Common Skin Conditions Flashcards
(41 cards)
1
Q
Brown Skin Discolorations/Secretion
A
- Entacapone
- Levodopa
- Methyldopa
2
Q
Brown/Yellow Skin Discoloration/Secretions
A
-Nitrofurantoin
3
Q
Orange/Yellow Skin Discolorations/Secretions
A
-Sulfasalazine
4
Q
Yellow/Green Skin Discolorations/Secretions
A
-Propfol
5
Q
Red/Orange Skin Discolorations/Secretions
A
- Phenazopyridine
- Rifampin
6
Q
Red Skin Discolorations/Secretions
A
-Anthracyclines
7
Q
Blue Skin Discolorations/Secretions
A
- Methylene blue
- Mitoxantrone
8
Q
Blue/Gray Skin Discolorations/Secretions
A
-Amiodarone
9
Q
Mild Acne Treatment
A
- Topicals: BPO and/or retinoid
- Alt: Add other product from first line, switch to another retinoid, topical dapsone, or clascoterone
10
Q
Moderate Acne Treatment
A
- Topical combination (BPO + abx, BPO + retinoid, or all three)
- PO abx + BPO + topical retinoid (+/- topical abx)
- Alt: Add OCP or spironolactone (females), PO isotretinoin, other combinations/options from above
11
Q
Severe Acne Treatment
A
- Topical combination + PO abx
- Oral isotretinoin
- Alt: Add OCP or spironolactone (females), switch abx, other options from above
12
Q
Retinoids
A
- Teratogenic: avoid in preggo/BF
- Vitamin A derivatives that reduce adherence of keratinocytes to oil glands
- Apply pea-sized amount daily at nighttime
- Take 4-12 weeks to work and can worsen skin initially
13
Q
Tretinoin
A
- Atralin, Renova, Retin-A, Retin-A Micro
- Avoid in pregnant
- Micro formulation is slower released and causes less irritation
- Limit sun exposure
- Apply PM 20 minutes after washing face
- Use lower strength or QOPM if irritation occurs
14
Q
Adapalene
A
- Differin
- Another retinoid, same rules apply for application/recommendations
15
Q
Tazarotene
A
- CI in pregnancy
- Another retinoid, same rules apply for application/recommendations
16
Q
BPO
A
- Benzoyl peroxide
- Can bleach clothing/hair
- Can be combined with other products like hydrocortisone (Vanoxide-HC), clindamycin (BenzaClin), erythromycin (Benzamycin), etc.
- Alone can be an OTC products, most combinations are Rx
17
Q
Clearsil
A
- Salicylic acid
- OTC
- Many other products with salicylic acid too
18
Q
Paula’s Choice/The Ordinary
A
- Azelaic Acid
- OTC
- Many other products with azelaic acid too
19
Q
Azelex 15%/Finacea 20%
A
- Azelaic acid
- Rx
20
Q
Dapsone
A
- Aczone
- Topical dicarboxylic acid cream/gel
- Avoid in G6PD deficiency
21
Q
Winlevi
A
- Clascoterone cream
- Topical androgen receptor inhibitor
- Causes HPA axis suppression during/after treatment (larger SA/prolonged use = higher risk)
22
Q
Absorica/Amnesteem
A
- Isotretinoin capsules
- FDA approved for severe, nodular acne ONLY
- Female patients must sign informed consent about birth defects, have 2 negative preggo tests before starting, and cannot get pregnant 1 month before, during, or 1 month after tx
- Cholesterol test is also required before initiation
23
Q
Isotretinoin Capsule Information
A
- REMS program med: iPLEDGE
- Warning: dry skin, chapped lips, dry eyes/irritation can all occur
- Must use 2 forms of birth control and cannot use progestin-only pills
24
Q
Minocycline
A
- Minocin or Solodyn
- Antibiotic used for acne; XR formulations only approved for patients >= 12 yo
- SE: photosensitivity, fetal harm, discoloration of teeth
25
Cold Sores
- HSV-1, herpes simplex labialis
- Spreads usually with active lesions via kissing/sharing drinks
- Prodromal symptoms: tingling, itching soreness
- Natural product: lysine for prevention and treatment
26
Docosanol
- Abreva
- OTC product for cold sore outbreak
- Apply 5x/day at first sign of outbreak
27
Zovirax
- Acyclovir cream or ointment
- Rx product for cold sore outbreak
- Apply 5x/day x 4 days to sores (can be used on genital sores too)
28
Nizoral A-D
- Ketoconazole 1% shampoo
- OTC product for dandruff
- Apply 2x/week for up to 8 weeks
- Don't use on open sores
- Can irritate skin
29
Selsun
- Selenium Sulfide
| - OTC product for dandruff
30
Head & Shoulders
- Pyrithione zinc
| - OTC shampoo for dandruff
31
T/Gel
- Coal tar shampoos
| - OTC shampoo for dandruff
32
Nizoral
- Ketoconazole 2% shampoo
| - Rx option for dandruff
33
Causes of Hair Loss
- Hypothyroidism
- Autoimmune disorder
- Chemotherapy
- Medications: valproate, spironolactone, heparin (less frequent)
- Zinc and vitamin D deficiency
34
Propecia
- Finasteride; Rx tablet for hair loss
- Proscar used for BPH
- 1 mg QD
- Can take 3+ months to see effect
- Don't give to patients taking Proscar for BPH
35
Propecia Information
- CI: pregnancy
| - Hazardous medication for females of child-bearing age
36
Rogaine
- Minoxidil topical
- OTC: foam or solution
- Rx: tablets; indicated for HTN and used very rarely
37
Latisse
- Bimatoprost
- Rx solution for thinning eyelashes (hypotrichosis)
- Don't use with PG analogs for glaucoma (may increase IOP)
- Apply nightly to skin at base of upper eyelashes
38
Topical Calcineurin Inhibitors
- Tacrolimus (Protopic) - ointment
- Pimecrolimus (Elidel) - cream
- Rx options for eczema if topical steroids fail
- Don't use in kids <2 yo; associated with lymphoma and skin cancers (2nd line and short/intermittent tx only)
39
Topical PDE4-i
- Crisaborole (Eucrisa) - ointment
| - Rx option for eczema if topical steroids fail
40
Monoclonal Antibody (IL-4 antagonist)
- Dupilumab (Dupixent) - injection
| - Rx option for eczema if topical steroid fails
41
OTC Options for Eczema
- Aquaphor and Eucerin
- Moisturization is essential!
- Wash hands after using any topical products
