EENT and skin

Allergic rhinitis medication treatments

intranasal steroids are first line. oral antihistamines can be used for milder symptoms. decongestants can be used if needed

intranasal steroids

budesonide (Rhinocort)

Preferred nasal steroid in pregnancy

budesonide and beclamethasone

How long does it see to see full effect of intranasal steroids

one week

first-generation antihistamines

Diphenhydramine (Benadryl)

Who should avoid first-generation antihistamines

elderly

first-generation antihistamine AE

somnolence

second-generation antihistamines

Cetirizine (Zyrtec)

second-generation antihistamine to use in pregnancy

loratadine and cetirizine

decongestants MOA

alpha adrenergic agonists that work by causing vasoconstriction

decongestants

Phenylephrine

decongestants warnings

AE: increase BP

intranasal decongestants

Oxymetazoline (Afrin)

intranasal decongestants warning

do not use for more than 3 days (rebound congestion)

Expectorants

Guaifenesin

Cough suppresants

dextromethorphan (Delsym)

codeine boxed warning

Respiratory depression and death have occurred in children following tonsillectomy and/or adenoidectomy

Glaucoma

increased intraocular pressure

meds that increase intraocular pressure

anticholinergic

glaucoma first line treatment

prostaglandin analogs (latanoprost

glaucoma treatment in only one eye

ocular BB (timolol)

Treatment of viral conjunctivitis

no topical treatment

viral conjunctivitis cause

adenovirus

bacterial conjunctivitis treatment

topical antibiotics including moxifloxacin

bacterial conjunctivitis causes

Staph. Aureus

allergic conjunctivitis treatment

mast cell stabilizer (cromolyn

Blepharitis

eyelid inflammation

Blepharitis treatment

warm compress

Ocular inflammation treatment

steroids

Ocular dryness treatment

refresh

chronic dry eye disease treatment

cyclosporine emulsion eye drops (Restasis)

Ocular redness treatment

naphazoline

drugs that cause retinopathy

Chloroquine
Hydroxychloroquine

drugs that cause optic neuropathy

Amiodarone

drugs that cause intraoperative floppy iris syndrome (IFIS)

alpha-blocker (e.g. tamsulosin)

meds that cause color discrimination

digoxin

meds that can cause vision loss/abnormal vision

digoxin

otitis externa (swimmer's ear) treatment

ciprofloxacin and dexamethasone (Ciprodex)

acne treatment

benzoyl peroxide

topical retinoids

tretinoin

tretinoin warnings

limit sun exposure

oral antibiotic used for acne

Minocycline

cold sore treatment

Acyclovir or docosanol (Abreva)

dandruff treatment

ketoconazole

alopecia treatment

finasteride

Eczema treatment

topical steroids

fungal treatments for the skin

OTC:

• Terbinafine (Lamisil AT)
• Butenafine (Lotrimin Ultra)
• Clotrimazole (Lotrimin AF)
• Miconazole (Lotrimin AF)
• Tolnaftate (Tinactin)
• Udencylenic acid

RX:

• Betamethasone/clotrimazole (Lotrisone)
• Ketoconazole (Extina)

Apply medicine 1-2 inches beyond the rash

use for at least 2-4 weeks

even if it appears healed

Onychomycosis treatment

terbinafine (Lamisil) and itraconazole

What pH is consistent with bacterial vaginosis or trichomoniasis infection

4.5

Fungal vaginal infection treatment

OTC:
butoconazole (Gynazole-1)
clotrimazole (Gyne-Lotrimin)
miconazole (Monistat 3)
terconazole (Terazol 7)

Rx:
oral fluconzole (Diflucan)

diaper rash treatment

Petrolatum/zinc oxide (desitin)
Petrolatum (A&D ointment)

Clotrimazole

Hemorrhoids treatment

topical phenylephrine

Pinworm treatment

Pyrantel pamoate

Lice treatment

permethrin

Scabies treatment

permethrin or ivermectin

steroid vehicle potency from highest to lowest

ointment > cream > lotion > solution > gel > spray

Urticaria (hives) treatment

antihistamines