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Pronunciation |
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(po
DOF fil um REZ
in) |
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U.S. Brand
Names |
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Pod-Ben-25®; Podocon-25™;
Podofin® |
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Generic
Available |
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Yes |
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Canadian Brand
Names |
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Podofilm® |
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Synonyms |
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Mandrake; May Apple; Podophyllin |
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Pharmacological Index |
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Keratolytic Agent |
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Use |
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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 |
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Pregnancy Risk
Factor |
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X |
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Contraindications |
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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 |
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Warnings/Precautions |
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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 |
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Adverse
Reactions |
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1% to 10%:
Dermatologic: Pruritus
Gastrointestinal: Nausea, vomiting, abdominal pain, diarrhea
<1%: Confusion, lethargy, hallucinations, leukopenia, thrombocytopenia,
hepatotoxicity, peripheral neuropathy, renal failure |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Directly affects epithelial cell metabolism by arresting mitosis through
binding to a protein subunit of spindle microtubules
(tubulin) |
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Usual Dosage |
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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
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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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. |
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Nursing
Implications |
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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 |
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Dosage Forms |
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Liquid, topical: 25% in benzoin (5 mL, 7.5 mL, 30 mL) |
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References |
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"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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