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
Q

lamisil AT 1% gel use in pregnant or BF

A

not recommended

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26
Q

how often to use lamisil AT 1% gel

A

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)

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27
Q

How long do you use lamisil AT 1% gel for?
1 week
2 weeks
4 weeks

A

1 week only

28
Q

Canesten dual action 1% cream uses

A

athletes foot
jock itch

29
Q

How long to use canesten dual action 1% for

A

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
Q

Daktarin Aktiv Spray Powder contains which antifungal drug

A

miconazole

31
Q

Daktarin Aktiv Spray Powder is used for

A

athletes foot

32
Q

Daktarin Aktiv Spray Powder can be sprayed where

A

skin
inside socks and shoes

33
Q

how often to use Daktarin Aktiv Spray Powder

A

BD until affected areas of skin look normal

34
Q

Daktarin Aktiv Spray Powder is used for

A

treatment, relief and protection against athletes foot

can use regularly to protect from reinfection

35
Q

Daktarin Aktiv Spray Powder age

A

all ages

36
Q

daktacort ingredients and indications

A

miconazole + HC
used for inflamed sweat rash and athletes foot

37
Q

daktacort age

A

10+
(it has HC in it so obvs 10 and over)

38
Q

daktacort duration of use

A

BD, 7 days

39
Q

candida intertrigo

A

sweat rash

40
Q

common areas you will get sweat rash

A

sore itchy rash found in areas where skin rubs together e.g. below or between breasts, underarms, tops of legs, groin etc

41
Q

daktacort should only be used if fungal infection has symptoms of

A

inflammation

42
Q

canesten HC cream age

A

10 and over (bc of HC)

43
Q

canesten HC duration of use

A

BD 7 days

44
Q

canesten HC indications

A

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
Q

canesten thrush combi consists of

A

500mg pessary
2% external cream

46
Q

canesten thrush combi (500mg pessary + 2% external cream) age restrictions

A

16-60

47
Q

how to use canesten thrush combi

A

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
Q

thrush OTC - referral criteria

A

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
Q

canesten combi treats both internal and external symptoms - T or F

A

true
has vaginal 500mg pessary and 2% external cream

50
Q

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?

A

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
Q

symptoms of vaginal thrush

A

persistent burning and or itching around vagina and vulva
redness, swelling and soreness of vaginal tissues and vulva
whitish, odourless discharge from vagina

52
Q

canesten thrush combi cream version what does it contain

A

internal and external cream

10% vaginal cream
2% cream

53
Q

canesten thrush combi cream version age

A

16-60

54
Q

canesten thrush oral capsule - contains what and what is the age

A

150mg fluconazole
16-60

55
Q

canesten thrush oral capsule how to use and can men use it?

A

effective single dose treatment for vaginal thrush
can also be used to treat partner if he is suffering from penile thrush

56
Q

patient has taken 150mg fluconazole for thrush. they are still experiencing symptoms 2 days later day. what do you advice

A

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
Q

fluconazole 150mg for thrush - pregnant or BF

A

do not use

58
Q

a man would like to purchase canesten oral capsule for thrush. is this allowed?

A

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
Q

need to refer if pt has recurrent thrush i.e if

A

> 2 in 6 months

60
Q

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?

A

another capsule may be taken but if you have more than two
infections within six months you should see your doctor

61
Q

canesten thrush duo consists of

A

oral capsule 150mg fluconazole (cause of thrush)
2% external cream (external thrush symptoms)

62
Q

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
A

canesten thrush oral capsule to treat the infection
she has no other symptoms e.g. external symptoms so will not require the others

63
Q

Canesten Thrush Combi Soft Gel Pessary & External cream 500mg vaginal capsule / 2% w/w cream is used for

A

CAUSE and SYMPTOMS of thrush

64
Q

clotrimazole 1% or 2% is used for external symptoms of thrush?

A

2% external cream

65
Q

canestren thrush pessary is used for

A

500mg pessary
used to treat CAUSE of thrush

66
Q

lamisil 1% cream is used for , age and duration, API

A

soothing relief from itching and burning of athletes foot and jock itch

suitable for 16 and over

OD for one week

terbinafine