- Camphor/menthol - Capsaicin - Doxepin(zonalon) - Pramoxine hydrochloride (prax)

First line Drugs + Some treatments Flashcards by S P

Atopic dermatitis

Triamcinolone + hydrocortisone (or alclometasone, denoside)
All = topical corticosteroids
Managing = tacrolimus or pimecrolimus creams

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Psoriasis

Topical corticosteroids
Tar shampoo, salicylic acid gel, P&S solution, fluocinolone acetonide (for scalp)
Phototherapy for widespread

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Pityriasis rosea

No treatment unless severe

- UVB or prednisone

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Seborrheic dermatitis

Scalp: zinc pyrithione or selenium shampoo
Facial/non-hairy areas: mild corticosteroid (hydrocortisone, alclometasone, desonide)
Eyelids: Johnson&Johnson baby shampoo

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Tinea Corporis or circinata

Antifungals (terminating, butenafine, econazole, miconazole, clotrimazole)
Systemic measures: itraconazole (oral) or terbinafine (oral)

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Non-steroidal anti-inflammatory agents endings

Crisaborole
Pimecro_limus
Tacro_limus

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Antipruritics

Camphor/menthol
Capsaicin
Doxepin(zonalon)
Pramoxine hydrochloride (prax)

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Tinea cruris (jock itch)

Drying powder (miconazole nitrate)
Topical terbinafine or antifungal (-azole)
Systemic? - itraconazole or terbinafine (oral)

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Tinea pedis

Aluminum subacetate solution + topical imidazoles (antifungal cream)k

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Tinea versicolor

Fluconazole (oral) + ketoconazole shampoo

Topical: selenium sulfide

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Cutaneous lupus erythematosus

High potency corticosteroid creams
Hydroxychloroquine sulfate (oral) = antimalarial (or other "-quine"s)
Isotretinoin or thalidomide (both are teratogens)

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Actinic keratosis

Liquid nitrogen

Fluorouracil, imiquimod, ingenol mebutate

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Herpes simplex

Acyclovir PO
Valacyclovir PO
Famiciclovir PO

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Herpes Zoster (shingles)

-“clovir”
- Acyclovir, famciclovir, valacyclovir
- Pain reduction: prednisone (oral)
Post-hermetic neuralgia: Gabapentin

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Pomphylox (dyshidrotic eczema)

High potency topical corticosteroids

I.e. fluocinonide (lidex), clobetasol, halobetasol

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Porphyria cutanea tarda

Antimalarial meds (hydroxycholorquine oral)
- Deferasirox (iron chelator)

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Dermatitis herpetiformis

Dapsone (oral)

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Impetigo

Bacitracin, mupirocin, retapamulin (topical) - antibiotics

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Contact dermatitis

Fluocinonide, clobetasol, halobetasol (topical, high potency corticosteroids)
+ taper with triamcinolone

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Acne vulgaris

Comedomal: Tretinoin (retinoid) + benzoyl peroxide
Papular/cystic mild: clindamycin, erythrmoycin (topical) + benzoyl peroxide
“ “ moderate: doxycycline, minocycline, TMP-SMZ, cephalosporin (oral)
“ “ severe: isotretinoin (oral)

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Rosacea

Zinc or titanium based sunscreen
Topical: metronidazole (anti-biotic) + ivermectin (anti-inflammatory/parasitic) OR clindamycin (antibiotic)
Systemic: The “-cyclines” - Tetracyclines, minocycline, doxycycline (oral)

Folliculitis

Topical: anhydrous ethyl alcohol + Xerac AC

Pseudomonas folliculitis

Ciprofloxacin (oral)

Gram negative folliculitis

Isotretinoin (oral)

Eosinophilic folliculitis

Permethrin (topical pedculicides), itraconzole (oral), isotretinoin (oral)

Malassezia folliculitis

Sulfacetamide lotion + itraconazole or fluconazole

Demodex folliculitis

Permethrin (topical pedculicides) or ivermectin (topical or oral)

Mucocutaneous candidiasis

Nail: clotrimazole or thymol (topical) Skin: nystatin or clotrimazole (topical) Vulvar/anal: fluconazole (oral) OR intravaginal clotrimazole, miconazole, terconazole, nystatin The uncircumcised: Nystatin (topical) Mastitis (mammary): Nystatin or clotrimazole (topical)

Urticaria

H1 antihistamines - hydroxyzine (oral) or cyproheptadine (oral) Chronic: doxepin (oral)

Erythema multiforme/Stevens-Johnson syndrome/toxic epidermal necrolysis

Prednisone (topical) + IVIG (cyclosporine - topical)

Erysipelas

Penicillin, dicloxacillin, cephalosporin (oral) | - Penicillin allergy = clindamycin (oral) or erythromycin (for strep only)

Cellulitis

MSSA: Nafcillin, cefazolin, clindamycin, dicloxacillin, cephalexin, doxycycline, TMP-SMZ (oral) MRSA: vancomycin, linezolid, clindamycin, daptomycin, doxycycline, TMP-SMZ

Pemphigus

Prednisone (oral), azathioprine or mycophenolate mofetil (oral)

Bullous pemphigoid

Prednisone (oral) Tetracycline or nicotinamide (oral) for corticosteroid allergies Mucus membrane? --> Dapsone (oral)

Flat Warts on face

Liquid nitrogen Salicylic acid or benzoyl (keratolytic agent) Podophyllum resin (topical) Imiquimod (topical)

Molluscum contagiosum

Curettage or liquid nitrogen | Cantharadin (topical)

Lichen planus

Topical corticosteroids | Oral/vaginal: Tacrolimus (topical)

Scabies

``` Multiple doses of Permethrin (topical pediculicides) or benzoyl benzoate AND ivermectin (oral) ```

Erythema nodosum

``` NSAIDS Potassium iodide (topical) ```

Faruncles/Carbuncles

TMP-SMA or clindamycin (oral antibiotics)

Leg ulcers secondary to venous insufficiency

Pentoxifylline (oral anti-inflammatory)

Hyperpigmentation

Bleaching preparations with hydroquinone

Hypopigmentation (vitiligo)

Less than 20%: tacrolimus (topical, nonsteroidal anti-inflammatory) More than 20%: UVA or oral PUVA

Androgenetic alopecia

Minoxidil (topical)

Alopecia areata

Triamcinolone acetonide (topical)

Onychomycosis (tinea unguium)

Efinaconazole (topical) | Fingernails: griseofulvin (oral)

Anogenital warts

First line: topical podophylline

Common warts

Liquid nitrogen | Trichloracetic acid

Anogenital warts

Podophylline (topical) | Imiquimod (topical)

Plantar warts

Liquid nitrogen Keratolytic agents (salicylic acid) Laser therapy Bleomycin intralesional injections

Vitiligo

<20% TBSA: Tacrolimus (topical) or corticosteroids | >20% TBSA: UVB, oral PUVA