Term
|
Definition
.5 or 1 mg tabs
DISP - 12 wk supply
LABEL - start taking .5 mg once a day for 1-3 days, then 2x/day for 4-7 days, then 1 mg 2x day there after
ask about RENAL FXN and PSYCHIATRIC ISSUES (suicidal) |
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Term
|
Definition
150 mg tabs
DISP - 7-12 week supply
LABEL - start taking 1-2 wks before quit date
150 mg/morning for 3 days
150 mg / 2x day
*ask about seizure disorder, whether taking antidepressants/MAO inhibitors
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Term
|
Definition
valacyclovir 1g tabs
doconosol 10% cream/lip balm
penciclovir 1% cream (denavir) |
|
|
Term
| herpes labiales prophylactive |
|
Definition
valacyclovir 500 mg tabs
DISP - 60 tabs (1 mos supply)
LABEL - 1 tab BID (can reduce dose after re-eval)
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|
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Term
|
Definition
1 g tabs
DISP - 4 tabs
SIG - 2 tabs stat, then 2 tabs 12 hrs later
*ask pt about kidney disease |
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Term
| doconosol 10% cream/lipbalm |
|
Definition
DISP 1 tube/stick
LABEL - apply 5x day |
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|
Term
| penciclovir 1% cream - denavir |
|
Definition
DISP - 1 tube
SIG - apply every 1-2hrs |
|
|
Term
| management of denture stomatitis (papillary hyperplasia) |
|
Definition
1- ask if sleep w/ it and how often clean it
2- clean it - via denture brush and soak in 1 tsp bleach soln in 1 cup water for 30 min then rinse (weekly)
3- recomment sleep w/o denture
...if does not work
clotrimazole troche
- suck on 1 5x day w.o denture until finished
antifungal cream
- inside denture 2-3 x/day (clotrimazole/nystatin) |
|
|
Term
| herpes labiales - prophylactive |
|
Definition
promote high lys:arg diet
avoid sun exposure via wearing spf 15 |
|
|
Term
| primary herpetic gingivostomatitis tx |
|
Definition
otc topical anesthetic/mucosal coating agent
- diphenylhydramine elixir (childs bnadryl) 12.5 mg/ml
DISP - 4 oz bottle
LABEL - rinse w/ 5 ml for 2 min every 2 hours and spit
Rx topical anesthetic
- lidocaine 2% viscous soln
DISP - 100 ml bottle
LABEL - rinse w/ 10 ml for 2 min and spit out
*may diminish gag reflex (suited for older pts)
otc analgesic
acetaminophen/ibuprophen
rx antivirals
- acyclovir suspension/tabs 200 mg for b/w
(only for immunocompromised) |
|
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Term
|
Definition
buccal mucosa
tongue
floor of mouth |
|
|
Term
|
Definition
clotrimazole vag cream 1% OTC
nystatin-triamcinolone acetonide ointment
kenalog in orabase |
|
|
Term
|
Definition
clotrimazole cream
nystatin cream
both come in 15 mg tube |
|
|
Term
| pseudomembranous candidiasis tx |
|
Definition
miconazole - 50 mg (mucoadhesive patch)
DISP - 14 disks
LABEL - apply to canine fossa 1/day until finished
*dissolves in saliva, pt can eat and drink while disk in place |
|
|
Term
nystatin suspension - topical
for angular cheilitis /denture stomatitis
|
|
Definition
DISP 100,000 units/ml
SIG - wipe lesion w/ gauze, then hold 1 tsp in mouth for 5 min QID
- expectorate/swallow
do not rinse after - need topical application |
|
|
Term
clotrimazole cream/mycelex troches
10 mg troches- topical
for angular cheilitis /denture stomatitis |
|
Definition
DISP - 60-70 troches
SIG - 1 troche slowly dissolve in mouth 5x/day for 10-14 days
adv rxns - nausea, increase in LFT
compliance sucks
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Term
|
Definition
systemic
2 tabs (200 mg) on day 1
1 tb (100 mg) for 1-2 weeks
doe not require acid environment and no liver toxicity |
|
|
Term
|
Definition
debacterol - fda approved
1 time application for 5-10 sec, requires them to come back
sulfonated phenols sulfuric acid soln
|
|
|
Term
intermediat epot
kenalog orabase - triamcinolone acetonide .1% |
|
Definition
DISP 5g tube
SIG apply thin film over ulcer BID
|
|
|
Term
intermediate pot
intra/sublesional triamcinolone |
|
Definition
inject .5-1 ml (20-40 m) & 2% lido w/ or w/o epi
50:50 soln |
|
|
Term
potent
lidix gel/ointment (flucocinonide .05%)
(same precription as temovate ointment) |
|
Definition
DISP 15 g tube
SIG - apply thin film over ulcer BID
do not use > 2 weeks |
|
|
Term
potent
decadron elixir (dexamethasone .5mg/5ml)
|
|
Definition
DISP 100 ml or 250 ml
SIG - rinse w/ 5 ml for 5 min QID and spit
*indicated for multiple hard to reach lesions |
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|
Term
ultrapotent
temovate ointment - clobetosol .05% |
|
Definition
DISP 15 g tube
SIG apply thin film over ulcer BID
*do not use>2 weeks |
|
|
Term
prednisone
glucocorticoid and immunosuppressant |
|
Definition
DOSE - initially .5-1mg/kg /day for 1-2 weeks + monitor
if no response, increase dose by .25 mg/kg increments /day
decresaes inflammation by suppressing pmn chemotaxes
decreases capillary permeability + lymphocytic activity
for PV - 1-2mg/kg (>60mg)
for LP - .5-1 mg/kg (40mg) |
|
|
Term
|
Definition
prodrug
converts to 6 mercaptopurine - inhibits purine synthesis and may decrease RNA/DNA synthesis
side effects -
1- bone marrow aplasia - decreases wbc
2- significant hepatotoxicity
DOSE - 50-200 mg/day |
|
|
Term
|
Definition
inhhibits guanosine nucleotide synthesis
safer than azathioprine
dose - 2-3 g/day |
|
|
Term
topical calcinuerin inhibitor
shut down t cell mediated response
will not have a problem with developing fungal infx
black box warning - malignancy |
|
Definition
tacrolimis - OLP/lichenoid mucositis
ointment/rinse .03% or .1%
|
|
|
Term
DAPSONE
...for pemphigoid |
|
Definition
sulfa abx + antiinflammatory activity
antimalarial agent
DOSE - 125-150 mg/day
start them slowly, see how they do and then build over time
monitor G6PD levels for hemolytic anemia |
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