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Drugs > Dermatology > Flashcards

Dermatology Flashcards

1
Q

2Topical Rx for psoriasis (1st line)

A

Corticosteroids
Calcipotriol

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2
Q

Topical Rx for psoriasis (2nd line)

A

Dithranol
Salicylic acid 3%
Coal tar 2%
Tazarotene

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3
Q

Systemic Rx for psoriasis

A

1- MTX 7.5-30 mg weekly as 3 doses 12hr interval . (hepatotoxic)
2- cyclosporin (nephrotoxic)
3- acitretin -in pustular & erythrodermic PS (teratogenic)

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4
Q

Biologic drugs for psoriasis

A

1- alefacept (pathogenic T-cell)
2- Efalizumab (T-cell activation)
3- Etanercept & infliximab (anti TNF)

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5
Q

warts treatment

A

1- cautary
2- liquid nitrogen
3- Blunt dissection (for large)
4- aspirin (topical)
5- Imiquimod creeeeeeeeaaaaaam

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6
Q

topical Rx for pruritus

A

soothing lotion i.e calamine
steroid cream
coconut
1% menthol in 90% ethanol
topical antipruritic drugs i.e doxepin

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7
Q

eczema Rx

A

1- education
2- topical : CS & calcinuriens inhibitor (tacrolimus &pimecrolimus
3- anti-inflamm. (steroid) || immunosuppressives

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8
Q

Urticaria Rx

A

Soothing lotion (calamine)
Anti histamine H1 and h2
Corticosteroid.
In chronic
anti H (Doxepin 25-50 mg OD )
Corticosteroid
Cyclosporine (2.5 _ 5 mg)/kg/d
Immunoglobulin (I.V)

• Other drug treatments are ketotifen (1-2 mg daily at night), disodium cromoglycate, beta agonist (terbutaline 2.5 mg three times daily), calcium channel blockers (nifedipine), leukotriene antagonists (montelukast

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9
Q

Leishmania Rx

A

stiboglu

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9
Q

Impetigo contagiosa

A
  • crust removing > topical fusidic acid
  • oral flucloxacillin || (cephalexin || cefadroxil) for 5-10 Days. (treatment for ecthyma also)
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10
Q

cellulitis & erysipelas

A

flucloxacillin (500mg) every 6 Hr or cephlosporin

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11
Q

Furuncles and carbuncles

A

Treatment: Many furuncles are self-limited and respond well to frequent applications of a moist warm compress. The primary management of cutaneous abscesses should be incision and drainage. The abscess is not ready for drainage until the skin has thinned and the underlying mass becomes soft and fluctuant. Anti-staphylococcal antibiotics for 5-10 days

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12
Q

sycosis barbae Rx

A

fusidic acid
cephalexin for 2 Wks in extensive cases

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13
Q

vitiligo Rx

A

1- potent topical cortecosteroid
2- calcinurin inhibitors i.e tacrolimus ointment
3- psoralin (trimethylpsoralen || methoxypsoralen) taken before 2 hrs of uva exposure
4- UVB 2-3 weekly for 6 mo.
5- skin graft
6- excimer laser
7- minigraft
8- melanocyte || stem cell transplant

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14
Q

chloasma Rx

A

-sunscreen
-bleaching agents contain hydroquinone for 6-10 Wks
in stubborn > add steroid and retinoid
-chemical peels such as glycolic acid

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15
Q

Impetigo contagiosa

A

Fucidic acid & oral cephalexin

16
Q

Ecthyma

A

Cephalexin

17
Q

Sycosis barbae

A

Stop shaving
Cephalexin
Oral corticosteroid

18
Q

Erysipelas / cellulitis
Erysipeloid

A

Oral cephalexin

19
Q

Erythrasma

A

Oral or topical erythromycin

20
Q

Verruca plana ,
Filiform wart

A

Tretinoin
Curettage respectively

21
Q

Varicella

A

Antipyretic
Antipruritic (Hydroxyzine)
Cephalexin
Acyclovir

22
Q

Molluscum contagiosum

A

Curettage

23
Q

Tinea pedis

A

Terbinafine cream 1% ( 2 D for 1 W)
{Fluconazole 50mg 1 W for 4 W || Itraconazole 200mg 2 D for 1 W || Terbinafine 250mg 1 D for 2 W} for moccasin and vesicular tinea
Topical steroid can be used if there is reaction

24
Q

Tinea cruris

A

Terbinafine 1% (twice daily for one week)
Fluconazole 150mg once weekly for 2-4
Itraconazole 100mg twice daily for 1 week
Terbinafine 250mg once daily for 1-2 week

25
Q

Pityriasis versicolor

A

Treatment options:

 Ketoconazole shampoo 2% (Nizoral) daily application for 3 days.

 Selenium sulfide suspension 2.5% (Selsun) applied for 10 minutes every day for 7

consecutive days.

Itraconazole 200mg once daily for 1 week. Prophylaxis: 200 mg twice 1 day per month for

6 months for recurrent disease.

Fluconazole 300mg single oral dose. Repeated in 2 weeks if needed.

 Ketoconazole 400mg single oral dose. Prophylaxis: 400mg once monthly for recurrent

disease.

26
Q

Tinea capitis

A

Griseofulvin 20 mg/kg/day ||

Fluconazole (Diflucan) 8 mg/kg once weekly for 4-16 weeks.

 Terbinafine (Lamisil) 20-40 kg body weight: 125 mg daily 2-4 weeks, >40 kg body weight:

250 mg daily 2-4 weeks

27
Q

Herpes zoster

A

Acyclovir 800mg 5 times a day for 5 days

28
Q

Lichen planus

A

Topical and systemic steroid
Phototherapy
Antihistamine
Cyclosporin

29
Q

Scabies Rx

A

Education
Topical sulphur for 3 days and then topical permethrin at night , another permethrin after 5 days

30
Q

Local vitiligo

A

1-Sun Screen.
2- Local Steroid.
3- Tacrolimus.
4- Cosmetic Comuflag Cream.

31
Q

Diffuse vitiligo

A

1- PUVA.
2- Systemic Steroid.
3- U.V.B Rays.
4- If More than 90% of Skin Affected; DoÆ De-Pigmentation by; Ethyl Ether Hydroquinone

32
Q

Acne

A

(According to the Grade)

-Local Treatment: Local Retinoid, Benzyl Peroxide, Local AB. -Systemic Treatment: Systemic Retinoid, Systemic AB.

33
Q

Rosacea

A

1- Avoid Sun Light. 2- Systemic Retinoids. 3- Systemic AB. 4- Mitronidazole Cream.

34
Q

Acute paronychia

A

Incision&raquo_space;> cephalexin

35
Q

Chronic paronychia

A

Dry
Topical clotrimazole
Mixture of anticandida , antibiotics, steroid (nystatin , neomycin , gramicidin , triamcinolone)
Fluconazole 150 for 4 W

36
Q

Onychomycosis

A

1- Terbinafine 250mg daily for 6 W in finger nail while 12 W for toenail

Itraconazole (Sporanox 100mg capsule) is a fungistatic agent. Pulse dosing: A pulse

treatment consists of two capsules (200 mg) twice daily for one week, followed by a 3-week

drug free interval. Two to 3 pulse treatments are recommended for fingernail infections and

Drugs (14 decks)

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