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Self Care/Derm - Coggle Diagram
Self Care/Derm
fluocinonide
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skin disorders, corticosteroid responsive; plaque psoriasis; atopic dermatitis
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Efficacy: improvement in clinical signs of skin disorder (reduced inflammation, pruritus); Toxicity: severe skin irritation or symptoms worsen after administration
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apply think layer to affected area of skin; skin should be clean and intact at site of application; avoid contact with eyes and do not ingest PO; avoid occlusive dressings or tight-fitting clothes over site of admin
clobetasol
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skin disorders, corticosteroid responsiveness; plaque psoriasis
Rare: HPA suppression reported when used with occlusive dressings, over larger surface areas
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Efficacy: improvement in clinical signs of skin disorders; Toxicity: seek medical attention if severe skin irritation or symptoms worsen after administration
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AAA thin layer; wash hands after admin; skin should be clean and intact at site of application, prolonged use and occlusive dressings may increase risk of systemic absorption and toxicity; pediatric patients more susceptible to systemic absorption
nystatin
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Rare: rash, hypersensitivity reaction, SJS
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Mycostatin, Nyamyc, Nystop
AAA of skin; skin should be intact; do not get in eyes, nose, or mouth; avoid occlusive dressings, tight-fitting diapers, and plastic pants if using on diaper area of children
adapalene
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oral contraceptives, photosensitizing agents
Common: dry skin, scaly skin, erythema, burning/stinging
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avoid contact with eyes, lips, angles of nose, and mucous membranes; wash then dry hands and affected area prior to use; avoid products that can dry or irritate skin; other topical preparations should not be used prior to using optical adapalene; avoid sun exposure and tanning beds; symtpomatic improvement may not be seen for up to 12 weeks
clindamycin
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may have increased sensitivity to sun; use sunscreen 1-2h after applying; clindamycin not recommended as mono therapy; for mild acne, use in conjunction with benzoyl peroxide; for moderate-severe acne use in conjunction with topical retinoid or systemic antibacterial
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triamcinolone, various
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Common: dry skin burning sensation, stinging, pruritus/atrophy at site of administration
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Efficacy: improvement in clinical signs of skin disorder; toxicity: seek medical attention if severe skin irritation or symptoms worsen after administration
apply thin layer to affected area; skin should be clean and intact at site of application; avoid contact with eyes and do not ingest PO; avoid occlusive dressings for tight-fitting clothes over site of administration
brimonidine, Alphagan P, Lumify
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Common: allergic conjunctivitis; Rare: syncope, arrhythmias
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Efficiay: Reduction in IOP; toxicity: seek medical attention if syncope occurs or if symptoms of ocular irritation are severe
wash hands and remove contact lenses before using medication; for administration lie down or told head back; drop correct number of drops into pocked between lower lid and eyeball; gently close eyes; place index finger over inner corner of eye for 1 minutes; reinsert contacts after 15 min; separate administration of other ophthalmic agents by 5 min
hydrocortisone, various
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Common: none; Rare: HPA suppression has been reported when used with occlusive dressings or when applied over large surface area
skin disorders, corticosteroid responsiveness
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Efficacy: improvement in clinical signs of skin disorder; Toxicity: seek medical attention if severe skin irritation or symptoms worsen after administration
apply thin layer to affected area of skin; skin should be clean and intact at site of application; avoid contact with eyes and do not inject by mouth; avoid occlusive dressings or tight-fitting clothes over site of admin; wash hands after application
imiquimod, Zyclara
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Common: local itching, burning, pain; Rare: exfoliative dermatitis
actinic keratosis; condyloma acuminatum, external; superficial basal cell carcinoma
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Efficacy: resolution of skin lesions; Toxicity: seek medical attention if signs/symptoms of severe rash, burning, or itching
apply at bedtime and leave on skin for 8 hr; when get up, wash treated skin with mild soap and water; do not cover treated areas with bandages; do not use cosmetics or other skin care products on treated areas; apply on same days of each week; may increase sensitivity to sun