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Kaplan Qbank USMLE



Author4 Posts
  #1

can somebody clear things up for me as far as rx for acne is concernedshaking head

gettin all the questions wrong-----oral renoid and isotretinoin and steroids and antibiotics



have no clue as to when to give what!!!!!!!!!



thanx


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-Anonymous

  #2

I am guessing you haven't had time to read pediatrics yet..so here it is:
  • Topical preps like benzoyl peroxide, tretinoin and clindmycin, erythromycin for comedone and papulopustular acne (benzoyl peroxide in morning and tretinoin at night)
  • Isotretinoin: for moderate to severe nodulocystic acne, resistant to conventional treatment
  • Systemic therapy like tetracyclins: mod to severe acne, which doesn't respond to topicals and for scarring
  • steroid injections for faster healing of nodulocystic lesions
  • dermabrasion for minimization of scarring after active process is over


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  #3

thanx again nisha!!!

does this mean for a case of scarring we give only tetracycline or do we also add isotretinoin???

yup thats true havent still read pedsshaking head



___________________
"Where there is a will there is a way!"
-Anonymous

  #4

For Grade I-III Acne-- Topical therepy

1.Antibacterial N comedolytic---Benz peroxide5%

2.Comedolytic----Retinoic acid 0.05% AND Adapalene(Least irritant.

Grade II-III Acne___

1.Antibacterial--erythromycin,Clindamycin(Can be used topically as well as orally) Along with above preprations.Other oral antibiotic that can be used orally for Grade for II -IV acne Tetracycline,Minocycline ,Roxithromycine(Any one agent)

Severe GradeIII- IV Acne-------

Cyproteron(Only in women with cyclic estrogen.)

Drugs Used In GRADE IV ACNE only___

1.Dapsone

2.Isotretinoin(Sebostatic,Keratostatic,anti-inflammatory retenoid)-20-40 mg

lot of side effects of this drug so ued in most resistant cases






















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