Topical Retinoids Flashcards

1
Q

Tazarotene is a prodrug that is rapidly hydrolysed in tissues to the active metabolite termed tazarotenic acid

A

T

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2
Q

Excessive quantities of vitamin A adversely affect developing embryo

A

T

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3
Q

All trans retinoic acid is more stable chemically, less photolabile, and more Lipophilic than adapalene, allowing it to penetrate follicles quickly

A

False

Adapalene has these properties compared to all trans retinoic acid

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4
Q

Bexarotene binds RAR and RXR

A

F

Only RXR

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5
Q

Bexarotene interacts with DEET to increase DEET toxicity

A

T

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6
Q

Topical Bexarotene always results in central hypothyroidism like oral form

A

False

No studies to indicate this’s

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7
Q

Only trace amount of topical adapalene is abs and excreted through kidneys

A

F

HB route

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8
Q

Tazarotene does not bind RXR

A

T

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9
Q

Tazarotene has high affinity for RAR-a that is predominant receptor in epidermis

A

False

RAR-y

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10
Q

Bexarotene is highly protein bound

A

T

>99%

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11
Q

Bexarotene inhibits s phase of cell cycle

A

False

M, G1 and G2

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12
Q

Tazarotene is excreted via the hepatobiliary route and skin desquamation

A

False
Urine faces and skin
Rest are skin and hepatobiliary only

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13
Q

Excess Retinol is stored as retinyl esters in the lower layers of the epidermis

A

T

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14
Q

Excess Retinol is stored as retinyl esters in the lower layers of the epidermis

A

T

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15
Q

Comedolytic effects of topical retinoids are not maintained after ceasing

A

T

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16
Q

Adapalene is not photosensitising whereas photosensitising meds need to be avoided with tazarotenic

A

T

17
Q

Retinol and retinal can be converted interchangeably but Retinol is irrev metabolized to RA

A

T

18
Q

How are topical retinoids excreted

A
  1. All trans Retinol : HPB and skin desquamation
  2. All trans RA: same as 1
  3. Adapalene : same
  4. Tazarotene : skin faeces and urine
  5. Alitretinoin; NA
  6. Bexarotene: hepatobiliary , minimal in urine