Re Systemic Cyclosporin & Side Effects

Only use in conjunction with a specialist experienced in its use

Potential side effects

• Raised BP
• Hepatic dysfunction
• Renal dysfunction

Pre-Rx check

• BP
• FBC; LFTs; UCEs; eGFR; lipids
• Pregnancy test

If BP raised, consider 

• Rx calcium-antagonist to prevent renal loss

Do Not Use if Pregnant or Planning Pregnancy

Systemic agents

• Methotrexate
• Acitretin (Neotigason)
• Isotretinoin (RoAccutane)
• Tetracyclines

Further more

• Acitretin & Isotretinoin
• No pregnancy within 2 years of Rx cessation

Re Systemic Methotrexate & Side Effects

Potential side effects

• Hepatitis
• Cytopenia
• Teratogenesis

Pre-Rx check

• LFTs; FBC; UCEs; eGFR
• Pregnancy test

Re Systemic Prednisolone & Side-Effects

Short-term

• Raised intra-occular pressure
• Adrenal insufficiency

Long-term

• As / short-term
• Hypertension
• Osteoporosis
• Occular
• Glaucoma
• Cataracts
• Endocrine
• Diabetes
• Electrolyte imbalance
• Weight gain; tends to be trunk and face

Pre-Rx check

• BP
• Intraoccular pressure
• LFTs; UCEs; eGFR; fasting lipids & BSL

Long-term Rx check

• BP
• Eyes - intraoccular pressure; cataracts
• Bone density
• UCEs; fasting lipids & BSL

Milia or Miliaria

Milia

• Keratin-filled cysts

Miliaria

• Blocked sweat ducts

Compression Bandages & Stockings for Wounds

Pressure

• 18-24 mmHg
• Jobst stockings
• Varicose veins
• Ulcer prevention
• Mild edema

• 25-35
• Venosan stockings
• Varicose veins (severe)
• Post limb DVT
• 14-17
• If discomfort an issue with higher pressure / patient compliance

Should be properly measured

Wound Dressings

Examples of Brand Dressings for Different Types of Wounds


Venous

• Zinc oxide
• FlexiDress
• Steripaste

Xs bacterial burden / Excessive moisture

• Calcium alginate with antiseptic component (e.g. weak povidine-iodine)
• Algisite M
• Kaltostat

Hypergranulation

• Hypertonic saine
• Mesalt
• Curasalt