ANSWERS LATEST UPDATE
AE
LocalThinning of the skinStretch
marksPurpuraTelangiectasiaHypertrichosisPossible systemic toxicity
SystemicMore likely with higher doses and long term therapyGrowth retardation
in childrenAdrenal suppression
AE of glucocorticoids
benzoyl peroxide
Both Antimicrobial and keratolytic effect
For mild to moderate acne
Can reduce inflammation
first line topical treatment for acne is
Adapalene (differin)
Instruct patient to start every other day to prevent peeling and blisteringRedness
and peelingPhotosensitivity - sunscreen
Retiniod topical treatment. A derivative of vitamin A.
3 mos
how long is abx is use for treating acne?
doxycycline and minocycline
agents of choice for treating acne with abx?
isotertinoin
treatment for nodular/severe acne. it is highly teratogenic. pt, physician, and pharmacist
needs to sigh up with Ipledge program.
Combination OC
Estrostep, Ortho tri-cyclen, Beyaz, YAZ
At least 15 years of age
hormonal agents used in treating acne are?
spironolactone
add on drug after using hormonal agents used in treating acne. teratogenic.
Avobenzone
, all sunscree must contain ________ to cover UVA radiation
Glucocorticoids Anti-inflammatory
Vitamin D analogs Calcipotriene, calcitriol
Vitamin A derivative Tazarotene
Anthralin Dithrocreme, dithro scalpIrritating skin
Tars Coal tar
Immunologic drugs - for severe
Methotrexate
Acitretin
Glucocorticoids
Cyclosporine Prescribed by dermatologist
Biologic agents
Procedures - photochemotherapy
agents used in treating psoriasis
Actinic Keratosis
Rough, scaly, red or brown papules caused by chronic exposure to sunlight. precursor
to skin Ca.
Fluorouracil
Diclofenac sodium
Imiquimod
Aminolaevulinic acid + blue light
drug of choic in treating Actinic Keratosis
Glucocorticoids
mainline treatment in atopic dermatitis (eczema)
Tacrolimus
Pimecrolimus
May pose risk for skin cancer and lymphoma
Considered second line drugs for atopic dermatitis and should be reserved who
have not responded to glucocorticoids
Work well, safe for at least 5 years
AE: risk for malignancy