A patient is suffering from plantar warts. The doctor has provided the following

Question

A patient is suffering from plantar warts. The doctor has provided the following prescription to be compounded that involves 25 % Podophyllum-salicylic acid in Compound Benzoin Tincture UNE COP Compounding lab Practice 716 stevens Avenue, Portland, ME 04013 TEL: (207)-221-4000 FAX: (207)-221-4000 Name : Mr. Obviously Wright Address : 285 Silence Way Date: 2/20/2015 Rx Podophyllum Salicylic Acid Compound-Benzoin Tincture 12% 25% q.s. ad 7.5 ml Sig Apply to warts q hs Pharmacists Comments: Refill1 J.L. Snow M.D. DEA No. 1. Can the prescription be made. a. If so : why? b. If not : why?; and what alternate dosing would you recommend, and why? 2. Please provide the calculation for the prescription. (10 points)

Explanation / Answer

Salicylic acid causes the treated skin to be shed naturally while podophyllin prevents the wart from growing. Yes this prescription can be suggested in these composition as all the three i.e podophyllin,salicylic acid and benzoin tincture helps in curing the disease but instead of benzoin tincture -cantharidin would be more suggestable..For eg:30%salicilic acid,5%podophyllin and 1%cantharidin can be given.

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