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Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% Topical Ointment

The Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% Topical Ointment is a semi-solid formulation designed for external application to the skin. This ointment is dispensed in a tube and provides a greasy or oily base, which facilitates the localized delivery of its active ingredients. The combination of podophyllum, salicylic acid, and trichloroacetic acid in this ointment is specifically used for the treatment of plantar warts, palmar warts, and condyloma acuminatum. The therapeutic agents work synergistically to exert antiviral, keratolytic, and caustic effects, aiding in the removal of warts and the reduction of associated symptoms.

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Topical Ointment
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Formula Information

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Our Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% Topical Ointment is a meticulously crafted semi-solid formulation, specifically designed for external application to the skin. This ointment is dispensed in a tube, providing a convenient and controlled method of application. The base of the ointment is greasy or oily, which not only facilitates the delivery of the active ingredients to the affected area but also provides a protective barrier that can aid in the healing process. This type of base is particularly beneficial for ensuring that the medication remains in contact with the skin for an extended period, allowing for optimal absorption of the therapeutic agents.

The combination of Podophyllum, Salicylic Acid, and Trichloroacetic Acid in a 5% concentration each serves a specific purpose in treating various skin conditions. Podophyllum is known for its antimitotic properties, making it effective in treating warts by stopping cell division in the affected skin cells. Salicylic Acid is a keratolytic agent that promotes the shedding of the outer layer of skin, aiding in the treatment of conditions like psoriasis, calluses, and corns by softening and sloughing off dead or hardened skin. Trichloroacetic Acid is a chemical cauterant and is used to chemically exfoliate the skin, which can be beneficial in the removal of warts, as well as in the treatment of other skin lesions by destroying unwanted tissue.

This combination therapy is particularly effective for the localized treatment of skin conditions such as plantar and common warts, psoriasis, and other hyperkeratotic disorders. The synergistic effect of the three active ingredients allows for a broad approach to treatment, targeting different aspects of the skin condition simultaneously. However, due to the potent nature of the ingredients, it is crucial to apply the ointment carefully and only to the affected areas to minimize the risk of irritation to healthy skin. Additionally, patients should be advised to follow the specific application instructions provided by their healthcare provider to ensure safety and efficacy.

It is important for both patients and prescribers to be aware of the potential side effects, which may include local irritation, redness, and peeling of the skin. The use of this ointment should be monitored by a healthcare professional, and its use should be discontinued if excessive irritation occurs. As with any medication, it is essential to use this product under the guidance of a healthcare provider who can evaluate the appropriateness of the treatment for the individual's specific condition.

If you have any questions or require further information about our Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% Topical Ointment, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the highest level of care and support.

Drug Interactions

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The topical ointment formulation containing Podophyllum 5%, Salicylic Acid 5%, and Trichloroacetic Acid 5% is a potent treatment designed for the localized therapy of various skin conditions, including warts, molluscum contagiosum, and other skin lesions. The therapeutic effects of this formulation are derived from the combined action of its active ingredients. Podophyllum is an antimitotic agent that stops cell division, leading to the death of the tissue. Salicylic Acid is a keratolytic that causes shedding of the outer layer of skin. Trichloroacetic Acid is a caustic agent that destroys skin cells and is used for chemical peels and to treat warts.

When using this formulation, it is important to consider potential drug interactions. The active ingredients in this ointment may interact with other topical treatments, leading to increased irritation or altered therapeutic effects. For instance, concurrent use of other keratolytic or abrasive agents may enhance the local irritant effects and should be avoided or monitored closely. Additionally, the use of occlusive dressings over the area of application can increase the absorption of the active ingredients, potentially leading to systemic toxicity, particularly with Salicylic Acid in large areas or in patients with compromised liver or renal function.

Systemic interactions are less likely with topical application compared to oral or parenteral routes; however, caution is advised when the ointment is applied to large areas of the body or to damaged skin, where systemic absorption is more likely. Patients should be advised to avoid using other topical medications, especially those containing alcohol, astringents, spices, lime, or any other potential irritants in the same area as the ointment without prior consultation with a healthcare provider.

Patients with diabetes or poor blood circulation should use this product with caution, as they may be at increased risk for complications from skin treatments. Additionally, the use of this formulation in patients who are pregnant or breastfeeding is not recommended due to the potential for systemic absorption and risk to the fetus or infant. It is essential to discuss all current medications, including over-the-counter drugs and supplements, with a healthcare provider before starting treatment with this ointment.

It is also important to note that while this formulation is designed for external use only, care should be taken to avoid contact with the eyes, mouth, and mucous membranes. In case of accidental contact, the area should be rinsed thoroughly with water. Patients should be instructed to wash their hands thoroughly after applying the ointment to prevent the spread of the medication to other areas of the body or to other individuals.

If you have any questions or require further information regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing you with the necessary guidance to ensure safe and effective treatment.

How Does it Work

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The Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% Topical Ointment is a specially compounded formulation designed to treat a variety of skin conditions, including warts, calluses, and other growths. This ointment is a semi-solid preparation that is applied externally to the affected area of the skin. The greasy or oily base of the ointment serves as a vehicle to deliver the active ingredients directly to the site of the skin condition, ensuring that the medication is localized and reduces the potential for systemic side effects.

Podophyllum resin, the first active ingredient, is derived from the roots of the Podophyllum plant. It has antimitotic properties, meaning it can stop cells from dividing. This is particularly useful in treating warts, as it causes the wart tissue to die and eventually fall off. Podophyllum is applied topically and works by targeting the rapidly dividing cells that make up the wart, preventing their growth and allowing healthy skin to take its place.

Salicylic Acid, the second active ingredient, is a keratolytic agent. It works by increasing the amount of moisture in the skin and dissolving the substance that causes skin cells to stick together. This makes it easier to shed skin cells. In the treatment of warts and calluses, salicylic acid helps to soften and slough off the top layer of skin cells, allowing the healthier skin underneath to emerge. It also has mild antiseptic properties that can help reduce the risk of infection.

Trichloroacetic Acid (TCA), the third active ingredient, is a chemical cauterant that destroys warts by chemically coagulating the proteins in the cells. When applied to the skin, TCA causes the proteins in the wart to denature and leads to necrosis of the affected tissue. This results in the peeling away of the wart from the surrounding healthy skin. TCA is also used for the removal of other benign skin growths and for skin peeling in some cosmetic procedures.

When using this ointment, it is important to apply it only to the affected area, as the active ingredients can be harmful to healthy skin. The ointment should be used as directed by a healthcare provider, and patients should follow the specific instructions provided by their prescriber or pharmacist. It is also important to protect the surrounding skin with a barrier, such as petroleum jelly, to prevent irritation from the active ingredients.

Patients and prescribers should be aware that this formulation can cause local irritation and should be used with caution. It is not suitable for use on sensitive areas of the skin or on moles, birthmarks, warts with hair growing from them, or genital/anal warts. If you have any questions or concerns about using this formulation, please reach out to us at Bayview Pharmacy for further assistance.

Other Uses

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Aside from its primary use, this Podophyllum 5%/Salicylic Acid 5%/Trichloroacetic Acid 5% topical ointment may serve alternative therapeutic roles due to the pharmacological activities of its individual components. Podophyllum is traditionally used for its antimitotic properties, making it suitable for addressing plantar warts and genital warts. Salicylic acid offers keratolytic effects that can aid in treating various keratotic and hyperkeratotic skin disorders such as psoriasis, ichthyosis, or acanthosis nigricans by promoting the shedding of dead skin cells. Trichloroacetic acid, known for its cauterizing and desiccating properties, is often used in dermatology for chemical peels and can help in the management of xerosis (excessively dry skin) or as a treatment for actinic keratosis, which is a precancerous skin lesion caused by sun damage. In combination, these ingredients can provide a multipronged approach to managing skin lesions with varying etiologies.

It is crucial to note that despite the potential auxiliary uses, the safety and efficacy for these indications may vary between individuals. The formulation is designed for targeted use and should be applied on the advice of a healthcare professional, with careful consideration for the specific condition being treated. Patients must adhere to application instructions to minimize systemic absorption and potential side effects, including irritation, burning, or scarring, particularly given the inclusion of trichloroacetic acid. As a compounding pharmacy, we have the ability to customize formulations based on the patient's specific needs and the prescriber’s directives, hence if there are any questions or specific requirements related to this or other formulations, please reach out to us at Bayview Pharmacy for further support and guidance. Our expertise allows us to assist in optimizing therapeutic outcomes for the various conditions that may benefit from this compounded medication.

Frequently Asked Questions

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What is Podophyllum/Salicylic Acid/Trichloroacetic Acid Topical Ointment used for?

This topical ointment is a compounded medication used for the localized treatment of skin conditions. The combination of active ingredients is typically used to treat warts, including plantar and genital warts, by helping remove them. It may also be used for other skin conditions as prescribed by a healthcare provider.

How should this ointment be applied?

Clean and dry the affected area before applying a small amount of the ointment as directed by your healthcare provider. It's important to apply it precisely to the affected skin and avoid getting the medication on the surrounding healthy tissue. Follow your healthcare provider's instructions regarding the frequency and duration of application.

Can this ointment be used on any part of the body?

This ointment is not suitable for all parts of the body. Avoid using it on the face, eyes, or mucous membranes unless directed by a healthcare provider. It should be used with extreme caution due, to the presence of potent ingredients that can cause irritation or harm if applied improperly.

Are there any storage instructions for the ointment?

Yes, store the ointment at room temperature away from light and moisture. Do not freeze the medication, and keep it out of reach of children and pets.

What are the possible side effects of this compounded ointment?

Possible side effects include local irritation, redness, burning sensation, peeling, or scarring at the application site. If you experience any severe reactions or signs of an allergic reaction, such as swelling or difficulty breathing, seek immediate medical attention.

Can this ointment be used during pregnancy or while breastfeeding?

Consult with your healthcare provider before using this medication if you are pregnant or breastfeeding, as it contains ingredients that may not be safe for use during these conditions without professional guidance.

What should be done if the ointment is accidentally ingested?

If the ointment is accidentally ingested, seek immediate medical attention or contact poison control. Do not induce vomiting unless instructed to do so by a medical professional.

How long does it take to see results from using the ointment?

The time to see results can vary depending on the individual and the condition being treated. It's important to use the ointment consistently as directed and to communicate with your healthcare provider about the progress and effectiveness of the treatment.

Can I apply makeup or other skincare products over the ointment?

It's best not to apply makeup or other skincare products over the area where the ointment has been applied. These products can interfere with the effectiveness of the medication and may cause additional irritation. Wait until the treatment area has completely healed before resuming the use of such products.

Is it necessary to follow up with a healthcare provider after using the ointment?

Yes, it is important to follow up with your healthcare provider to assess the effectiveness of the treatment and for further instructions. They might adjust the treatment plan based on the response to the medication and any side effects you may have experienced.

Can I use the ointment on open wounds?

This ointment should not be used on open wounds or damaged skin unless specifically directed by your healthcare provider. Its components are meant for use on intact skin to treat specific conditions and can delay healing or cause irritation if applied to open wounds.

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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.