Use of topical steroids in dermatology: A questionnaire based study

Karekar, Sonali Rajiv; Marathe, Padmaja A; Nagarajan, Vetrivel Babu; Khopkar, Uday S; Chikhalkar, Siddhi; Desai, Priyashree K; Dongre, Minakshi

doi:10.4103/idoj.idoj_566_19

Cited by 5 publications

(1 citation statement)

References 15 publications

(16 reference statements)

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“…Betamethasone and clobetasol are phospholipase A2 inhibitors, which also reduce the production of arachidonic acid derivatives. Additionally, glucocorticoids encourage the anti-inflammatory gene interleukin-10 [ 60 , 61 , 62 ], a common ingredient in cream or ointment treatments. Numerous local and systemic adverse effects of topical steroids have been attributed to their continuous use [ 63 , 64 , 65 ].…”

Section: Drugs For Treatment Of Skin Pigmentationmentioning

confidence: 99%

Skin Pigmentation Types, Causes and Treatment—A Review

Thawabteh,

Jibreen,

Karaman

et al. 2023

Molecules

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Human skin pigmentation and melanin synthesis are incredibly variable, and are impacted by genetics, UV exposure, and some drugs. Patients’ physical appearance, psychological health, and social functioning are all impacted by a sizable number of skin conditions that cause pigmentary abnormalities. Hyperpigmentation, where pigment appears to overflow, and hypopigmentation, where pigment is reduced, are the two major classifications of skin pigmentation. Albinism, melasma, vitiligo, Addison’s disease, and post-inflammatory hyperpigmentation, which can be brought on by eczema, acne vulgaris, and drug interactions, are the most common skin pigmentation disorders in clinical practice. Anti-inflammatory medications, antioxidants, and medications that inhibit tyrosinase, which prevents the production of melanin, are all possible treatments for pigmentation problems. Skin pigmentation can be treated orally and topically with medications, herbal remedies, and cosmetic products, but a doctor should always be consulted before beginning any new medicine or treatment plan. This review article explores the numerous types of pigmentation problems, their causes, and treatments, as well as the 25 plants, 4 marine species, and 17 topical and oral medications now on the market that have been clinically tested to treat skin diseases.

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Section: Drugs For Treatment Of Skin Pigmentationmentioning

confidence: 99%

Skin Pigmentation Types, Causes and Treatment—A Review

Thawabteh,

Jibreen,

Karaman

et al. 2023

Molecules

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Community pharmacists’ perceptions and role in the management of common dermatological problems in Lebanon: a cross-sectional study

Chahine

Cherfan

Sakr

et al. 2021

International Journal of Pharmacy Practice

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Objective To explore the types and frequency of dermatologic disorders routinely encountered by community pharmacists in Lebanon, identify their educational preparedness and confidence, reasons for referrals to dermatologists and their attitude toward the potential pharmacist role in the treatment of dermatologic disorders. Methods A cross-sectional descriptive study was conducted between June and October 2017. It involved the use of a self-administered questionnaire, distributed to a randomly selected sample of 500 community pharmacists from all Lebanese districts. Key findings A total of 456 pharmacists completed the questionnaire. Sixty-four per cent of participants had received a dermatology course at university and 38.7% had undertaken some form of postgraduate education in dermatology. Pharmacists believed that the most commonly encountered disorders were sunburn (22.6%) and acne (15.6%) during spring/summer and skin dryness (18.8%) followed by head lice (13.1%) during autumn/winter. Additionally, more than half of respondents reported that skin-related advice requests were 6–15% of the total advice offered to patients. Sixty-four per cent were confident or extremely confident in advising patients with dermatological complaints. Pharmacists ranked ‘unsure of diagnosis’ as the most common reason for patient referral to dermatologists. Pharmacists who received postgraduate dermatology training had higher self-reported confidence in tackling skin diseases and their treatments (P < 0.05). Conclusions Our study revealed that community pharmacists in Lebanon commonly encounter a limited number of dermatologic disorders and the majority believed that they can confidently advise and manage patients. Nonetheless, they admitted a gap in their dermatology education at both undergraduate and postgraduate levels.

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Standardization of topical preparations for finger‐tip unit—Awareness and attitudes among pharmacists and dermatologists and suggestions to improve standardization of topical drug dosing—A two‐phase cross‐sectional survey

Asif

Kaliyadan

Gite

et al. 2021

J of Cosmetic Dermatology

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Background: Standardization of topical therapy dosage is important to ensure optimum use and dosage of topical medications. One of the concepts frequently used in the standardization of topical treatment is the Finger-tip unit (FTU). While practitioners, both dermatologists and pharmacists, are generally aware of FTU, practical use is less. Objectives:We aimed to evaluate views and practices related to FTU among both dermatology and pharmacy faculty and to elicit and validate suggestions for improving standardization. Methods:We surveyed a group of Dermatologists and Pharmacists-in two phases-in phase 1 (n = 44), an electronic survey was used as a tool to understand their practices regarding FTU, and to obtain suggestions regarding standardization of topical medication delivery. In phase 2 (n = 40), the main suggestions for improvement were resent to the group to rate and validate the same. Results:The awareness of FTU was high among the experts, but practical use of the FTU for patient counselling was less frequent. The group gave suggestions to standardize applications. All these suggestions got high ratings on both feasibility and possible effectiveness in the second phase, with the highest rating being for the suggestion of "Placing QR codes on ointment/cream tubes which link to websites with educational materials/ videos on FTU/topical drug dosing." Conclusion:Awareness regarding FTU is high among both dermatologists and pharmacists, however practical use is less. Strategies to improve standardization of topical drug dosing can be formulated through collaboration involving both dermatologists and pharmacists.

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Use of topical steroids in dermatology: A questionnaire based study

Cited by 5 publications

References 15 publications

Skin Pigmentation Types, Causes and Treatment—A Review

Skin Pigmentation Types, Causes and Treatment—A Review

Community pharmacists’ perceptions and role in the management of common dermatological problems in Lebanon: a cross-sectional study

Standardization of topical preparations for finger‐tip unit—Awareness and attitudes among pharmacists and dermatologists and suggestions to improve standardization of topical drug dosing—A two‐phase cross‐sectional survey

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