Dosages (Mayapple) Do not take it (JAD); exclusively for external application, 1.5–3 g root
(KOM; PH2); 0.5–2.5 g rhizome (MAD); 1.5–3 g rhizome fluid extract (KOM); 2.5–7.5 g rhizome
tincture (KOM); 1–1.5 g rhizome tincture (MAD).
Contraindications, Interactions, and Side Effects (Mayapple) :
Class 2b, 3 (AHP). 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 (AEH). 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 (LRNP, January 1992). Etoposide
is a semisynthetic derivative.
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