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       �                                            �
       �   ------Dermal (Skin) Medications------    �
       �                                            �
       �   A. Anesthetics (Topical)                 �
       �   B. Benzoyl Peroxide                      �
       �   C. Isotretinoin                          �
       �                                            �
       ��������������������������������������������;






                        ANESTHETICS (TOPICAL)

      BRAND AND GENERIC NAMES (generic names in capitals)

      Aero Caine           CYCLOMETHYCAINE        Nupercainal Cream
      Aero Caine Aerosol   Derma-Medicone         Nupercainal Oint.
      Aerotherm            Dermacoat              Nupercainal Spray
      Americaine           Dermo-Gen              Panthocal A & D
      Americaine Aerosol   Dermoplast             Perifoam
      Americaine Oint.     Dibucaine              Pontocaine
      Anbesol              Diothane               Pontocaine Cream
      Anestacon            DIPERODON              Pontocaine Oint.
      Bactine              Dyclone                PRAMOXINE
      Benzocaine           DYCLONINE              Prax
      Benzocaine Topical   Ethyl Aminobenzoate    Proctodon
      Benzocal             Foille                 Proctofoam
      BiCozene             Hexathricin Aerospra   Proxine
      Burntame             HEXYLCAINE             Quotane
      BUTACAINE            Hurricaine             Rectal Medicone
      BUTAMBEN             Isotraine              Soft-N-Soothe
      Butesin Picrate      Ivy-Dry Cream          Solarcaine
      Butyl aminobenzoate  Lanacane               Surfacaine
      Butyn Sulfate        Lida-Mantle            Tega-Caine
      Caine Spray          Lidocaine              Tega-Dyne
      Cal-Vi-Nol           Lidocaine Oint.        TETRACAINE
      Cetacaine            Lignocaine             Tronolane
      Cetacine             Medicone               Tronothane
      Chiggerex            Medicone Dressing      Unguentine
      Chiggertox           Mercurochrome II       Unguentine Plus
      Clinicaine           Morusan                Unguentine Spray
      Cyclaine             Nupercainal            Urolocaine
      Cyclaine Solution                           Velvacaine
                                                  Xylocaine
                                                  Xylocaine Oint.

      BASIC INFORMATION
          Habit forming?  No
          Prescription needed?
              High strength:  Yes
              Low strength:  No
          Available as generic?  Yes
          Drug class:  Anesthetic (topical)

      USES
          Releives pain and itch of sunburn, insect bites, scratches
          and other minor skin irritations.

          Relieves discomfort and itch of hemorrhoids and other
          disorders of anus and rectum.

      DOSAGE AND USAGE INFORMATION
          How to use:
            Suppositories--Remove wrapper and moisten suppository
            with water.  Gently insert larger end into rectum.  Push
            well into rectum with finger.

            All other forms--Use only enough to cover irritated
            area.  Follow instructions on label.

          When to use:
            When needed for discomfort, no more often than every
            hour.

          If you forget an application:
            Use as needed.

          What drug does:
            Blocks pain impulses from skin to brain.

          Time lapse before drug works:
            3 to 15 minutes.

      POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS
          Symptoms                    What To Do
          Life-threatening:
            None expected.

          Common:
            None expected.

          Infrequent:
            Nervousness;              Discontinue.  Call doctor
            trembling; hives,         right away.
            rash, itch;
            inflammation or
            tenderness not
            present before
            application; slow
            heartbeat.

            Dizziness, blurred        Continue. Call doctor
            vision, swollen feet.     when convenient.

          Rare:
            Blood in urine.           Discontinue.  Call doctor
                                      right away.

            Increased or painful      Continue.  Call doctor
            urination.                when convenient.

      OVERDOSE
          Symptoms:
            If swallowed or inhaled--dizziness, nervousness,
            trembling, seizures.

          What to do:
            Dial 0 (operator) or 911 (emergency) for an ambulance or
            medical help.  Then give first aid immediately.

            See emergency information.

      WARNINGS AND PRECAUTIONS
          Don't use if:
            You are allergic to any topical anesthetic.

          Before you start, consult your doctor:
            If you have skin infection at site of treatment.

            If you have had severe or extensive skin disorders such
            as eczema or psoriasis.

           If you have bleeding hemorrhoids.

         Over age 60:
           Adverse reactions and side effects may be more frequent
           and severe than in younger persons.

         Pregnancy:
           No proven harm to unborn child.  Avoid it possible.

         Breast-feeding:
           No problems expected.

         Infants and children.
           Use caution.  More likely to be absorbed through skin and
           cause adverse reactions.

         Prolonged use:
           Possible excess absorption.  Don't use longer than 3 days
           for any one problem.

         Skin and sunlight:
           No problems expected.

         Driving, piloting or hazardous work:
           No problems expected.

         Discontinuing:
           May be unnecessary to finish medicine.  Follow doctor's
           instructions.

         Others:
           No problems expected.

      POSSIBLE INTERACTION WITH OTHER DRUGS
          Generic Name or Drug Class      Combined Effect
            Sulfa drugs                   Decreased effect of sulfa
                                          drugs for infection.

      POSSIBLE INTERACTION WITH OTHER SUBSTANCES
          Interacts With                  Combined Effect
            Alcohol                       None expected.
            Beverages                     None expected.
            Cocaine                       Possible nervous-system
                                          toxicity.  Avoid.
            Foods                         None expected.
            Marijuana                     None expected.
            Tobacco                       None expected.







                          BENZOYL PEROXIDE

      BRAND NAMES
          Acetoxyl              H2Oxyl
          Acne-Aid              Intraderm-19
          Allercreme Clear-up   Loroxide
          Alquam-X              Neutrogena Acne Mask
          Ben-Aqua              Oxyderm
          Benoxyl               Oxy-5
          Benzac                Oxy-10
          Benzac W              PanOxyl
          Benzagel              PanOxyl AQ
          Buf-Oxal              Persadox
          Clear By Design       Persadox HP
          Clearasil             Persa-Gel
          Clearasil BP(M)       Persa-Gel W
          Cuticura Acne         PHisoAc BP
          Dermodex              Porox 7
          Dermoxyl              Propa P.H.
          Desquam-X             Propa P.H. Porox
          Dry and Clean         Teen
          Dry and Clear         Topex
          Eloxyl                Vanoxide
          Epi-Clear             Vanoxide-HC
          Fostex                Xerac BP
          Foxtex BPO            Zeroxin

      BASIC INFORMATION
          Habit forming?  No
          Prescription needed?  No
          Available as generic?  Yes
          Drug class:  Antiacne (topical)

      USES
          Treatment for acne.
          Decreases wrinkles in face.

      DOSAGE AND USAGE INFORMATION
          How to use:
            Cream, gel, pads, sticks or lotion--Wash affected area
            with plain soap and water.  Dry gently with towel.  Rub
            medicine into affected areas.  Keep away from eyes,
            nose, mouth.

          When to use:
            Apply 1 or more times daily.  If you have a fair
            complexion, start with single application at bedtime.

          If you forget an application:
            Use as soon as you remember.

          What drug does:
            Slowly releases oxygen from skin, which controls some
            skin bacteria.  Also causes peeling and drying, helping
            control blackheads and whiteheads.

          Time lapse before drug works:
            1 to 2 weeks.

      POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS
          Symptoms                    What To Do
          Life-threatening
            None expected.

          Common:
            None expected.

          Infrequent:
            Rash, excessive           Discontinue.  Call doctor
            dryness.                  right away.

            Painful skin              Continue.  Call doctor
            irritation.               when convenient.

          Rare:
            None expected.

      OVERDOSE
          Symptoms:
            None expected.

          What to do:
            If person swallows drug, call doctor, poison-control
            center or hospital emergency room for instructions.

            See emergency information.

      WARNINGS AND PRECAUTIONS
          Don't take if:
            You are allergic to benzoyl peroxide.

          Before you start, consult your doctor:
            If you plan to become pregnant within medication period.
            If you take oral contraceptives.

          Over age 60:
            No problems expected.

          Pregnancy:
            No proben problems.  Consult doctor.

          Breast-feeding:
            No proven problems. Consult doctor.

          Infants and children:
            Not recommended.

          Prolonged use:
            Permanent rash or scarring.

          Skin and sunlight:
            No problems expected.

          Driving, piloting or hazardous work:
            No problems expected.

          Discontinuing:
            May be unnecessary to finish medicine.  Discontinue when
            acne improves.

            If acne doesn't improve in 2 weeks, call doctor.

          Others:
            Keep away from hair and clothing.  May bleach.

            Store away from heat in cool, dry place.

            Avoid contact with eyes, lips, nose and sensitive areas
            of the neck.

       POSSIBLE INTERACTION WITH OTHER DRUGS
             Generic Name or Drug Class   Combined Effect
               Antiacne topical           Excessive skin irritation.
               preparations (other)

               Skin-peeling agents        Excessive skin irritation.
               (salicylic acid,
               sulfur, resorcinol,
               tretinoin).

      POSSIBLE INTERACTION WITH OTHER SUBSTANCES
          Interacts With                  Combined Effect
            Alcohol                       None expected.
            Beverages                     None expected.
            Cocaine                       None expected.
            Foods
              Cinnamon, foods             Skin rash.
              with benzoic acid.
            Marijuana                     None expected.
            Tobacco                       None expected.







                           ISOTRETINOIN

      BRAND NAMES
          Accutane

      BASIC INFORMATION
          Habit forming?  No
          Prescription needed?  Yes
          Available as generic?  No
          Drug classification:  Antiacne

      USES
          Decreases cystic acne formation in severe cases.
          Certain other skin disorders involving an overabundance of
          outer skin layer.

      DOSAGE AND USAGE INFORMATION
          How to take:
            Tablet or capsule--Swallow with liquid or food to lessen
            stomach irritation.  If you can't swallow whole, crumble
            tablet or open capsule and take with liquid or food.

          When to take:
            Twice a day.  Follow prescription directions.

          If you forget a dose:
            Take as soon as you remember up to 2 hours late.  If
            more than 2 hours, wait for next scheduled dose and
            double dose.

          What drug does:
           Reduces sebaceous gland activity and size.

         Time lapse before drug works:
           May require 15 to 20 weeks to experience full benefit.

         Don't take with:
           Vitamin A or supplements containing Vitamin A.

      POSSIBLE ADVERSE SIDE EFFECTS
          Symptoms                    What To Do
          Life-threatening:
            None expected.

          Common:
            Burning, red, itching     Discontinue. Call doctor
            eyes; lip scaling.        right away.

            Itchy skin.               Continue.  Call doctor
                                      when convenient.

          Frequent:
            Dry mouth.                Continue.  Tell doctor
                                      at next visit.  (Suck
                                      ice or chew gum).

          Infrequent:
            Rash, infection,          Discontinue.  Call doctor
            nausea, vomiting.         right away.

            Headache; pain in         Continue.  Call doctor
            muscles, bones,           when convenient.
            joints; hair thinning;
            tiredness.

          Rare:
            None expected.

      OVERDOSE
          Symptoms:
            None reported.

          What to do:
            Overdose unlikely to threaten life.  If person takes
            much larger amount than prescribed, call doctor,
            poison-control center or hospital emergency room for
            instructions.

      WARNINGS AND PRECAUTIONS
          Don't take if:
            You are allergic to isotretinoin.
            You are pregnant or plan pregnancy.

          Before you start, consult your doctor:
            If you have diabetes.
            If you or any member of family have high triglyceride
             levels in blood.

          Over age 60:
            Adverse reactions and side effects may be more frequent
            and severe than in younger persons.

          Pregnancy:
            Risk to unborn child outweighs drug benefits.  Don't
            use.

          Breast-feeding:
            Drug filters into milk.  May harm child. Avoid.

          Infants and children:
            Not recommended.

          Prolonged use:
            Possible damage to cornea.

          Skin and sunlight:
            May cause rash or intensify sunburn in areas exposed to
            sun or sunlamp.

          Driving, piloting or hazardous work:
            No problems expected.

          Discontinuing:
            Single course of treatment usually all needed.  If
            second course required, wait 8 weeks after completing
            first course.

          Others:
            Use only for severe cases of cystic acne that have not
            responded to less hazardous forms of acne treatment.

      POSSIBLE INTERACTION WITH OTHER DRUGS
          Generic Name or Drug Class      Combined Effect
            Vitamin A                     Additive toxic effect
                                          of each.  Avoid.

      POSSIBLE INTERACTION WITH OTHER SUBSTANCES
          Interacts With                  Combined Effect
           Alcohol                        Significant increase in
                                          triglycerides in blood.
                                          Avoid.

           Beverages                      No problems expected.

           Cocaine                        Increased chance of
                                          toxicity of isotretinoin.
                                          Avoid.

           Foods                          No problems expected.

           Marijuana                      Increased chance of
                                          toxicity of isotretinoin.
                                          Avoid.

           Tobacco                        May decrease absorption
                                          of medicine.  Avoid
                                          tobacco while in
                                          treatment.


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