topical, opthalmic, otic
TRANSCRIPT
Topicals, Opthalmics and Topicals, Opthalmics and OticsOtics
Structure of the SkinStructure of the SkinDisease ConditionsDisease ConditionsTherapeutic AgentsTherapeutic Agents
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
Common Disease of the SkinCommon Disease of the Skin
Contact Dermatitis by Poison IvyContact Dermatitis by Poison Ivy
Classic Poison Ivy Poison Ivy EyeClassic Poison Ivy Poison Ivy Eye Rash developed puss edemaRash developed puss edema
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
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)
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)
PsoriasisPsoriasis
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
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
Candidiasis InfectionsCandidiasis Infections RingwormRingworm TopicalsTopicals
ClotrimazoleClotrimazole MiconazoleMiconazole
OralOral GriseofulvinGriseofulvin Itraconzaole (Sporanox)Itraconzaole (Sporanox)
Pulse DosePulse Dose Terbinafine (Lamisil)Terbinafine (Lamisil)
Diaper RashDiaper Rash
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
ECZEMAECZEMA AtopicAtopic
Doxepin (Zonalon)Doxepin (Zonalon) ContactContact
Pimecrolimus (Elidel)Pimecrolimus (Elidel) Tacrolimus (Protopic)Tacrolimus (Protopic)
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)
Triggers:Triggers: Sun, Stress, Hot Weather/BathSun, Stress, Hot Weather/Bath Wind, Exercise, Etoh, Wind, Exercise, Etoh, Metrogel/crm (metronidazole)Metrogel/crm (metronidazole)
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
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
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
MolesMoles
LICE and their NitsLICE and their Nits
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)
Louse Life CycleLouse Life Cycle
ScabiesScabies What are they?What are they? Sites of Scabies InfestationSites of Scabies Infestation SymptomsSymptoms EtiologyEtiology TreatmentsTreatments
Hair LossHair Loss Rogaine (Minoxidil)Rogaine (Minoxidil) MOAMOA SESE EfficacyEfficacy
Diseases of the EyeDiseases of the Eye GlaucomaGlaucoma CataractCataract VascularVascularRetinophathiesRetinophathiesRetinopathyRetinopathy
A LookA LookInsideInsideThe EYEThe EYE
Why DoesWhy DoesGlaucomaGlaucomaHappen?Happen?
Risk FactorsRisk Factors AgeAge DiabetesDiabetes Family HistoryFamily History Eye InjuryEye Injury Far & NearsightednessFar & Nearsightedness Drugs (cortisone)Drugs (cortisone)
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)
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)
Anatomy of the EARAnatomy of the EAR
Hearing LossHearing Loss Age relatedAge related 65-75 years of age65-75 years of age EnvironmentalEnvironmental GeneticGenetic
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)
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