Common Skin Conditions Flashcards
acne vulgaris, cold sores, dandruff, alopecia, eczema, hyperhidrosis, fungal skin infections, fungal toe and finger nail infections, fungal vaginal infections, diaper rash, hemorrhoids, lice and scabies, wounds, poison ivy oak and sumac, inflammation
first line tx for mild acne
BPO or retinoid
first line tx for moderate acne vulgaris
BPO + retinoid +/- topical ABX +/-po ABX
first line tx for severe acne vulgaris
BPO + retinoid + po ABX OR po isotretinoin
examples of topical retinoids
how long until onset of action
vitamin A derivatives
adapalene, tretinoin
apply at night, can take 4-12 weeks to work
what are the REMS for isotreinoin (Accutane)
2 negative pregnancy tests at initiation
one negative preg test qmonth
2+ forms of birth control (cannot be POCs)
what medications should be avoided while on isotretinoin
TTCs
POCs
steroids
vitamin A derivatives
counseling points for BPO
avoid sun exposure, sue SPF30+
can bleach clothing and hair
start with 2.5-5%
combined with topical ABX for Rx formulations
BPO is combined with which ABX for topical dosage forms
clindamycin
minocycline
erythromycin
what is the onset of action for BPO
2-6 weeks for onset, up to 12 for full effects
po ABX for acne vulgaris
name
dose
counseling points
minocycline
50-100mg IR po BID
covers c. acnes
photosensitivity and teeth discoloration!
topical OTC for cold sores
abrevva (docosanol) 5x/day until healed
what natural product can be taken to treat and prevent cold sores
lysine
dandruff
clinical name
treatment
seborrheic dermatitis
OTC: ketoconazole shampoo 1%, selenium sulfide, pyrithione zinc, coal tar shampoos
Rx: ketoconazole shampoo 2%
alopecia treatment options
minoxodil (Rogaine) OTC
finasteride 1mg po qd
how long will it take for finasteride to begin working to treat alopecia
3+ months
