Topically applied podofilox may be absorbed systemically (see CLINICAL
PHARMACOLOGY section). Toxicity reported following systemic administration
of podofilox in investigational use for cancer treatment included: nausea, vomiting,
fever, diarrhea, bone marrow depression, and oral ulcers. Following 5 to 10
daily intravenous doses of 0.5 to 1 mg/kg/day, significant hematological toxicity
occurred but was reversible. Other toxicities occurred at lower doses. Toxicity
reported following systemic administration of podophyllum resin included: nausea,
vomiting, fever, diarrhea, peripheral neuropathy, altered mental status, lethargy,
coma, tachypnea, respiratory failure, leukocytosis, pancytosis, hematuria, renal
failure, and seizures. Treatment of topical overdosage should include washing
the skin free of any remaining drug and symptomatic and supportive therapy.