Game V - Warts, Acne, Fungal, and Lice Skin OTC Problems

salicylic acid drop - how to apply

- apply 1 drop to cover the wart only - avoid healthy skin - let solution dry completely -cover wart with self adhesive discs or occlusive tape -repeat 1-2x's/day *** use up to 12 weeks

Synergized pyrethrins - how to apply

- apply enough quantitiy to wet the dry hair and scalp, leave on for 10 minutes -work into lather, then rinse thoroughly -combing with lice comb following tx -repeat in 7-10 days to kill any remaining nits that have since hatched -should not be applied more than twice in 24 hours

Tolnaftate - counseling points

- apply to affected aea -improvemnet of sx takes 2-6 weeks - tinea cruris takes about 2 weeks - tines pedic/tinea corpus may take 4-6 weeks -seek med attention if does not improve within 1 week

Clotrimazole 1%, Miconazole 2% - counseling points + ADV

- apply to affected area - apply cream or liquid spray sparingly; powder is for mild infection/adjunct -continue tx for 2-4 weeks, depending on sx and type of fungal infection -seek medical attention if infection worsens or does not respond to therapy within 1 week -ADV mod skin irritation, burning, stinging

cryotherapy for warts - adverse effects

- blistering, scarring, hypo- and hyperpigmentation -tendon/nerve damage with aggressive use

cryotherapy formulations contain

- diemthy ether; propane - nitrous oxide

cryotherapy for warts counseling points

-wash hands before and after us -before tx soak affected area in warm water for 5 minutes -may use file/pumice stone to lightly abrade the surface of plantar warts

how to apply salicylic acid pad for warts

-wash hands before and after use **before tx soak area in warm water for 5 minutes -trim plaster to fit wart -apply plaster and cover with occlusive tape -do not apply on healthy tissue -remove after 48 hours -repeat every 48 hours until resolved -may be used up to 12 weeks

adapalene counseling points

-wear sunscreen -adverse effect should decrease after 1 month -acne may worsen within first few weeks -maximum improvement in 8-12 weeks

salicylic acid use for/strengths for .. 1. pads, strips, sticks 2. gels, liquids

1. for plantar warts thick skin 40% 2. for hands thin skin 17%

benzoyl peroxide strengths and how to apply

2.5-10% -test sparring over small area in first 3 days then follow labeling

Clotrimazole 1%, Miconazole 2% - how to apply

athlete's foot/ringworm - 2x's daily /4 weeks jock itch - 2x's daily/2 weeks

benzoyl peroxide - avoid if.. and adverse effects

avoid - itching/hive occurs; excessive skin irritation ADR - bleach clothing/hair; photosensitivity

Warts enters epidermal layer and infects..

basal keratinocytes

what is most common, oldest topical acne tx

benzoyl peroxide

Salicylic acid MOA

breaks down outer layer of skin to decrease thickness - keratolytic

which antifungal should be avoided if pregnant?

clotrimazole 1%, miconazole nitrate 2%

avoid salicylic acid in

diabetic, poor circulation, immunocompromised

permerthrin - use, strength avoid in

head lice only -1% cream -infants younger than 2 monthss, those with senstivity to pyrethrins or chrsanthemums

Synergized pyrethrins - counseling points

- seek medical attention if significant skin irritation/excessive exposure of eye or mucous membranes to pediculicides -symptoms of lice infestation persist after second tx

benzoyl peroxide counseling points

- wear sunscreen -irrition may occur should subside within 1-2 weeks -initial improvement in 5 days - 3weeks -maximum improvement in 8-12 weeks

permerthrin - how to apply + counseling points

-apply enough to cover or saturate washed hair and scalp -leave on for 10 minutes -rinse thoroughly -comb with lice comb following tx -repeat in 7-10 days to kill any remaining nits that have since hatched counseling point -seek attention if significant skin irritation/excessive expossure of eye or mucous membranes to pediculicides -sx of lice persist after 2nd tx

Terbinafine HCL 1% - counseling points + ADE

-apply to affect area -apply cream/liquid spray sparingly; powder is for mild infection or adjunct -continue tx for 1-2 weeksl depending on sx and type of fungal infection -seek medical attention if infection worse or does not repsond within 1 week -ADV - mild skin irritation, burning, itching/dryness

Tolnaftate - how to apply and adverse effects

-apply to affected area daily -mild skin irritiation, burning

Tolnaftate - counseling points

-apply to affected area only -improvment takes 2-6 weeks -tinea cruris takes about 2 weeks -tinea pedis and tinea corpus may take 4-6 weeks -seek medical attention if infection worsen or does not respond to therapy within 1 week

what are the other exclusion criteria for acne

-comedognenic drugs -mechnaical irritiation such as asks, shields, helmets, etc -possible rosaceea -children less than 12yo -pregnancy

avoid cryotherapy for warts in..

-diabetic -poor circulation -immunocompromised

Synergized pyrethrins - used for + dosage

-head and pubic lice -synergized by addition of piperonyl butoxide - limit abiliyt of lice to break down pyrethrins -0.17%-.33% pyrethrins plus 2% to 4% piperonyl butoxide shampoo, foam, solution, gell

cryotherapy for warts - -how long to apply for common warts -how long to apply for plantar warts -repeat tx after __ weeks -May be used up to ___ treatments

-how long to apply for common warts - 20 seconds -how long to apply for plantar warts - 40 seconds -repeat tx after __2 weeks if needed -May be used up to _3__ treatments

Benzoyl peroxide MOA

-inhibit C. acnes growth -mild peeling effect - unclog follicles

adapalene adverse effects

-photosensitivity -redness, scaling, dryness, itching/burning -often decrease after 1st month

Synergized pyrethrins - ADE + avoid in

-skin irritation, erythema, itching, swelling -avoid in children younger than 2 yo

adapalene moa

-topical retinoid -modulate epithelial cell differentiation -affect keratinization and inflammation

which HVP infection strain limited to epidermal tissue therefore does not spread systemically

HPV-1 (feet), HPV-2, HPV-4, HPV-27, HPV-57

FDA approved lice comb called

Lice Meister comb

Terbafine 1% vs Butenafine 1% how to apply

Terbafine 1% -athlete's foot between toes - apply twice daily * 1 week -athelete's foot (bottom/side of foot) - apply twice daily for 2 weeks -jock itch/ring worm - apply once daly * 1 week Butenafine 1% -athlete's foot between toes - apply twice daily * 1 week OR once daily * 4 weeks -jock itch/ring worm - apply once daly * 2 week

which antifungal have data that has effectiveness within on e week of use

Terbinafina 1%, Butenafine 1%

which topical antifungal is for preventing and treating tinea pedis, tinea cruris, tinea corporis?

Tolnaftate

what is first one topical acne tx

adapalene gel 0.1% approved for OTC in 2016

which dosage preferred fro dry and scaly? macerated, interdigital?

dry - cream, solution macerated - gel/spray

what are nodules?

inflamed, deeper under the skin larger lesion

what are cyst

nodule + pus

what are papule vs pustule

papule - raised red spot, inflammation pimple pustule - papule and pus

what are comedy/comedones

plugged hair follicle, non inflammatory

adapalene - how to apply

thin layer once daily at bedtime -start with every other day if irritation occurs