II. Approach
III. Preparations
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Topical Gel or Topical Liquid
- Lesions on scalp or hairy areas or on oozy or wet lesions
- Jelly-like consistency that may be soothing to inflammatory lesions (e.g. Poison Ivy)
- Quick dries and does not cause hair matting
- Gels may be irritating in some cases, and must be frequently reapplied
- Lower potency medication delivery vehicle than Topical Ointments and Topical Creams
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Topical Lotion
- Indicated on oozing lesions and lesions in hairy areas
- Penetrates skin easily, leaves minimal residue, non-greesy, and dries quickly (contain Alcohol)
- Least potent vehicle for medication delivery
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Topical Cream
- Most useful and acceptable of all topical bases
- Higher risk of Allergic Contact Dermatitis (due to preservatives)
- Treats both wet and dry lesions (Eczematous Dermatitis) and Exudative inflammatory lesions
- Useful in Intertriginous areas (where Topical Ointments are often avoided)
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Topical Ointment
- Useful on thick, dry, itchy Plaques (hyperkeratotic lesions) or areas often rubbed off by patients
- Avoid on lesions in hairy areas or intertriginous areas (Risk of Superficial Folliculitis or maceration)
- Most potent vehicle of the Preparation Bases (due to most Occlusion) and offers best lubrication
- Sticky feeling and stains clothing
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Topical Paste
- Used in wet intertriginous rashes
- Requires oil to wipe off (not removed with water)
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Topical Powder (e.g. Talc)
- Protects intertriginous areas (but no powder absorbs moisture)
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Topical Preparations for the Scalp (Topical Foam, Shampoo, or Mousse)
- Easily applied (spread easily through hair surface)
- Foams are more expensive than other Preparation Bases