Solutions
What do you want to tell a patient to avoid if they are taking topical metronidazole for acne?
Avoid alcohol for 48-72 hours
What treatment is good for non-infectious inflammatory conditions? Systemic and topical
steroids
What drug will make a bacterial infection worse? Steroids
What is the time limit for steroids used for skin conditions? 1 week for children and 2
weeks for adults
What are areas where you want to try and avoid topical steroids? Face, groin, or axillae
What is the most potent delivery vehicle of a topical steroid? Ointments
,What is a less occlusive and usually less potent delivery vehicle for a topical steroid?
Creams
What is one of the least potent delivery vehicles for a topical steroid? Lotion
What is idiopathic uticaria normally treated with? 1 time daily antihistamine (such as
cetirizine)
What is uticaria (hives) treated with? (1) antihistamine (2) steroids
If 1 time daily antihistamine does not get rid of chronic uticaria, what is required?
Referral to dermatologist
What are the most common fungi involved in primary care? (1) candida (2) tinea
What is the recommended route of administration for antifungal drugs? Topical
When is systemic administration of antifungal drugs recommended? Thrush
, What topical agents are used for the treatment of tinea? (1) terbinafine (Lamisil) (2)
clotrimazole (Lotrimin)
What tinea is not normally treated topically? Tinea unguium and sometimes tinea capitis
What is a skin condition caused by superficial yeast infection caused by an overgrowth of
Pityrosporum ovale and occurs in subtropical and tropical areas? Tinea versicolor
What is the purpose of using silver sulfadiazine on burns? Cooling effect and
antimicrobial
What other medications, aside from silver sulfadiazine, are used on burns? (1) polymix B
bacitracin (2) Neosporin (3) low dose steroid
What does mgmt. of contact dermatitis start with? Identification of the agent and removal
If removal of agent does not treat contact dermatitis, what is recommended next? Topical
corticosteroids