Dermatology meds Flashcards
1
Q
Bacitracin
topical antibiotic
A
- peptidoglycan
- superficial G+/mucosal infections
- highly nephrotoxic systemically
2
Q
Mupirocin
topical antibiotic
A
- Binds tRNA synthase
- Superficial G+ (including MRSA)
- Select G-
- mucosal infections
- Impetigo
3
Q
Polymixin B sulfate
topical antibiotic
A
- Superficial G- (Pseudomonas, E. coli, enterobacter, klebsiella)
- NO G+
- systemic toxicity
- NO in ESRD
4
Q
Nystatin
Oral/topical Antifungal
A
- binds sterols (increases membrane perm)
- Topical skin and mucosal candida ONLY
- SJS
5
Q
Ciclopirox Illumine
Topical Antifungal
A
- inhibits uptake of precursors, inhibiting membrane formation
- Dermatophytes, Candida, P. orbiculare
- Tinea versicolor, onychomycosis
6
Q
Fluconazole
Oral antifungal
A
- alters perm of cell wall
- Candida and dermatophyte fungal infections
- cryptococcal meningitis (AIDS)
- SJS
- Avoid in preg
- t1/2 = 30H
7
Q
Terbinafine
oral/topical antifungal
A
- inhibits sterol synth and disrupts wall
- oral: onychomycosis
- topical: tinea pedis
- Monitor ALT/AST and hepatic function
8
Q
Acyclovir
Nucleoside anti viral (oral/Topical)
A
Block herpes virus N.A. synthesis
- nephritis, seizures c OD
- decreases [MTX]
- accumulates only in virus infected cells
9
Q
Trentinoin
topical Acne med
A
- Binds RARs and RXrs to increase epidermal cell turnover
- Acne vulgaris
- makes acne worse initially
10
Q
Isotretinoin
oral acne med
A
- normalize keratinization of sebaceous gland and inhibit sebaceous gland size and function
- reduce P. Acne numbers
- oral tx of sever, cystic acne
- Lots of S/E: hepatotoxicity, abnormal menses, IBD, premature epiphyseal closure
11
Q
Adapaline
Retinoid-like anti-acne agent
A
- modulator of cell differentiation, keratinization and inflammation
- mild to moderate acne
- sun sensitization
- avoid in preg and lactation
12
Q
Benzyl Perozide
A
- antimicrobial action
- acne vulgaris
- start at low concentration to avoid drying
13
Q
Triamcinolone
topical steroid
A
- 0.025% and 0.5%
- Attaches to GR receptor and inhibits protein synthesis
- anti-inflammatory
- straie, easy brushing, fat distribution changes, HTN, skin atrophy
- Don’t use with NSAIDs or immunosuppressants
14
Q
Clobetasol Propionate
topical steroid
A
- Attaches to GR receptor, inhibiting protein synthesis
- anti-inflammatory
15
Q
Calcipotriene
Psoriasis drug, Topical
A
- Vit D topical
- Regulates skin cell production and proliferation
- moderately severe plaque psoriasis
- burning, hyperpig, skin atrophy
- Vit D toxicity