Eyes, Ears, Nose & Skin Conditions: Common Skin Conditions Flashcards
Tea tree oil can be used for….
acne
Biotin can be used for…..
hair losss and brittle nails
Lysine can be used for….
cold sore prevention and treatment
Topical vitamin D can be used for….
skin conditions like diaper rash and psoriasis.
What kind of diets can worsen acne?
High glycemic index or dairy
OTC acne options
Benzoyl peroxide
Salicyclic acid
Azelaic acid
Retinoids should be avoided in….
pregnancy and breastfeeding
Retinoids should be applied at….
night, in pea-sized amount
can cause photosensitivity
How long for retinoids to work?
Take 4-12 weeks to work, acne can worsen initially
Winlevi
Clascoterone, topical androgen receptor inhibitor for mild acne
ages 12 and up
Microsphere retinoid has benefit of….
slower release, less skin irritation
Benzoyl peroxide can do what to clothing and hair?
bleach
Isotretinoin is only approved for….
severe, refractory nodular acne
Isotretinoin boxed warnings
Birth defects
REMS program, will 1 month at time and within 7 days
Dont get pregnant for 1 month after stopping and 1 month before (duh)
Isotretinoin warnings
dry skin, chapped lips, dry eyes/eye irritation
Isotreinoin requires how many forms of birth control?
2
cant use progestin only pill
Abreva directions
5 times daily at first sign of outbreak
Acyclovir topical cream (Zovirax) directions
5 times daily for 4 days
Finasteride for hair loss doss
1mg daily, can take 3 months for effect
CI: pregnancy
Warning: Hazardous drug for females of childbearing age
Topical Calcineurin inhibitors
Tacrolimus
Pimecrolimus
for eczema
Topical Calcineurin inhibitor warnings
dont use in children < 2yrs of age, associated with lymphoma and skin cancer
Janus kinase inhibitors
Abrocitinib
upadacitinib
ruxolitinib
Janus Kinase inhibitors warnings
boxed warning serious infection and higher rates of malignancy and thrombosis
If yeast is thought to be involved in diaper rash, then use…
nystatin
Preparation H will….
shrink the hemorrhoid (vasoconstrictor) and reduce burning and itching
Pin worm treatment
Pyrantel pamoate = Reeses pinworm medicine
Albendazole and Mebendazole = RX
Malathion Lotion 0.5% lice treatment
used in people 6yrs and older
flammable, so dont go near anything
Permethrin 1% lotion for lice treatment
approved in 2+ months old
Drug of choice, use another treatment on day 9
Re-treatment is used for most products, use nit comb every 2-3 days
treating poison ivy, oak, sumac
wash off with soap, make sure to get out from under fingernails
topical o oral steroids can help
cold compress
Zanfel = binds urushiol = low evidence of efficacy
Steroid potency from highest to lowest by type
Ointment> cream> lotions> solutions>gels> sprays
What should be used for thick/dry skin
ointments
What should be used for hairy skin
lotion, gels, foams
Hydroxyzine for hives
25mg TID - QID for general itching
Very high potency steroids
Clobetasol
Fluocinoinide 0.1%
High potency steroids
Betamethasone
Flucinonide 0.05%
Mometasone fiorate 0.1% ointment**
High-medium potency steroids
Fluocinonide 0.05% cream
Medium potency steroids
Mometasone furoate 0.1% lotion**
Triamcinolone acetonide 0.1% cream
Lowest potency steroids
Hydrocortisone Cream