Look Up > Drugs > Podophyllum Resin
Podophyllum Resin
Pronunciation
U.S. Brand Names
Generic Available
Canadian Brand Names
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Usual Dosage
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(po DOF fil um REZ in)

U.S. Brand Names
Pod-Ben-25®; Podocon-25™; Podofin®

Generic Available

Yes


Canadian Brand Names
Podofilm®

Synonyms
Mandrake; May Apple; Podophyllin

Pharmacological Index

Keratolytic Agent


Use

Topical treatment of benign growths including external genital and perianal warts, papillomas, fibroids; compound benzoin tincture generally is used as the medium for topical application


Pregnancy Risk Factor

X


Contraindications

Not to be used on birthmarks, moles, or warts with hair growth; cervical, urethral, oral warts; not to be used by diabetic patient or patient with poor circulation; pregnant women


Warnings/Precautions

Use of large amounts of drug should be avoided; avoid contact with the eyes as it can cause severe corneal damage; do not apply to moles, birthmarks, or unusual warts; to be applied by a physician only; for external use only; 25% solution should not be applied to or near mucous membranes


Adverse Reactions

1% to 10%:

Dermatologic: Pruritus

Gastrointestinal: Nausea, vomiting, abdominal pain, diarrhea

<1%: Confusion, lethargy, hallucinations, leukopenia, thrombocytopenia, hepatotoxicity, peripheral neuropathy, renal failure


Drug Interactions

No data reported


Mechanism of Action

Directly affects epithelial cell metabolism by arresting mitosis through binding to a protein subunit of spindle microtubules (tubulin)


Usual Dosage

Topical:

Condylomata acuminatum: 25% solution is applied daily; use a 10% solution when applied to or near mucous membranes

Verrucae: 25% solution is applied 3-5 times/day directly to the wart


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Cover with occlusive dressing to prevent contact with unaffected skin. Wash off medication as instructed by professional who applied the treatment. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Do not get pregnant during or for 1 month following therapy. Consult prescriber for instruction on appropriate barrier contraceptive measures. This drug may cause severe fetal defects. Do not breast-feed.


Nursing Implications

Shake well before using; solution should be washed off within 1-4 hours for genital and perianal warts and within 1-2 hours for accessible meatal warts; use protective occlusive dressing around warts to prevent contact with unaffected skin


Dosage Forms

Liquid, topical: 25% in benzoin (5 mL, 7.5 mL, 30 mL)


References

"1993 Sexually Transmitted Diseases Treatment Guidelines," MMWR Morb Mortal Wkly Rep, 1993, 42(RR-14):1-102.

Goldfarb MT, Gupta AK, Gupta MA, et al, "Office Therapy for Human Papillomavirus Infection in Nongenital Sites," Dermatol Clin, 1991, 9(2):287-96.


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