1 May 2026Drugs for external use and antiseptics
Podophyllum resin, solution
Podophyllum resin guidance for selected genital and perianal warts, with protective application and toxicity precautions.
Prescription under medical supervision
This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.
Therapeutic action
Antiviral, antimitotic, cytolytic agent active against human papillomaviruses (HPVs).
Indications
External genital warts, perianal warts and vaginal warts.
Forms and strengths
Podophyllum resin in alcohol or compound benzoin tincture, 10%, 15% and 25% solution for topical application.
Use
- Always apply a protective layer of vaseline or zinc oxide ointment on the surrounding skin prior to treatment.
- Apply podophyllum resin to warts.
- For external warts, leave on the warts for 1 to 4 hours then wash with soap and water.
- For vaginal warts, allow to dry before removing the speculum.
Duration
Apply once weekly if necessary, for a maximum of 4 weeks.
Contra-indications, adverse effects, precautions
- Do not use to treat genital warts in children.
- Do not apply to healthy skin or mucous membranes, or to warts over 3 cm, or to cervical, urethral, anorectal or oral warts.
- May cause local reactions such as erythema, ulceration, and pain in the area where applied, and systemic adverse effects including gastrointestinal, haematological and neurological disorders in the event of prolonged or excessive application or when applied to bleeding lesions.
- Avoid contact with eyes. In case of eye contact flush immediately with plenty of water.
- Pregnancy: contraindicated.
- Breast-feeding: contraindicated.
Source
MSF Essential drugs practical guidelines (January 2026)
This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.
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