Derm- medications

Question 1

advantages of topical treatments

Answer 1

applied directly to skin
reduced systemic effects

Question 2

disadvantages of topical treatments

Answer 2

time consuming
correct dosage can be difficult
messy to use

Question 3

examples of emollients

Answer 3

creams
ointments
lotions
gels

Question 4

use of emollients

Answer 4

Enhance rehydration of epidermis- used in all dry/scaly conditions especially eczema

Question 5

wet wrap therapy layers-

Answer 5

emollients applied
wet bandage
dry bandage

Question 6

anti-histamines

Answer 6

prevent effects of mast cell activation

Question 7

what is benzoyl peroxide

Answer 7

anti-microbial used to treat acne

Question 8

side effects of isotretinoin (roaccutane)

Answer 8

dry skin, lips, eyes, nose
skin fragility
hyperlipidaemia
abnormal liver function
teratogenesis-contraception
mood alteration
arthralgia
hair thinning

Question 9

contraindications of COCP (combined oral contraception pill)

Answer 9

migraine with aura
uncontrolled hypertension
history of VTE
>35 + smoke >15 cigs/day
major surgery w prolonged immobility
vascular disease/stroke
ischaemic heart disease
liver cirrhosis
SLE and APS

Question 10

first line treatment for mild-moderate acne

Answer 10

any 2 of following in combo for 12 week review:
topical benzyl peroxide
topical antibiotics (clindamycin)
topical retinoid (tretinoin/adapalene)