Download e-book for kindle: Comprehensive Dermatologic Drug Therapy: Expert Consult - by Stephen E Wolverton

By Stephen E Wolverton

ISBN-10: 143772003X

ISBN-13: 9781437720037

Safely and successfully deal with an entire diversity of dermis disorders with Comprehensive Dermatologic Drug remedy, third Edition! This relied on dermatology reference offers concise, whole, updated counsel on state-of-the-art complete spectrum of topical, intralesional, and systemic medicines. Dr. Steven E. Wolverton and a workforce of prime foreign specialists basically clarify what medicines to exploit, while to take advantage of them, and what to observe out for.

  • Prescribe with confidence because of quick-access summaries of indications/contraindications, dosage directions, drug interactions, drug tracking instructions, adversarial results, and therapy protocols.
  • Assess your wisdom and get ready for certification or recertification with greater than 800 evaluate questions and solutions during the book.
  • Contain bills and meet sufferer expectations with buy info supplied for significant drugs.
  • Quickly evaluation drug options for every sickness mentioned utilizing a hugely designated, disease-specific index.

  • Discover the simplest makes use of for brand spanking new biologic therapeutics equivalent to ustekinumab and rituximab, in addition to newly more desirable TNF inhibitors.
  • Offer your sufferers the very most recent in beauty procedures, together with chemical peels, intradermal fillers, and botulinum toxin.
  • Use the most secure and ideal medicinal drugs possible with new chapters on irritants and allergens in topical healing brokers, plus a brand new, separate bankruptcy on mycophenolate mofetil.
  • Review medications lately taken off the market by means of the FDA, and use that wisdom to enhance your present dermatologic drug therapy.
  • Access the entire contents on-line at www.expertconsult.com and practice fast searches for drug symptoms, interactions, tracking directions, and masses more.

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Extra resources for Comprehensive Dermatologic Drug Therapy: Expert Consult - Online and Print, 3e

Sample text

3% population, *3A in Caucasians and *3C in Asians and Africans) Intermediate activity: heterozygous for TPMT*1 and TPMT*3C, *3A, or *2 (seen in 10–11% population) Azathioprine (ADR: bone marrow suppression), 6-mercaptopurine (6-MP), and thioguanine 1) phenotyping: measure TPMT activity in erythrocytes though peripheral red blood cell lysates 2) genotyping: DNA-microarray study 3) genetic allele testing: rapid PCR-RFLP TPMT*3A and *3C allele testing N-acetyltransferase-2 (NAT2) Rapid acetylators: NAT2*4, *12, *13 Slow or intermediate acetylation: NAT2*5, *6, *7, *14S Isoniazid, procainamide, hydralazine, sulfonamides; (ADR: varied) NAT2 polymorphisms testing; unclear clinical practicality in testing Glucose-6-phosphate dehydrogenase (G6PD) Gene coding for G6PD Sulfones (particularly dapsone), sulfonamides, primaquine; ADR: hemolytic anemia Less effect on other antimalarials (chloroquine and hydroxychloroquine) 1) fluorescent spot test, measures G6PD activity in population of erythrocytes 2) methemoglobin or Nile blue sulfate reduction G6PD studies, evaluate individual erythrocytes 3) G6PD genotyping Glutathione S-transferase GSTM1-null genotype, in ∼50% of European Caucasians Coal tar topically to skin, GSTM1null individuals have greater mutagen exposure Genotyping for GSTM1 via PCR analysis Thymidylate synthase TS 5′-UTR 3R/3R TS 3′-UTR 6bp deletion RFC 80A Methotrexate (TS 3R/3R, TS 6bp del, RFC 80A: increased ADR) 5-FU (TS 2R/2R: increased toxicity; TS 2R/3R, TS 3R/3R: protective effect against diarrhea) Genotyping to 5′-UTR repeats, limited availability Red blood cell AZA Liver 6-MP XO 6-Thiouric acid TPMT HGPRT 6-TGN Salvage pathway and recycling 6-MMP DNA & RNA TPMT Inactive metabolites Figure 3-1 Azathioprine metabolic pathways.

Retinoid or thalidomide teratogenesis: absolute and complete pregnancy prevention is essential. • Antimalarial retinopathy: although therapeutic and monitoring approaches used in the current era minimize the likelihood of this complication. PARTING THOUGHTS The bottom line is as follows: it would be an ideal goal that physicians reading this chapter, and who used the principles presented, never had a patient suffer a major complication from systemic drug therapy in their respective careers. In reality, this is not likely.

24, Table 3-8) Q3-8 Regarding thiopurine methyltransferase, what are (a) the frequency of polymorphisms in various populations, and (b) the net clinical effect of the polymorphisms? (Pg. 26, Table 3-10) Q3-9 Regarding N-acetyl transferase (NAT2), what are (a) the frequency of polymorphisms in various populations, and (b) the net clinical effect of the polymorphisms? (Pg. 28, Table 3-11) Q3-10 Regarding glucose-6-phosphate dehydrogenase (G6PD), what are (a) the frequency of polymorphisms in various populations, and (b) the net clinical effect of the polymorphisms?

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Comprehensive Dermatologic Drug Therapy: Expert Consult - Online and Print, 3e by Stephen E Wolverton


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