Management of Dermatoses - Dolphens Flashcards
Antihistamines
Certirzine (Zyrtec)
Loratadine (Claritin)
lack sedation
once daily
Antihistamine - Alternatives
Hydroxyzine (Atarax)
Diphenhydramine (Benadryl)
Antipruritic Agent
camphor
menthol
phenol
Group 1 (Superpotent) Corticosteroid
clobetasol
use for: psoriasis, hand eczema
not for face or intertriginous areas - limit use 14 days
Group 2 & 3 Corticosteroid
fluocinonide
use for: atopic dermatitis - adults
not for face, skin folds, - limit use 14-21 days
Group 4 & 5 Corticosteroid
triamcinolone
use for: atopic dermatitis - kids
limit use in skin folds - limit use to 7-21 days
Group 6 & 7 Corticosteroid
rx: desonide; otc: hydrocortisone
eyelid dermatitis, atopic dermatitis in young children, Seborrheic dermatitis
reevaluate if no response within 28 days, avoid long-term continuous use
Intralesional Corticosteroids
Plaques of psoriasis Prurigo nodules Inflamed cysts Localized patches of alopecia areata Keloid formation
Immunomodulators
atopic dermatitis
Pimecrolimus - elidel (mild to moderate)
Tacrolimus - protopic (moderate to severe)
Topical Antibiotics
acne vulgaris and rosacea Clindamycin Erythromycin Metronidazole minor skin problems - impetigo mupirocin (bactroban ointment)
Antiseptic Cleaners
Providone Iodine (Betadine) Hexachlorophene (pHisoHex) Chlorhexadine gluconate (Hibiclens)
Oral Systemic Antibiotics
Uses: bacterial skin infections, acne vulgaris, rosacea, hidradenitis suppurativa, folliculitis
tetracycline family (minocycline, doxycycline)
erythromycin
Topical Antifungal
Tinea pedis (excluding onychomycosis) Tinea corporis Tinea cruris Tinea versicolor Seborrheic dermatitis
Systemic Antifungal
Tinea corporis
Tinea capitis - Griseofulvin
Onychomycosis
fungal infections in HIV patients
Terbinafine (Lamasil) & Itraconazole (Sporanox) useful for onychomycosis
Fluconazole (Diflucan) - dermatophytes, thrush, vaginal candidiasis
Antiviral
Herpesvirus infections Herpes zoster Acyclovir (Zovirax) Valacyclovir (Valtrex) Famciclovir (Famvir) Topical Agents for recurrent HSV: Penciclovir (Denavir), Acyclovir (Zovirax)