Miscellaneous Dermal Drugs Flashcards
What is Minoxidil?
Rogaine
Minoxidil MOA
Unknown.. maybe activates hair follicles; maybe alters androgen metabolism
ADE of Minoxidil are unlikely; however, what conditions may increase the percutaneous absorption and lead to adverse effects?
Skin abrasions like psoriasis or sunburn
What must you express to your patient about use of Minoxidil and its effectiveness?
Minoxidil must be continually used to be effective
Administration of Minoxidil?
Topical
Finasteride administration?
Oral
Finasteride treats?
Hair loss, BPH
Dosage for hair loss? Dosage for BPH?
Hair loss: 1mg daily
BPH: 5mg daily
Finasteride MOA
Testosterone analog: blocks 5-alpha-reductase activity –> decreased scalp and serum DTH concentrations
Finasteride ADE
New research shows it may decrease libido and lead to sexual dysfunction
What OTC natural remedy for BPH interferes with Finasteride?
Saw Palmetto increases Finasteride’s activity
Eflornithine’s clinical use?
Removes unwanted female hair (facial hirsutism)
Also treats African Sleeping Sickness
Eflornithine administration?
Topical
Eflornithine MOA
Decreases ornithine decarboxylase
Eflornithine ADE
“Skin adverse events are rare and mild” Do not apply around eyes or mucus membranes
Is Eflornithine a dipilatory agent?
No
Methoxsalen clinical use
Treats Vitiligo, Psoriasis, T-cell lymphoma, alopecia areata, inflammatory dermatosis, eczema, lichen planus
Administration of Methoxsalen
Oral or topical
Describe the unique MOA of Methoxsalen
It is activated by UVA. So you give the patient Methoxsalen then expose them to UVA light (320-400nm). The desired effect is to kill the “bad cells”
Chemotherapy induced alopecia depends on?
Drug, dose, intensity, route of administration
How long does it take for chemo to induce complete alopecia?
2-3 months
Describe “scalp cooling”
Chemo pts wear a cold hat to vasoconstrict the blood vessels under their scalp in the hopes that not as much chemo will get there and they will not lose their hair.
What is an adverse concern about scalp cooling?
If you vasoconstrict the scalp vessels, they could get a sub-lethal dose of chemo thus the cancer could survive in the scalp.. It is contraindicated in hematologic malignancies
Methoxsalen treats?
Hyperpigmentation.. it stops melanin