Redness and crusting build over that time, and the skin heals after. Your clinician tells you when to stop.
Redness, burning, soreness and crusting on the treated spot are expected. Sun sensitivity is common. Call your Care Team if pain is severe or if the skin looks infected.
Do not use it in pregnancy. Do not use it if you are allergic to it, or if you know you lack the DPD enzyme. Tell your clinician about all your medicines.
Efudex, which is 5-fluorouracil alone, treats a larger area. Imiquimod is a cream with a different action. In-person options include freezing the spot. Your clinician helps you choose.
Do not put other active skin products on the spot. A gentle moisturizer on the skin around it may be fine if your clinician allows it. Tell your clinician about every product you use.
No. Do not use it in pregnancy, because it can harm a baby. Tell your clinician if you plan pregnancy or breastfeed. Your clinician can suggest other care.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
Actikerall is a brand name. Ask your pharmacist if another version is available. Your clinician writes the prescription for the product that fits you.
Your clinician reviews your progress before a refill. Your Care Team sends the renewal to your pharmacy when your clinician approves it. Write to us before you run out, so that your treatment does not stop.
See a doctor if a spot bleeds, grows fast, hurts or does not heal. These can be signs of skin cancer. Your clinician may refer you for an in-person check.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
Related treatments
Your clinician can suggest another option when this one is not the right fit.