drugs in derm Flashcards
ointments are
water in oil
creams are
oil in water
how much medication will cover an entire average adult human body once
30 grams
Most potent steroid
clobetasol proprionate - 0.05%
least potent steroid
hydrocortisone 1%
super potent class 1 steroids are used for
severe dermatoses on thick skin areas, palms, soles, back
least potent class 7 steroids are used for
thin skin areas, face genitals, skin folds
side effects of topical steroids
- skin atrophy
- stretch marks
- telangiectasias
- perioral dermatitis
- hypertrichosis
treating dermatitis
- topical calcineurin inhibitors
- steroid sparing agents
- tacrolimus
antigens in acne
follicular keratin plug
P. acnes bacteria
treating acne
- topical retinoid
- topical Abx
topical retinoids help by
reducing the keratin plug formation
tretinoin works best for
comedonal acne
how do you reduce antibiotic resistance to erythro and clindamycin when treating acne
combine with benzo peroxide
what can be used alone for the treatment of acne
- benzoyl peroxide -
what should you NOT use in pregnancy
topical retinoid
- tetracyclines
tetracyclines should never be prescribed to
pregnant women
children under 8
Minocycline side effects can include
bluish discoloration of the skin - and pigmentation
which Abx can be used in pregnant women
erythromycin
hormonal anti-acne treatments can include
spirono + OCP
Mechanism of action of isoretinoin
- normalizes keratinization
- decreases sebum production by 70%-
- decreases P. acnes colonization
- anti-inflammatory
contraindications to isoretinoin!!!
DO NOT USE in pregnant women - women must be on two forms of birth control
- and in patients on tetracyclines
what should you NOT give for treating psoriasis
NOT prednisone
which fungal dermatophyte infections DO NOT respond to topical meds
hair and skin
