Study sets, textbooks, questions
Upgrade to remove ads
RxPrep - Skin Conditions
Terms in this set (83)
Brand name of Terbinafine?
Brand name of Butenafine?
Brand name of Tolnaftate?
Brand name of Betamethasone/Clotrimazole?
Brand name of Undecylenic acid?
first line treatment for eczema?
-only use immunosuppressants (tacrolimus and pimecrolimus) if the patient has failed topical steroids
how to tell a patient to apply a topical retinoid
-limit sun exposure; skin will burn more easily
-use daily; if irritation occurs, decrease frequency to every other day
-use a pea-sized amount and spread over the entire face
-it will take 1-3 months to see improvements and acne may worsen initially
-not safe to use in pregnancy
-available OTC too
-wash your face with mild soap only, twice daily and then apply the topical retinoid 20 minutes after washing your face
first line prescription agent for acne?
topical retinoids such as tretinoin (e.g. Atralin, Retin-A)
tretinoinds are derivatives of...
indication for oral isotretinoin?
for SEVERE acne only
-indicated for both males and females
Isotretinoin requires females to have...
two effective forms of birth control
-Pregnancy cAtegory X
if a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in...
if a person is avoiding the sun, they may require which vitamin supplementation?
vitamin D supplementation
-fat-soluble vitamin produced through sun exposure on the skin
-can be consumed in dietary sources
how often to reapply sunscreen?
at least every two hours no matter what SPF and after going in the water; no sunscreens are truly "waterproof"
what in the sun increases the risk of skin cancer
UVA and UVB
what does a "water resistant" sunscreen mean?
the sunscreen is resistant for somewhere between 40-80 minutes
A person with heart failure, COPD, diabetes and hypertension is diagnosed with onychomycosis. Which medication, used to treat this condition, should be avoided in this patient?
Itraconazole (avoid in heart failure)
Athlete's foot is also called...
how to treat athlete's foot?
-usually treatable with topical OTC agents, unless the patient has an immunocompromised state
symptoms of athlete's foot
itching, peeling, and redness
how to avoid spreading athlete's foot?
wear sandals and other foot coverings in public showers and locker rooms in order to avoid infection
Advice for a patient that has poison oak?
-use Aveeno or Caladryl to provide relief. cold compresses may help
-the skin should be washed with soap and water; it is best to try and remove the toxin
-if the rash worsens, ask physician for stronger medicine, such as an oral steroid
-do not need to avoid baths
what is a "broad spectrum" sunscreen
Protects against UVA and UVB
what does UVA cause? UVB?
uva - aging
uvb - burning
how much area does one fingertip unit cover?
one adult hand
what is a fingertip unit?
cream to stretch the length of the fingertip to the first joint (1/2 gram)
topical steroids that are OTC?
hydrocortisone 0.5% (infants, sensitive skin, groin area) and 1% (mild conditions)
2.5% and all other topical steroids are Rx
OTC acne product that is first-line treatment?
-useful as a "spot" treatment
-if this is not sufficient, next step is a topical retinoid
name of medication for alopecia?
-must be used indefinitely for continued efficacy
-can be used in both men and women for hair loss
Propecia vs. Proscar?
both finasteride but Propecia is for alopecia and Proscar is for BPH
Can sunscreen labels use the word "waterproof"?
T or F: on a cloudy, overcast dya, there is little risk of burning
False - still a risk of burning
When should sunscreen be reapplied?
At least every two hours
Dermatologist recommended SPF strength?
15, some recommend 30; higher ratings than this are not useful
Sunscreen recommendation for a infant < 6 months of age
None - babies less than 6 months of age should be kept out of the sun
A patient is purchasing LAmisil AT cream for a fungal foot infection. Active ingredient?
Warnings for Elidel (pimecrolimus) and Protopic (tacrolimus)?
Cases of lymphoma and skin cancer
Use of elidel and protopic in eczema?
Use second line for short-term and for intermittent treatment in patients unresponsive to or intolerant of other treatments
-do not use on a continual basis even if resolution of eczema occurs
Minimum age of use of elidel and protopic?
≥ 2 years old
How often to apply pimecrolimus ?
Which medications cannot be used if a patient is taking oral isotretinoin?
-vitamin D supplements
-vitamin A supplements
-st. John's wort
-vitamin A supplements
-st. John's wort
(Isotretinoin is an vitamin a analog)
After each lice treatment, the hair should be checked and nits/lice removed with a nit comb every....
-re-treatment is neeeded (for most products) around day 9
Rank the following steroids from highest to lowest potency:
Mometasone (cream) 0.1%
Mometasone (cream) 0.1%
What medication can help with hypotrichosis?
aka thinning of the eyelashes - Bimatoprost (Latisse)
Natural product used in a topical formulation for a soothing effect after sunburn
-also used for psoriasis
-has little proven efficacy, but if used as a gel or lotion, may provide a soothing effect
What is Nizoral A-D used for?
dandruff (not a first-line recommendation tho)
-available OTC and Rx
how to use Nizoral A-D?
rub shampoo in well and leave in for 5 minutes, then rinse out
-use twice weekly, for up to 8 weeks (do not use daily due to skin irritation)
-do not apply to open sores or irritated skin
Brand name of mupirocin?
coverage of mupirocin?
staph and strep coverage
-gets rid of MRSA if it is colonized in the nares
use of mupirocin?
topical skin infections
-NOT available OTC
Names of medication treatments for lice?
why is Lindane (Kwell) no longer reocmmended for lice treatment
Risk of neurotoxicity/seizures
what is Imiquimod (Aldara) used for?
Occasionally, antifungal agents such as ketoconazole are given as intermittent "pulse" therapy when being used long-term. What is the purpose of pulse therapy?
less side effects and less costly
-but may be less effective than a daily dosing regimen
(used long-term for onychomycosis)
AEs of systemic antifungals?
OTC options for athlete's foot?
Lamisil AT spray
Lotrimin AF cream (clotrimazole)
Lotrimin Ultra (butenafine)
how long to treat athlete's foot?
2-4 weeks, even if the area appears healed
counseling statements for Elidel?
-use the smallest amount needed to control symptoms. continue as long as signs and symptoms persist;
discontinue if resolution occurs
-wash hands after application. keep the skin well hydrated by using a good moisturizer
-limit sun and ultraviolet ray exposure if using this medication
-this drug may add to the child's chance of getting lymphoma or other cancers
-cannot be used in children who are not at least 2 years of age (BBW)
In addition to polymyxin and bacitracin, what is the third ingredient in the OTC "Triple Antibiotic" products?
-prevents infections from minor cuts, scrapes or burns
JL, a 32-year-old female, comes to the pharmacy and asks to speak to a pharmacist. She states that she has uncomfortable symptoms of vaginal itching and burning on urination. She states that she has never had this before and just wants it to go away quickly. Which of the following would be the best recommendation for JL?
refer the patient to a physician for diagnosis
-patient's who never have a yeast infection before should be seen by a provider for the initial diagnosis
what agent used to treat lice is flammable?
-patients using this agent should not be exposed to heat sources when applied, such as blow dryers, cigarettes or cooking flames
(AndroGel testosterone gel is another medication that can also catch fire)
What is Silvadene used for?
-reduces risk of infection and promotes healing
-aka silver sulfadiazine
A patient approaches the pharmacy counter to ask if she should purchase a steroid cream, ointment or lotion. She wants to treat an itchy rash on her palm. She reports that she sometimes gets topical reactions to things that she touches, which appear similar to the current reaction and it generally dissipates on its own. The skin appears thick and calloused. Which formulation would be most appropriate?
-use for thick or dry skin and provide the best moisture barrier
creams are generally less potent than ointments. lotions, gels, and foams are best for hairy skin
Counseling for use of a topical antifungal for athlete's foot?
-use for at least 2-4 weeks, even if the rash appears to be healed
-do not walk barefoot to avoid spreading it
-wear sandals in public showers to avoid catching it
-apply the medicine directly on the rash; and extend 1-2 inches beyond the rash
What is Differin used for?
aka adapalene, a topical retinoid
how to diagnose onychomycosis?
If using systemic therapy for nail infection, always test with KOH smear first (a messy looking toe nail may not necessarily be due to a fungal infection and these are toxic drugs).
-it is generally insufficient to use a visual inspection
Monitoring for systemic antifungal agents for onychomycosis?
liver toxicity by instructing patients to report unusual fatigue, anorexia, nausea and/or vomiting, jaundice, dark urine or pale stools.
how long to treat toenail onychomycosis? fingernail?
toenail = 12 weeks
fingernail = 6 weeks
What acne product is available OTC?
not isotretnoin, tazarotene, clindamycin, or dapsone gel
Counseling for oral isotretinoin?
-due to the birth defect risk, this is a REMS drug. it can only be dispensed by a pharmacy registered with the pregnancy risk management iPLEDGE program
-pregnancy category X; use causes severe birth defects if pregnancy occurs while using this medication
-patients should be instructed that they will hae dry skin; use a lip moisturizer and carry a water bottle to keep well-hydrated
what types of birth control can be used with isotretinoin?
-the progestin-only "mini pill" is NOT adequate as a form of birth control in females using oral isotretinoin
-the patient cannot become pregnancy ONE month before taking this medication, while taking this medication, and for ONE month afterwards
Very high potency steroid?
clobetasol (Temovate, Clobex) propionate 0.05%
Minocycline brand name
-used for acne
-if used long term, it can discolor teeth
-use caution in the sun
-check for tetracycline allergy
first line treatment for mild acne?
Topicals: BPO and/or retinoid
what organism causes acne?
Cutibacterium acnes (P. acnes)
which is stronger, salicylic acid or benzoyl peroxide
-comes in combinations with the antibiotics clindamycin or erythromycin; these require a prescription
what is the primary determinant of acne
androgens (male sex hormones)
what causes cold sores
herpes simplex virus (HSV-1)
how to spread cold sores?
active lesions are spread through kissing and sharing drinks
OTC products used for treatment and prevention of cold sores
Abreva (docosanol) cream - apply 5x daily
Rx product for treatment and prevention of cold sores?
Zovirax (acyclovir) cream
-apply 5x daily
A patient asks the pharmacist what to do about a circular patch on her forearm that has raised, red edges. The inner part of the circle is clear. The circle edges have small bumps that look like blisters. The patch is ¾" in diameter. Which product should the pharmacist recommend?
Sets found in the same folder
Learning drug references - Rxprep
Pediatric Conditions - RxPrep
Cystic Fibrosis - RxPrep
Transplant - RxPrep
Other sets by this creator
RxPrep - Drug Interactions
RxPrep - Basic Science Concepts
RxPrep - Common Conditions of the Eyes and Ears
RxPrep - Allergic Rhinitis, Cough, and Cold