DERMATOLOGY PRESCRIPTION

1.Tab Prednisolone 10mg Sig . 3 tab (30mg) od pc for 3 days  Then  2 tab (20mg) od pc for 3 days  Then  1 tab (10mg) od pc for 3 days  2 Tab ppi  3 . anti-histamine  Before giving oral steroid patient should be normotensive and normoglycemic 

1.Kojiglo Gold cream la od for 8 weeks  2. Sunban lotion /Sunstop gold sunscreen  3 times application 8am , 11 am and 2 pm 

1.Lobate GM cream la od over nail fold for 2 weeks  2.Nmfe cream la bd  to continue ...

1.Cap doxycycline 100 od for 4 weeks 2. Clear gel Nico la bd for 4 weeks  3. Deriva bpo gel ..to touch only over the lesion(acne) at6pm wash at 7 pm  4. Sebonac/Derma dew acne  face wash 

1. Tab cefixime bd pc for 5 days  2.Tab Chymoral forte bd pc for 3 days 3.Mupidel cream la bd for 1 week (To be applied over nailfolds)

 1. Permethrin 1% / Perlice 1%  Sig. First wash scalp with shampoo ---- make dry with towel---apply permethrin 1%---keep for 1/2 hours --- again wash and dry --- combing for 5 min  Twice or thrice weekly  Family members with symptoms should be treated 

 1. Diprobate plus lotion la od for 2/3 weeks (can be used in scalp and body)   2. Delmoist Lotion la bd for 4 weeks (Not for Scalp) 3.ANTI-HISTAMINE 

1. Tab Levocetrizine 5mg od hs for 4 weeks  2. Tab albendazole 400 stat then 2 weeks later  3. Linical lotion sos

 1.Tab Fluconazole 400 (2) Sig First dose today, second dose 2 weeks later  1 Kansel DS cream /Clotrimazole 2% cream la bd for 4 weeks 

 1.Clop S lotion la od for 3 weeks  2. Moiz XL cream la bd to continue  3.antihistamine  4.Novale CT shampoo  This will help as initial treatment for both scalp and skin psoriasis  Since psoriasis is a chronic disease and long term maintenance therapy needed, referal to a skin specialist is necessary 

 For Dry hand  1.Propysalic NF6 ointment/ closely s ointment la od for 4 weeks  2. Xerina cream la bd for 4 weeks  3.Antihistamine for 3 weeks  For oozy lesions  1.Antibiotics oral and topical may be necessary if secondary infection is present. Once lesion becomes dry with antibiotics go as above  2. Without any infection but lesion is oozy  Clonate F cream la od for 4 weeks  Anti-histamine Condys compression ( See post on Condys compression) 

 As far as possible only topical drugs should be used  For First trimester,no oral antifungal allowed. 1 Lulican lotion /Ludel CL lotion / Lilituf lotion / Lulifin lotion la bd for 8 weeks  2. Cwin / Candidox lotion la bd for 4 weeks  3. Tab avil od hs for 2 weeks  For second and third trimester: Should be tried with topical antifungal only as far as possible.  In case of relapse or no response after good compliance with topical antifungal as above first change molecules of topical antifungal 1. Terbidel lotion / Lamifin lotion la bd for 8 weeks  2.Eberfun cream / EzHH cream la bd for 8 weeks  Considering the risk benefits oral antifungal Terbinafine can be added in second and third trimester Tab terbidel 250/ Gris ODT 250 od pc for 3 weeks  ✓Anti-histamine for second and third trimester Tab avil or Tab Loratidine (Lorinol10 mg)  Od hs for 2/3 weeks  ✓Anti-histamine for first trimester Avil only 

 Herpes labialis is very common among all other types, commonly known as Fever Blisters . Also Herpes genitalis is a common entity 1. Tab Acyclovir 400 TDS for 5-7 days  2 Tab Cefixime 200 bd pc for 5 days  3. Mupirocin cream la bd for 1 weeks  4 Tab PCM 650 sos  FAQ Herpes simplex Infection by Herpes virus  Herpes Zoster Infection (reactivation)by varicella (chicken pox virus)

 1.Tab acyclovir 800 Sig. 1 tab 5 times a day for 5 to 7 days  2.Tab cefixime 200 bd pc for 5 days  3.Mupirocin cream la bd for 1 weeks  4.Tab PCM 650 sos  Since herpes zoster or Varicella zoster is reactivation of chicken pox, so treatment is almost same 

 1. Tab acyclovir 800 Sig. 1 tab 5 times a day for 5 to 7 days  2.Tab cefixime 200 bd pc for 5 days  3.Mupirocin cream la bd for 1 weeks  4.Tab Neurokind G od hs for 4 weeks  5.Tab PCM 650 sos  Since herpes zoster is reactivation of chicken pox ( varicella), so treatment of chicken pox is same except that Tab Neurokind G not required in Chicken pox

 1.Permethrin 5% Sig . can be given above 2 months of age , but practically we give above 2 years .Below 2 years only family treatment is sufficient.  Above 2 years, methods of application is same as that of adult. The only difference is contact period.   For child, short contact period of 2/3 hours permethrin is sufficient unlike overnight application as in adult  2. Anti-histamine syrup as per age  3 Delmoist Lotion /Nmfe lotion same as adult  Secondary infection is very common in child with scabies. The child may have oozy, red colored dirty looking lesions on webspaace, genital etc. In case of scabies with secondary infection, add oral antibiotics as per age along with topical antibiotics.

 1. Permethrin 5% lotion / cream  sig. Below chin application all over body at bed time for all family members, irrespectivre of itching present or not, then wash in the morning. Wash all clothes, bed covers etc. in the same morning. Repeat the same procedure after 1 week. (Total 2 application )  2. Tab antihistamine od hs for 3 weeks ( Antihistamine required for long period as mild itching may be present even after permethrin application due to sensitization to the mites) 3. Delmoist lotion /Nmfe lotion la bd for 3 weeks  4. HHmite soap Sometimes itching may get aggravated even after application of permethrin due to sensitization. Proper counselling to continue antihistamine and emolient (Delmoist or Nmfe) is helpful. Whether Ivermectin given or NOT Ideally with proper application of permethrin, Ivermectin not needed.                Ivermectin dose : 200 microgm per kg stat then 2 weeks later (second dose )/ 12 mg for a...

1. Flutidel cream la od for 3 weeks  2.Tacroz Forte ointment la od in the evening  3.Melbild lotion la od at bed time , sun exposure in the morning for 10 min  For extensive and progressive lesions systemic therapy needed for long term so refer to a skin specialist. No. 2 & 3 can be continued for long term 

 Luliconazole cream la bd for 4 weeks  Syr Levocetrizine  Ketoconazole soap  Only topical antifungal is usually sufficient for smaller child.  If needed  Syr Itracoazole 10mg/mL , 3mg /kg body weight two divided doses Ex for a child weight 20 kg , net dose 3*20 = 60mg , so 6mL divided in two doses i.e 3mL BD PC for 2 weeks  LFT has to be done after 2 weeks

1.Cap Itraconazole 100 BD PC for 4 weeks  2.Luliconazole cream la bd for 8 weeks  3.Tab antihistamine  4.Antifungal Soap  LFT has to be done after 4 weeks as all antifungals are hepatotoxic  RBS can be done AS TINEA more common in diabetics