Derm- Pharm 2

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Derm- Pharm 2
2012-12-11 22:43:18
acne bacterial infections fungal

Acne, Bacterial Infections, fungal
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  1. Benzoyl Peroxide
    vehicle: wash, bars, lotions, creams

    keratolytic drying agent and antibacterial- comedomal acne

    • folliculitis/Furunculosis absecess
    • prevention of candida colonization (DM patients)
  2. Azelaic Acid
    vehicle: cream

    • comedomal acne- keratolytic drying and antibiotic¬†
    • also used to rosacea
    • RX only
  3. Salicyclic acid
    comedomal acne- keratolytic drying agent
  4. Tretinoin (Retin A)

    Adapelen (Differin)
    • Retin A- cream (drier skin), gels, liquid
    • - comedomal acne
    • -best choice for a drying agent

    adapelen- less irritating
  5. erythromycin, clindamycin, benxacin
    topical antibiotic in cream or lotion for INFLAMMATORY acne (mild papular)
  6. Tetracyclines (mino ro doxycycline)
    • PO
    • treatment of inflammatory acne- moderate pustular
    • CANT give to Preg. women
  7. Oral contraceptives
    inflammatory acne
  8. Isotretinoin (accutane)
    • cat. X
    • Po
    • nodular cyctic acne
    • Cant combine with tertracyclines
  9. Selenium sulfide, zinc pyrithione, tar, ketoconazole

    tx of seborrheic dermatitis and pityriasis versicolor
  10. Mupirocin (Bactroban), Altabax
    ointment or cream

    • tx: strep or staph pyogens infection¬†
    • Impetigo
  11. Bacitracin or Neosporin
    Prevention of bacteria infection
  12. Dicloxacillin and cephalexin (keflex)

    • Tx: furunculosis
    • use with benzoyl peroxide
  13. Clindamycin or Bactrum

    MRSA abscess
  14. Cellulitis
    Penicillin is first line


    for severe do culture to give more specific antibiotic (cef's)
  15. Permethrin 5% vs. 1%
    5%- scabies (cream)

    1% lice (cream
  16. Lyermectin
    not FDA approved

    for resistent cases of scabies
  17. Natroba
    topical suspension

    new lice drug $$$$
  18. Terbinafine (Lamisil)-cream and Butenafine (Mentax)

    -azole drugs
    • cream
    • fungal dermatophytosis

    also know anything with -azole treats fungus
  19. Terbinafine (lamisil)-po
    • onychomyosis
    • must tx. systemically- PO
  20. Griseofulvin
    Terbinafine (lamisil)- po
    • Hair infections (tinea capitis)
    • PO- must treat systemically

    • griseofulvin- kids
    • Lamisil- adults