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Flashcards in commonskinconditionsFC Deck (70):
1

acne first line

retinoids (tretinoin cream)

2

acne tx drug classes

retinoids , salicylic acid, bezoyl peroxide, antibitiocs

3

differin generic and class

adalpene (differin) retinoid

4

which patients should not use retinoids

do not use retinoids in pregnancy.

5

which retinoid formulations are less irritating

RETin-A, AVITA, and DIFFERIN are less irritating b/c more alcohol based.

6

how often to apply the retinoid creams on face to reduce irritation ?

begin with reduced frequency of application- and shorter duration of contact to improve tolerance.

7

can you use salicylic acid with retinoids

DO NOT use saliciylic acid while using retinoids

8

how long to see effect of retinoids

takes 4-12 weeks to see a response.

9

what are retinoids derrivatives of ?

some of these are derivatives of VITAMIN A

10

which is the most effective acne med OTC

YES most effective OTC agent. Benzoyl peroxide

11

Benzaclin generic

Clindamycin + BPO (benzamycin) duac

12

duac storage clindamycin + BPO

dispense w/ 60 day expiration, apply at night and do not freeze

13

benzamycin and benzaclin differences and similarities

benzamycin is refrigerated (has a lil bit erythromycins)
and benzaclin is kept at room temp (has lil bit clindamycin) BOTH have 3 months expiration
benzamycin mixed w/ alcohol and benzaclin mixed w/ water

14

isotretinoin DO NOT USE IF
What is the indication

pregnant- need to get tested for pregnancy before and must use two forms of birth control if on it.
indicated for SEVERE acne recalcitrant, nodular acne

15

age restriction of minocycline

12 years or older

16

commonly used oral antibiotics

minocycline- 12 years and OLDER

17

dandruff antifungal dosing

ketoconazole (nizoral shampoo) leave it in for five mins, use TWICE a week

18

why ketoconazole not first line

not first line since more expensive. use head/shoulder first

19

fungal infections most effective antifungal for skin

terbinafine is first line and most effective OTC (lamisal)

20

how to apply terbinafine, and for how long

apply 1-2 inches PAST the rash, do not walk bare foot, use at least for 2-4 weeks even if the rash has healed.

21

which antifungal formulation works best

creams work best!

22

other fungal infection meds names

clotrimazole and ketoconazole

23

finger nail tx for antifungal duration

6 weeks

24

toe nail tx druation antifungal

12 weeks

25

nail tx

needs systemic medications- test with KOH smear to monitor for hepatotoxitiy

26

be careful w/ fungal tx po because can cause?

HEPATOTOXICITY

27

ezema tx options

topical or oral steroids, antibiotics, or antihistamines.

28

application of steroids for eczema how often ?

topical steroids only twice a DAY MAX b/c regardless of potency b/c it can cause thinning.

29

preferred for dry skin in eczema ?

emollients are preferred for dry skin b/c they only contain abt 20% water and is mostly oil

30

lice DOC ? And dosing ?

permethrin is OTC DOC for lice (nixrid) tx and soon as posisble and do second tx 7-10 days after.
Permethrin, Nix, rid all first line

31

which lice tx is flammable >

ovide- flammable

32

lice what u gotta do for success

u gotta remove the live lice and nits OR the OTC product w// not work.
wash clothing etc in hot water and hot dryer

soak combs and brushes in hot water for 10 mins

33

external genital warts tx and how to apply

imiquimod cream (aldara) apply 3 x a week. apply to entire area until cream is not visible. wash off after 8 hrs.

34

hydroxyzine (atarax) indication

hives which itch badly - antihistamine

35

psoriasis use main treatments

keratolytics retinoids, calcipotriene and bethamethasone ointment

36

taclonex and taclonex scalp suspension generic

Calcipotriene and betamethasone ointment comes as Taclonex and Taclonex scalp suspension.

37

dermazinc tx indication

is afor psoriasis maybe OTC

38

moa of calcipotriene for psoriasis

vitamin D analog

39

dovonex generic

Calcipotriene comes alone as Dovonex.

40

alopecia-tx

finasteride or minoxidil

41

minoxidil

more so for facial hair growth

42

bimatoprost inidication in hair?

can be used to increase eyelashes.

43

UVA sunscreen purpose

blocks AGING

44

UVB sunscreen purpose

Blocks BURNING

45

broadspectrum sunscrena means

UVA and UVB

46

finasteride MUST be avoided by ?

finasteride PREGNANCY cateogry x. onLY FOR MEN.

47

SPF

sun exposure factor.

48

isotretinoin drug interactions

vitamin A, tetracyclines, steroids, POP or st. john's warts

49

ADR of isotretinoin

arthralgias, OSTEOPOROSIS, psych issues, dry skin, contact lens issues, chapped lips, decrease night vision which may be permentant and elevated cholestrol, glucose, chest pain, and hearing loss

50

pulse therapy w/ ketoconazole

has less side effects, less cost, similar efficacy

51

butenafine indication

for fungal OTC first line along with terbinafine.

52

ketoconazole needs what type of enviorment to work

ACIDIC enviorment. rabeprazole and other PPI h2ra's need to be stopped.

53

elidel inidcations and generic

pimecrolimus - used to treat ezema once topical steroids have failed. applied twice a day . only short term therapy. associated w/ cases of skin cancer

54

tacrolimus

protopic.

55

Imiquimod dosing

aldara- 3 times a week. 1 application per packet

56

for hairy skin what skin formulations to use ?

lotions gell foam.

57

when do you bandage a wound

if its likely to get dirty....always?

58

mupirocin

bactroban has good coverage of staph and strep

59

sunscreen should be reapplied every x amt of time

2 hours

60

sunscreens that contain are recommended

zinc oxide, avobenzone and titanium dioxide

61

scabies tx

tiny mites- permetherin, sulfer ointment
lindane can be used 2nd line

62

stronger benzoyl peroxide or salicylic ?

benzoyl

63

sunscreen math usually burn in 10 mins spf of 5

10 x 5 = burn in 15
f a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in 50 minutes (5 x 10 = 50).

64

tinea cruris

jock itch

65

tinea pedis

atheletes foot

66

mupirocin coverage

staf and steph coverage great!

67

what to do about scrapes

if a wound is in an area that IS NOT rubbed by clothing or gets dirty dont cover it.

scrapes should be kept MOIST and clean to prevent scarring- use semi occlusive bandaids

68

topical abx how many times a day

1 to 3

69

poison ivy use

ivy block, zanafel (binds to toxin urshodiol) burrow, aveeeno, caladryl, cold compress

70

high to low potency steroids

clobetasol is HIGH, mometasone, fluocininnide, desoximetasone, hydrocortisone