What is Carac?

Carac (Care-ack) is a cream used by adults to treat skin conditions on the face and front part of the scalp called solar keratosis or actinic keratosis.


Use Carac once a day as instructed by your doctor. Use it only on your skin. You should use Carac for up to 4 weeks.

  • 1. Clean the area where you will apply Carac. Rinse well and dry the area with a towel and wait 10 minutes before applying Carac.
  • 2. Put Carac on your face as directed by your physician, using your fingertips. Use enough to cover the affected skin.
  • 3. Avoid contact with your eyes, nostrils, and mouth.
  • 4. Wash your hands as soon as you finish putting Carac on your skin.
  • 5. A moisturizer/sunscreen may be applied 2 hours after Carac has been applied. Do not use any other skin products, including creams, lotions, medications, or cosmetics, unless instructed by your doctor.
  • Things to avoid when using Carac

  • Avoid sunlight or other UV light (such as tanning beds) as much as possible while using Carac. Sunlight may increase your side effects. When exposed to sunlight, wear a wide-brimmed hat and use a broad spectrum sunscreen with SPF of at least 30.
  • Do not cover the treated skin with a dressing.
  • Do not breastfeed or become pregnant while using Carac. If you do become pregnant, stop using Carac and tell your doctor right away.
  • Do not use Carac if:

  • you are pregnant or might become pregnant. Carac may harm your unborn child. Tell your doctor if you are able to become pregnant. Your doctor may advise you about birth control to avoid pregnancy.
  • you are nursing a baby. We do not know if Carac can pass to the baby through the milk.
  • you have dihydropyrimidine dehydrogenase (DPD) enzyme deficiency. The active ingredient in Carac, fluorouracil, can cause serious side effects in patients who are DPD enzyme deficient. If you had DPD enzyme deficiency and use medications containing fluorouracil, you may develop serious side effects such as stomach pain, bloody diarrhea, vomiting, fever, or chills.
  • you are allergic to the ingredients in Carac. Ask your doctor or pharmacist about the inactive ingredients.
  • you are under 18 years of age. Carac should not be used in children.
  • Possible side effects of Carac

    Most patients using Carac get skin reactions where the medicine is used. These reactions include redness, dryness, burning, pain, erosion (loss of the upper layer of skin), and swelling. Irritation may continue for two or more weeks after treatment is over. The treated area may become unsightly during therapy.

    Some patients get eye irritation. Eye irritation might consist of burning, sensitivity, itching, stinging, and watering. If you are concerned about side effects, talk to your doctor.

    A few patients have reported side effects such as stomach pain, diarrhea, vomiting, fever, or chills, possibly due to the lack of a specific enzyme, DPD, in their body. If you experience any of these symptoms, discontinue therapy immediately and contact your doctor.

    Report any side effects you experience to your doctor.

    You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 800.FDA.1088.

    How to store Carac

    Keep this medicine at room temperature (68-77°F/20-25°C). Throw away unused medicine. Keep this medicine out of the reach of children.

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    Important Safety Information

    Carac should not be used by women who are nursing, pregnant, or may become pregnant because the drug can harm the baby or unborn baby.

    Carac should not be used in patients with a condition where the body is missing an enzyme known as DPD. Although rare, the drug can cause severe stomach pain, bloody diarrhea