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/CORTICOSTEROIDS (TOPICAL)**Listed by potency group: group I is the most potent./ 2/28/11 6:56 PM CORTICOSTEROIDS (TOPICAL)* Group Brand name % Generic name (gm; unless noted) I Clobex shampoo 0.05 Clobetasol propionate 4 oz Clobex spray 2 oz, 4.25 oz Clobex lotion 4 oz Condran tape Flurandrenolide 3×24, 3×80 roll Cormax cream 0.05 Clobetasol propionate 15, 30, 45 Cormax ointment 0.05 15, 30, 45 Cormax scalp solution 0.05 50 ml Ultravate cream 0.05 Halobetasol propionate 15, 50 Ultravate ointment 0.05 15, 50 Diprolene lotion 0.05 Augmented betamethasone dipropionate 30 ml, 60 ml Diprolene ointment 0.05 15, 50 Diprolene gel 0.05 15, 50 Olux foam 0.05 Clobetasol propionate 50, 100 gm can Olux-E 50, 100 gm can Psorcon ointment 0.05 Diflorasone diacetate 15, 30, 60 Temovate-E cream 0.05 Clobetasol propionate 15, 30, 60 Temovate ointment 0.05 Clobetasol propionate 15, 30, 45 Temovate gel 0.05 Clobetasol propionate 15, 30, 60 Vanos cream 0.1 Fluocinonide 30, 60, 120 II Cyclocort ointment 0.1 Amcinonide 15, 60 Diprolene AF cream 0.05 Augmented betamethasone dipropionate 15, 50 Diprosone ointment 0.05 Betamethasone dipropionate 15, 45 Diprosone aerosol 0.1 Betamethasone dipropionate 85 Elocon ointment 0.1 Halog cream 0.1 Halcinonide 15, 30, 60 Halog ointment 0.1 15, 30, 60 Halog solution 0.1 20, 60 ml Halog-E cream 0.1 30, 60 Kenalog ointment 0.5 Triamcinolone acetonide 15 Lidex cream 0.05 Fluocinonide 15, 30, 60 Lidex-E 0.05 Fluocinonide 15, 30, 60 Lidex gel 0.05 15, 30, 60 Lidex ointment 0.05 30, 60 Lidex solution 0.05 20, 60 ml Psorcon cream 0.05 Diflorasone diacetate 15, 30, 60 Topicort cream 0.25 Desoximetasone 15, 60 Topicort gel 0.05 15, 60 Topicort ointment 0.25 15, 60 III Kenalog cream 0.5 Triamcinolone acetonide 15 Betatrex cream 0.1 Betamethasone valerate 45 Cutivate ointment 0.005 Fluticasone propionate 15, 30, 60 http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…u1.0-B978-0-7234-3541-9..00039-0&type=bookPage&contentStyle=print Page 1 of 3 /CORTICOSTEROIDS (TOPICAL)**Listed by potency group: group I is the most potent./ IV V VI VII Cyclocort lotion Cyclocort cream Diprosone cream Diprosone lotion Elocon ointment Kenalog cream Kenalog paste Cyclocort cream Dermatop ointment DermOtic Ear Drops Elocon cream Elocon lotion Kenalog ointment Luxig foam Pandel cream Synalar ointment Topicort LP cream Topicort ointment Westcort ointment Betatrex cream Cloderm cream Cutivate cream Cutivate lotion Dermatop cream DesOwen ointment Kenalog cream Kenalog ointment Kenalog lotion Locoid Lipocream Locoid cream Locoid ointment Locoid lotion Synalar cream Tridesilon ointment Westcort cream Aclovate cream Aclovate ointment Kenalog cream Capex shampoo Dermasmooth FS Cordran SP cream DesOwen cream DesOwen lotion Verdeso foam Kenalog lotion Synalar solution Epifoam Hytone cream Hytone lotion Hytone ointment 0.1 Amcinonide 0.1 Amcinonide 0.05 Betamethasone dipropionate 0.05 Betamethasone dipropionate 0.1 Mometasone furoate 0.5 Triamcinolone acetonide 0.5 Triamcinolone acetonide 0.1 Amcinonide 0.1 Prednicarbate 0.1 Fluocinolone acetonide 0.1 Mometasone furoate 0.1 0.1 Triamcinolone acetonide 0.12 Betamethasone valerate 0.1 Hydrocortisone probutate 0.025 Fluocinolone acetonide 0.05 Desoximetasone 0.05 0.2 Hydrocortisone 0.1 Betamethasone valerate 0.1 Clocortolone pivalate 0.05 Fluticasone propionate 0.05 Fluticasone propionate 0.1 Prednicarbate 0.05 Desonide 0.1 Triamcinolone acetonide 0.025 0.1 0.1 Hydrocortisone butyrate 0.1 Hydrocortisone butyrate 0.1 0.025 Fluocinolone acetonide 0.05 Desonide 0.2 Hydrocortisone 0.05 Alclometasone dipropionate 0.05 0.025 Triamcinolone acetonide 0.01 Fluocinolone acetonide 0.01 Fluocinolone acetonide 0.025 Flurandrenolide 0.05 Desonide 0.05 Desonide 0.025 0.01 1.0 Hydrocortisone acetate 2.5 Hydrocortisone 2.5 2.5 2/28/11 6:56 PM 60 ml 30, 60 15, 45 20, 60 ml 15, 45 20 5 15, 30, 60 15, 60 20 ml 15, 45 30, 60 ml 15, 80 50, 100, 150 can 15, 45, 80 60 15, 60 15, 60 15, 45, 60 45 45, 90 gm tube, 30 gm pump 15, 30, 60 120 ml 15, 60 15, 60 15, 60, 80, 454 15, 80 60 ml 15, 45 15, 45 15, 45 60 ml, 120 ml 60 15, 60 15, 45, 60 15, 45, 60 15, 45, 60 15, 80 120 ml 4 oz 30, 60 15, 60 2, 4 oz 50, 100 gm can 60 ml 60 ml 10 1, 2 oz 2 oz 1 oz http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…u1.0-B978-0-7234-3541-9..00039-0&type=bookPage&contentStyle=print Page 2 of 3 /CORTICOSTEROIDS (TOPICAL)**Listed by potency group: group I is the most potent./ Lacticare HC lotion 1.0 2.5 Hydrocortisone Pramosone 1.0 Hydrocortisone acetate + pramoxine 2.5 OTC OTC 1.0 0.5 Hydrocortisone Hydrocortisone 2/28/11 6:56 PM 4 oz 2 oz 2, 4, 8 oz lotion 1, 2 oz cream 1 oz ointment 2, 4 oz lotion 1, 2 oz cream 1 oz ointment Many brands Many brands * Listed by potency group: group I is the most potent. Copyright © 2011 Elsevier Inc. All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy. For problems or suggestions concerning this service, please contact: [email protected] http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…u1.0-B978-0-7234-3541-9..00039-0&type=bookPage&contentStyle=print Page 3 of 3 //ANTIFUNGAL AGENTS 2/28/11 7:09 PM ANTIFUNGAL AGENTS Oral Brand name Diflucan Fulvicin P/G Fulvicin U/F Grifulvin V Gris-PEG Mycosatin Nizoral Lamisil Sporanox Mycelex troches for oral Candida Generic name Fluconazole Griseofulvin ultramicrosize Griseofulvin microsize Griseofulvin microsize Griseofulvin ultramicrosize Mystatin Ketoconazole Terbinafine Itraconazole Packaging 50, 100, 150, 200 mg 125, 165, 250, 330 mg 250, 500 mg; 125 mg/ml suspension 250, 500 mg; 125 mg/5 ml in 4 oz bottle 125, 250 mg 500,000, 1 million U capsules 100,000 U/ml suspension 200 mg 250 mg 100 mg 10 mg troche; bottle of 70 or 140; dissolve 5/day in mouth for 14 days Topical Topical Agents Active Against Dermatophytes and Candida Brand name CNL8 Topical Solution Nail Lacquer Kit Ertaczo Exelderm Lamisil (not for Candida) Loprox Lotrimin Lotrisone* Naftin Nizoral Oxistat Penlac Spectazole Generic name Packaging Ciclopirox 8% 3.5 ml Sertaconazole 30, 60 gm Sulconazole 15, 30, 60 gm cream 30 ml solution Terbinafine hydrochloride 12, 24 gm cream 30 ml dropper or spray cream 15, 30, 90 gm cream 30, 100 gel 30, 60 ml topical Ciclopirox olamine suspension Several creams and solutions 15, 30, 45, 90 gm cream Clotrimazole 10, 30 ml solution Clotrimazole and 15, 45 gm cream betamethasone Dipropionate 30 ml solution 30 ml lotion Miconazole Several creams Naftifine 15, 30, 60 gm cream 20, 40, 60 gm gel Ketoconazole 15, 30, 60 gm Oxiconazole 15, 30, 60 gm cream 30 ml lotion Ciclopirox 6.6 ml nail lacquer solution Econazole 15, 30, 85 gm cream * A preparation containing an antifungal agent and potent topical steroid; it is useful for inflamed fungal infections. Potent topical steroids should be used only for short durations in intertriginous areas such as the groin. Change to an antifungal agent once inflammation is http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…8-0-7234-3541-9..00042-0--s0095&type=bookPage&contentStyle=print Page 1 of 2 //ANTIFUNGAL AGENTS 2/28/11 7:09 PM controlled. Topical Agents Active Against Candida Brand name Generic name Packaging Fungizone Amphotericin B 20 gm cream 30 ml lotion Fungoid tincture Miconazole 2 oz bottle liquid Mycostatin Nystatin 30 gm cream Mycolog II* Nystatin and triamcinolone 15, 30, 60 gm cream or ointment Mycelex troches† Clotrimazole 10 mg troche (bottle of 70) * A preparation containing an anti-Candida agent and topical steroid; it is useful for inflamed yeast infections. Topical steroids should be used only for short durations in intertriginous areas such as the groin. Change to an anti-Candida agent once inflammation is controlled. † Dissolve in mouth 5/day for 14 days. Agents Effective for Treating Tinea Versicolor Brand name DHS Zinc (or any other zinc shampoo) Exelderm Loprox Lotrimin Micatin Sebulex Selsun lotion Spectazole Nizoral Diflucan Sporanox Generic name Packaging* 2% Pyrithione 6 oz, 12 oz zinc Sulconazole 15, 30, 60 gm 30 ml bottle Ciclopirox 15, 30, 60 gm cream olamine Clotrimazole 15, 30, 45, 90 gm cream Miconazole 0.5 oz cream 2% Sulfur, 2% 240 ml lotion salicylic acid 2.5% Selenium Generic lotion sulfide Econazole 15, 30, 85 gm cream 200 mg tablet 15, 30, 60 Ketaconazole cream gm 120 ml shampoo Fluconazole 50, 100, 150, 200 mg Itraconazole 100 mg Directions Apply to trunk, arms, and thighs for 10 min; shower off; repeat for 14 days Every day for 14 days Every day for 14 days Every day for 14 days Apply twice a day for 3 weeks Apply every nite at bedtime for 7 days; wash off in morning Apply daily for 10 min for 7 consecutive days Apply daily for 14 days Single 400 mg dose each month or 200 mg every day 5 days Apply once and rinse off Single 300-mg dose 200 mg for 7 days * Many sizes of these preparations are available. Generally it is most economical to prescribe the largest-size container because a large area must be treated. Copyright © 2011 Elsevier Inc. All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy. For problems or suggestions concerning this service, please contact: [email protected] http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…8-0-7234-3541-9..00042-0--s0095&type=bookPage&contentStyle=print Page 2 of 2 //SCABICIDES AND PEDICULOCIDES 2/28/11 7:00 PM SCABICIDES AND PEDICULOCIDES Scabicides Brand name Generic name Packaging Acticin Permethrin 5% cream: 60 gm Elimite Permethrin 5% cream: 60 gm Eurax* Crotamiton 10% cream: 60 gm 10% lotion: 2 oz, 1 pt Kwell Lindane 1% cream: 2 oz, 16 oz 1% lotion: 2 oz, 16 oz Kwell shampoo Lindane 1% lotion: 2 oz, 16 oz 5%-10% precipitated Sulfur Sulfur in petrolatum* Stromectol Ivermectin† 6 mg tablets* * Eurax has been reported to be less effective than lindane. † Pharmacist compounded. Pediculocides Brand name Generic name Packaging A-200 (OTC) 0.33% pyrethrins 30 gm gel A-200 Pyrinate Gel shampoo (OTC) 0.17% pyrethrins 2, 4 oz shampoo NIX cream rinse Permethrin 2 oz Ovide 0.5% malathion 2 oz lotion R & C shampoo (OTC) 0.3% pyrethrins 2, 4 oz shampoo RID (OTC) 0.3% pyrethrins 2 oz, 4 oz, 1 gal liquid Copyright © 2011 Elsevier Inc. All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy. For problems or suggestions concerning this service, please contact: [email protected] http://www.expertconsultbook.com/expertconsult/b/book.do?method=g…8-0-7234-3541-9..00042-0--s0380&type=bookPage&contentStyle=print Page 1 of 1 Dermatologic Formulary • Acne Medications, F-2 • Protecting Barrier Creams, F-19 • Antibiotics, F-6 • Psoriasis and Seborrheic Dermatitis (Shampoos), F-20 • Antifungal Agents, F-7 • Antihistamines, F-10 • Antineoplastic Agents (Topical), F-11 • Antiperspirants, F-11 • Antipruritic Creams and Lotions, F-12 • Antiviral Agents, F-12 • Contraceptives (Oral), F-13 • Corticosteroids (Oral), F-14 • Corticosteroids (Topical), F-15 • Depigmenting and Cosmetic Covering Agents, F-17 • Hair Restoration Products, F-18 • Immunomodulators (Topical), F-18 • Psoriasis Medications, F-22 • Rosacea Medications (Topical), F-25 • Scabicides and Pediculocides, F-26 • Shampoo—Fragrance-Free, Dye-Free, F-26 • Soap-Free Cleansers, F-27 • Soaps—Bar (Mild, Nonirritating), F-27 • Sun-protective Clothing, F-27 • Vaginal Anti-Candida Agents, F-28 • Wart Medications, F-29 • Wet Dressings, F-30 • Pharmacists That Will Compound Medications, F-30 • Lubricating Agents, F-18 F-1 ACNE MEDICATIONS Retinoids Retin-A (Tretinoin) Retin-A Micro (Tretinoin) Base Concentration Packaging Cream 0.025% 0.05% 0.1% 20, 45 gm 20, 45 gm 20, 45 gm Gel 0.01% 0.025% 15, 45 gm 15, 45 gm Liquid 0.05% 28 ml Gel 0.1% 20 gm 45, 50 gm pump 20 gm 45, 50 gm pump 0.04% Atralin Gel 0.05% 45 gm Tazorac (Tazarotene) Gel 0.1% 0.05% 30, 100 gm 30, 100 gm Cream 0.1% 0.5% 30, 60 gm 30, 60 gm Gel 0.1% 0.3% 15, 45 gm 45 gm Cream 0.1% 15, 45 gm Pledgets 0.12% 1 box Solution 0.1% 30 ml Gel 0.1% adapalene ⫹ 2.5% benzoyl peroxide 45 gm Azelex (Azelaic acid) Cream 20% azelaic acid Finacea 15% azelaic acid Differin (Adapalene) Epiduo Benzoyl Peroxide Cleansers 30, 50 gm 30, 50 gm Benzoyl Peroxide Gels (2.5% to 3.0%) Product Formulation Packaging Product Base Packaging Benzac AC wash 2.5% Liquid 2.5% 8 oz Benzac W 2.5 Water 60 gm, 90 gm Benzac AC wash 5% Liquid 5% 8 oz Benzac AC 2.5% Water 60 gm, 90 gm Benzac AC wash 10% Liquid 10% 8 oz Clear By Design (OTC) Water 45 gm, 90 gm Benzac W wash (Rx) Liquid 5% 4 oz, 8 oz Desquam-X 2.5% Water 1.5 oz Benzac W wash (Rx) Liquid 10% 8 oz Desquam-E 2.5 Water 1.5 oz Brevoxyl Cleansing Lotion (Rx) Liquid 4% 10.5 oz Panoxyl AQ 2.5 Water 60 gm, 120 gm Triaz 3% Water 42.5 gm Brevoxyl Cleansing Lotion (Rx) Liquid 8% 10.5 oz Brevoxyl Creamy Wash Liquid 4% 6 oz tube Brevoxyl Creamy Wash Liquid 8% 6 oz tube Desquam-X 5% wash (Rx) Liquid 5% 150 ml Desquam-X 10% wash (Rx) Liquid 10% 150 ml Desquam-X 10% bar (Rx) Bar 10% 4 oz bar Panoxyl 5 bar (OTC) Bar 5% 4 oz bar Panoxyl 10 bar (OTC) Bar 10% 4 oz bar Triaz 3% Liquid 3% 6 oz, 12 oz Triaz 6% Liquid 6% 6 oz, 12 oz Triaz 9% Liquid 9% 6 oz, 12 oz F-2 Benzoyl Peroxide Gels (4% to 8%) Benzoyl Peroxide Gels (10%) Product Base Packaging Product Base Packaging Benoxyl 5 (OTC) Water 1 oz, 2 oz Acne-Aid (OTC) Flesh-tinted 1.8 oz Benzac 5 12% alcohol 60 gm Benoxyl 10 (OTC) Water 1 oz, 2 oz Benzac AC 5% Water 60 gm, 90 gm Benzac 10 12% alcohol 60 gm Benzac W 5 Water 60 gm, 90 gm Benzac AC 10% Water 60 gm, 90 gm Brevoxyl 4% (Rx) Water 42.5 gm, 90 gm Benzac W 10 Water 60 gm, 90 gm Brevoxyl 8% (Rx) Water 42.5 gm, 90 gm 10-Benzagel 14% alcohol 42.5 gm, 85 gm 5-Benzagel 14% alcohol 42.5 gm, 85 gm Desquam-X 10 Water 42.5 gm, 85 gm Clinac BPO 7% 45 gm Desquam-E 10 Water 1.5 oz Desquam-X 5 Water 45 gm, 90 gm Panoxyl 10 20% alcohol 60 gm, 120 gm Desquam-E 5 Water 1.5 oz Panoxyl AQ 10 Water 60 gm, 120 gm Neutrogena Acne Mask 5% 2 oz tube Panoxyl 5 20% alcohol 60 gm, 120 gm Panoxyl AQ 5 Water 60 gm, 120 gm Sulfoxyl Regular 5 (contains 2.5% sulfur) Water 30 ml Triaz 6% Water 42.5 gm Topical Antibiotics for Acne Product Antibiotics Packaging Aczone 5% dapsone 30 gm, 60 gm gel Akne-Mycin 2% erythromycin 25 gm ointment A/T/S 2% erythromycin 60 ml liquid A/T/S gel 2% erythromycin 60 ml liquid Azelex 20% azelaic acid 30 gm, 50 gm cream Benzaclin 1% clindamycin 5% benzoyl peroxide 25 gm, 50 gm gel, pump Benzamycin 3% erythromycin 5% benzoyl peroxide 23.3, 46.6 gem gel Benzamycin Pak 3% erythromycin 5% benzoyl peroxide 60 packets Clarifoam EF 5% sulfur, 10% sodium sulfacetamide 60 gm can Cleocin T 1% clindamycin 30 gm, 60 ml liquid 30 gm, 60 ml gel 60 ml lotion #60 pledgets Clindagel 1% clindamycin 42 gm, 77 gm gel Clindets 1% clindamycin #60 pledgets Duac gel 1% clindamycin 5% benzoyl peroxide 45 gm gel Emgel 2% erythromycin 27 gm, 50 gm gel Erycette 2% erythromycin #60 swabs EryDerm 2% erythromycin 60 ml liquid Erygel 2% erythromycin 30 gm, 60 gm gel Erymax 2% erythromycin 2 oz, 4 oz liquid Finacea 15% azelaic acid 30 gm gel Klaron 10% 10% sodium sulfacetamide 4 oz bottle Continued F-3 Topical Antibiotics for Acne—cont’d Plexion TS (topical suspension) 5% sulfur, 10% sodium sulfacetamide 30 gm tube Plexion Cleanser 5% sulfur, 10% sodium sulfacetamide 6 oz tube, 12 oz Staticin 1.5% erythromycin 60 ml liquid Theramycin Z 2% erythromycin 60 ml liquid Z-Clinz 1% clindamycin 10% benzoyl peroxide 100 gm Drying-Keratolytic Antibiotic Preparations Product Sulfur Other Packaging Avar 5% 10% Sodium sulfacetamide 45 gm aqueous gel Avar Green 5% 10% Sodium sulfacetamide 45 gm aqueous gel with green pigment to mask redness Clenia 5% 10% Sodium sulfacetamide 1 oz emollient cream Plexion TS (topical suspension) 5% 10% Sodium sulfacetamide 30 gm tube Plexion SCT 5% 10% Sodium sulfacetamide 4 oz Rosula 5% 10% Sodium sulfacetamide 45 ml aqueous gel with 10% urea Sulfacet-R lotion (Rx) 5% 10% Sodium sulfacetamide 25 ml Sulfacet-R lotion TF (tint-free) 5% 10% Sodium sulfacetamide 25 ml Medicated Bar Cleansers for Acne Product Active ingredient Packaging Acne-Aid cleansing bar 6.3% surfactant 4 oz, 5.8 oz bars Panoxyl bar 5%, 10% Benzoyl peroxide 4 oz bar Salicylic acid soap 2% salicylic acid 4 oz bar Sulfur soap 10% sulfur 116 gm bar F-4 Medicated Cleansers for Acne Product Active ingredient Packaging AVAR cleanser 5% Sulfur, 10% sodium sulfacetamide 8 oz pump Clenia 5% Sulfur, 10% sodium sulfacetamide 6 oz, 12 oz foaming wash Neutrogena oil-free acne wash 2% Salicylic acid 6 oz pump Ovace wash 10% Sodium sulfacetamide 12 oz Plexion cleanser 5% Sulfur, 10% sodium sulfacetamide 6 oz, 12 oz Rosanil cleanser 5% Sulfur, 10% sodium sulfacetamide 6 oz SalAc foam 2% Salicylic acid 100 gm canister SalAc 2% Salicylic acid 6 oz bottle Isotretinoin (Accutane, Amnesteen, Sotret) Capsules 10, 20, 30, 40 mg Dosing Isotretinoin by Body Weight Body weight Total mg/day Kilograms Pounds 0.5 mg/kg 1 mg/kg 2 mg/kg 40 88 20 40 80 50 110 25 50 100 60 132 30 60 120 70 154 35 70 140 80 176 40 80 160 90 198 45 90 180 100 220 50 100 200 Antiwrinkle Cream Product Active ingredient Packaging Renova (0.02% emollient) Tretinoin 40 gm Avage (0.1 cream) Tazarotene 30 gm Retin-A cream (0.025, 0.05, 0.1 (generic available) Tretinoin Several sizes Vitamins for Acne Nicomide tablet (Contains nicotinamide 750 mg, zinc 25 mg, folic acid 500 mg) Usual dose is one tablet twice a day F-5 ANTIBIOTICS Oral Generic Brand name Preparation* Adult dosage (mg unless noted) Cephalosporins Cephradine Velosef 250, 500 mg 1-2 gm/24h (bid, qid) Cephalexin Keflex 250, 500 mg 250-1000 qid Cefdinir Omnicef 300 mg tablet, oral suspension 300 mg bid Cefadroxil Duricef 500, 1000 mg 1 gm-24h (every day-bid) Cefaclor Ceclor 250, 500 mg 250-500 tid Cefuroxime Ceftin 125, 250, 500 mg 250-500 bid Cefprozil Cefzil 250, 500 mg 125 mg/5 ml 250 mg/5 ml 250 bid-500 every day Cefixime Suprax 200, 400 mg 200 bid, 400 every day Levaquin Levofloxacin 250, 500, 750 mg 1 tablet every day Ciprofloxacin Cipro 500, 750 mg 500-750 bid E.E.S., E-Mycin, Pediamycin 250, 400 mg 250-800 qid* Second-generation Fluoroquinolones Macrolides Erythromycin (ethylstearate) Erythromycin (enteric coated) ERYC, Ery-Tab, E-Mycin 125, 250, 330, 500 mg 250-500 q6h* Clarithromycin Biaxin 250, 500 mg 250-500 mg bid Azithromycin Zithromax 250 mg 200 mg oral suspension 500 mg first day 250 every day 3-4 days Ampicillin Amcill 250, 500 mg 250-500 qid Penicillin V Pen-Vee K, etc. 250, 500 mg 250-500 qid Dicloxacillin Dynapen 125, 250, 500 mg 125-500 q6h Cloxacillin Generic 250, 500 mg 500 mg qid Amoxicillin Generic 250, 500 mg 250-500 tid Amoxicillin clavulanate Augmentin 250, 500 mg 250-500 q8h Sulfamethoxazole-trimethoprim Bactrim DS, Septra DS 800 mg/160 mg 1 tablet bid Dapsone Generic 25, 100 mg 50-300 mg qid Clindamycin Cleocin 75, 150, 300 mg 150-300 q6h Demeclocycline Declomycin 150 mg 150 mg qid, or 300 mg bid Doxycycline Monodox, Vibramycin, Doryx, Adoxa Penicillins Sulfonamides, sulfones Tetracyclines Minocycline Minocycline extended release tablets Solodyn *Many preparations available in liquid form. F-6 50, 75, 100, 150 mg 100-200/24h (qid-bid) 50, 75, 100 mg 100-200/24h (qid-bid) 45, 90, 135 mg 1 tablet every day (1 mg/kg/day) Patient weight (lbs) 90-131 132-199 200-300 Dose 45 90 135 Topical* Generic name Brand name Preparation* Retapamulin Altabax 5, 10, 15 gm Bacitracin Baciguent ointment 15, 30, 120 gm Chloramphenicol Chloromycetin cream 30 gm Clioquinol and 1% HC Vioform cream 20 gm Gentamycin solution Garamycin cream, ointment, solution 15 gm, 5 ml solution Iodoquinol and 0.5% or 1% HC Alcortin Vytone 1 oz tube Mafenide acetate Sulfamylon cream 60, 120, 480 gm Metronidazole MetroGel cream, lotion Noritate 45 gm, 1 oz lotion 30 gm Mupirocin 2% Bactroban cream, ointment 15, 30 gm Neomycin Many brands 7.5-60 gm Nitrofurazone Furacin cream 28 gm Polymyxin and bacitracin Polysporin ointment (many brands) Neosporin powder 15, 30 gm (ointment) 10 gm (powder) Polymyxin, neomycin, and bacitracin Neosporin (many brands) 15, 30 gm Povidone-iodine Betadine ointment 30 gm Silver sulfadiazine Silvadene cream 20, 50, 85, 400 gm *Topical antibiotics for acne are listed in the acne medication section. ANTIFUNGAL AGENTS Oral Brand name Generic name Packaging Diflucan Fluconazole 50, 100, 150, 200 mg Fulvicin P/G Griseofulvin ultramicrosize 125, 165, 250, 330 mg Fulvicin U/F Griseofulvin microsize 250, 500 mg; 125 mg/ml suspension Grifulvin V Griseofulvin microsize 250, 500 mg; 125 mg/5 ml in 4 oz bottle Gris-PEG Griseofulvin ultramicrosize 125, 250 mg Mycosatin Mystatin 500,000, 1 million U capsules 100,000 U/ml suspension Nizoral Ketoconazole 200 mg Lamisil Terbinafine 250 mg Sporanox Itraconazole 100 mg Mycelex troches for oral Candida 10 mg troche; bottle of 70 or 140; dissolve 5/day in mouth for 14 days F-7 Topical Topical Agents Active Against Dermatophytes and Candida Brand name Generic name Packaging CNL8 Topical Solution Nail Lacquer Kit Ciclopirox 8% 3.5 ml Ertaczo Sertaconazole 30, 60 gm Exelderm Sulconazole 15, 30, 60 gm cream 30 ml solution Lamisil (not for Candida) Terbinafine hydrochloride cream 12, 24 gm cream 30 ml dropper or spray Loprox Ciclopirox olamine 15, 30, 90 gm cream 30, 100 gel 30, 60 ml topical suspension Lotrimin Clotrimazole Several creams and solutions 15, 30, 45, 90 gm cream 10, 30 ml solution Lotrisone* Clotrimazole and betamethasone 15, 45 gm cream Dipropionate 30 ml solution 30 ml lotion Miconazole Several creams Naftin Naftifine 15, 30, 60 gm cream 20, 40, 60 gm gel Nizoral Ketoconazole 15, 30, 60 gm Oxistat Oxiconazole 15, 30, 60 gm cream 30 ml lotion Penlac Ciclopirox 6.6 ml nail lacquer solution Spectazole Econazole 15, 30, 85 gm cream *A preparation containing an antifungal agent and potent topical steroid; it is useful for inflamed fungal infections. Potent topical steroids should be used only for short durations in intertriginous areas such as the groin. Change to an antifungal agent once inflammation is controlled. Topical Agents Active Against Candida Brand name Generic name Packaging Fungizone Amphotericin B 20 gm cream 30 ml lotion Fungoid tincture Miconazole 2 oz bottle liquid Mycostatin Nystatin 30 gm cream Mycolog II* Nystatin and triamcinolone 15, 30, 60 gm cream or ointment Mycelex troches† Clotrimazole 10 mg troche (bottle of 70) *A preparation containing an anti-Candida agent and topical steroid; it is useful for inflamed yeast infections. Topical steroids should be used only for short durations in intertriginous areas such as the groin. Change to an anti-Candida agent once inflammation is controlled. †Dissolve in mouth 5/day for 14 days. F-8 Agents Effective for Treating Tinea Versicolor Brand name Generic name Packaging* Directions DHS Zinc (or any other zinc shampoo) 2% Pyrithione zinc 6 oz, 12 oz Apply to trunk, arms, and thighs for 10 min; shower off; repeat for 14 days Exelderm Sulconazole 15, 30, 60 gm 30 ml bottle Every day for 14 days Loprox Ciclopirox olamine 15, 30, 60 gm cream Every day for 14 days Lotrimin Clotrimazole 15, 30, 45, 90 gm cream Every day for 14 days Micatin Miconazole 0.5 oz cream Apply twice a day for 3 weeks Sebulex 2% Sulfur, 2% salicylic acid 240 ml lotion Apply every nite at bedtime for 7 days; wash off in morning Selsun lotion 2.5% Selenium sulfide Generic lotion Apply daily for 10 min for 7 consecutive days Spectazole Econazole 15, 30, 85 gm cream Apply daily for 14 days Nizoral Ketaconazole 200 mg tablet 15, 30, 60 cream gm 120 ml shampoo Single 400 mg dose each month or 200 mg every day 5 days Apply once and rinse off Diflucan Fluconazole 50, 100, 150, 200 mg Single 300-mg dose Sporanox Itraconazole 100 mg 200 mg for 7 days *Many sizes of these preparations are available. Generally it is most economical to prescribe the largest-size container because a large area must be treated. F-9 ANTIHISTAMINES Medications for Urticaria Drug Initial dose (adult) Maximum dose* (adult) Liquid formulation Tablet formulation — 30, 60, 180 mg H1-Receptor Antagonists Nonsedating* Fexofenadine (Allegra) 180 mg daily 180 mg bid Desloratadine (Clarinex) 5 mg daily 10 mg daily Loratadine (Claritin) 10 mg daily 20 mg bid Cetirizine (Zyrtec) 10 mg daily 10 mg bid 5 mg/5 ml 5, 10 mg Carbinoxamine (Palgic) 4 mg daily 4-8 mg three-four times/day Not for children ⬍3 years of age 4 mg/5 ml 4 mg Levocetirizine (Xyzal) 5 mg daily 5 mg 2.5 mg/5 ml 5 mg Hydroxyzine (Atarax) 10 mg four times/day 50 mg four times/day Suspension 25 mg/5 ml 10 mg/5 ml 10, 25, 50, 100 mg Diphenhydramine (Benadryl) 25 mg bid 50 mg four times/day Elixir 12.5 mg/5 ml Syrup 6.25 mg/5 ml 25, 50 mg; 12.5-mg chewable tablet Cyproheptadine (Periactin) 4 mg four times/day 8 mg four times/day 2 mg/5 ml 8 mg 5 mg 5 mg/5 ml 10 mg Sedating H2-Receptor Antagonists Cimetidine (Tagamet) 400 mg bid 800 mg bid 300 mg/5 ml 200, 300, 400, 800 mg Ranitidine (Zantac) 150 mg bid 300 mg bid 75 mg/5 ml 150, 300 mg Famotidine (Pepcid) 20 mg bid 40 mg bid 40 mg/5 ml 20, 40 mg 10 mg four times/day 50 mg four times/day 10 mg/ml 10, 25, 50, 75, 100, 150 mg Prednisone 20 mg every other day with gradual tapering Many other dose schedules 5 mg/5 ml 2.5, 5, 10, 20, 50 mg Methylprednisolone (Medrol) 16 mg every other day with gradual tapering Many other dose schedules — 2, 4, 8, 16, 24, 32 mg — — H1- and H2-Receptor Antagonists Doxepin (Sinequan) Corticosteroids Leukotriene antagonists Zafirlukast (Accolate) 20 mg bid — — 10, 20 mg Montelukast (Singulair) 10 mg daily — — 4-mg chewable, 5-mg chewable, 10 mg Epinephrine Injection Ana-Guard (1:1000) 0.3 ml/dose Sub-Q EpiPen (1:1000) 0.3 mg/dose EpiPen Jr (1:2000) Children ⬍12 yr: 0.15 mg/dose Immunotherapy Cyclosporine 2-3 mg/kg daily 4-6 mg/kg daily 100 mg/ml 25, 50, 100 mg Methotrexate 2.5 mg PO bid for 3 days of week 5 mg PO bid for 3 days of week 25 mg/ml 2.5 mg *Higher dosages than recommended by the manufacturer may be required for maximum therapeutic effect. F-10 ANTINEOPLASTIC AGENTS (TOPICAL) Product Packaging Aldara 5% imiquimod Box of 12 packets, 24 packets Carac 0.5% fluorouracil 30 gm tube Fluoroplex 1% fluorouracil 1% fluorouracil 30 ml solution 30 gm cream Efudex 5% fluorouracil 2% fluorouracil 5% fluorouracil 10 ml, 25 ml liquid 10 ml, 2ml liquid 40 gm cream Solaraze Diclofenac sodium 3% 50 g, 100 gm ANTIPERSPIRANTS Brand name Active ingredient Packaging Certain-Dri (OTC) Aluminum chloride (hexahydrate) 1, 2 oz roll-on Pump spray (nonaerosol) Drysol (Rx) 20% Aluminum chloride (hexahydrate) in 93% anhydrous ethyl alcohol 35 ml bottle with Dab-O-Matic applicator 37.5 ml bottle Hypercare 20% Aluminum chloride (hexahydrate) in 93% anhydrous ethyl alcohol 37.5 ml bottle and 35 cc and 60 cc bottle with Dab-O-Matic applicator Lazerformalyde solution (Rx) 10% Formaldehyde 3 oz roll-on Formaldehyde-10 spray 10% Formaldehyde 2 oz spray bottle Xerac AC (Rx) 6.25% Aluminum chloride (hexahydrate) in 96% anhydrous ethyl alcohol 35, 60 ml bottles with Dab-O-Matic applicator Drionic Therapy for Hyperhidrosis Iontophoresis) • Iontophoresis (the application of low-level electric current to the surface of the skin) results in reduced production of sweat at that site. A batteryoperated device conforming to the shape of the treated area, using tap water–wetted pads in contact with the skin of the palms, soles, or axillae, is available for patient self-use. Four to 15 treatments 20 minutes long inhibit sweat for up to 6 weeks; 95% of patients showed improvement in 2 weeks, and 86% remained improved at 6 weeks. Minor retreatment every 6 weeks is needed to sustain inhibition. Biopsies reveal hyperkeratotic plugs within sweat ducts following treatment. • Three devices (Drionic Hands, Drionic Axillae, Drionic Feet) are available at $125.00 per pair. They may be ordered by the patient from General Medical Co, Dept DM-8, 1935 Armacost Ave., Los Angeles, CA 90025. (www.drionic.com) More complicated devices are available from other manufacturers. F-11 ANTIPRURITIC CREAMS AND LOTIONS Brand name Active ingredient Packaging Eucerin itch relief Menthol 0.15% 6.8 oz spray Neutrogena anti-itch moisturizer Camphor 0.1% Dimethacone 0.1% 10.1 oz PrameGel 1% pramoxine, 0.5% menthol Pramosone cream (1%, 2.5%) Hydrocortisone and pramoxine HCL 1 oz, 2 oz Pramosone lotion (1%) Hydrocortisone and pramoxine HCL 2 oz, 4 oz, 8 oz Pramosone lotion (2.5%) Hydrocortisone and pramoxine HCL 2 oz, 4 oz Pramosone ointment (1%, 2.5%) Hydrocortisone and pramoxine HCL 1 oz Sarna original 0.5% each of camphor, menthol 7.5 oz bottle Sarna sensitive anti-itch lotion Pramoxine HCL 7.5 oz Sarna Ultra anti-itch cream Menthol 0.5% and pramoxine 2 oz Zonalon 5% doxepin 45 gm ANTIVIRAL AGENTS Product Packaging Abreva (docosanol) (OTC) 2 gm Denavir (penciclovir) 1.5 gm ointment Famvir (famciclovir) 125, 250, 500 mg tablets Valtrex (valacyclovir) 500 mg, 1 gm capsules Zovirax (acyclovir) 200, 400, 800 mg capsules Zovirax ointment 5%, 3 and 15 gm tubes Topical Therapy for Postherpetic Neuralgia Product Packaging Zostrix (capsaicin, 0.075% cream) (OTC) 1 oz tube Lidoderm (a 5% lidocaine patch) Carton of 30 patches F-12 CONTRACEPTIVES (ORAL) Estrogen level ethinyl estradiol (micrograms) 20 Brand name Progestin Dose (mg) Alesse® Levonorgestrel 0.10 ® Levlite Levonorgestrel 0.10 Loestrin 1/20® Fe Norethindrone acetate 1.00 Mircette Desogestrel 0.15 Ortho Evra® (patch) Norelgestromin (norgestimate metabolite) 0.15 Estrostep Fe Norethindrone acetate 1.0/1.0/1.0 Levlen® levonorgestrel 0.15 Levora® Levonorgestrel 0.15 Nordette Levonorgestrel 0.15 Lo/Ovral® Norgestrel 0.30 Desogen Desogestrel 0.15 Ortho-Cept® Desogestrel 0.15 ® Phasic 20/30/35 ® ® 30 ® ® Loestrin 1.5/30 Norethindrone acetate 1.50 Yasmin® Drospirenone 3.0 Levonorgestrel 0.05/0.075/0.125 Tri-Levlen Levonorgestrel 0.05/0.075/0.125 Trivora® Levonorgestrel 0.05/0.075/0.125 Triphasil® Phasic 30/40/30 ® ® Ortho-Cyclen Norgestimate 0.25 Ovcon-35® Norethindrone 0.40 Brevicon® Norethindrone 0.50 Modicon® Norethindrone 0.50 Necon Norethindrone 1.00 Norethin® Norethindrone 1.00 ® 35 ® Phasic 35/35 Norinyl 1/35 Norethindrone 1.00 Ortho-Novum® 1/35 Norethindrone 1.00 Demulen® 1/35 Ethynodiol diacetate 1.00 Zovia® 1/35E Ethynodiol diacetate 1.00 Ortho-Novum 10/11 Norethindrone 0.50/1.00 Jenest® Norethindrone 0.50/1.00 ® ® Phasic 35/35/35 Ortho-Tri-Cyclen Norgestimate 0.15/0.215/0.25 Ortho-Novum® 7/7/7 Norethindrone 0.50/0.75/1.00 Tri-Norinyl® Norethindrone 0.50/1.00/0.50 Necon® 1/50 Norethindrone 1.00 ® 50 Norinyl 1/50 Norethindrone 1.00 Ortho-Novum® 1/50 Norethindrone 1.00 Ovcon-50® Norethindrone 1.00 Ovral® Norgestrel 0.50 Demulen 1/50 Ethynodiol diacetate 1.00 Zovia® 1/50E Ethynodiol diacetate 1.00 ® Continued F-13 Progestational activity (relative to 1 mg of norethindrone) Androgenic activity (relative to 1 mg of norethindrone) Norethindrone 1 mg 1.0 1.0 Norethrindrone acetate 1 mg 1.2 1.6 Progestin Ethynodiol diacetate 1 mg 1.4 0.6 Levonorgestrel 1 mg 5.3 8.3 dl-norgestrel 1 mg 2.6 4.2 Norgestimate 1 mg 1.3 1.9 Norelgestromin 1 mg 1.3 1.9 Desogestrel 1 mg 9.0 3.4 Drospirenone 1 mg 1.5 0.0 The pills that are likely to cause worse acne and hair growth are pills high in androgenicity and low in estrogen content, such as: Loestrin® 1.5/30, Loestrin® 1/20 Fe, Estrostep® Fe, Levlen®, Alesse®, Ovral®, Norlestrin® 1/50 MOST women on these above pills DO NOT have acne problems. Pills to consider for patients with acne are those with higher estrogen and lower androgen potency. These include Yasmin®, Demulen® 1/50, Othro-Tri Cyclen®, Ortho-Cyclen®, Yasmin®, Brevicon®, Modicon®, Necon®, Ortho Evra®, Mircette® CORTICOSTEROIDS (ORAL) Generic name Brand name Preparation Betamethasone Celestone 0.6 mg, 0.6 mg/5 ml 0.6 Cortisol (hydrocortisone) Cortef Hydrocortone 5, 10, 20 mg 10, 20 mg 20 20 Cortisone Cortone 25 mg Dexamethasone Decadron 0.25, 0.5, 0.75, 1.5, 4, 6 mg 0.75 Dexamethasone Hexadrol 0.5, 0.75, 1.5, 4 mg, 5 mg/5ml 0.75 Methylprednisolone Medrol 2, 4, 8, 16, 24, 32 mg 4 Prednisolone Delta-Cortef Prelone 5 mg 15 mg/5 ml 5 5 Prednisone Deltasone Liquid Pred Metricorten Orasone 1, 2.5, 5, 10, 20, 50 mg 5 mg/5 ml 1, 5 mg 1, 5, 10, 20, 50 mg 5 5 5 5 Triamcinolone Aristocort Kenacort 1, 2, 4, 8, 16 mg, 2 mg/5 ml 1, 2, 4, 8 mg, 4 mg/5ml 4 4 F-14 Equivalent dose (mg) 25 CORTICOSTEROIDS (TOPICAL)* Group Brand name % Generic name (gm; unless noted) I Clobex shampoo 0.05 Clobetasol propionate 4 oz Clobex spray 2 oz, 4.25 oz Clobex lotion 4 oz Condran tape Flurandrenolide 3x24, 3x80 roll Clobetasol propionate 15, 30, 45 Cormax cream 0.05 Cormax ointment 0.05 15, 30, 45 Cormax scalp solution 0.05 50 ml Ultravate cream 0.05 Ultravate ointment 0.05 Halobetasol propionate 15, 50 Diprolene lotion 0.05 Diprolene ointment 0.05 Augmented betamethasone dipropionate 15, 50 Diprolene gel 0.05 15, 50 Olux foam 0.05 Clobetasol propionate Psorcon ointment 0.05 Diflorasone diacetate 15, 30, 60 Temovate- E cream 0.05 Clobetasol propionate 15, 30, 60 Temovate ointment 0.05 Clobetasol propionate 15, 30, 45 Olux-E II III 15, 50 30 ml, 60 ml 50, 100 gm can 50, 100 gm can Temovate gel 0.05 Clobetasol propionate 15, 30, 60 Cyclocort ointment 0.1 Amcinonide 15, 60 Diprolene AF cream 0.05 Augmented betamethasone dipropionate 15, 50 Diprosone ointment 0.05 Betamethasone dipropionate 15, 45 Diprosone aerosol 0.1 Betamethasone dipropionate 85 gm Can Elocon ointment 0.1 Halog cream 0.1 Halcinonide 15, 30, 60 Halog ointment 0.1 Halog solution 0.1 20, 60 ml Halog-E cream 0.1 30, 60 Kenalog ointment 0.5 Triamcinolone acetonide 15 Lidex cream 0.05 Fluocinonide 15, 30, 60 Lidex -E 0.05 Fluocinonide 15, 30, 60 Lidex gel 0.05 15, 30, 60 Lidex ointment 0.05 30, 60 Lidex solution 0.05 20, 60 ml 15, 30, 60 Psorcon cream 0.05 Diflorasone diacetate 15, 30, 60 Topicort cream 0.25 Desoximetasone 15, 60 Topicort gel 0.05 15, 60 Topicort ointment 0.25 15, 60 Kenalog cream 0.5 Triamcinolone acetonide 15 Betatrex cream 0.1 Betamethasone valerate 45 Cutivate ointment 0.005 Fluticasone propionate 15, 30, 60 Cyclocort lotion 0.1 Amcinonide 60 ml Cyclocort cream 0.1 Amcinonide 30, 60 Continued F-15 Group IV V Brand name % Generic name (gm; unless noted) Diprosone cream 0.05 Betamethasone dipropionate 15, 45 Diprosone lotion 0.05 Betamethasone dipropionate 20, 60 ml Elocon ointment 0.1 Mometasone furoate 15, 45 Kenalog cream 0.5 Triamcinolone acetonide 20 Kenalog paste 0.5 Triamcinolone acetonide 5 gm Cyclocort cream 0.1 Amcinonide 15, 30, 60 Dermatop ointment 0.1 Prednicarbate 15, 60 DermOtic Ear Drops 0.1 Fluocinolone acetonide 20 ml Elocon cream 0.1 Mometasone furoate 15, 45 Elocon lotion 0.1 Kenalog ointment 0.1 Triamcinolone acetonide Luxig foam 0.12 Betamethasone valerate 50, 100, 150 gm can Pandel cream 0.1 Hydrocortisone probutate 15, 45, 80 gm Synalar ointment 0.025 Fluocinolone acetonide 60 Topicort LP cream 0.05 Desoximetasone 15, 60 30, 60 ml Topicort ointment 0.05 Westcort ointment 0.2 Hydrocortisone 15, 60 15, 45, 60 Betatrex cream 0.1 Betamethasone valerate 45 Cloderm cream 0.1 Clocortolone pivalate 45, 90 tube, 30 gm pump Cutivate cream 0.05 Fluticasone propionate 15, 30, 60 Cutivate lotion 0.05 Fluticasone propionate 120 ml Dermatop cream 0.1 Prednicarbate 15, 60 DesOwen ointment 0.05 Desonide 15, 60 Kenalog cream 0.1 Triamcinolone acetonide Kenalog ointment 0.025 15, 80 Kenalog lotion 0.1 60 ml Locoid Lipocream 0.1 Hydrocortisone butyrate Locoid cream 0.1 Hydrocortisone butyrate Locoid ointment 0.1 15, 45 15, 45 60 ml, 120 ml Synalar cream 0.025 Fluocinolone acetonide 60 Tridesilon ointment 0.05 Desonide 15, 60 Westcort cream 0.2 Hydrocortisone 15, 45, 60 Aclovate cream 0.05 Alclometasone dipropionate 15, 45, 60 Aclovate ointment 0.05 15, 45, 60 Kenalog cream 0.025 Triamcinolone acetonide 15, 80 Capex shampoo 0.01 Fluocinolone acetonide 120 ml Dermasmooth FS 0.01 Fluocinolone acetonide 4 oz Cordran SP cream 0.025 Flurandrenolide 30, 60 DesOwen cream 0.05 Desonide 15, 60 DesOwen lotion Verdeso foam F-16 15, 60, 80, 454 gm 15, 45 Locoid lotion VI 15, 80 2, 4 oz 0.05 Desonide 50, 100 gm can Group VII Brand name % Generic name (gm; unless noted) Kenalog lotion 0.025 60 ml Synalar solution 0.01 60 ml Epifoam 1.0 Hydrocortisone acetate 10 Hytone cream 2.5 Hydrocortisone 1, 2 oz Hytone lotion 2.5 Hytone ointment 2.5 Lacticare HC lotion 1.0 2 oz 1 oz Hydrocortisone 4 oz 2.5 Pramosone 1.0 2 oz Hydrocortisone acetate ⫹ pramoxine 2.5 2, 4, 8 oz lotion 1, 2 oz cream 1 oz ointment 2, 4 oz lotion 1, 2 oz cream 1 oz ointment OTC 1.0 Hydrocortisone Many brands OTC 0.5 Hydrocortisone Many brands *Listed by potency group: group I is the most potent. DEPIGMENTING AND COSMETIC COVERING AGENTS Skin Bleaches and Depigmenting Agents Brand name Active ingredient Sun protectant Packaging Benoquin cream (Rx)* 20% Monobenzone None 1 1/4 oz tube Claripel 4% Hydroquinone Sunscreen 28 gm, 45 gm tube Eldopaque Forte 4% cream (Rx)† 4% Hydroquinone Sunblock 1 oz tube Eldoquin Forte 4% cream (Rx) 4% Hydroquinone None 1 oz tube Glyquin 4% Hydroquinone Sunscreen 1 oz jar Glyquin XM 4% Hydroquinone Vitamins C & E Hyaluronic acid Sunscreen 1 oz jar Lustra 4% Hydroquinone None 1 oz, 2 oz jar Lustra AF 4% Hydroquinone Sunscreen 1 oz, 2 oz jar Alustra 4% Hydroquinone Retinol None 1 oz jar Melanex topical solution‡ 3% Hydroquinone None 1 oz bottle Solaquin Forte 4% cream (Rx) 4% Hydroquinone Sunscreen 1 oz tube Solaquin Forte 4% gel (Rx) 4% Hydroquinone Sunscreen 1 oz tube Solage 2% Mequinol 0.01% Tretinoin none 30 ml TriLuma 4% Hydroquinone 0.01% Fluocinolone acetonide 0.05% Tretinoin none 30 gm Ultraquin Hydroquinone crystals for compounding *Indicated for extensive vitiligo to depigment entire body. †Flesh-tinted cream base. ‡ Packaged with a narrow plastic and broad tip sponge applicator. F-17 Masking Agents (Cosmetic Covering Agents) Brand name Base Packaging Shades Covermark* Cream Many products 9-10 21 Dermablend cover cream* Cream Many products Dy-O-Derm† Liquid 4 oz Vitady† Liquid 15 ml *Waterproof concealing makeup. †A solution to mask vitiligo; transmits most UVA radiation, so it can be used concurrently with psoralens in vitiligo therapy. HAIR RESTORATION PRODUCTS Propecia Finasteride 1 mg Rogaine Minoxidil solution 2% for women, 5% for men 60 ml bottle IMMUNODULATORS (TOPICAL) Steroid Free Topical Antiinflammatory Agents Elidel cream 1% Pimecrolimus 15, 30, 100 gm Protopic ointment 0.1% Tacrolimus 30, 60, 100 gm Protopic ointment 0.03% Tacrolimus 30, 60, 100 gm LUBRICATING AGENTS Emollients Emollients are complex mixtures containing many ingredients. They are listed under their primary ingredient. Emollients Containing Urea Urea promotes hydration and removal of excess keratin. Product Active ingredients Packaging Carmol 10 lotion 10% urea 6 oz Carmol 20 cream 20% urea 3 oz Carmol 40 lotion (Rx) 40% urea 8 oz Carmol 40 gel (Rx) 40% urea 10 m Carmol 40 cream (Rx) 40% urea 1 oz, 3 oz, 7 oz Ultra Mide lotion 25% urea 8 oz Vanamide urea cream 40% urea 85 gm, 199 gm F-18 Emollients Containing Lactic Acid Lactic acid promotes hydration and removal of excess keratin. Product Active ingredients Packaging Amlactin cream 12% 4.9 oz Amlactin AP cream 12% 4.9 oz anti-itch cream ⫹ 1% pramoxine Amlactin lotion 12% 8 oz, 14 oz Epilyt lotion 5% 4 oz Lac-Hydrin cream (Rx) 12% 385 gm bottles Lac-Hydrin lotion (Rx) 12% 400 gm Lacticare lotion 5% 8, 12 oz bottles Lactinol lotion 10% 8 oz U-Lactin lotion — 8 oz Ointments Gels That Remove Excess Keratin Ointments containing petrolatum Product Packaging Aquaphor Keralyt gel 6% salicylic acid and propylene glycol, 1 oz DML Forté Salex lotion 6% salicylic acid, 14 oz Elta Salex cream 6% salicylic acid, 400 gm Eucerin Moisturel Greaseless ointments Acid Mantle Unibase PROTECTING BARRIER CREAMS Brand/generic name Size Use Dermaguard 2, 12 oz Industrial (protects against acids) Desitin ointment 30, 60, 120, 240, 480 gm Protective ointment Ivy Shield 1.25, 4, 16 oz Helps prevent poison ivy and oak dermatitis Kerodex 51 120, 480 gm Protective cream for dry, oily work Kerodex 71 120, 480 gm Protective cream (water repellent) pH-Stabil 60, 240 gm Protective cream SBR-Lipocream 30, 100 gm Protective cream TheraSeal 6 oz Protective cream Tetrix 2 oz Water resistant Zinc oxide 20% ointment 60 gm Protective ointment 25% paste 30, 60, 480 gm Protective paste Skin Barrier Creams for Atopic Dermatitis Atopiclair 100 gm Eletone 100 gm Epiceram 90 gm Mimyx 140 oz F-19 PSORIASIS AND SEBORRHEIC DERMATITIS (SHAMPOOS) Antimicrobial Antiseborrheic Shampoos (Pyrithione Zinc and Others) Brand name Active ingredient Packaging DHS Zinc 2% pyrithione zinc 8, 12 oz Head & Shoulders 2% pyrithione zinc 400 ml Nizoral 2% ketoconazole 4 oz ZNP Bar 2% pyrithione zinc 4.2 oz bar Selenium Sulfide Shampoos Brand name Concentration Packaging Selsun 2.5% 120 ml Selsun Blue 1% 120, 210, 330 ml Head & Shoulders Intensive Treatment 1% 400 ml Tar and Tar-Combination Shampoos Brand name Concentration Packaging Ala Seb T 5% coal tar solution 2% colloidal sulfur 2% salicylic acid 4 oz, 12 oz Denorex 2% coal tar gel 2% coal tar lotion 60, 120 ml 120, 240 ml DHS Tar 0.5% coal tar USP 4, 8, 16 oz DHS Tar gel 0.5% coal tar USP 8 oz Ionil T 1.0% coal tar USP 16 oz Liquor carbonis detergens 10-15% coal tar Any amount in Green soap* Neutrogena T/gel 2% Newtar 4.4, 8.5, 16 oz Neutrogena T/gel extra strength 4% Newtar (1% coal tar) 6 oz Neutrogena T/sal 3% salicylic acid 4.5 oz Polytar 1% mixture of tars 6 oz, 12 oz Sebutone 0.5% coal tar, 2% salicylic acid, 2% sulfur 120, 240 gm lotion Tarsum 2% coal tar 4, 8 oz Tegrin Medicated 5% coal tar extract 60, 132 ml cream 112.5, 198 ml lotion Theraplex T shampoo 1% coal tar 8 oz Tiseb-T 0.5% coal tar Vanseb-T 5% coal tar 120 ml lotion Xseb-T plus 10% crude coal tar 4, 8 oz Zetar 1% whole coal tar 180 ml *Pharmacist compounded. F-20 Sulfur and Salicylic Acid Shampoos Product Sulfur Salicylic acid 2% 2% 4oz, 12 oz Ionil Plus 2% 240 ml DHS Sal 3% 4 oz Ala-Seb Packaging Meted 5% 3% 120 ml Salicylic Acid & Sulfur Soap 5% 3% 4.1 oz Sebulex 2% 2% 120 ml 120, 240 ml Sulfoam 2% Tiseb — Vanseb 2% 1% 90 gm cream 120 ml lotion Xseb — 4% 4, 8 oz P&S — 2% 4, 8 oz 4, 8, 16 oz 2% 8 oz Antiseborrheic Preparations Brand name Active ingredient Packaging DermaZinc Therapy spray/drops (0.25%) zinc pyrithione 4 oz Loprox gel Ciclopirox 45 gm Nizoral cream Ketoconazole 15, 30, 60 gm Ovace wash 10% sulfacetamide sodium 12 oz Ovace foam 10% sulfacetamide sodium 50, 100 gm can Carmol scalp treatment lotion 10% sulfacetamide sodium 90 gm EXTINA 2% ketoconazole 50, 100 gm cans Rosula NS Pads 10% sulfacetamide sodium 30 pads per box Corticosteroid, Tar, and Other Medicated Scalp Preparations and Shampoos Brand name Active ingredient Base Packaging Derma-smoothe/FS (Rx) Fluocinolone acetonide 0.01% Peanut oil 120 ml P & S liquid Less than 1% phenol, NaCl Paraffin oil 120, 240 ml 10% liquor carbonis detergens in Nivea oil* Liquor carbonis detergens, 8, 16 oz Nivea oil Prescribe Capex shampoo (Rx) 0.01% fluocinolone acetonide 120 ml *Pharmacist compounded. F-21 PSORIASIS MEDICATIONS Oral Psoralens Brand name Active ingredient Packaging Oxsoralen lotion Methoxsalen 1% lotion 1 oz bottle Oxsoralen-Ultra Methoxsalen (liquid form) 10 mg capsules, bottle of 50 (green capsules) 8-MOP Methoxsalen (crystalline form) 10 mg capsules, bottle of 30 (pink capsules) Trisoralen tablets Trioxsalen 5 mg tablets, bottles of 28, 100 Recommended Oxsoralen-Ultra Dosage According to Weight Patient’s weight (kg) Dose (lbs) Low High ⬍30 ⬍65 10 10 30-50 65-100 10 20 51-65 101-145 20 30 66-80 146-175 20 40 81-90 176-200 30 50 91-115 200-250 30 60 ⬎115 ⬎250 40 70 Acitretin (Soriatane) Capsules 10, 25 mg Methotrexate Size Packaging Tablets 2.5, 5, 7.5, 10, 15 mg Preservative-free injection 25 mg/ml 2, 4, 8 ml vials Powder for injection 20 mg, 1 gm 20 ml vials or single-use vials F-22 Topical Anthralin (Dithranol) Brand name Concentration (%) Base Packaging 0.1 Cream 50 gm tube Drithocreme HP 1% 1 Cream 50 gm tube Dritho-Scalp 0.5 Cream 50 gm tube* Psoriatec 1.0 Cream 50 gm tube Drithocreme *With special applicator. Anthralin Stain-Prevention Treatment Brand name Active ingredient Packaging Use CuraStain Triethanolamine 4 oz cream or spray Dermatologic stain remover; apply to surrounding skin and lesions before wash-off. Apply to lesions after wash-off. Topical Retinoids (Tazorac [tazarotene]) Gel 0.05%, 0.1% 30 gm 100 gm Cream 0.05%, 0.1% 15 gm 30 gm 60 gm Topical Vitamin D3 Analog Brand name Active ingredient Packaging Dovonex cream Calcipotriene .05 30, 60, 100 gm tubes Vectical ointment Calcitriol 100 gm tubes F-23 Tar-Containing Bath Oil Brand name Size Packaging Balnetar 2.5% coal tar 240 ml Doak Oil 2% tar distillate 240 ml Doak Oil Forte 5% tar distillate 120 ml Lavatar 33.3% tar distillate 120, 480 ml Polytar Bath 25% polytar 240 ml Zetar emulsion (Rx) 30% whole coal tar 177 ml (6 oz) Tar Creams and Solutions and Foams Brand name Concentration Other ingredient(s) Base Packaging Aqua Tar 2.5% coal tar extract — Gel (water base) 90 gm Cutar 7.5% LCD Emulsion 6 oz, 1 gal Doak Tar Lotion 5% tar distillate Lotion 4 oz — Elta lite tar 10% LCD Lotion 8 oz Elta tar 10% coal tar Cream 3.8, 16 oz Estar 5% coal tar 13.8% alcohol Gel 90 gm Fototar 2% coal tar, USP — Cream 85 gm, 1 lb jar Fototar Stik 5% coal tar, USP — Wax 15 gm Ichthyol 10% ichthammol — Ointment 30 gm 4 oz, pt, gal Liquor carbonis detergens* 20% coal tar solution — Solution Mazon cream 0.18% coal tar 1% salicylic acid, 1% resorcinol, 0.5% benzoic acid Cream Oxipor VHC 48.5% coal tar solution 1% salicylic acid Lotion 2 oz, 4 oz P & S Plus 8% coal tar solution 2% salicylic acid Gel 105 gm Packer’s 5.87% pine tar Soap PolyTar Soap Blend of tars Pragmatar 4% coal tar distillate 3% salicylic acid, 3% sulfur Soap PsoriGel 7.5% coal tar solution 1% alcohol Gel 4 oz T/Derm 5% coal tar extract Alcohol free Oil 4 oz Scytera 2% Foam 3.3 oz can Tegrin Medicated 5% crude coal tar extract Lotion Cream 6 oz 60, 132 gm Unguentum Bossi 5% tar distillate Ointment 60, 480 gm 5% ammoniated Hg *Used by the pharmacist for compounding in Unibase and other ointment bases. Gel That Removes Excess Keratin Keralyt Gel, 6% salicylic acid and propylene glycol, 1 oz F-24 Bar Ointment ROSACEA MEDICATIONS (TOPICAL) Brand name Generic name Packaging Avar 5% Sulfur, 10% sodium sulfacetamide 45 gm Aqueous gel Avar Green 5% Sulfur, 10% sodium sulfacetamide 45 gm Aqueous gel with green pigment to mask redness Clenia 5% Sulfur, 10% sodium sulfacetamide 1 oz emollient cream (alcohol free) 6 oz, 12 oz foaming wash Finacea 15% Azelaic acid 30 gm gel Klaron 10% 10% sodium sulfacetamide 2 oz bottle Metro gel 0.75% Metronidazole 45 gm tube Metro cream 0.75% Metronidazole 45 gm tube Metro lotion 0.75% Metronidazole 2 oz bottle Noritate cream 1% Metronidazole 30 gm tube Sulfacet-R lotion 5% Sulfur, 10% sodium sulfacetamide 25 gm bottle Sulfacet-R lotion (tint free) 5% Sulfur, 10% sodium sulfacetamide 25 gm bottle Plexion TS (topical suspension) 5% Sulfur, 10% sodium sulfacetamide 30 gm tube Plexion cleanser 5% Sulfur, 10% sodium sulfacetamide 6 oz tube Rosula 5% Sulfur, 10% sodium sulfacetamide 45 ml Aqueous gel with 10% urea Vitamins for Rosacea Nicomide tablet contains nicotinamide 750 mg, zinc 25 mg, folic acid 500 mg Usual dose is one tablet bid F-25 SCABICIDES AND PEDICULOCIDES Scabicides Brand name Generic name Packaging Acticin Permethrin 5% cream: 60 gm Elimite Permethrin 5% cream: 60 gm Eurax* Crotamiton 10% cream: 60 gm 10% lotion: 2 oz, 1 pt Kwell Lindane 1% cream: 2 oz, 16 oz 1% lotion: 2 oz, 16 oz Kwell shampoo Lindane 1% lotion: 2 oz, 16 oz 5%-10% precipitated Sulfur Sulfur in petrolatum* Stromectol Ivermectin† 6 mg tablets* *Eurax has been reported to be less effective than lindane. †Pharmacist compounded. Pediculocides Brand name Generic name Packaging A-200 (OTC) 0.33% pyrethrins 30 gm gel A-200 Pyrinate Gel shampoo (OTC) 0.17% pyrethrins 2, 4 oz shampoo NIX cream rinse Permethrin 2 oz Ovide 0.5% malathion 2 oz lotion R & C shampoo (OTC) 0.3% pyrethrins 2, 4 oz shampoo RID (OTC) 0.3% pyrethrins 2 oz, 4 oz, 1 gal liquid SHAMPOO—FRAGRANCE FREE, DYE FREE DHS Clear, 8, 16 oz F-26 SOAP-FREE CLEANSERS Often used in the management of atopic dermatitis. Aquanil lotion 8, 16 oz Cetaphil lotion 4, 8, 16 oz Cetaphil daily facial cleanser 8 oz Moisturel sensitive skin cleanser 8.75 oz Neutrogena—nondrying 5.5 oz SFC lotion 8, 16 oz SOAPS—BAR (MILD, NONIRRITATING) Alpha-Keri Dove Oilatum Basis glycerin Neutrogena dry skin Purpose Basis superfatted Nivea Creme Shepard’s moisturizing Cetaphil Cetaphil anti-bacterial SUN-PROTECTIVE CLOTHING • Coolibar 952-922-1445 www.coolibar.com A full line of sun-protective clothing and glasses • Radicool Australia 714-220-4900 ext. 224 www.radicoolaustralia.com A full line of 100 SPF ⫹ swimwear • Sunday Afternoons 888-874-2642 www.sundayafternoons.com Sunprotective hats and clothing • SunPrecautions 800-882-7860 www.sunprecautions.com A full line of sun-protective clothing • Tilley Endurables 800-338-2797 www.tilley.com Sun-protective clothing and hats • Tuga sun protective sunwear 800-428-TUGA www.plangea.com UPF 50⫹ Children’s swimwear • Wallaroo Hat Company 888-925-2766 www.wallaroohats.com UPF 50⫹ hats F-27 VAGINAL ANTI-CANDIDA AGENTS Topical Therapy for Acute Candida Vaginitis Drug Formulation Dosage Butoconazole Cream 5 gm at bedtime for 3 days Clotrimazole Miconazole Cream, 1% 5 gm at bedtime for 7 to 14 days Cream, 10% 5 gm single application Vaginal tablet, 100 mg 1 tablet at bedtime for 7 days or 2 tablets at bedtime for 7 days Vaginal tablet, 500 mg 1 tablet once Cream, 2% 5 gm at bedtime for 7 days Vaginal suppository, 100 mg 1 suppository at bedtime for 7 days Vaginal suppository, 200 mg 1 suppository at bedtime for 3 days Vaginal suppository, 1200 mg 1 suppository once Econazole Vaginal tablet, 150 mg 1 tablet at bedtime for 3 days Fenticonazole Cream, 2% 5 gm at bedtime for 7 days Cream, 2% 5 gm at bedtime for 3 days Cream, 6.5% 5 gm at bedtime in a single dose Tioconazole Terconazole Nystatin Cream, 0.4% 5 gm at bedtime for 7 days Cream, 0.8% 5 gm at bedtime for 3 days Vaginal suppository 80 mg at bedtime for 3 days Vaginal tablet, 100,000 U 1 tablet at bedtime for 14 days Preparation for Restoration and Maintenance of Vaginal Acidity Aci-Jel therapeutic vaginal jelly, 0.921% acetic acid, 85 gm tube, 1 full applicator morning and evening F-28 WART MEDICATIONS Cantharidin Brand name Contents Packaging Cantharone 0.7% cantharidin 7.5 ml Cantharone Plus 30% sal acid, 5% podophyllin, 1% cantharidin 7.5 ml Order these products from KRONOS Pharmacy; Dormer Laboratories Inc., www.dormer.com, Pharmascience Inc., www.pharmascience.com Silver Nitrate Product Silver nitrate Packaging Silver nitrate 10% 30 ml solution Silver nitrate 10% 30 gm ointment Silver nitrate sticks Packages of 12 Salicylic Acid Preparations for Treating Warts, Calluses, and Hyperkeratotic Skin (all OTC) Brand name* Salicylic acid (%) Packaging Compound W Liquid Gel 17 17 9.3 ml liquid 7.5 gm gel Duofilm 17 15 gm gel Duofilm patch 40 18 in box Keralyt 6 30 gm gel Mediplast 40 Plaster Trans-Plantar 21 Cartons of 20 mm 25 patches, securing tapes, and cleaning file Trans-Ver-Sal 15 Cartons of 6, 12, or 20 mm (15 or 40 pads), securing tapes, and emery file *Many other brands available. Podophyllin/Podofilox Brand name Podophyllin Packaging Condylox gel 0.5% podofilox (podophyllotoxin) 3.5 gm Condylox solution 0.5% podofilox (podophyllotoxin) 3.5 ml Podocon-25 25% in benzoin tincture 15 ml Pododerm 25% in benzoin tincture 5 ml F-29 Interferon Intron-A (interferon alfa-2b), 10 million IU vial Alferon N injection (interferon alfa-N3) 1 ml Dichloracetic Acid—Keratolytic and Cauterizing Dichloroacetic acid 1 oz, 2 oz Order from Delasco, www.delasco.com. WET DRESSINGS Generic/brand name Active ingredient Acetic acid Vinegar is 5% acetic acid AluWets crystals Aluminum chloride hexahydrate Buro-Sol powder Aluminum acetate Burrow’s solution (Domeboro, Bluboro, Pedi-Boro, Buro-Sol) Aluminum acetate Domeboro otic solution 2% acetic acid (60 ml) Domeboro powder, Bluboro, Pedi-Boro Aluminum sulfate, calcium acetate (boxes of 12, 100 packets) Domeboro tablets, Bluboro, Pedi-Boro Aluminum sulfate, calcium acetate (boxes of 2, 100 tablets) Potassium permanganate 0.025%-0.1%, stains skin purple Silver nitrate 0.1%-0.5%, stains skin black (prepared by pharmacist) PHARMACISTS THAT WILL COMPOUND MEDICATIONS Custom Scripts 800-226-7094 www.custom-rx.com F-30