Skin Drugs

Notes:

  1. 20g of ointment or 30g of cream for body
  2. One FTU will cover 2% of body (~ 0.4-0.5g of cream)
  3. Rule of 9s for area estimation
  4. Ointments more potent than creams

Steroid Creams

  • Mild
    • Hyrocortisone 1%
  • Moderate
    • Triamcinolone acetonide 0.02% (Aristocort)
    • Betamethasone valerate 0.02% (Betnovate 1/5)
    • Betamethasone valerate 0.05% (Betnovate 1/2)
  • Potent
    • Mometasone fumarate 0.1% (Elocon, Novasone)
    • Betametasone valerate 0.1% (Betnovate)
    • Methylprednisolone aceponate 0.1% (Avantan)
    • Betametasone dipropionate 0.05% (Diprosone, Eleuphrat)
  • Very Potent
    • Betametasone dipropionate 0.05% (Diprosone OV) – Optimised Vehicle
    • Clobetasol propionate 0.05% (Clobex)

Acne

  • Basics
    • Benzoyl Peroxide
    • Clinamycin lotion
  • Antibiotics
    • Doxycycline
  • Vitamin A Creams
    • Tretinoin (Retin-A) 
    • Adapalene (Differin)
  • Vitamin A Oral
    • Isotretinoin (Roaccutane)
    • Acetretin (Neotigason)

Antifungal

  • Creams
    • Terbinfine (Not candida)
    • Clotrimazole
    • Miconazole
  • Antifungal Oral
    • Terbinafine 250mg oral OD (Not candida)
    • Fluconazole 150mg oral stat (Candida)
    • Itraconazole 200mg oral OD
    • Griseofulvin 500mg oral OD

Psoriasis

  • Calcipotriol/Betamethasone 50/500 (Daivobet)

Skin Cancer

  • 5FU 
  • Imiquimod

Impetigo

  • Mupirocin
  • Flucloxacillin

Scabies

  • Permethrin
  • Benzyl Benzoate
  • Ivermectin (oral)

Melasma

  • Hydroquinone 2% cream topically BD for 2-4 months
  • Tretinoin (Retin-A) cream 0.025, 0.05, 0.1% cream topically OD
  • Medium potency steroids ie Betnovate 1/5 cream
  • Azelic acid and Kojic acid cream
  • Chemical peels with gycolic or trichloroacetic acid
  • Oral Tranexamic Acid (inhibits tyrosinase)

Micscelaneous

  • Glyceryl Trinitrate (GTN) 0.2% ointment (Rectogesic) BD 6-8/52
    • Anal fissure
    • Raynauds
  • Hydrocortisone 0.5% + Cinchocaine 0.5% (Proctosedyl) TDS (limit to 1/52)
    • Haemorrhoids
    • Anal fissure but less preferred compared to GTN
  • Crotamiton 10% cream (Eurax)
    • Itch
  • Pimecrolimus 1% (Elidel)
    • Anti-inflammatory for eczema in > 2 years
    • Very good for sensitive areas of skin ie face
  • Tacrolimus 0.1% (Calcineruin Inhibitor)
    • Must be compounded so expensive
    • Anti-inflammatory for eczema
  • Emla (Lignocaine 2.5%; Prilocaine 2.5%)
    • Skin anaesthesia for needles
    • Premature ejaculation
View Fullscreen