Acne
The classification of acne in an individual with many papules and pustules with prominent scarring (mild, moderate or severe) Can we recommend OTC treatment?
Moderate - No, refer if moderate to severe acne
7 days
T or F: only people with family history of AGA may self-treat hair loss
True
T or F: age exclusion for self treatment of water clogged ears is <12 years BONUS 100: what is critical to determine if patient has regarding ears, as ear-drying treatment will be VERY painful
False - no age exclusion for self-treatment of water-clogged ears.
Determine if they have tubes/perforation
25 year old patient presents with new onset of inflammation of skin in the central face area. There are no comesdones and solid red papules or pustules. What do they likely have and what should you recommend?
Rosacea - Refer. they need RX to relieve symptoms and prevent progression
These skin fungal infections we do NOT treat with OTC - must refer (tinea ___) Hint: there are 2
Tinea unguium (nails) and tinuea capitus (scalp) Can treat tinea pedis, corporis, and cruiris OTC
AGA in men is due to ________ testosterone.
Too much
The 2 otic bulb syringe pearls (100 points for each one)
First line topical for acne treatment. When do we refer after using for X amount of time?
Adapalene (differin) - refer @ 12 weeks
Terbinafine: once* to twice daily: 1 week* or 4 weeks: interdigital tinea pedis
Dosing for solution and foam minoxidil for hair loss
Solution: 1 mL BID
Foam: 1/2 capful BID
Carbamide peroxide 6.5% in anhydrous glycerin and hydrogen peroxide (DIY) ear flush dosing for cerumen impaction
Carbamide peroxide 6.5%: 5-10 drops x 15 min dwell time BID max 4 days. Water flush afterwards
Hydrogen peroxide - 1:1 solution of warm water + 3% peroxide and use as ear flush/irrigation
Woman presenting to pharmacy with reddened patches and overlying white scales located primarily on forehead near her scalp and elbows. What does she likely have?
Psoriasis
This OTC product is used to treat acute inflammatory symptoms FIRST
aluminum salt solution (astringent) - part of treatment algorithm use in addition to antifungals
This formulation of minoxidil is not approved for females
5% solution
The max time water-absorbing earplugs should be used for and then disposed of
10 min max
What OTC treatments are available for psoriasis? (scalp, limbs/body, acute localized, thick-scaled plaques)
scalp: coal tar or SA shampoos Limbs/body: coal tar, hydrocortisone (1%) Acute localize: hydrocortisone 1% ointment, emollients Thick-scaled plaques: salicylic acid
Treatment recommendations (not feet) for groin area and lesions on trunk/arms (with what, how often, for how long) with no inflammation
Groin area with well defined lesions: antifungal BID x 2 weeks + nondrug care
Trunk/arms: antifungal BID x 4 weeks + nondrug care
See table 45-3
Guidelines for Administering Eardrops - general steps
1. wash hands with soap and warm water. Wash and dry outside of ear - avoid getting ear in the ear canal 2. Warm eardrops to body temp in hands 3. Tilt head to side position the dropper tip near ear canal opening (keep bottle clean) 4. Adult - pull tip ear back and up Child <3: pull ear lobe back and down 5. Instill recommended drops and press the tragus to push drops into ear canal 6. May stay in position for length of time indicated on product. May use small cotton ball in young child who can't stay still (dont keep in longer than an hour)