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9 Cards in this Set

  • Front
  • Back
Mild Potency Corticosteroids
(eg. Hydrocortisone 1%)
U: OD-BID
F: Face and folds (not for thick plaques)
Mid-to-High potency Corticosteroids
(eg. betamethasone, triamcinolone)
U: OD-BID
F: Body (not for for face/folds)
Coal Tar
Balnetar, Liquor Carbonis Detergens

U: OD
F: Plaques (not for folds)

Effective, Economical, Longest Remission (can be combined with UVB)
Anthralin
Anthraforte, Anthranol

U: OD
F: Plaques (not for folds)
Longest Remission (can be combined with UVB)

ADR: Irritating to surrounding normal skin, stains skin and fabric
Tazarotene
Tazorac

U: OD
F: Body (not for face or folds)
Longer remission
Skin irritation
Calcipotriol
Dovonex, Dovobet

U: BID
F: Body (not for face, folds)
Longer remission
Skin irritation
Psoralens with UVA (PUVA)
Methoxsalen, Ultra MOP, Oxsoralen

U: Bath 100 mg/75 L bath water. Soak in for 10 mins before UVA exposure.
Oral: 0.5-0.8 mg/kg 2H before UVA exposure
3x/week

F: Total area
Longest Remission, Increase risk of skin cancer with long-term PUVA

ADRs:
Photosensitivity, nausea, pruritis
Methotrexate
7.5-22.5 mg/wk po

F: Total area
CI: Liver Disease

ADRS: Bone marrow suppression, hepatotoxicity

DI: Ethanol and acitretin may increase the risk of MTX-induced liver injury
Acitretin
Soriatane

U: 25-75 mg/day
F: Hands and feet
CI: Teratogen

ADRs: Arthalgia, myalgia, alopecia, dry lips, mucosa, hyperlipidemia, hepatotoxicity

DIs: Women should abstain from alcohol during tx and for 2 mo. after because of conversion of acitretin to etretinate (teratogen)

Risk of methotrexate toxicity inc. with acitretin

Minipill may not be effective in combo with acitretin