Skin Infection
How to treat ACNE?
Acne vulgaris remains a common dermatological concern affecting individuals across various age groups. Management strategies depend on the severity of the condition and can range from over-the-counter (OTC) treatments to specialized interventions. Here, we discuss a stepwise approach to acne management based on its severity... …
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Skin Infection
Don’t Jump to Aklief or Amzeeq for Acne
As a community pharmacist, Aklief (trifarotene) and Amzeeq (minocycline) are two new once-daily prescription topicals for acne that have entered the market. Aklief is the first new retinoid in over 20 years. It will be promoted as a cream in a pump for use on the face, chest, shoulders, and back, for patients as young as age 9. You…
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Topical Corticosteroids
Treat PHOTOsensitivity reactions
As a hospital pharmacist, you will be asked more about how to treat photosensitivity reactions. Warmer weather will bring questions about photosensitizing medications. Photosensitivity reactions are due to a combination of UV light with a medication or metabolite in the skin and are hard to predict. Response varies and evidence is mostly from case reports. Be prepa…
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Nutrition
Quell the hype around collagen supplements
As a nutrition support pharmacist, collagen supplements are being touted for everything from joint support to skin health as people search for the fountain of youth. This protein makes up bones, muscles, skin, etc. The theory is that oral supplements may offset collagen depletion from factors such as aging, smoking, or sun exposure. But point out that the majority of…
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Dermatology
Manage expectations with ISOtretinoin
As a clinical pharmacist, you should help patients start and stay on isotretinoin for Acne. So, questions are coming up about how to manage expectations with isotretinoin ( Netlook, etc) in patients with acne. Continue to consider isotretinoin for patients with severe cystic or nodular acne, or with less severe, scarring acne when first-line medications (topical ret…
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Infectious Diseases
How to treat FUNGAL NAIL infections
As a community pharmacist, patients will ask you how to get rid of fungal nail infections. They get frustrated with treatments that often don't work, or when the infection comes back after an initial improvement. Help patients sort through their options.. Oral antifungals are the most effective. Start with oral terbinafine ( Lamisi…
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Dermatology
How to treat Dandruff and Cradle Cap
As a pharmacist, people will ask you how to treat dandruff or cradle cap, the “infant version” of dandruff. Both are a form of dermatitis. Dandruff is chronic flaking and itching, often on the scalp and occurs in adults and adolescents. Cradle cap is scaly, greasy patches that rarely itch and usually clears up on its own by about 1 year of age. …
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Infectious Diseases
Antibiotic use for SKIN infections
As a clinical pharmacist, you will get questions about empiric antibiotic choices for patients hospitalized with skin infections. These patients may have more severe infections or have failed oral therapy. Broad-spectrum empiric antibiotics are often started, but they aren't always needed. Work with your antimicrobial stewardship team to limit antibiotic options…
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Dermatology
Help physicians choose between different TOPICAL dosage forms
There are reasons to choose one topical dosage form over another. Tailor your choice based on skin type, the affected area, patient preference, and cost. And use these general rules of thumb... Creams work well for most areas, since they spread easily, vanish when rubbed in, and usually aren't greasy. For DRY skin, consider an ointment, their emollient eff…
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Dermatology
Approach to alopecia
Essentials of Diagnosis ㅡ Forms of hair loss may be (1) Scarring (suggested by absent follicular markings). (2) Nonscarring (suggested by present follicular markings). Scarring is irreversible and permanent, thus it is important to treat the scarring process as early as possible and may occur following chemical or physical trauma, bacterial or fungal infections, s…
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Nephrology and Urology
Management of uremic pruritus (itching) from chronic kidney disease
OVERVIEW ㅡ Patients will ask how to manage itching from chronic kidney disease . This chronic "uremic pruritus" affects about 40% of patients on dialysis and can lead to depression and poor sleep. Patients may have localized or widespread itching, possibly related to the effects of kidney disease on nerves, inflammation, and dry skin. …
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Skin Cancer
Skin cancer risk with hydrochlorothiazide
Hydrochlorothiazide adverse reactions and warnings (July 2018)!ㅡ Hydrochlorothiazide use is associated with a substantially increased risk of nonmelanoma skin cancer (NMSC), especially squamous cell carcinoma (SCC). Previous studies found modest increases in risk for cutaneous squamous cell carcinoma (SCC) among patients using photosensitizing medications, and i…
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