BRAND/GENERIC
LiceMD
Dimethicone 100% Gel
Permethrin (Nix) MOA
Synthetic pyrethroid, blocks nerve impulse transmissions to paralyze and kill lice
Butterbur Indication
Allergic rhinitis and migraine prevention
What block 3 drugs are CI in ragweed/chrysanthemum allergies?
Milk thistle, butterbur, feverfew, pyrethrins (rid) (technically caution)
What is B12 found in and what is required for its metabolism?
WHAT IS
ANIMAL meats and stomach acid
Vitamin K upper limit
NOT ESTABLISHED
Cryotherapy MOA (both nitrous and dimethyl ether are same)
Keratolytic (ischemic necrosis of keratinocytes)
Irritant (causes immune response)
Alpha-lipoic acid indication
Diabetic peripheral neuropathy (NOT GLUCOSE)
What vitamins/supplements can cause kidney stones?
Calcium, VitC, VidD
Who do we caution use in cryotherapy products?
Diabetics, peripheral neuropathy secondary to diabetes, peripheral vascular disease, and immunocompromised patients
What drugs AND dose should be in prenatal vitamins?
Iron= 15-30mg
Folic Acid= 0.6-1.0mg
How many time zones traveled does melatonin help with jet lag? More effective in eastward or westward?
5 or more time zones, more effective in eastward travel
Vitamin A Symptoms Treated (3)
WHAT IS
-Vitamin A Deficiency
-Xerophthalmia (dry eye)
-Nyctalopia (night blindness)
What complementary medicines have an effect on coagulation? (ie warfarin interaction, platelet effects, ect)
GlucosamineChondroitin (warfarin), Garlic (antiplatelet), Fish oil (bleed risk), CoQ10 (vitK like effects), Probably st johns wort
Best products for lice in pregnancy/breastfeeding?
DIMETHICONE, Nuvo method
Rid
Pyrethring 0.17-0.33%, piperonyl butoxide 2-4%
Ivermectin MOA
Binds to glutamate-gated Cl channels in nerve and muscle cells, increase in Cl permeability, hyper-polarization and DEATH
CoQ10 indication
Cardiovascular conditions (HF, HTN, cardiomyopathy), Migraine prevention, Reduction of statin associated adverse effects
Vitamin E Side effects (2)
WHAT IS
-Increase risk of cardiovascular effects at high, chronic doses (except w/ alzheimers)
-Antagonize VitK function
Drug interactions of chasteberry
WHAT IS
Interference with hormonal therapy/ oral contraceptives
Interactions with dopamine drugs (antipsychotics, metoclopramide, and dopamine agonists/antagonists)
Duofilm
Salicylic acid! (patch or liquid)
Vitamin B6 (pyridoxine) MOA
WHAT IS
Water soluble vitamin, cofactor for enzyme
Necessary for heme production and metabolism of homocysteine
Licemeister Comb indication
HEAD lice and NITS
Cryotherapy side effects (5)
Pain
Blistering or black dots
Scarring/hypo-hyperpigmentation
Tendon damage/Nerve damage
Killing healthy tissue around wart
Calcium drug interactions (ALL OF THEM)
Al containing antacids, Phosphates, Cholestyramine (2hr separation)
H2RAs, PPIs (switch to CaCitrate)
Levothyroxine (4hr separation)
Tetracyclines and Fluoroquinolones (2hrs before or 6hrs after)