Topical Agents
Considerations
Surface agents only
May become toxic
Avoid open wounds or broken skin
Avoid occlusive dressing(tagaderm) cover
Considerations
Admin into conjunctiva
Not absorbed systemically
Wait at least 5 min between meds
Eye ointment - thin ribbon on lower eyelid
Common meds
Cyanocobalamin (b12)
Garlic
Treat cold
Diuretic
CAD prevention
Lowers BG/BP
Anticoagulant
AVOID NSAIDS, WARFARIN, HEPARIN
St. johns wort
Antidepressant
PMS symptoms
Topical Infection treatment
Serotonin syndrome may occur with SSRI's MAOI's
Decreased effectiveness of oral contraceptives
Photosensitivity
AE
Local irritation
Stinging
Burning
Dermatitis
Toxic effects from systemic absorption
AE
Local irritation
Stinging
Blurred vision
Tearing
Headache
Use
Vit C - scurvy tx, enhance wound/ burn healing
Toxic at high dose
Cholecalciferol - d3
Deficiency, hypoparathyroidism
Other vit. D preparations
Ginger
Relieve vertigo/nausea
Increase bleed risk
monitor for hypoglycemia
AVOID NSAIDS WARFARIN HEPARIN
Saw palmetto
Do not combine with FINASTERIDE
Transdermal patches
Rotate sites
Systemically absorbed
Nitroglycerin
Estrogens
Nicotine
Fentanyl
WEAR GLOVES
Common medications
Glaucoma treatment -
latnoprost, pilocarpine, timolol
B12- Vit K.use
megaloblastic anemia or b12 deficiency
Can cause hypokalemia
improves clotting
Warfarin antidote
Gingko
Promotes vasodilation improving bloodflow to brain. (dimentia)
Contraindicated with seizures
INCREASE BLEED RISK AVOID NSAIDS, WARFARIN, HEPARIN
Valerian root
Increases GABA (similar to benzos)
dependence risk
Common meds
Iodine/Chlorhexidine -Antiseptic
Mupirocin - antibiotic
Antiviral - Acyclovir
Antifungal - clotrimazole terbinafine
Acne products - clandamycin metronidazole tretinoin
local anesthetic - lidocaine
Topical corticosteriods - dexamethasone , hydrocortisone
Glucosamine
Treat OA and joint disease
Reduces inflammation
Increased bleed risk
AVOID NSAID, WARFARIN, HEPARIN
Alternate therapies
Capsicum - anti inflammatory
Echinacea - immunity
Feverfew - bleed risk
Fish oil - cardiac health, can increase bleeding
Kava - causes liver injury, big with pacific islanders
melatonin - sleep
Black Cohosh
Estrogen substitute
Tx menopause and Rheumatoid Arthritis