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Podophyllum 25% Topical Solution

FDA-approved generic
Dose form
Topical Solution
Active ingredients
Podophyllotoxin

Podophyllum 25% Topical Solution is a liquid formulation designed for external application to the skin. This solution provides a convenient and versatile means of delivering active ingredients directly to affected areas, ensuring targeted treatment.

It is primarily used for the treatment of dermatological conditions such as genital warts and plantar warts.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Podophyllotoxin
Topical Solution
66fd7b0bdc31c32733aec9f2
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Podophyllum 25% Topical Solution is a compounded liquid formulation intended for external application to the skin. This potent solution contains 25% podophyllum resin, a plant-derived substance traditionally used for its caustic and antimitotic properties. It is commonly utilized in the treatment of benign epithelial growths, notably condylomata acuminata (anogenital warts), and other types of warts that are resistant to conventional therapies.

The mechanism of action involves the inhibition of cell division in the affected tissues. Podophyllum resin interferes with the mitotic spindle formation in rapidly dividing cells, leading to cell death and the subsequent removal of the wart tissue. This targeted approach helps in effectively eliminating abnormal growths while sparing the surrounding healthy skin when applied correctly.

For prescribers, it is essential to consider the potency of Podophyllum 25% Topical Solution. Due to its strength and potential systemic toxicity if absorbed in significant amounts, it should be applied with caution. It is recommended to limit the application to small, localized areas and to avoid use on large surface areas or open wounds. Patients should be thoroughly instructed on the proper application techniques to minimize potential side effects.

Patients using this formulation should apply it strictly as directed by their healthcare provider. The solution should be applied only to the affected area using a precise applicator, such as a cotton swab, to prevent contact with healthy skin or mucous membranes. After application, the treated area should be allowed to dry, and the solution should be washed off after a prescribed period, typically 1 to 4 hours, to reduce the risk of irritation or systemic absorption.

Common side effects may include local irritation, redness, burning, or itching at the application site. If symptoms persist or worsen, patients are advised to contact their healthcare provider promptly. Serious adverse effects are rare but can occur if the solution is misused or overapplied, leading to systemic toxicity characterized by nausea, vomiting, diarrhea, or neurological symptoms such as confusion or muscle weakness.

Podophyllum 25% Topical Solution is contraindicated in pregnant women due to the risk of teratogenic effects and should be used with caution in breastfeeding mothers. It is crucial for prescribers to verify pregnancy status before initiating treatment and to discuss appropriate contraceptive measures during therapy.

Proper storage of the medication is important to maintain its efficacy. The solution should be kept in a tightly closed container, stored at controlled room temperature, away

Drug Interactions

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Podophyllum 25% Topical Solution is a potent medication primarily used for the treatment of certain dermatological conditions, such as warts, including genital warts, and other skin growths. It works by arresting cell division, leading to the destruction of the treated tissue. While effective, it is crucial to be aware of potential drug interactions and considerations when using this formulation.

Podophyllum 25% Topical Solution is intended for external use only and should not be ingested or applied to mucous membranes. Patients should be advised to apply the solution only to the affected area and avoid contact with healthy skin to prevent irritation or damage. It is important to wash hands thoroughly after application to prevent accidental transfer to other areas of the body or to other individuals.

There are no well-documented systemic drug interactions with Podophyllum 25% Topical Solution due to its topical application and minimal systemic absorption. However, caution should be exercised when using other topical medications concurrently on the same area of skin, as this may increase the risk of local irritation or alter the effectiveness of either treatment. Patients should inform their healthcare provider of all medications they are currently using, including over-the-counter products and herbal supplements, to ensure safe and appropriate use of this topical solution.

Patients with a history of hypersensitivity to podophyllum or any of its components should avoid using this product. Additionally, the use of Podophyllum 25% Topical Solution is contraindicated in pregnant women due to the potential for teratogenic effects. Women of childbearing potential should use effective contraception during treatment and consult their healthcare provider if they become pregnant.

Healthcare providers should monitor patients for signs of local irritation, such as redness, swelling, or pain, and advise discontinuation of the product if severe reactions occur. In cases of accidental ingestion or extensive application leading to systemic absorption, symptoms such as nausea, vomiting, diarrhea, or central nervous system effects may occur, necessitating immediate medical attention.

For any questions or concerns regarding the use of Podophyllum 25% Topical Solution, patients and prescribers are encouraged to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is available to provide guidance and support to ensure appropriate treatment.

How Does it Work

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Podophyllum 25% Topical Solution is a potent liquid formulation designed for external application to the skin, specifically targeting dermatological conditions such as warts, including genital warts, and other hyperkeratotic lesions. This formulation leverages the active ingredient, podophyllum resin, which is derived from the roots and rhizomes of the Podophyllum plant. The resin contains several lignans, with podophyllotoxin being the most active component, known for its ability to inhibit cell division and induce cell death in rapidly proliferating cells.

When applied to the skin, Podophyllum 25% Topical Solution works by interfering with the mitotic spindle formation during cell division. This action effectively halts the proliferation of abnormal skin cells, such as those found in warts, leading to their eventual destruction and removal. The solution is applied directly to the affected area, allowing for precise targeting of lesions while minimizing exposure to surrounding healthy tissue. This targeted approach helps reduce the risk of systemic absorption and potential side effects, making it a preferred option for localized treatment.

For patients, it is crucial to follow the application instructions provided by their healthcare provider to ensure optimal results and minimize adverse effects. Typically, the solution is applied to the wart or lesion and left to dry, forming a protective film over the area. The treatment schedule may vary depending on the size and location of the lesion, as well as the patient's response to therapy. Patients should be advised to avoid contact with healthy skin and mucous membranes, as the solution can cause irritation or damage to these areas.

Prescribers should consider the patient's overall health status, including any contraindications such as pregnancy, as podophyllum is contraindicated in pregnant women due to its potential teratogenic effects. Additionally, the prescriber should assess the lesion's characteristics to determine the appropriateness of this treatment. Monitoring the patient's progress and adjusting the treatment regimen as necessary is essential to achieving the desired therapeutic outcome.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Other Uses

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Podophyllum 25% Topical Solution is primarily used for the treatment of certain dermatological conditions, most notably for the removal of warts, including genital warts caused by the human papillomavirus (HPV). However, this formulation may have other potential uses that can be considered by healthcare providers and patients. Beyond its primary indication, Podophyllum 25% Topical Solution may be explored for its potential in treating other skin growths or lesions that are similar in nature to warts, such as molluscum contagiosum, a viral infection that results in raised, pearl-like papules on the skin. Its mechanism of action, which involves the inhibition of cell division, can be beneficial in managing these types of skin conditions.

Additionally, some practitioners may consider its use in the treatment of certain keratotic lesions, such as actinic keratosis, which are precancerous skin growths caused by sun damage. While not a first-line treatment, Podophyllum's ability to disrupt abnormal cell growth may offer an alternative for patients who cannot tolerate other treatments. It is important to note that the use of Podophyllum 25% Topical Solution for these alternative indications should be approached with caution and under the guidance of a healthcare professional, as the solution is potent and can cause irritation or damage to healthy skin if not applied correctly.

For prescribers, it is crucial to assess the individual patient's condition, medical history, and potential for adverse reactions before considering Podophyllum 25% Topical Solution for off-label uses. Patients should be thoroughly educated on the proper application techniques, potential side effects, and the importance of adhering to prescribed treatment regimens to minimize risks and enhance therapeutic outcomes. As with any medication, the benefits and risks should be carefully weighed, and ongoing monitoring should be conducted to ensure safety and efficacy.

If you have any questions or need further information about the potential uses of Podophyllum 25% Topical Solution, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or other dermatological treatments.

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Frequently Asked Questions

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What is Podophyllum 25% Topical Solution used for?

Podophyllum 25% Topical Solution is used for the treatment of certain dermatological conditions, such as warts, by providing a targeted application of the active ingredient to the affected area.

How should I apply Podophyllum 25% Topical Solution?

Apply the solution directly to the affected area of the skin as directed by your healthcare provider. Ensure the area is clean and dry before application, and avoid contact with healthy skin.

Can I use Podophyllum 25% Topical Solution on open wounds?

No, Podophyllum 25% Topical Solution should not be applied to open wounds or broken skin. It is intended for use on intact skin only.

How often should I use Podophyllum 25% Topical Solution?

The frequency of application will depend on your specific condition and the recommendation of your healthcare provider. Follow their instructions carefully.

Are there any side effects associated with Podophyllum 25% Topical Solution?

Some possible side effects include skin irritation, redness, or burning at the application site. If you experience severe reactions, contact your healthcare provider immediately.

Can I use Podophyllum 25% Topical Solution during pregnancy?

Consult your healthcare provider before using Podophyllum 25% Topical Solution during pregnancy, as it may not be recommended due to potential risks to the fetus.

Is Podophyllum 25% Topical Solution safe for children?

Podophyllum 25% Topical Solution should be used with caution in children and only under the guidance of a healthcare provider, as their skin may be more sensitive to the formulation.

What should I do if I accidentally ingest Podophyllum 25% Topical Solution?

If ingested, seek medical attention immediately. Podophyllum 25% Topical Solution is for external use only and can be harmful if swallowed.

How should I store Podophyllum 25% Topical Solution?

Store the solution in a cool, dry place away from direct sunlight and out of reach of children. Ensure the container is tightly closed when not in use.

Can I use other skin products while using Podophyllum 25% Topical Solution?

Consult your healthcare provider before using other skin products in conjunction with Podophyllum 25% Topical Solution to avoid potential interactions or irritation.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Podophyllum 25% Topical Solution
Topical Solution
60 mL
controlled

Apply topically to affected area(s)

In office, as directed