Dermatologic Drugs Flashcards
what are the three shampoos that treat bacterial pyoderma
chlorhexidine
benzoyl peroxide
triclosan
how long must shampoo be lathered and left on skin
5-10 minutes before rinsing
what are the two types of localized therapy (cream, ointment) for bacterial pyoderma
mupirocin
neomycin
what are the 3 types of shampoo that treat Malassezia
ketoconazole
clotrimazole
miconazole
what is the 1 oral/systemic tx for Malassezia - what are contraindications and side effects
ketoconazole
use in cats is controversial
side effects: GI upset, hepatotoxicity
what is Lime Sulfur Dip used to tx
used to tx any dermatologic fungal infection
can also be used to tx demodex infections in cats
how do we use Lime Sulfur dip
dip/soak and allow to dry on fur
what are the side effects of Lime Sulfur Dip
stains porous surfaces and light fur yellow, can cause nausea and oral ulcers if ingested, smells like rotten eggs
what is Miconazole used to tx, not as effective as compared to what, side effects
used to tx any dermatologic fungal infection
generally not as effective as lime sulfur for dermatophytosis, works well on yeast
side effects: possible skin irritation, eye irritation
what are systemic tx for fungal infections
intraconazole
fluconazole
griseofulvin
ketoconazole
terinafine
what are the 4 shampoos to tx pruritus
pramoxine
phytosphingosine
colloidal oatmeal
corticosteroids
what are the 3 types of sprays and topical ointments/creams
diphenhydramine
corticosteroids
burrows solution
what are the 5 types of Antihistamines
Diphenhydramine (Benadryl)
Cetirizine (zyrtec)
Loratadine (Claratin)
Chlorpheniramine maleate (Chlor-Trimeton)
Hydroxyzine (Atarax)
prednisone/prednisolone which one is best for cats, what does it do
prednisolone better for use in cats, since it needs less hepatic conversion
reduces inflammation and pruritus very well by reducing histamine and suppressing overactive immune response
what are the side effects of steroids
Polyuria, polydipsia, polyphagia (PU/PD/PP)
Suppresses production of internal, natural corticosteroids from adrenal gland and interferes with homeostasis of those hormones
Reduction in immune system increased infections
GI irritation/ ulceration
Increased blood glucose levels
Increased liver enzymes
Panting
Behavioral changes
Muscle weakness and atrophy
what are the precautions for steroids
what is unique to steroids
do not use with NSAID (caused increased GI disturbances, ulceration)
dosing starts higher and is gradually tapered to a lower dose - allows the adrenal gland to recover
what is dexmethasone
steroid that is 8-10x more potent than prednisone - dose must be adjusted
PO tablets, solution and inj
what is Triamcinolone, trade name
Vetalog
long-acting (injection can last 3-4 weeks)
PO tabs, topical, injection
what is methylprednisolone, trade name
DepoMedrol
injection is long acting (4+ weeks)
PO tabs and injection
what are the 4 drugs in the class steroid
prednisone/prednisolone
dexamethasone
triamcinolone
methylprednisolone
Cyclosporine
what does it tx, trade name, side effects, pre-cautions
Atopica
approved for use in dogs and cats for tx of atopy
also an immunosuppressant - can tx autoimmune dz
side effects: increased risk of infection, vomiting, diarrhea, papilloma’s, gingival hyperplasia
monitor with bloodwork for cyclosporine levels q3-6month
Oclacitinib
trade name
how does it work
what does it tx
side effects
Apoquel
inhibits an enzyme (janus kinase) that is involved in the inflammatory pathway - blocks release of a chemical messenger in the pathway
reduces inflammation and itch in atopic dogs
side effects: V, diarrhea most common
Ilunocitinib
trade name
what does it do
what does it tx
side effects
inhibits an enzyme (janus kinase) that is involved in the inflammatory pathway - blocks release of a chemical messenger in the pathway
reduces inflammation and itch in atopic dogs
side effects: v and diarrhea
Lokivetmab
trade name
how does it work
side effects
Cytopoint
biological therapy - monoclonal antibody therapy - antibodies created in a lab are designed to target and neutralize a chemical messenger (cytokine) that is involved in sending itch signal to the brain
SQ injection q30d
dogs only
side effects: injection site pain, lethargy, hyperexcitability, urinary incontinence