Dermatologic Drugs Flashcards

1
Q

what are the three shampoos that treat bacterial pyoderma

A

chlorhexidine
benzoyl peroxide
triclosan

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2
Q

how long must shampoo be lathered and left on skin

A

5-10 minutes before rinsing

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3
Q

what are the two types of localized therapy (cream, ointment) for bacterial pyoderma

A

mupirocin
neomycin

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4
Q

what are the 3 types of shampoo that treat Malassezia

A

ketoconazole
clotrimazole
miconazole

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5
Q

what is the 1 oral/systemic tx for Malassezia - what are contraindications and side effects

A

ketoconazole
use in cats is controversial
side effects: GI upset, hepatotoxicity

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6
Q

what is Lime Sulfur Dip used to tx

A

used to tx any dermatologic fungal infection
can also be used to tx demodex infections in cats

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7
Q

how do we use Lime Sulfur dip

A

dip/soak and allow to dry on fur

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8
Q

what are the side effects of Lime Sulfur Dip

A

stains porous surfaces and light fur yellow, can cause nausea and oral ulcers if ingested, smells like rotten eggs

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9
Q

what is Miconazole used to tx, not as effective as compared to what, side effects

A

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

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10
Q

what are systemic tx for fungal infections

A

intraconazole
fluconazole
griseofulvin
ketoconazole
terinafine

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11
Q

what are the 4 shampoos to tx pruritus

A

pramoxine
phytosphingosine
colloidal oatmeal
corticosteroids

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12
Q

what are the 3 types of sprays and topical ointments/creams

A

diphenhydramine
corticosteroids
burrows solution

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13
Q

what are the 5 types of Antihistamines

A

Diphenhydramine (Benadryl)
Cetirizine (zyrtec)
Loratadine (Claratin)
Chlorpheniramine maleate (Chlor-Trimeton)
Hydroxyzine (Atarax)

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14
Q

prednisone/prednisolone which one is best for cats, what does it do

A

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

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15
Q

what are the side effects of steroids

A

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

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16
Q

what are the precautions for steroids
what is unique to steroids

A

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

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17
Q

what is dexmethasone

A

steroid that is 8-10x more potent than prednisone - dose must be adjusted
PO tablets, solution and inj

18
Q

what is Triamcinolone, trade name

A

Vetalog
long-acting (injection can last 3-4 weeks)
PO tabs, topical, injection

19
Q

what is methylprednisolone, trade name

A

DepoMedrol
injection is long acting (4+ weeks)
PO tabs and injection

20
Q

what are the 4 drugs in the class steroid

A

prednisone/prednisolone
dexamethasone
triamcinolone
methylprednisolone

21
Q

Cyclosporine
what does it tx, trade name, side effects, pre-cautions

A

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

22
Q

Oclacitinib
trade name
how does it work
what does it tx
side effects

A

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

23
Q

Ilunocitinib
trade name
what does it do
what does it tx
side effects

A

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

24
Q

Lokivetmab
trade name
how does it work
side effects

A

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

25
what are the rules for diet trials for food allergies and what are the two types of diets
the pet can eat nothing but the diet for 8-12 weeks Novel Protein - venison ect Hydrolyzed Diet - protein molecules broken down so small immune system cannot recognize
26
Ivermectin why
antiparasitic, effective against most insects, mites, ticks, and nematodes (not tapeworms) - effective against some larval stages of HW parasite
27
Ivermectin side effects, contraindications
injection site discomfort, GI upset some dogs have a gene mutation (MDR-1 gene mutation) that causes them to be sensitive to this drug
28
what are the 5 types of drugs in the Isoxazoline class
all end in (-olaner) Afoxolaner Esafoxolaner Furalaner Sarolaner Lotilaner
29
what is the trade name for Afoxolaner
nexgard nexgard plus
30
what is the trade name for Esafoxolaner
nexgard combo
31
what is the trade name for Fualaner
bravecto bravecto plus
32
what is the trade name for sarolaner
simparica trio, revolution plus
33
what is the trade name for lotilaner
credelio, credelio quattro
34
what are the side effects of Isoxazoline class
neurologic are most significant, but are rare. Avoid in dogs/cats with seizures
35
Afoxolaner what does it tx and prevent how to administer what species
nexgard, nexgard plus tx and prevention of flea and tick infestation in dogs only nexgard plus has HW prevention and pyrantal (GI parasiticide) PO chew q30d
36
Esafoxolaner what does it tx and prevent how to administer what species
nexgard combo cats topical solution flea/tick, HW, tapeworms
37
Furalaner tx and prevention how to administer for cats and for dogs
bravecto tx and prevention of flea/tick PO chew q3month for dogs topical q2months for cats
38
Sarolaner tx and prevention how to administer
simparica trio tx and prevention of flea and tick infestation in dogs HW prevention and pyrantel for roundworm, hookworm PO chew q30d
39
Lotilaner tx and prevention how to administer
credelio - flea and tick in dogs and cats credelio quattro - HW and nematode prevention PO chew q30d
40
what is Nitenpyram trade name why side effects
Capstar starts killing fleas in 30 minutes, fast - acting, use when active flea infestation side effects: rare, pruritus', V, lethargy, decreased appetite
41
Permethrin and Pyrethrin products are toxic to who
toxic to cats