Last Day Flashcards
First-line antifungal for scalp
Griseofulvin
Terbinafine (lamasil) 2nd
First line antifungal for nails
Terbinafine (Lamisil)
Itraconazole (sporanox) 2nd
How many weeks of griseofulvin for capitis?
8 wks
Take griseofulvin with which type of meal?
Fatty
Lessen GI upset
CI for griseofulvin
Pregnancy
Liver failure
PNC allergy
Griseofulvin SE
SJS, TEN, EM Liver Granulocytopenia Neuro GI Lupus-like syndrome
DOC for tx of trichophyton
Terbinafine (lamisil)
DOC for tx of microsporum
Griseofulvin
Terbinafine (lamisil) SE
HA, diarrhea, CYP450
Minitor LFT
terbinafine nail dosing
Fingernails x 6 wks
Toenails x 12 wks
Itraconizole CI
pregnancy
CHF
Ventricular dysfxn
CYP450
First-line for tx of androgen allopecia in men
FInasteride (propecia)
FInasteride (propecia)
5-alpha reductase inhibitor
Inhibits conversion oftestosterone to dihydrotestosterone
Also used to tx BPH
Finasteride (propecia) and PSA values
Reduces them by 50%
Double PSA levels in pts who have been on med for 6 months
Finasteride (propecia) SE
Sexual dysfxn Gynecomastia Testicular pain Depression Teratogen Orthostatic hypotension, dizziness, weakness
Isotrentinoin (Accutane)
Tx for severe, nodular acne
Accutane precautions
2 neg preg tests
2 forms of BC 1 month prior
Preg text one monthly
Accutane SE
Hypertriglyceridemia
Cheilitis, dry skin
Epistaxis
Desquamation
Indications for topical cancineurin inhibitors
Atopic dermatitis
Psoriasis
Lichen planus
Vitaligo
Topical calcineurin BBW
Rare cases of malignancy
Also do not use under 2 yo
Tacroliumus (Protopic) SE
HA
Skin burning
Prutitis
Erythema
Pimecrolimus (Elidel) SE
Less burning than protopic
