Botanical Index No. 680

Mayapple

podophyllum peltatum

Safety & Contraindications

Class 2b, 3. Commission E reports contraindications for rhizome and resin external use in pregnancy. To be used 1–2 times weekly on skin surfaces not exceeding 15 cm2. The resin is potentially lethal if ingested, and three deaths have been attributed to oral ingestion or topical application. An intrauterine death has been reported in a woman treated for vulvar warts. Etoposide is a semisynthetic derivative.

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