Description of Topical Antiinfective Drugs – PST04211 Basic Pharmacology

NTA Level 4 • Semester 2 • PST04211

Description of Topical Antiinfective Drugs

Basic Pharmacology • Source Session/Topic 14
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 14: Description of Topical Antiinfective Drugs

Total Session Time: 60 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• List indications of topical antiinfective drugs
• List contraindications of Topical antiinfective drugs
• Describe dose, dosage and course of topical antiinfective drugs
• List side effects and adverse effects of topical antiinfective drugs
• Describe interactions and precautions of topical antiinfective drugs

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board and chalk/whiteboard markers
• Overhead projector and computer

SESSION OVERVIEW

Activity/

Step Time Content

Method

1 05 minutes Presentation Introduction, Learning Tasks

Presentation/

2 20 minutes Indications of Topical Antiinfective Drugs

Buzzing

Presentation/ Contraindications of Topical Antiinfective

3 05 minutes

Brainstorming Drugs

Dose, Dosage and Course of Topical

4 05 minutes Presentation

Antiinfective Drugs

Presentation/ Side Effects and Adverse Effects of Topical

5 10 minutes

Brainstorming Antiinfective Drugs

Interactions and Precautions Topical

6 05 minutes Presentation

Antiinfective Drugs

7 05 minutes Presentation Key Points

8 05 minutes Presentation Evaluation

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning Tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Indications of Topical Anti-infective Drugs (20 minutes)

Activity: Buzzing (5 minutes)

ASK students to pair up and buzz on the following question for 2 minutes

• What are the anti-infective drugs?
• How do we classify topical anti-infective drugs?
• What are indications of topical anti-infective drugs?

ALLOW few pairs to respond and let other pairs to add on points not mentioned

WRITE their response on the flip chart/board

CLARIFY and SUMMARIZE by using the content below

• Anti-infective Drugs: Are drugs capable of acting against infection, by inhibiting the

spread of an infectious agent or by killing the infectious agent outright

• Anti-infective is a general term that encompasses antibacterial, antibiotics, antifungal,

antiprotozoans and antiviral

• Topical antifungal preparations:

o Active against dermatophytes (epidermophyton, microsporum, and trichophyton)

o Active against yeasts, including Candida albicans and Pityrosporum orbiculare

• Topical antibacterial:

o Useful in preventing infections in clean wounds

o In the early treatment of infected dermatoses and wounds

o In reducing colonization of the nares by staphylococci, in axillary deodorization

o Management of acne vulgaris

• Topical antiviral agents:

o Active against Herpesvirus family, including herpes simplex types 1 and 2

o Active against VZV Epstein-Barr virus (EBV)

o Active against Cytomegalovirus (CMV)

o Active against Human herpesvirus-6 (HHV-6)

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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STEP 3: Contraindications of Topical Anti-infective Drugs (5 minutes)

Activity: Brainstorming (5 minutes)

Ask students to brainstorm on the following question:

What are contraindications of topical anti-infective drugs?

ALLOW few students to respond

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• Hypersensitivity to topically applied anti infectives
• Griseofulvin is contraindicated in patients with porphyria or hepatic failure Topical
• Metronidazole is not indicated in breast feeding mothers and during first trimester

STEP 4: Dose, Dosage and Course of Topical Anti-infective Drugs (5

minutes)

• Topical Antifungal drugs

o Once- or twice-daily application to the affected area will generally result in clearing

of superficial dermatophyte infections in 2-3 weeks

• Topical antiviral drugs

o Twice a day for 5-7 days

• Topical antibacterial drugs

o 2-3 times a day for 5-7 days

STEP 5: Side Effects and Adverse Effects of Topical Antiinfective Drugs

(10 Minutes)

Activity: Brainstorming (5 minutes)

Ask students to brainstorm on the following question:

o What are side effects and adverse effects of topical antiinfective drugs?

ALLOW few students to respond

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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• Topical antifungal preparations

o Photosensitivity

o Peripheral neuritis

o Stinging,

o Pruritus,

o Erythema

o Local irritation.

o Allergic contact dermatitis appears to be uncommon

o Gynecomastia,

• Topical antibacterial

o Burning sensation

o Drying of the skin

o Irritation of the skin

o Stinging sensation

o Allergic contact dermatitis occurs frequently with bacitracin

• Topical antiviral agents

o Pruritus

o Mild pain

o Transient stinging

o Burning sensation

STEP 6: Interactions and Precautions of Antiinfectives Drugs (5minutes)

• Topical antibacterial

o Caution should be exercised when applying metronidazole near the eyes to avoid

excessive tearing

• Topical antiviral agents

o Caution in pregnancy and in breast feeding

• Topical antifungal preparations

o Contact with mucous membranes should be avoided when using Allyl amines

Step 7: Key Points (5minutes)

• The topical Antiinfectives are antibacterial, antiviral or antifungal drugs
• Topical Antiinfectives are indicated for the bacteria fungi or viral infections on the skin
• Common side effects of most topical Antiinfectives are: irritation, burning, pruritus,

drying

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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STEP 8: Evaluation (10 minutes)

• What are indications of Antiinfectives drugs?
• What are the contraindications of Antiinfectives drugs?
• What are the dose, dosage and course of Antiinfectives drugs?
• What are side effects and adverse effects of Antiinfectives drugs?

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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References

Robert L. T., Gary C. Y., Gary R. M., Barbara G. W., Michael, L.. (2014).

Pharmacotherapy: a Pathophysiologic Approach (9th ed.). New York, McGraw-Hill

Education.

Ministry of Health and Social Welfare. ( 2013). Standard Treatment Guidelines & National

Essential Medicines List Tanzania Mainland (4th ed.). Dar es salaam, Tanzania

government printers.

Sally S.R., Jeanne C.S. (2000). Introductory Clinical Pharmacology (6th ed) New York,

Lippincott Williams and Wilkins.

School of Pharmaceutical sciences. (2011).Tanzania Pharmaceutical Handbook (2nd ed.).

Dar es Salaam, ARDHI University press.

The Royal Pharmaceutical Society of Great Britain. (2007). Martindale: the Extra

Pharmacopoeia (5TH ed). London, pharmaceutical press.

The Royal Pharmaceutical Society of Great Britain. (2009). British National Formulary

(59th ed). London, BMJ Group and RPS Publishing.

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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