NSG 225_Dermatology_drugs_audio

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Dermatology drugs

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Chapter 50:

Chapter 50 DRUGS FOR DERMATOLOGIC DISORDERS

Acne Vulgaris:

Acne Vulgaris Papules, nodules cysts Keratin/sebum plugs in oil glands 90% adolescent Androgen promotes sebum

Treatment of mild to moderate acne:

Treatment of mild to moderate acne Non-pharmacologic Gentle cleansing Balanced diet Minimize stress Topical drugs Keratin dissolvers Benzoyl peroxide Salicyclic acid Vitamin A derivatives Tretinoin ( Retin A, Renova ) May cause redness, irritation Topical antibiotics Erythromycin, clindamycin most common

Severe acne:

Severe acne Oral antibiotics Tetracycline Not w/milk, antacids Photosensitivity! Not for pregnancy Topical glucocorticoids

Isotretinoin (Accutane):

Isotretinoin ( Accutane ) For severe cystic acne Vit A derivative Decreases sebum Antiinflammatory , antikeratizing MANY side effects Dryin , inflammation Teratogenic (category X) night vision, liver toxicity

Women :

Women Patient responsibilities (-) pregnancy tests before refills 2 methods of contraception Informed consent

Health Care Providers:

Health Care Providers Client contact each month Phone or internet Discuss birth control & mention refills

Psoriasis:

Psoriasis Remissions and exacerbations Acceleration of epidermal turnover Red papule and plaques with silvery scales

Rx:

Rx Keratolytics Loosen scales Topical steroids Clacipotriene ( Dovonex ) Vit D derivative Methotrexate Slows growth UV light

Hair loss, balding:

Hair loss, balding Alopecia Minoxidil (Rogaine) Vasodilator, stimulates follicles Temporary effect Finasteride ( Propecia ) For BPH, hair growth

Burn Preparations:

Burn Preparations Silver sulfadiazine ( Silvadene ) Applied topically Can be used for infected wounds