Skin Disorder Topical Drugs Flashcards
Antipsoriatic
Drug used to treat psoriasis
Antiseptic
Agent that stops, slows, or prevents the growth of microorganisms
Germicide
Agent that kills bacteria
Keratolytic
Agent that removes excessive growth of the epidermis
Necrotic
Pertaining to death of tissue
Onychomycosis
Finger or toenail infections
Proteolysis
Enzymatic action that helps remove dead soft tissues by reducing proteins to simpler substances
Purulent exudate
Fluid discharge of pus and white cells
Superinfections
Overgrowth do bacterial or fungal microorganisms not affected by the antibiotic being administered
Tinea corporis
Superficial fungal infection, aka ringworm
Tinea cruris
Superficial fungal infection of the grown region, aka jock itch
Tinea pedis
Superficial fungal infection of the foot, aka athletes foot
Tinea versicolor
Fungal infection that concentrates on the trunk of the body occurring in adolescents and young adults
Topical antibiotics MOA
Direct local effect on specific microorganisms and may be bactericidal or bacteriostatic
Bacitracin MOA
Inhibits cell wall synthesis
Topical antibiotics use
Treat primary and secondary skin infection, prevent infection of minor cuts, wounds, scrapes, and minor burns, treat acne vulgaris
Topical antifungal drugs MOA
Local effect by inhibiting growth of fungi
Topical antifungal drugs uses
Athletes foot, jock itch, ringworm, cutaneous candidiasis, other superficial fungal infections of the skin
Topical antiviral drugs use
Inhibit viral activity during initial HSV episodes, and directly in lesions to speed up recovery
Docosanol use
Speeds healing
Acyclovir administrations
Has a topical form (for oral HSV)
Penciclovir administration
Has a topical form for oral HSV
Topical anti infective side effects nature
Mild
Topical anti invectives side effects
Rash, itching, urticaria, dermatitis, irritation, or redness (May indicate allergic reaction)
Prolong use of topical antibiotics can result in…
A superficial superinfection
Topical antibiotics precautions
Pregnancy (cat C) and lactation
Acyclovir precautions
Pregnancy (cat B) and lactation
Penciclovir precautions
Pregnancy (cat B) and lactation
Econazole precautions
Pregnancy (cat C) andlactaton
Ciclopirox precautions
Pregnancy (cat B) and lactation
Topical feminized and antiseptics MOA
Affect a variety of microorganisms
Topical antiseptics and germicides use
Reduce the number of bacteria on skin surfaces, as a surgical scrub and preoperative cleanser, for preforming hand hygiene before and after caring for patients, in the home to cleanse the skin, and on minor cuts and abrasions to prevent infection
Topical antiseptics and germicides side effects
Few, but occasionally, there can be an allergic reaction which can cause skin rash or itching (should discontinue if allergic reaction occurs)
Topical corticosteroids MOA
Exert localized anti inflammatory activity, and reduce itching, redness and swelling
Topical corticosteroids use
Psoriasis, dermatitis, rashes, eczema, insect bites, and 1st and 2nd degree burns, including sunburns
Topical corticosteroids Side effects
Localized burning, itching, irritation, redness, dryness, allergic contact dermatitis, and secondary infections and systemic hypothalamic-pituitary-adrenal axis suppression, Cushing syndrome, hyperglycemia and glycosuria
Topical corticosteroids side effects are more likely to occur when…
Occlusive dressings are used
Topical corticosteroids contraindications
as Mono therapy for bacterial skin infections, for use on the face, groin, or axila, and for ophthalmic use, and not used as sole therapy in widespread plaque psoriasis
Topical corticosteroids precautions
Pregnancy (cat C) and lactation
Topical immunomodulators MOA
Reduce inflammation by stopping the production of cytokines and aren’t systemically absorbed (so can be used on the face and neck)
Topical immunomodulators use
Short term flare ups of atopic eczema, actinic keratosis (sun or aging spots), genital or perianal warts, some skin cancers
Topical immunomodulators side effects
Localized to skin tissues, and include burning, itching, and skin redness, may develop photosensitivity and flu like symptoms
Topical immunomodulators contraindications
Immunocompromised patients, long term use,
Topical immunomodulators precautions
Pregnancy and lactation
Tacrolimus contraindications
Allergy to macrolides
Fluorouracil use
Actinic keratosis topically, but it should be handled like a chemo agent
Topical antispsoriatics MOA
Helps to remove the plaques associated with the disorder
Antipsoriatics use
Psoriasis
Topical antispsoriatics side effects
Burning, itching or skin irritation
Anthralin side effects
Skin irritation or temporary discoloration of the hair and fingernails
Anthralin precautions
Pregnancy (cat .c) and lactation
Calcipotriene precautions
Pregnancy (cat C) and lactation
Topical enzymes use
Used to help remove necrotic tissue from chronic dermal ulcers, severely burned areas (2nd and 3rd degree burns)
Topical enzymes MOA
Hasten the reduction of proteins into simpler substances
Collagenase side effects
Mild transient pain and possibly numbness and dermatitis, but there is a low incidence of side effects
Topical enzymes contraindications
Wounds in contact with Major body cavities or where nerves are exposed or in fungating neoplasticism ulcers
Topical enzymes precautions
Pregnancy (cat B) and lactation
Topical enzymes interactions
Enzymatic activity can be impaired by certain detergents and heavy metal ions (Mercury and silver), which are used in some antiseptics
Optimal pH for collagenase
6 to 8, higher low lower pH decreases activity
Keratolytics uses
Warts, calluses, corns, seborrheic keratoses
Keratolytics side effects
Usually well tolerated, but a transient burning, rash, dry skin, scaling, or flu like syndrome can occur
Keratolytics contraindications
Moles, birthmarks, warts with hair, genital or facial warts, warts with mucous membranes, or on infected skin, prolonged use in infants, people with diabetes, or with impaired circulation
Keratolytics precautions
Pregnancy (cat C) and lactation
Topical anesthetics MOA
Temporarily inhibit the conduction of impulses from sensory nerve fibers
Topical anesthetics use
Releve itchin and pain caused by skin infections such as minor burns, fungal infections, insect bites, rashes, sunburn, and plant poisoning (poison ivy), some are applied to mucous membranes
Local anesthetics side effects
Local irritation, dermatitis, rash, burning, stinging, and tenderness
Topical anesthetics precautions
Class 1 antiarrhythmics because toxic effects are additive and possibly synergistic
Topical meds pediatric considerations
Since infants and children have a high ratio of skin surface area to mass, they are at a greater risk of systemic side effects with topical meds
Calcipotriene elderly considerations
Adults older than 65 are at risk for more skin related side effects
Topical antibiotics ex
Azelaic acid, bacitracin, benzoyl peroxide, clinamycin, gentamicin, metronidazole, mupirocin, retapamulin
Antifungal drugs ex
Butenafine, ciclopirox, clotrimazole, econazole, eficonazole, gentian violet, ketoconazole, luliconazole, miconazole, naftifine, nystatin, oxiconazole, sertaconazole, sulconazole, terbinafine, tolnaftate, tavaborole
Topical antivirals ex
Acyclovir, docosanol, penciclovir, vidarabine
Topical antiseptics and germicides ex
Chlorhexidine, hexachlorophene, oxychlorosene, povidone-iodine, sodium hypochlorite, triclosan
Topical corticosteroids ex
Alclometasone, amcinonide, betamethasone, desoximetasone, dexamethasone, diflorasone, fluocinolone, fluocinonide, flurandrenolide, hydrocortisone, triamcinolone
Topical immunomodulators ex
Imiquimod, ingenol mebutate, pimecrolimus, tacrolimus
Antispsoriatics ex
Anthralin, calcipotriene, selenium sulfide
Enzyme preparations ex
Collagenase, enzyme combinations
Keratolytics ex
Masoprocol, salicylic acid
Local anesthetics ex
Benzocaine, dibucaine, lidocaine, butamben picrate