問題詳情

69.小明有atopic dermatitis,醫師處方desoximetasone 0.25% ointment睡前使用於四肢及軀幹急性發作的病灶,臉部病灶則是使用mometasone furoate 0.1% cream 1天2次,治療2週後症狀明顯改善。下列處置何者最不適當?
(A)desoximetasone 0.25% ointment可考慮改為clobetasol propionate 0.05% ointment
(B)desoximetasone 0.25% ointment可考慮改為desoximetasone 0.05% cream
(C)desoximetasone 0.25% ointment改為間歇性使用
(D)mometasone furoate 0.1% cream可以考慮改為tacrolimus 0.1% ointment

參考答案

答案:A
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用户評論

【用戶】吳富豪

【年級】高三下

【評論內容】考topical steroid的強度排序症狀改善濃度必須降低/頻次降低   B C正確 分級表desoximetasone 0.25% ointment  是第2級clobetasol propionate 0.05%        是第1級   改善了還換更強的==Topical calcineurin inhibitors  ( tacrolimus and pimecrolimus) They can be used as an alternative to topical corticosteroids for the treatment of mild to moderate atopic dermatitis involving the face, including the eyelids, neck, and skin foldsTopical tacrolimus 0.1% =第4級topical corticosteroidtopical tacrolimus 0.03%=第4~5級topical corticosteroid Pimecrolimus 1% cream=第6級topical corticosteroid資料來源:藥學雜誌/up to date

【用戶】IG:Pharmabook

【年級】高一上

【評論內容】補充考過的類固醇分級表、考古題from 11th applied p.932 table 39-8題幹的desoximetasone 0.25% ointment 屬於第二級mometasone furoate 0.1% cream 屬於第四級使用2周後改善→需換成強度較低的類固醇(A)clobetasol propionate 0.05% ointment 是第一級的→最不恰當(B)desoximetasone 0.05% cream 第四級 →二級換成四級→恰當(C)desoximetasone 0.25% ointment改為間歇性使用→因症狀緩解,可降低使用頻率(D)tacrolimus 0.1% ointment →局部Tacrolimus可作為局部類固醇的替代療法Topical tacrolimus or pimecrolimus are effective alternatives to topical corticosteroids and are safe for use (Ref:from 11th applied、pharmabook 藥治統整本 11.0 p.268)1級(最強)使用需<2周Betamethasone dipropionate(Diprolene 0.05%)、(A)Clobetasol propionate(Temovate 0.05%)【1002】Diflorasone diacetate(Psorcon 0.05%)、Halobetasol propionate(Ultravate 0.05%)2級Fluocinonide(Lidex 0.05%)、Triamcinolone acetonide (Kenalog 0.5% )、Amcinonide(Cyclocort 0.1%)、Halcinoide(Halog 0.1%)Mometasone furoate(Elcon 0.1%)【1121】Betamethasone dipropionate(Diprolene 0.05%)、(題幹)Desoximetasone (Esperson拭皮爽0.25%)【1082】3級Fluocinonide(Cutivate 0.005%)、Triamcinolone acetate(0.1%) ointment【1121】、Amcinonide(Cyclocort 0.1%)、Halcinoide(Halog 0.1%)Betamethasone(benzoate0.05%、dipropionate0.05%、valerate0.1%)、Diflorasone diacetate(0.05%)、Fluticasone propionate(0.05%)4級Triamcinolone acetate(0.1%)、Halcinoide(Halog 0.25%)、Fluocinolone acetonide (0.025%)、Flurandrenolide(0.05%),(B)Desoximetasone (0.05%)Betamethasone(benzoate0.025%、valerate0.1%)、Hydrocortisone valerate(0.2%)、(題幹)Mometasone furoate(Elomet皚膚美得 0.1%)【1082】5級Betamethasone(benzoate0.025%,dipropionate0.02%,valerate0.1%), Fluticasone propionate(0.05%),Hydrocortisone butyrate(0.1%)/valerate(0.2%)6級Triamcinolone acetonide cream【1121】(Kenalog 0.1%【972】), Betamethasone(valerate0.1%),Fluocinolone acetonide(0.01%)7級(最弱)Hydrocortisone cream(0.5%,1.0%,2.5%)、dexamethasone 0.1% cream【1121】 (Decadron)【題組】72 因為症狀輕微,宜使用效力較低的類固醇擦劑,下列何者最適當?

【用戶】吳富豪

【年級】高三下

【評論內容】考topical steroid的強度排序症狀改善濃度必須降低/頻次降低   B C正確 分級表desoximetasone 0.25% ointment  是第2級clobetasol propionate 0.05%        是第1級   改善了還換更強的==Topical calcineurin inhibitors  ( tacrolimus and pimecrolimus) They can be used as an alternative to topical corticosteroids for the treatment of mild to moderate atopic dermatitis involving the face, including the eyelids, neck, and skin foldsTopical tacrolimus 0.1% =第4級topical corticosteroidtopical tacrolimus 0.03%=第4~5級topical corticosteroid Pimecrolimus 1% cream=第6級topical corticosteroid資料來源:藥學雜誌/up to date

【用戶】IG:Pharmabook

【年級】高一上

【評論內容】補充考過的類固醇分級表、考古題from 11th applied p.932 table 39-8題幹的desoximetasone 0.25% ointment 屬於第二級mometasone furoate 0.1% cream 屬於第四級使用2周後改善→需換成強度較低的類固醇(A)clobetasol propionate 0.05% ointment 是第一級的→最不恰當(B)desoximetasone 0.05% cream 第四級 →二級換成四級→恰當(C)desoximetasone 0.25% ointment改為間歇性使用→因症狀緩解,可降低使用頻率(D)tacrolimus 0.1% ointment →局部Tacrolimus可作為局部類固醇的替代療法Topical tacrolimus or pimecrolimus are effective alternatives to topical corticosteroids and are safe for use (Ref:from 11th applied、pharmabook 藥治統整本 11.0 p.268)1級(最強)使用需<2周Betamethasone dipropionate(Diprolene 0.05%)、(A)Clobetasol propionate(Temovate 0.05%)【1002】Diflorasone diacetate(Psorcon 0.05%)、Halobetasol propionate(Ultravate 0.05%)2級Fluocinonide(Lidex 0.05%)、Triamcinolone acetonide (Kenalog 0.5% )、Amcinonide(Cyclocort 0.1%)、Halcinoide(Halog 0.1%)Mometasone furoate(Elcon 0.1%)【1121】Betamethasone dipropionate(Diprolene 0.05%)、(題幹)Desoximetasone (Esperson拭皮爽0.25%)【1082】3級Fluocinonide(Cutivate 0.005%)、Triamcinolone acetate(0.1%) ointment【1121】、Amcinonide(Cyclocort 0.1%)、Halcinoide(Halog 0.1%)Betamethasone(benzoate0.05%、dipropionate0.05%、valerate0.1%)、Diflorasone diacetate(0.05%)、Fluticasone propionate(0.05%)4級Triamcinolone acetate(0.1%)、Halcinoide(Halog 0.25%)、Fluocinolone acetonide (0.025%)、Flurandrenolide(0.05%),(B)Desoximetasone (0.05%)Betamethasone(benzoate0.025%、valerate0.1%)、Hydrocortisone valerate(0.2%)、(題幹)Mometasone furoate(Elomet皚膚美得 0.1%)【1082】5級Betamethasone(benzoate0.025%,dipropionate0.02%,valerate0.1%), Fluticasone propionate(0.05%),Hydrocortisone butyrate(0.1%)/valerate(0.2%)6級Triamcinolone acetonide cream【1121】(Kenalog 0.1%【972】), Betamethasone(valerate0.1%),Fluocinolone acetonide(0.01%)7級(最弱)Hydrocortisone cream(0.5%,1.0%,2.5%)、dexamethasone 0.1% cream【1121】 (Decadron)【題組】72 因為症狀輕微,宜使用效力較低的類固醇擦劑,下列何者最適當?