How to use Podophyllin for genital warts ?



Podophyllin is a prescription medication used to treat genital and anal warts in adults. Is belongs to a drug class called Keratolytic Agents

  • Podophyllin is available under various brand names: Podocon-25
genital warts


Common side effects of Podophyllin include:

  • swelling, redness, or tenderness of treated skin;
  • itching; or
  • burning pain.

Serious side effects of Podophyllin include:

  • hives,
  • difficulty breathing,
  • swelling of the face, lips, tongue, or throat,
  • severe burning, 
  • stinging, 
  • irritation,
  • change in the mental state, confusion, agitation, seizure (convulsions), loss of consciousness;
  • drowsiness or a light-headed feeling;
  • weak or shallow breathing;
  • severe constipation, little or no urination;
  • weakness, numbness, tingling in the arms or legs;
  • easy bruising or bleeding (nosebleeds, bleeding gums), bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
  • upper stomach pain, loss of appetite; or
  • chest pain, pounding heartbeats or fluttering in the chest, shortness of breath.

Rare side effects of Podophyllin include:

  • none

Seek medical care or call 911 at once if you have the following serious side effects:

  • Severe headache, confusion, slurred speech, arm or leg weakness, trouble walking, loss of coordination, feeling unsteady, very stiff muscles, high fever, profuse sweating, or tremors;
  • Serious eye symptoms such as sudden vision loss, blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
  • Serious heart symptoms include fast, irregular, or pounding heartbeats; fluttering in the chest; shortness of breath; sudden dizziness, lightheartedness, or passing out.

This is not a complete list of side effects and other serious side effects or health problems that may occur because of the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may report side effects or health problems to FDA at 1-800-FDA-1088.


 Adult  and pediatric dosage

Topical cream

  • 0.1 % (Rx)
  • Topical gel
  • 0.1 % (OTC)
  • 0.3 % (Rx)
  • Topical lotion
  • 0.1 % (Rx)

Genital warts

  • Adult and pediatric dosage
  • Podophyllum should not be used for self-treatment. Covering too much skin with podophyllum or applying it to broken skin increases the chance of getting poisoned. It's safer to use podophyllotoxin (one of the chemicals in podophyllum).
  • For genital warts caused by the human papilloma virus (HPV): A 0.5% podophyllotoxin gel is applied twice daily for three days in a row and repeated for two to four cycles. Podophyllotoxin is a chemical taken from podophyllum. Podophyllotoxin (podofilox, Condylox) is an FDA-approved drug. Podophyllotoxin might be more effective than podophyllum and is less toxic.

Dosage Considerations – Should be Given as Follows: 

  • See “Dosages”


If your medical doctor is using this medicine to treat your pain, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first

  • Podophyllin has no noted severe interactions with any other drugs.
  • Podophyllin has no noted serious interactions with any other drugs.
  • Podophyllin has no noted moderate interactions with any other drugs.
  • Podophyllin has no noted minor interactions with any other drugs.

This information does not contain all possible interactions or adverse effects. Visit the RxList Drug Interaction Checker for any drug interactions. Therefore, before using this product, tell your doctor or pharmacist about all your products. Keep a list of all your medications with you and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions or concerns.



  • Diabetes;
  • Circulation problems;
  • if you are using steroid medicine; or
  • if you are pregnant or breastfeeding.

Effects of drug abuse

  • None

Short-Term Effects

  • See “What Are Side Effects Associated with Using Podophyllin?”

Long-Term Effects

  • See “What Are Side Effects Associated with Using Podophyllin?”


  • Podophyllin is a powerful caustic and severe irritant. Keep away from the eyes; if eye contact occurs, flush with copious amounts of warm water and consult a physician or poison control center immediately for advice.
  • Do not use podophyllin if the wart or surrounding tissue is inflamed or irritated. Do not use on bleeding warts, moles, birthmarks, or unusual warts with hair growing from them.
  • Podophyllum resin topical can cause severe irritation. If this medicine gets in your eyes, rinse with plenty of water and call your doctor right away.
  • Avoid getting this medicine in your eyes, nose, mouth, rectum, vagina, or urethra.
  • Avoid allowing healthy skin to come into contact with a genital wart. Always wash your hands after touching a genital wart or applying for this medicine.
  • Using podophyllum resin topical will not prevent you from passing genital or anal warts to another person during skin-to-skin contact or sexual intercourse. Talk with your doctor about safe ways to prevent the transmission of genital warts during sex.

Pregnancy & Lactation

  • Podophyllum resin topical can cause birth defects. Do not use it if you are pregnant.


  • You should not breastfeed while using this medicine.

Jose Phiri

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References For STD-STI Information

1. Workowski KA, Bolan GA; CDC. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.

2. CDC. Sexually Transmitted Disease Surveillance 2014. Atlanta, GA: U.S. Department of Health and Human Services; 2015.

3. Newman LM, Moran JS, Workowski KA. Update on the management of gonorrhea in adults in the United States. Clin Infect Dis. 2007;44(suppl 3):S84-S101.

4. Swygard H, Seña AC, Cohen MS. Treatment of uncomplicated gonococcal infections. UpToDate. Accessed February 12, 2016.

5. Ghanem KG. Clinical manifestations and diagnosis of Neisseria gonorrhoeae infection in adults and adolescents. UpToDate. Accessed February 12, 2016.

6. Goldenberg DL, Sexton DJ. Disseminated gonococcal infection. UpToDate. Accessed February 17, 2016.

7. Unemo M, Nicholas RA. Emergence of multidrug-resistant, extensively drug-resistant and untreatable gonorrhea. Future Microbiol. 2012;7:1401-1422.

8. CDC. CDC Grand Rounds: the growing threat of multidrug-resistant gonorrhea. MMWR Morb Mortal Wkly Rep. 2013;62:103-106.

9. Kidd S, Workowski KA. Management of gonorrhea in adolescents and adults in the United States. Clin Infect Dis. 2015;61(suppl 8):S785-S801.

10. World Health Organization. Global action plan to control the spread and impact of antimicrobial resistance in Neisseria gonorrhoeae. Geneva, Switzerland: World Health Organization; 2012.

11. McKie RA. Sexually transmitted diseases. Accessed May 1, 2016.