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Podophyllum resin: Drug information

Podophyllum resin: Drug information
(For additional information see "Podophyllum resin: Patient drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Podocon-25
Brand Names: Canada
  • Podofilm [DSC]
Pharmacologic Category
  • Keratolytic Agent
Dosing: Adult
Warts

Warts: Topical: Applied by physician only.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Pediatric

Refer to adult dosing.

Dosing: Older Adult

Refer to adult dosing.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution, External:

Podocon-25: 25% (15 mL)

Generic Equivalent Available: US

No

Dosage Forms: Canada

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Solution, External:

Podofilm: 25% ([DSC])

Administration: Adult

Topical: For external use only; avoid contact with eyes. To be applied by medical professional only; cleanse and dry affected area prior to application. Shake well prior to use. Use applicator provided with product to apply sparingly to lesions; avoid contact with healthy tissue; allow to dry thoroughly. When applying for the first time, leave on for only 30 to 40 minutes to determine patient sensitivity. After first, use may leave on 1 to 4 hours depending on severity of lesion; systemic absorption may occur with prolonged contact. Do not treat large areas or many warts at one time. Do not use if wart or surrounding tissue is inflamed or irritated. Do not use on bleeding warts, moles, birthmarks, or unusual warts with hair growing from them. Remove drug with alcohol or soap and water once treatment time has elapsed.

Administration: Pediatric

Topical: For external use only; avoid contact with eyes. To be applied by medical professional only; cleanse and dry affected area prior to application. Shake well prior to use. Use applicator provided with product to apply sparingly to lesions; avoid contact with healthy tissue; allow to dry thoroughly. When applying for the first time leave on for only 30 to 40 minutes to determine patient sensitivity. After first use may leave on 1 to 4 hours depending on severity of lesion; systemic absorption may occur with prolonged contact. Do not treat large areas or many warts at one time. Remove drug thoroughly with alcohol or soap and water once treatment time has elapsed. Do not use if wart or surrounding tissue is inflamed or irritated. Do not use on bleeding warts, moles, birthmarks, or unusual warts with hair growing from them.

Use: Labeled Indications

Warts: Topical treatment of soft external genital (venereal) warts (condylomata acuminata); compound benzoin tincture generally is used as the medium for topical application.

Note: CDC sexually transmitted infections guidelines no longer recommend podophyllum resin as an option for the treatment of external genital warts due to reports of systemic toxicity when applied incorrectly, and because of the availability of safer alternative agents. Use may be considered for provider-administered treatment under select conditions (CDC [Workowski 2021]).

Medication Safety Issues
High alert medication:

The Institute for Safe Medication Practices (ISMP) includes this medication among its list of drugs that have a heightened risk of causing significant patient harm when used in error.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified.

Frequency not defined.

Central nervous system: Coma, paresthesia, polyneuropathy

Gastrointestinal: Paralytic ileus

Hematologic & oncologic: Leukopenia, thrombocytopenia

Miscellaneous: Fever

Contraindications

Not to be used on bleeding warts, birthmarks, moles, or warts with hair growth; not to be used by patients with diabetes or poor circulation; concurrent use of steroids; pregnancy; breastfeeding.

Warnings/Precautions

Other warnings/precautions:

• Appropriate use: Use of large amounts of drug should be avoided. For external use only; avoid contact with the eyes as it can cause severe corneal damage; do not apply to moles, birthmarks, or unusual warts; do not use if wart or surrounding tissue is inflamed/irritated or contains open lesions. To be applied by a health care professional only.

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Pregnancy Considerations

Fetal abnormalities, fetal death, and stillbirth have been reported following use of podophyllum resin in patients who are pregnant. Use is contraindicated during pregnancy.

Breastfeeding Considerations

It is not known of podophyllum resin is present breast milk.

Use in breastfeeding patients is contraindicated by the manufacturer.

Mechanism of Action

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

Pricing: US

Solution (Podocon-25 External)

25% (per mL): $8.17

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Brand Names: International
  • Condiver (CO);
  • Podofilia NRO (MX);
  • Podofilm (CL, HK, SG);
  • Podowart Paint (IN)


For country code abbreviations (show table)
  1. Podocon-25 (podophyllum resin) [prescribing information]. Minneapolis, MN: Perrigo; November 2018.
  2. Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1-187. doi:10.15585/mmwr.rr7004a1 [PubMed 34292926]
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