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2007, Number 5

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Med Int Mex 2007; 23 (5)

Doctor: how and how much of this medicine must I apply?

Poletti VED, Muñoz SMR
Full text How to cite this article

Language: Spanish
References: 13
Page: 441-446
PDF size: 144.62 Kb.


Key words:

Topical application, dosage, body surface area, vehicle.

ABSTRACT

Nowadays there are different products used to treat skin disease, nevertheless there is not a systematized method for the right dosage. This might lead to unsuccessful treatments and patient-physician frustration. Is important for physicians to be aware of giving detailed and practical instructions on how to apply a topical medication. Equally important is to be well familiarized with the classic and new procedures reported in literature to calculate the right amount and the most beneficial way to use a topic medication. We have to understand that the more precise the recipe is, the better the results that we will obtain.


REFERENCES

  1. Iglesias-Diez L, Guerra-Tapia A, Ortiz-Romero PL. Tratado de dermatología. 2ª ed. Madrid: Mc Graw Hill-Interamericana, 2006;pp:25-41.

  2. Wigger-Alberti W, Maraffio B, Wernli M, Elsner P. Self-application of a protective cream: pitfalls of occupational skin protection. Arch Dermatol 1997;133:861-4.

  3. Kjellgren KI, Ring L, Lindblad AK, Maroti M, Serup J. To follow dermatological treatment regimens–patients’ and providers’ views. Acta Derm Venereol (Stockh) 2004;84:445-50.

  4. Long CC, Finlay AY. A perceived underprescription of topical therapy. Br J Gen Practice 1993;43(372):305.

  5. Long CC, Finlay AY. The rule of hands: 4 hand areas = 2 FTU = 1 g. Arch Dermatol 1992;128:1129-30.

  6. Bailey BJR, Briars GL. Estimating the surface area of the human body. Stat Med 1996;15:1325-32.

  7. Long CC, Finlay AY. Area of skin disease can be used to indicate amount of treatment needed. BMJ 1996;313:690.

  8. Ivens U, Steinkjer B, Serup J, Tetens V. Ointment is evenly spread on the skin, in contrast to creams and solutions. Br J Dermatol 2001;145:264-7.

  9. Long CC, Mills CM, Finlay AY. A practical guide to topical therapy in children. Br J Dermatol 1998;138:293-6.

  10. Osborne JE, Hutchinson PE. The importance of accurate dosage of topical agents: a method of estimating involved area and application to calcipotriol treatment failures. J Eur Acad Dermatol Venereol 2002;16(4);367-73.

  11. Joly P, Roujeau JC, Benichou J, Picard C, et al. A comparison of oral and topical corticosteroids in patients with bullous pemphigoid. N Engl J Med 2002;346(5):321-7.

  12. Ulff E, Maroti M, Kettis-Lindblad A, Kjellgren KI, et al. Single application of a fluorescent test cream by healthy volunteers: assessment of treated and neglected body sites. Br J Dermatol 2007;156(5):974-8.

  13. Long CC, Finlay AY. The finger-tip unit–a new practical measure. Clin Exp Dermatol 1991;16:444-7.




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Med Int Mex. 2007;23