Eczema & Psoriasis - Chapter 42 Flashcards
Atopic Dermatitis
-Most common form of Eczema
Symptoms of Eczema
- Dry scales on skin
- Small rough bumps on arms, legs, face
- Inflammation around corners of mouth and face rash
- Darkened eyelids
- Extra skin fold under eye
- Hives
- Intense itching
- Redness
- Rashes
Factors that Exacerbate Eczema Symptoms
- Stress
- Contact with irritants
- Food allergy
- Wearing wool or irritating clothing
- Dry environments
- Scratching
Psoriasis
- Condition associated with very rapid turnover of skin cells
- Also caused by hyperactivity of T-cells
Factors That aggravate Psoriasis
- Stress
- Dry skin
- Environmental factors
- Infections
- Some medicines
Pharmaceutical Treatment For Eczema and Psoriasis
- Topical and oral corticosteroids
- Immunomodulators
Topical Corticosteroids
- Classified based on potency
- Possess antiinflammatory and immunosuppressive properties
Very Potent Topical Corticosteroids Examples
- betamethasone dipropionate
- clobetasol
- halobetasol
Brand: Diprolene Glycol, Diprosone, Propaderm
Generic: betamethasone dipropionate
Brand: Clobex, Dermovate
Generic: clobetasol
Brand: Ultravate
Generic: halobetasol
Potent Topical Corticosteroids Examples
- amcinonide
- betamethasone propionate
- betamethasone valerate
- desoximetasone
- diflucortolone
- fluocinolone
- fluocinonide
- mometasone
- triamcinolone
Brand: Cyclocort
Generic: amcinonide
Brand: Betaderm, Celestoderm V, Celestoderm V/2 Ectosone Prevex B Valisone
Generic: betamethasone valerate
Brand: Topicort
Topicort Mild
Generic: desoximetasone
Brand: Nerisone
Nerisone Oily
Generic: diflucortolone
Brand: DermaSmooth FS,
Synalar
Generic: fluocinolone
Brand: Lidex,
Lidemol
Generic: fluocinonide
Brand: Elocom
Generic: mometasone
Brand: Aristocort C,
Aristocort R,
Oracort Dental Paste
Generic: triamcinolone
Moderately Potent Topical Corticosteroids Examples
- betamethasone valerate
- fluocinolone
- hydrocortisone valerate
- triamcinolone
Brand: Hydroval
Generic: hydrocortisone valerate
Mild topical Corticosteroids Examples
- desonide
- prednicarbate
Brand: Desocort
Generic: desonide
Brand: Dermatop
Generic: prednicarbate
Least Potent Corticosteroids Examples
- hydrocortisone
- hydrocortisone acetate
Brand: Emo-Cort
Generic: hydrocortisone
Brand: Cortamed
Generic: hydrocortisone acetate
Topical Corticosteroids ADR’s
- Thinning of skin
- stretch marks
- Spider veins
- Acne
- Milia
- Bruising
- Poor wound healing
Immunomodulators for Atopic Dermatitis Examples
- pimecrolimus
- tacrolimus
Brand: Elidel
Generic: pimecrolimus
Brand: Protopic
Generic: tacrolimus
Immunomodulators: Vitamin D Analogs for Psoriasis Examples
- calcipotriol
- calcipotriol/betamethasone
- Calcitrol
- pimecrolimus
- tacrolimus
Brand: Dovonex
Generic: calcipotriol
Brand: Dovobet
Generic: calcipotriol/betamethasone
Brand: Silkis
Generic: calcitrol
Immunosuppressants for Psoriasis Examples
- azathioprine
- cyclosporine
- methotrexate
Brand: Imuran
Generic: azathioprine
Brand: Neoral
Generic: cyclosporine
Brand: methotrexate
Generic: methotrexate (MTX)
TNF-a Inhibitors Examples
- etanercept
- infliximab
- adalimumab
Brand:Enbrel
Generic: etanercept
Brand: Remicade
Generic: infliximab
Brand: Humira
Generic: adalimumab
Furanocoumarins Examples
-methoxsalen
Brand: Uvadex
Generic: methoxsalen
Misc. Topical Agents For Psoriasis Examples
- coal tar
- salicylic acid/coal tar
- tazarotene
Brand: Targel (and others)
Generic: coal tar
Brand: Targel S.A.
Generic: coal tar/salicylic acid
Brand: tazorac
Generic: tazarotene
Misc. Systemic Agents For Psoriasis Examples
- acitretin
- apremilast
- secukinumab
- ustekinumab
Brand: Soriatane
Generic: acitretin
Brand: Otezla
Generic: apremilast
Brand: Cosentyx
Generic: secukinumab
Brand: Stelara
Generic: ustekinumab