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NAPLEX > Common Skin Conditions > Flashcards

Common Skin Conditions Flashcards

1
Q

Brown Skin Discolorations/Secretion

A
  • Entacapone
  • Levodopa
  • Methyldopa
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2
Q

Brown/Yellow Skin Discoloration/Secretions

A

-Nitrofurantoin

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3
Q

Orange/Yellow Skin Discolorations/Secretions

A

-Sulfasalazine

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4
Q

Yellow/Green Skin Discolorations/Secretions

A

-Propfol

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5
Q

Red/Orange Skin Discolorations/Secretions

A
  • Phenazopyridine

- Rifampin

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6
Q

Red Skin Discolorations/Secretions

A

-Anthracyclines

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7
Q

Blue Skin Discolorations/Secretions

A
  • Methylene blue

- Mitoxantrone

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8
Q

Blue/Gray Skin Discolorations/Secretions

A

-Amiodarone

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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

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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
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11
Q

Severe Acne Treatment

A
  • Topical combination + PO abx
  • Oral isotretinoin
  • Alt: Add OCP or spironolactone (females), switch abx, other options from above
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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
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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
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14
Q

Adapalene

A
  • Differin

- Another retinoid, same rules apply for application/recommendations

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15
Q

Tazarotene

A
  • CI in pregnancy

- Another retinoid, same rules apply for application/recommendations

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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
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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
Q

Cold Sores

A
  • 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
Q

Docosanol

A
  • Abreva
  • OTC product for cold sore outbreak
  • Apply 5x/day at first sign of outbreak
27
Q

Zovirax

A
  • 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
Q

Nizoral A-D

A
  • 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
Q

Selsun

A
  • Selenium Sulfide

- OTC product for dandruff

30
Q

Head & Shoulders

A
  • Pyrithione zinc

- OTC shampoo for dandruff

31
Q

T/Gel

A
  • Coal tar shampoos

- OTC shampoo for dandruff

32
Q

Nizoral

A
  • Ketoconazole 2% shampoo

- Rx option for dandruff

33
Q

Causes of Hair Loss

A
  • Hypothyroidism
  • Autoimmune disorder
  • Chemotherapy
  • Medications: valproate, spironolactone, heparin (less frequent)
  • Zinc and vitamin D deficiency
34
Q

Propecia

A
  • 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
Q

Propecia Information

A
  • CI: pregnancy

- Hazardous medication for females of child-bearing age

36
Q

Rogaine

A
  • Minoxidil topical
  • OTC: foam or solution
  • Rx: tablets; indicated for HTN and used very rarely
37
Q

Latisse

A
  • 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
Q

Topical Calcineurin Inhibitors

A
  • 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
Q

Topical PDE4-i

A
  • Crisaborole (Eucrisa) - ointment

- Rx option for eczema if topical steroids fail

40
Q

Monoclonal Antibody (IL-4 antagonist)

A
  • Dupilumab (Dupixent) - injection

- Rx option for eczema if topical steroid fails

41
Q

OTC Options for Eczema

A
  • Aquaphor and Eucerin
  • Moisturization is essential!
  • Wash hands after using any topical products

NAPLEX (59 decks)

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