Conditions and Treatments- Castillo Book

acne rosacea

oral tetracycline, erythromycin, doxycycline “TED has acne” - treats systemic pathology
topical steroid - treats inflammation
lid scrubs/artificial tears/antibiotic ointments - treats eyelid margins

allergies

oral antihistamines - treats systemic allergies (H1 blockers)

topical antihistamines (H1 blockers, mast cell stabilizers, and combo antihistamines)

topical steroids - treats inflammation due to allergic reactions

allergies - systemic/oral antihistamines

• H1 blocker 1st gen antihistamines (brompheniramine, chlorpheniramine, diphenhydramine “BCD” & promethazine)

• H1 blocker 2nd gen antihistamines (zyrtec, allegra, claritin “ZAC”)

allergies - topical antihistamines

• H1 blocker antihistamine (emedastine)

• Mast cell stabilizers (crolom, alomide, alocril, alamast “cro, al, alo, ala”)

• combination antihistamines (bepreve, elestat, ketotifen, optivar, patanol)

  • ketotifen OTC = zaditor, alaway, pataday, lastacaft

bacterial corneal ulcer - fluoroquinolone antibiotics

• 2nd gen FQN ABx (ciprofloxacin, oflocaxin) — only gram negative

• 3rd gen FQN ABx (levofloxacin) — only gram negative

• 4th gen FQN ABx (besifloxacin, gatifloxacin, moxifloxacin “Best Grandma”) — covers gram negative and gram positive

bacterial infections - folic acid synthesis inhibitors (sulfa drugs)

sulfamethazine and sulfadiazine (AVOID in sulfa allergies)

bacterial infections - aminoglycosides

gentamycin and tobramycin (delay corneal healing, avoid in reduced immune systems, no longer first line meds)

blepharitis

lid hygiene and hot compress
topical erythromycin, bacitracin - treats bacterial infection

cataracts