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OTC fungal infections Flashcards

1
Q

Main symptoms of ringworm

A
  • rash
  • rash my be scaly, dry, swollen or itchy
  • usually ring shaped rash (can look different on face, neck, scalp)
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2
Q

What is this

A

ringworm
in this case the rash has grown/spread and there is more than one rash

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3
Q

What is this

A

ring worm

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4
Q

What is this and what should you do

A

ringworm on the scalp, it has also caused patchy hair loss
refer to GP as antifungal tabs are neded

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5
Q

what is tinea corporis

A

ringworm affecting body

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6
Q

what is onychomycosis

A

fungal nail infection

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7
Q

what is tinea pedis

A

athletes foot

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8
Q

what is tinea capitis

A

fungal infection affecting scalp

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9
Q

What is canesten 1% clotrimazole cream used to treat

A
  • ringworm
  • athletes foot
  • fungal nappy rash
  • fungal swear rash
  • external thrush or end of penis
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10
Q

Does canesten cream and other creams reduce effectiveness of contraception

A

Yes, rubber contraceptives e.g. condoms, diaphragms
If using on vulva (external) or penis, use alternative precautions for at least 5 days after using this product

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11
Q

Can you use canesten cream if pregnant or BF?

A

Yes

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12
Q

A lady who is BF has nipple fungal rash. What advice to give?

A

Can use canesten cream but wash breasts before BF

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13
Q

How often to use canesten cream

A

apply thinly and evenly to affected areas 2-3 times a day, rub in gently

generally minimum 2 weeks, up to 4 weeks may be necessary

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14
Q

Tinea infection is caused by

A

dermatophytes

e.g. athletes foot, ringworm

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15
Q

Candida infection is caused by

A

yeast

e.g. sweat rash and thrush

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16
Q

Sweat rash is caused by which type of fungi

A

yeast (candida)

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17
Q

fungal nappy rash is caused by which fungi and what are the symptoms

A

yeast (candida)

nappy rash lasting >3d may be fungal, will require antifungal treatment e.g. canesten cream
symptoms: red patched on bottom and genitals, burning and itching

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18
Q

active ingredient in lamisil AT 1% gel

A

terbinafine

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19
Q

name 3 infections that lamisil AT 1% gel is used for

A

athletes foot
dhobie itch (jock itch)
ringworm

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20
Q

lamisil AT 1% gel age

A

16+

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21
Q

symptoms of jock itch

A

genital area, can also spread to top of legs
symptoms: scaly, reddish, ring shaped patches which tend to complete rings with raised borders

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22
Q

lamisil AT 1% gel is suitable for ringworm affecting what parts of the body?

A

trunk, body, legs, arm, neck, head

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23
Q

When you use lamisil AT 1% gel between toes or buttocks or on groin, what other step can you take

A

the treated area may be covered with a gauze strip, especially at night
clean, fresh one each time!!

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24
Q

lamisil AT 1% gel is recommended for athletes foot when it occurs…

A

between the toes

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25
lamisil AT 1% gel use in pregnant or BF
not recommended
26
how often to use lamisil AT 1% gel
apply to affected areas once daily for one week (should start to improve after a few days but full skin. healing after infection has cleared can take longer, up to 4 weeks, due to damage caused during infection)
27
How long do you use lamisil AT 1% gel for? 1 week 2 weeks 4 weeks
1 week only
28
Canesten dual action 1% cream uses
athletes foot jock itch
29
How long to use canesten dual action 1% for
used for athletes foot and jock itch continue treatment for at least 4 weeks to prevent re infection if symptoms do not improve within 7 days, see GP apply 2-3 times a day
30
Daktarin Aktiv Spray Powder contains which antifungal drug
miconazole
31
Daktarin Aktiv Spray Powder is used for
athletes foot
32
Daktarin Aktiv Spray Powder can be sprayed where
skin inside socks and shoes
33
how often to use Daktarin Aktiv Spray Powder
BD until affected areas of skin look normal
34
Daktarin Aktiv Spray Powder is used for
treatment, relief and protection against athletes foot can use regularly to protect from reinfection
35
Daktarin Aktiv Spray Powder age
all ages
36
daktacort ingredients and indications
miconazole + HC used for inflamed sweat rash and athletes foot
37
daktacort age
10+ (it has HC in it so obvs 10 and over)
38
daktacort duration of use
BD, 7 days
39
candida intertrigo
sweat rash
40
common areas you will get sweat rash
sore itchy rash found in areas where skin rubs together e.g. below or between breasts, underarms, tops of legs, groin etc
41
daktacort should only be used if fungal infection has symptoms of
inflammation
42
canesten HC cream age
10 and over (bc of HC)
43
canesten HC duration of use
BD 7 days
44
canesten HC indications
Fungal skin infections when there are additional symptoms of inflammation (such as swelling, redness and itching). e.g. irritation of the vulva or end of the penis (glans) caused by thrush, nappy rash and fungal infection of the breast fold (intertrigo), ringworm and athlete’s foot. Will need to use just canesten on its own after using this for a week to get best results use HC when additional signs of inflammation e.g. swelling, redness, itching
45
canesten thrush combi consists of
500mg pessary 2% external cream
46
canesten thrush combi (500mg pessary + 2% external cream) age restrictions
16-60
47
how to use canesten thrush combi
wash hands before using insert pessary into vagina pref at night apply cream thinly to affected area 2-3 times a day no improvement after 7 days - see GP
48
thrush OTC - referral criteria
under 16 or over 60 (age restrictions) first time pregnant or trying more than 2 episodes of vaginal thrush in last 6 months you or partner has previously had STI diarrhoea nausea, vomiting fever, chills pain or difficulty passing urine lower abdominal pain redness, irritation or swelling assocaited with treatment smelly discharge ulcers, blisters or sores of vagina or vulva irregular or abnormal vaginal bleeding bloody discharge
49
canesten combi treats both internal and external symptoms - T or F
true has vaginal 500mg pessary and 2% external cream
50
a woman comes in with thrush. it is her second time in 9 months. she wants to buy canesten combi. also she is asking if there is anything her husband can use to prevent re infection. is this ok?
Yes, recurrent but not referral (>2 in 6 months) Canesten combi contains 500mg pessary and 2% external cream If women suffer from recurrent attacks, the partners penis can be treated with the cream to prevent re infection even if no signs of thrush
51
symptoms of vaginal thrush
persistent burning and or itching around vagina and vulva redness, swelling and soreness of vaginal tissues and vulva whitish, odourless discharge from vagina
52
canesten thrush combi cream version what does it contain
internal and external cream 10% vaginal cream 2% cream
53
canesten thrush combi cream version age
16-60
54
canesten thrush oral capsule - contains what and what is the age
150mg fluconazole 16-60
55
canesten thrush oral capsule how to use and can men use it?
effective single dose treatment for vaginal thrush can also be used to treat partner if he is suffering from penile thrush
56
patient has taken 150mg fluconazole for thrush. they are still experiencing symptoms 2 days later day. what do you advice
The symptoms of thrush should disappear within two days of treatment. If no improvement is seen after seven days, you must tell your doctor. If the infection returns after seven days another capsule may be taken but if you have more than two infections within six months you should see your doctor.
57
fluconazole 150mg for thrush - pregnant or BF
do not use
58
a man would like to purchase canesten oral capsule for thrush. is this allowed?
do not sell if his partner does not have thrush, if he has sores, ulcers or blisters on penis, if abnormal discharge, if smelly penis, if pain or difficulty in passing urine
59
need to refer if pt has recurrent thrush i.e if
>2 in 6 months
60
patient came in 2 weeks ago and bought fluconazole 150mg for thrush. she is back again because it has returned. can you make the sale?
another capsule may be taken but if you have more than two infections within six months you should see your doctor
61
canesten thrush duo consists of
oral capsule 150mg fluconazole (cause of thrush) 2% external cream (external thrush symptoms)
62
Patient comes in and suspects she has thrush infection because she has white, odourless vaginal discharge. what would you recommend? - canesten thrush oral capsule - canestren thrush combi soft gel pessary and external cream - canesten 2% external cream
canesten thrush oral capsule to treat the infection she has no other symptoms e.g. external symptoms so will not require the others
63
Canesten Thrush Combi Soft Gel Pessary & External cream 500mg vaginal capsule / 2% w/w cream is used for
CAUSE and SYMPTOMS of thrush
64
clotrimazole 1% or 2% is used for external symptoms of thrush?
2% external cream
65
canestren thrush pessary is used for
500mg pessary used to treat CAUSE of thrush
66
lamisil 1% cream is used for , age and duration, API
soothing relief from itching and burning of athletes foot and jock itch suitable for 16 and over OD for one week terbinafine

afsha otc (15 decks)

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