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