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 % opnyium-sancync aca m 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 q.s. ad 7.5 ml 12% 25% Sig: Apply to warts q hs Pharmacists Comments: Refill 1 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 poi

Explanation / Answer

1-This prescription cannot be made as any composition made manually if increase or decrease in addition of any drug dosage goes wrong, it leafs to following:

-Drug interactions

-Minor burning, skin soreness, and flaking may occur.

-Dispersal skin redness about the cured area, signs of contamination, creation of a deep sore (ulcer) at the action site.

-Grim allergic response, containing: rash, irritating/inflammation, austere dizziness, distress breathing.

Alternate dosage:

-Retinoid cream. It disturbs the wart's skin cell progress.

-Cantharidin. This medicine grounds the skin underneath the wart to swelling, stimulating the wart off the peel.

-Immunotherapy drugs, which aid your body's resistant arrangement combat viruses, counting the human papillomavirus (HPV) that roots warts. These drugs may comprise imiquimod, interaction sensitizers, and interferon.

-Bleomycin inoculation, which abolishes the skin covering the wart. But bleomycin isn't frequently used, since it is hurting throughout and after the inoculation.

2-Calculation for prescription:

A non-blinded, indiscriminate measured trial related management of plantar warts with 50% salicylic acid topical (Verrugon) useful daily with cryotherapy with liquid nitrogen (up to 4 treatments 2-3 week apart).

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