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Phenol

Published: July 26, 2026Updated: August 25, 2026

Phenol is a caustic agent used in medical settings for the destruction of tissue. In dermatology, it is utilized for procedures such as chemical peels and the treatment of certain skin conditions. It also has applications in pain management through nerve blocks.

Quick summary

Phenol is a caustic compound used for tissue destruction in dermatological procedures and pain management.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
unclassified
RxNorm
unknown
Generic
Phenol
Class
atc-c05
Brands
Chloraseptic Max Spray, Ulcerease, Unguentine Maximum Strength, Campho-Phenique, Cepastat, Mycinette Sore Throat Spray, Unguentine, Chloraseptic Spray, Castellani Paint, Ora Relief
Availability
otc
Pregnancy
C
Lactation
caution
Half-life (h)
0
Onset (min)
1
Duration (h)
2
Routes
topical, otic, oral
Forms
spray, ointment, solution, paint, lozenge
Regions
US, CA, GB, AU, EU
Monitoring
none

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose of approximately 1 gram or more may cause serious toxicity; fatal dose ranges from 1-15 grams
Chronic overdose: Repeated exposure may cause cumulative toxicity including liver and kidney damage
Immediate actions
Do NOT induce vomiting; gastric lavage may be considered if within 1 hour of ingestion; administer activated charcoal; seek immediate medical attention
Antidote
No specific antidote exists(Treatment is supportive; early decontamination is critical)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

minimize exposure

Key Recommendations

use only if clearly needed; avoid large areas of application

Monitor

fetal growth monitoring if used

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

minimize exposure

Key Recommendations

avoid near term if possible; use minimal amounts if necessary

Monitor

fetal monitoring

Use with caution and monitor for adverse effects.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

avoid topical phenol preparations while breastfeeding; may be excreted in breast milk

Monitor

monitor infant for signs of toxicity

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

young children
caution
FDA Category
C
Dose Adjustment

use with caution; avoid in infants

Key Recommendations

use only under medical supervision in children under 12; avoid application to large areas of skin or mucous membranes

Monitor

monitor for signs of systemic absorption and toxicity

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

use lower concentrations; avoid extensive application

Key Recommendations

use with caution due to potentially increased skin permeability and reduced hepatic/renal function

Monitor

monitor for systemic effects and organ function

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

no major adjustment needed for topical use

Key Recommendations

use with caution; monitor renal function

Monitor

periodic renal function monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate
caution
FDA Category
C
Dose Adjustment

avoid extensive use

Key Recommendations

use with caution; phenol is metabolized in liver

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1950s

General prescribing information for phenol-based products

drug_classFDA
2023

Drug class

Value:Antiseptic/Local anesthetic

Classification based on phenol's primary therapeutic action

usageMedical guidelines
2023

Common uses

Value:Topical antiseptic and local anesthetic for minor throat and skin irritations

Common therapeutic uses in OTC products

mechanismPharmacology references
2023

Mechanism of action

Value:Denatures proteins and disrupts cell membranes

How phenol exerts its antiseptic and anesthetic effects

Phenol is used for chemical skin peels, treatment of warts and other benign skin growths, and in some cases for nerve blocks to manage chronic pain conditions.

Phenol acts as a caustic agent that destroys tissue by coagulating proteins. It penetrates the skin layers causing controlled chemical injury that leads to tissue removal or restructuring.

Phenol should only be administered by trained healthcare professionals. It can cause significant tissue damage if misused. Systemic absorption may lead to toxicity affecting the heart, liver, and kidneys. Contraindicated in pregnancy and in patients with certain cardiac conditions.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy