FInal exam lecture 7 Flashcards
Nam ethe 5 vehicles for dermatologic products
Ointment
cream
lotion
Gel
Spray/foam/solution
Advantage/disadvantage of Ointement
Adv- Best for hydration
Best for drug delivery
Removes scales
Dis- Greasy, low pt acceptance, not ideal for hairy areas
Adv/dis of creams
Adv- Good for hydration and drug delivery, high pt acceptance, can apply to most areas
No dis
Lotion adv/dis
Adv- Watered down creams, easy to apply good pt acceptance
dis- requires freq application, not ideal for very dry skin
Gel adv/dis
adv- high pt acceptance, excellent for EtOH soluble drugs, can apply to most sreas
Non- greasy
dis- can be drying
Adv/Dis of solutiuons, foams and sprays
Adv- can apply to most areas, easy to apply to hair areas
dis- drying
not ideal for drug delivery
not ideal for hydration
requires freq application
Main sx of acute contact dermatitis
Itching
Two types of acute contact dermatitis
Allergic
irritant
treatment of poison IVY
Remove source
Topical antihistamines/oral antihistamines
Topical/oral corticosteroids
Why are corticosteroids effective in treating acute dermatitis
Anti inflammatory characteristiscs
Dosing of corticosteroids in treating acute dermatitis
Apply BID to QID x 10-14 days
Dos and DONTS OF CORTICOSTEROID perscription
AVOID DOSE PACKET
start at prednisone 40-60 mg/day, taper every 3 days
most common cause of eczema
Atopic dermatitis
what is the atopic triad
Atopic dermatitis patients also develop allergic rhinitis and/or asthma.
How does atopic dermatitis differ from the other dermititis
It is symmetrical (bilateral)
common locations of atopic dermatitis in infants, children and adults
Infants- skin rash on cheeks and skin
Child- face, neck, creases of arms and legs
adults- hands and neck
triggers of atopic dermatitis
Detergents, irritants
stepwise treatment of atopic dermatitis
Non-pcol
topical
systemic
Non pcol treatments of atopic dermatitis
Lukewarm/tepid baths with emollients
Eliminate irritants
Topical therapies for atopic dermatitis
Topical corticosteroids
Topical calcineurin inhibitor
Topical JAK inhibitor
Systemic therapy for atopic dermatitis
phototherapy, oral immunosuppresant therapy
Oral JAK inhibitors, injectibel biologic agents
How to treat moderate-severe acute flares of atopic dermatitis
Medium potency TCS BID for 3 days neyond clearance of lesions
What if the flares are refractory fro mod-severe atopic dermatitis
Phototherapy or immunosuppressive therapy
Inadequate response to all therapies consider biologics agents
Classification of topical corticosteroids
Very high potency (class 1)- betamethasone (ointment) (not on face)
High potency (class 2)- bethmethasone cream (not on face)
Mid potency (class 3)- lotion
