Common Skin Conditions - Acne Flashcards

1
Q

List drugs that can discolor skin or secretions brownish

A

Levodopa

Entacapone

Methyldopa

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2
Q

List drugs that can discolor skin or secretions purple/orangish/reddish

A

Chlorzoxazone

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3
Q

List drugs that can discolor skin or secretions orange/yellowish

A

Sulfasalazine

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4
Q

List drugs that can discolor skin or secretions brownish/yellowish

A

Nitrofurantoin

Riboflavin (B12)

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5
Q

List drugs that can discolor skin or secretions blueish

A

Mitoxantrone

Methylene blue

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6
Q

List drugs that can discolor skin or secretions orange/reddish/brownish

A

Ezogabine

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7
Q

List drugs that can discolor skin or secretions brown/black/greenish

A

Methocarbamol

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8
Q

List drugs that can discolor skin or secretions yellow-greenish

A

Propofol

Flutamide

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9
Q

List drugs that can discolor skin or secretions red-orangeish

A

Phrnazopyridine

Rifapentine

Rifampin

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10
Q

List drugs that can discolor skin or secretions reddish

A

Anthracyclines

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11
Q

What’s the primary determinant of acne?

A

Androgens (male sex hormones) which is why boys often have worse acne than girls

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12
Q

List other factors that may contribute to acne

A

Presence of the bacteria P. acnes + fatty acids present in oil glands

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13
Q

List the 4 primary grps of acne agents

A

OTC (benzoyl peroxide and salicylic acid)

Retinoids

Systemic isotretinion

Antibiotics

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14
Q

What’s the most effective OTC acne agent?

A

Benzoyl peroxide (BPO)

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15
Q

What’s the usual rx drug of choice?

A

Retinoids, primarily topical tretinoin

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16
Q

How long does it usually take for retinoids to start working?

A

4-12 weeks

Acne may worsen initially

17
Q

What’s usually given concurrently with retinoids to help with the worsening acne from initial retinoid use?

A

Antibiotic, usually Minocycline

18
Q

What’s the brand name of Tretinoin microsphere gel?

A

Retin-A Micro

19
Q

What’s the brand name of Tretinoin Polymerized cream or gel?

A

Avita

20
Q

What’s the brand name of Adaplene?

A

Differin

21
Q

How do u use retinoids?

A

A pea-sized amount is sufficient

Divide it into 4 equal parts

Smooth over the entire surface of the face- not just on acne

22
Q

What should be avoided with Tretinoin use, especially while starting a retinoid (Retin-A Micro; Avita; Adapalene (Differing))? Why?

A

Avoid salicylic acid scrubs or astringents

May worsen irritation

23
Q

How often should face be washed?

A

Wash with mild soap twice a day

24
Q

T/F? Limit sun exposure while using retinoids (Retin-A Micro; Avita; Adapalene (Differing))?

A

True

25
Q

What’s the preferred combo for acne?

A

Benzaclin (BPO) + 1% Clindamycin (Duac)

26
Q

List clindamycin topicals

A

Cleocin T

ClindaMax lotion/soln

Clindagel

Evoclin foam

Benzamycine and Benzaclin

27
Q

Howz Benzamycin and Benzaclin stored?

A

Benzamycin - refrigerated

Benzaclin - room temp

28
Q

What’s the indication for oral isotretinion?

A

Only for tx of severe recalcitrant nodular acne

29
Q

Contraceptions and oral isotretinion?

A

2 forms of birth control is required (NOT the mini pill)

30
Q

What’s a bothersome side effect of oral isotretinion?

A

DRYNESS

Carry bottled water, eye drops and lip balm

31
Q

What’s required b4 females can start oral isotretinion?

A

Must have 2 negative pregnancy test prior to starting tx

32
Q

What meds are CI with oral isotretinion concurrently?

A

Vit A supplements

Tetracyclines

Steroids

Progestin-only contraceptives

St. John’s wort

33
Q

What’s the preg category of oral isotretinion?

A

Cat X

Severe birth defects/ miscarriages

34
Q

Where can oral isotretinion be dispensed?

A

Can only be dispensed by a pharmacy registered and activated with the pregnancy risk mgt IPLEDGE program

35
Q

Which oral antibiotic is commonly used in acne?

A

Minocycline ext-rel (Solodyn)

36
Q

What’s the brand name of Minocycline ext-rel (most commonly used Antiobiotic in acne)?

A

Solodyn

37
Q

What other antibiotics are used for acne?

A

Doxycycline

Trimethoprim-Sulfamethoxazole

38
Q

Is Aloe a natural pdt?

A

Yes