Topicals, opthal, otics
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Transcript of Topicals, opthal, otics
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Topicals, Opthalmics and Topicals, Opthalmics and OticsOtics
Structure of the SkinStructure of the Skin
Disease ConditionsDisease Conditions
Therapeutic AgentsTherapeutic Agents
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Ultraviolet RadiationUltraviolet Radiation Skin cancerSkin cancer WrinklesWrinkles
PhototoxicityPhototoxicity Excessive responseExcessive responsein the presence of ain the presence of asensitizing agentsensitizing agent
SunblocksSunblocks SunscreensSunscreens
PhotosensitivityPhotosensitivity Abnormal responseAbnormal response
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Common Disease of the SkinCommon Disease of the Skin
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Contact Dermatitis by Poison IvyContact Dermatitis by Poison Ivy
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Classic Poison Ivy Poison Ivy EyeClassic Poison Ivy Poison Ivy Eye Rash developed puss edemaRash developed puss edema
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Antiseptics and DisinfectantsAntiseptics and Disinfectants
A substance that inhibits A substance that inhibits the growth & developmt the growth & developmt of moos, but does not of moos, but does not necessarily kill themnecessarily kill them
Hibiclens Hibiclens (chlorhexidine)(chlorhexidine)
Phisohex Phisohex (hexachlorophene)(hexachlorophene)
Betadine (povidine- Betadine (povidine- iodine)iodine)
A chemical applied to A chemical applied to objects to free them objects to free them from pathogenic from pathogenic organismsorganisms
AlcoholAlcohol ChloroxChlorox Hydrogen peroxideHydrogen peroxide
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Topical AntibioticsTopical Antibiotics
Silvadene, SSD cream (silver sulfadiazine)Silvadene, SSD cream (silver sulfadiazine) Triple antibiotics (bacitracin-neomycin-Triple antibiotics (bacitracin-neomycin-
polymixin B)polymixin B) Cleocin T (clindamycin)Cleocin T (clindamycin) Bactroban (mupirocin)Bactroban (mupirocin)
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Topical CorticosteroidsTopical Corticosteroids
OTC versus RXOTC versus RX Creams, ointments, gels, lotionsCreams, ointments, gels, lotions AgentsAgents
Betamethasone (Diprolene, Diprosone)Betamethasone (Diprolene, Diprosone) Clobetasol (Temovate)Clobetasol (Temovate) Fluocinonide (Lidex)Fluocinonide (Lidex)
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PsoriasisPsoriasis
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PsoriasisPsoriasis
Immune mediated skin disease which causes Immune mediated skin disease which causes rapid growth of skin cells. rapid growth of skin cells.
TreatmentsTreatments Corticosteroids Corticosteroids (Reduce inflammation & slow skin cell turnover(Reduce inflammation & slow skin cell turnover
Salicylic acid -PeelerSalicylic acid -Peeler Ultraviolet PhototherapyUltraviolet Phototherapy
Reduce skin cell turnoverReduce skin cell turnover Systemic Immune System Therapy- MTXSystemic Immune System Therapy- MTX
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Fungal InfectionsFungal Infections
DANDRUFFDANDRUFF Shedding of scales from Shedding of scales from
the scalpthe scalp Selsun BlueSelsun Blue
Selenium sulfideSelenium sulfide Head & ShouldersHead & Shoulders
Pyrithione zincPyrithione zinc NizoralNizoral
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Candidiasis InfectionsCandidiasis Infections
RingwormRingworm TopicalsTopicals
ClotrimazoleClotrimazole MiconazoleMiconazole
OralOral GriseofulvinGriseofulvin Itraconzaole (Sporanox)Itraconzaole (Sporanox)
Pulse DosePulse Dose
Terbinafine (Lamisil)Terbinafine (Lamisil)
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Diaper RashDiaper Rash
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Atopic Dermatitis EruptionAtopic Dermatitis Eruption
TreatmentsTreatments Topical/PO CortisoneTopical/PO Cortisone Topical (Doxepin)Topical (Doxepin) Topical CalcineurinTopical Calcineurin ImmunosuppressantsImmunosuppressants Emollients/AntihistamEmollients/Antihistam Coal TarCoal Tar
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ECZEMAECZEMA
AtopicAtopic Doxepin (Zonalon)Doxepin (Zonalon)
ContactContact Pimecrolimus (Elidel)Pimecrolimus (Elidel) Tacrolimus (Protopic)Tacrolimus (Protopic)
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Scaly skin lesion caused Scaly skin lesion caused by too much sun can by too much sun can lead to skin cancerlead to skin cancer
Actinex (masoprocol)Actinex (masoprocol) Efudex (fluorouracil)Efudex (fluorouracil)
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Triggers:Triggers: Sun, Stress, Hot Weather/BathSun, Stress, Hot Weather/Bath Wind, Exercise, Etoh, Wind, Exercise, Etoh, Metrogel/crm (metronidazole)Metrogel/crm (metronidazole)
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Acne Vulgaris and WrinklesAcne Vulgaris and Wrinkles
Overactive sebaceous Overactive sebaceous glandsglands
Azithromycin (qd)Azithromycin (qd) TretinoinTretinoin Benzoyl peroxideBenzoyl peroxide Tazarotene (Tazorac)Tazarotene (Tazorac) Ortho Tri-CyclenOrtho Tri-Cyclen Differin/AzelexDifferin/Azelex
Retin A Retin A Tretinoin, retinoic acid, Tretinoin, retinoic acid,
vitamin A acidvitamin A acid RenovaRenova
Lower dose for fine Lower dose for fine wrinkleswrinkles
Moisturizing baseMoisturizing base KineraseKinerase TazoracTazorac BotoxBotox
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Scar ManagementScar Management
Pressure/CompressionPressure/Compression Stimulates production of collagenase, reduces Stimulates production of collagenase, reduces
height of scar thru local tissue hypoxiaheight of scar thru local tissue hypoxia Occlusive/Silicone SheetingOcclusive/Silicone Sheeting
Provides hydrationProvides hydration CortisoneCortisone
Reduces pain and itchingReduces pain and itching Vitamin EVitamin E
MoisturizesMoisturizes
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Viral InfectionViral Infection
Shingles, cold soresShingles, cold sores OTC Docosanol (Abreva)OTC Docosanol (Abreva) Rx oral anti-viralsRx oral anti-virals
WartsWarts OTC CryotherapyOTC Cryotherapy Rx AldaraRx Aldara
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MolesMoles
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LICE and their NitsLICE and their Nits
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Pediculicides and ScabicidesPediculicides and Scabicides
Human Lice & scabies are external parasitesHuman Lice & scabies are external parasites Transmission by direct contactTransmission by direct contact TypesTypes
Body liceBody lice Head liceHead lice Pubic lice (Crabs)Pubic lice (Crabs)
TreatmentsTreatments Permethrin (Nix/Elimite)Permethrin (Nix/Elimite)
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Louse Life CycleLouse Life Cycle
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ScabiesScabies
What are they?What are they? Sites of Scabies InfestationSites of Scabies Infestation SymptomsSymptoms EtiologyEtiology TreatmentsTreatments
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Hair LossHair Loss
Rogaine (Minoxidil)Rogaine (Minoxidil) MOAMOA SESE EfficacyEfficacy
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Diseases of the EyeDiseases of the Eye
GlaucomaGlaucoma CataractCataract VascularVascular
RetinophathiesRetinophathies
RetinopathyRetinopathy
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A LookA Look
InsideInside
The EYEThe EYE
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Why DoesWhy Does
GlaucomaGlaucoma
Happen?Happen?
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Risk FactorsRisk Factors
AgeAge DiabetesDiabetes Family HistoryFamily History Eye InjuryEye Injury Far & NearsightednessFar & Nearsightedness Drugs (cortisone)Drugs (cortisone)
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Agents for GlaucomaAgents for Glaucoma Goal of TreatmentGoal of Treatment Therapeutic AgentsTherapeutic Agents
Alpha-agonist Alpha-agonist –reduce production & increase –reduce production & increase drainagedrainage
Brimonidine (Alphagan)Brimonidine (Alphagan) Beta-blockers Beta-blockers –reduce aqueous fluid–reduce aqueous fluid
Betaxolol (Betoptic)Betaxolol (Betoptic) Carbonic Anhydrase InhibitorsCarbonic Anhydrase Inhibitors –reduce –reduce
productionproduction Dorzolamide (Trusopt)Dorzolamide (Trusopt)
Prostaglandin AnalogsProstaglandin Analogs –increase drainage –increase drainage Latanoprost (Xalatan)Latanoprost (Xalatan)
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Infections of the EyeInfections of the Eye Conjunctivitis-pink eyeConjunctivitis-pink eye
Inflammation of the Inflammation of the lining & inner surface of lining & inner surface of eyelideyelid
Allergic,Bacterial,ViralAllergic,Bacterial,Viral StyeStye
Infection of sebaceous Infection of sebaceous gland (hordeolum) in lid gland (hordeolum) in lid marginmargin
BlepharitisBlepharitis Eyelid margins, scales Eyelid margins, scales
crusts, ulcerscrusts, ulcers
AntibioticsAntibiotics Tobramycin,gentamycin, Tobramycin,gentamycin,
sulfacetamidesulfacetamide AntihistaminesAntihistamines
Zaditor, AlamastZaditor, Alamast CorticosteroidsCorticosteroids
Dexamethasone, Dexamethasone, FlurometholoneFlurometholone
AntiviralsAntivirals Vira-A (vidarabine)Vira-A (vidarabine)
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Anatomy of the EARAnatomy of the EAR
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Hearing LossHearing Loss Age relatedAge related 65-75 years of age65-75 years of age EnvironmentalEnvironmental GeneticGenetic
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Commonly Used Otic AgentsCommonly Used Otic Agents
AnalgesicsAnalgesics Antipyrine-benzocaine (Auralgan)Antipyrine-benzocaine (Auralgan)
AntibioticsAntibiotics Cortisporin HC Solution or SuspensionCortisporin HC Solution or Suspension CiproDexCiproDex
Wax dissolversWax dissolvers Cerumenex (Rx)Cerumenex (Rx) DebroxDebrox (OTC) (OTC)
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Summary SlideSummary Slide
Common Disease of the SkinCommon Disease of the Skin Antiseptics and DisinfectantsAntiseptics and Disinfectants Topical Antibiotics, Topical CorticosteroidsTopical Antibiotics, Topical Corticosteroids Hair LossHair Loss Diseases of the EyeDiseases of the Eye Agents for GlaucomaAgents for Glaucoma Conjunctivitis “Pink Eye”Conjunctivitis “Pink Eye” Commonly Used Otic AgentsCommonly Used Otic Agents