Actinic Keratosis - nonhypertrophic, visible or palpable actinic of the full face or balding scalp in immunocompetent adults when other topical treatment options are contraindicated or less appropriate.

• Small SUPERFICIAL basal cell carcinomas (sBCCs) in adults.
• Clinically typical, nonhyperkeratotic, nonhypertrophic actinic keratoses (AKs) on the face or scalp in immunocompetent adult patients when size or number of lesions limit the efficacy and/or acceptability of cryotherapy and other topical treatment options are contraindicated or less appropriate. Zyclara (Imiquimod (3.75% cream)
• Clinically typical, nonhyperkeratotic, nonhypertrophic, visible or palpable actinic keratosis (AK) of the full face or balding scalp in immunocompetent adults when other topical treatment options are contraindicated or less appropriate.

South Yorkshire Guideline Actinic Keratosis 

Second line if first line therapy did not show improvement. 

Brands -

Aldara or Bascellex (Imiquimod 5% cream)