Acne and rosacea Flashcards
To prevent antibiotic resistance, use Benzoyl peroxide
with topical antibiotic
First line for mild comedonal acne
Topical retinoid, +/- BP
First line treatment for moderate comedonal acne
Topical retinoid, BP, topical Abx (clinda, erythro)
Moderate pustular/papular acne
oral Abx with topical retinoids and BP
Moderate nodular without scarring
oral Abx with topical retinoid and BP
Severe nodular acne and scarring/keloids
oral isotretinoin
first line for treatment of mild to moderate acne and rosacea
Topical Abx with BP
Common agents to treat hormonal acne
Spironolactone
OCPs
erythema, telangectasias, papules and pustules, no comedones
Rosacea
treatments for rosacea for redness and flushing - to treat erythema
laser
brominidine - vasoconstrict
Make-up
Photoprotection
treatments for rosacea for patients with papules and pustules
Metronidazole - cream OR
Oral Abx - tetracyclines
Isotretinoin
what topical Abx used in the Rx of rosacea
Metronidazole -.75%
how is isotretinoin prescribed?
1 dose for 5-6 months
Common side effects of isotretinoin
Xerosis
Chelitis
Elevated Liver enzymes
Hypertriglyceridemia
how does acne vulgaris begin?
Clogged pores