Comprehensive Listing of Topical Dermatologic Agents and Their Uses


On the market today there are hundreds of dermatological products that can be used to treat various skin conditions.  Topical products come in a myriad of forms that include:  creams, gels, lotions, ointments, shampoos and foams.  The FDA reviews products for consumer use so that patients get the best outcomes from their medications. Many topical agents are available, both as over-the-counter medications and prescription drugs. 

We understand it can get overwhelming for patients looking to treat their skin condition.  That is why we compiled a list of products that we stock at Halsted HealthMart Pharmacy, as well as what we can order for you!

Below you will find the FDA approved use of each product and a short description.

Aczone (dapsone) : For the topical treatment of acne vulgaris (acne). Aczone is to be used after the skin is gently washed and patted dry. Used twice daily and rub in gently and completely.

Aclomate (aclometasone) : Recommended for the relief of inflammatory (redness, swelling, or itchy) and pruritic (itchy) skin. May be used in children 1 year or older. Applied two-three times daily.

Alcortin-A (aloe/aydrocortisone/iodoquinol gel) : This medicine is a topical corticosteroid, used for reducing itching, redness, and swelling associated with many skin conditions. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching.

Aliclen (salicylic acid) : A topical aid used to remove common and plantar warts, calluses, corns, or treat psoriasis (thick red patches with silver scales). May soak in warm water for 5 minutes prior to use to hydrate skin and enhance the effect. Remove any loose tissue and dry thoroughly.

Altabax (retapamulin) : For the topical treatment of impetigo (blisters filled with pus) due to bacteria in adults and children 9 months of age and older. Treated areas may be covered by sterile bandages if desired.

ApexiCon (diflorasone) : Used for the relief of the inflammatory (redness, swelling, and itchy) and pruritic (itchy) manifestations.

Aquaphor (ammonium lactate): Used for dry, itchy skin. Used to lubricate and moisturize the skin.



Atralin (tretinoin) : Topical treatment of acne. In adult patients apply once a day before bedtime or in the evening. Cover the entire affected area lightly and evenly (pictured above).

Avita Gel (tretinoin) : Topical treatment of acne. In adult patients apply once a day before bedtime or in the evening. Cover the entire affected area lightly and evenly.

Azelex (azelaic acid) : This product comes in two different formulations. The cream is used for mild-to-moderate acne and the gel for mild-to-moderate rosacea (chronic skin condition that makes your face turn red and may cause swelling and skin sores.) Patients should avoid spicy foods, hot drinks, alcoholic beverages, and  use only very mild soaps or soapless cleansing lotion for facial cleansing.  Typically it is applied to the affected area twice daily.

BenzaClin (clindamycin/benzoyl peroxide) : An antibacterial combination that is used to treat acne. It has an off label use for the treatment of rosacea. Applied twice daily

Benzamycin (erythromycin/benzoyle peroxide) : An antibacterial combination that is used to treat acne. Applied twice daily.

Biafine : This emulsion is used in wounds, pressure sores, skin ulcers, superficial wounds, first- and second-degree burns (including sunburns), and minor abrasions.

Bionect : The cream, gel, and spray formulations can be used for skin ulcers, wounds, and  irritations/burns. The lotion is recommended for xerosis (dry, scaly skin).

Cleocin-T, Clindmax, Clindagel, Clindacin (clindamycin phosphate) : For the treatment of acne vulgaris. The gel and lotion formulations can be applied twice daily, while the Clindagel and foam are applied once daily.

Clenia (sulfacetamide sodium) : For the treatment of bacterial infections of the skin due to organisms susceptible to sulfonamides (a specific group of antibiotics). Also used for topical application in scaly skin and dandruff.

Clobex (clobetasol) : Used for the relief of the inflammatory (redness, swelling, and itchy) and pruritic (itchy) manifestations of conditions such as psoriasis (see image right).

Cloderm (clocortolone pivalate) : For the relief of the inflammatory (redness, swelling, and itchy) and pruritic (itchy) manifestations of corticosteroid-responsive skin reactions, such as psoriasis.  It can also be used in skin conditions associated with yeast infections.  It is applied 1-4 times daily to the affected area and should be discontinued once the condition is under control.

Condylox (podofilix) : The gel is used for external genital warts.  It cannot be used for warts near mucous membranes (ie near the urethra, rectum and vagina). The topical solution is used for anogenital warts (external genital warts) and is not indicated for the treatment of mucous membrane warts.

Cutivate (fluticasone) : Used for the relief of the inflammatory (redness, swelling, and itchy) and pruritic (itchy) manifestations in skin disorders.

Desonate (desonide) : The foam and gel are used in the treatment of mild to moderate atopic dermatitis (scaly, itchy rashes) in patients 3 months of age and older. The cream, ointment, and lotion can be used for the relief of dermatoses (skin disease that is not associated with any inflammation).

Differin( adapalene) : For use in patients with acne and the management of rosacea (chronic inflamed, red skin) Apply to area with acne, a mild, temporary sensation of warmth or slight stinging may occur shortly after application. It is applied once daily to the affected area after washing before bedtime.

Denavir (pentciclovir) : Used for the treatment of herpes labialis (cold sores) in adults. Should be applied every 2 hours while awake for 4 days.  It will work best if it is started right when the sores first appear.

Dovonex (calcipotriene) : For the treatment of plaque psoriasis in adults (18 years and older). Apply twice daily in a thin layer.

Drysol, Hypercare (aluminum chloride) : Used for aid in the management of hyperhidrosis (excessive sweating).  It is typically applied to the affected area once daily at bedtime.

Duac (clindamycin/benzoyl peroxide) : An antibacterial combination that is used to treat acne. It has an off label use for the treatment of rosacea. Applied twice daily.

Elidel (Pimecrolimus) : Used as after another treatment has failed (second-line therapy) for short-term chronic treatment of mild to moderate atopic (predisposition toward developing certain hypersensitivity reactions) dermatitis (scaly-itchy rashes). Used in patients 2 years of age and older who have failed to respond adequately to other topical prescription treatments.

Epiduo (clindamycin/benzoyl peroxide) :  An antibacterial combination that is used to treat acne. It has an off label use for the treatment of rosacea. Applied twice daily.


Erivedge (vismodegib) : For the treatment of adults with metastatic basal cell carcinoma (skin cancer), or with locally advanced basal cell carcinoma that has recurred following surgery or who are not candidates for surgery or radiation.


Ertaczo (sertraconazole) : Used for athlete’s foot. A sufficient amount of cream should be applied to cover the affected areas between the toes and the immediately surrounding healthy skin.  It is typically used twice daily for 4 weeks.

Extina (ketoconazole) : Topical cream is used for the treatment of tinea corporis (ringworm), tinea cruris (jock itch), and tinea pedis (athlete's foot). The shampoo is recommended for flaky, scaly, or itchy scalp.

Finacea, Finevin (azelaic acid) : Used to treat rosacea and mild-to-moderate inflammatory acne. Avoid spicy foods, hot drinks, and alcoholic beverages.

Garimide wash (sodium sulfacetamide 9%/sulfur 4.5%) : A cleanser used to treat acne, rosacea, and seborrheic dermatitis (a skin condition that causes flaky, yellowish-white scales to form on oily areas such as the scalp or inside the ear) by killing some acne-causing bacteria on the skin.

Gentamicin 0.1% cream or ointment : A topical antibiotic used to treat skin infections caused by various bacteria

Halobetasol propionate 0.05% : A high-potency topical steroid used to treat dermatoses (inflamed and itchy skin lesions).

Hydrocortisone (strength varies) : A topical steroid used for the temporary relief of itching associated with minor skin irritations and rashes due to eczema, insect bites, poison ivy, poison oak, poison sumac, soaps, detergents, and other skin irritants

Hylatopic Plus Emollient foam : A foam that lubricates and moisturizes skin to help with dryness and itching.

Iamin Hydrogel : Used for the dressing and management of first- and second-degree burns, pressure ulcers, donor sites, postoperative incisions, cuts, abrasions, and other skin irritations. 

Ivy Block lotion (bentoquatam 5%) : Used to help remove the rash-causing, toxic oils found on poison ivy, oak, and sumac from affected skin.

Ketoconazole 2% cream or shampoo : A topical antifungal used to treat tinea corporis (ringworm), tinea cruris (jock itch), and tinea pedis (athlete's foot), Candida fungal infections, seborrheic dermatitis, and tinea versicolor.

Klaron lotion (sodium sulfacetamide 10%) : Used to treat adult acne by stopping the growth of some acne-causing bacteria.

Lamisil Dermagel/Solution (terbinafide hydrochloride 1%) : A topical antifungal used to treat certain fungal infections including athlete’s foot (tinea pedis), jock itch (tinea cruris), tinea versicolor (skin discoloration), and tinea corporis (ringworm).  The duration of treatment and amount to be applied varies depending on the reason for use.

Lidocaine (strength varies) : A topical anesthetic used to relieve local pain or discomfort associated with minor cuts, burns, or abrasions.

Lidocaine 2.5% and Prilocaine 2.5% : A topical anesthetic combination used to relieve local pain or discomfort associated with minor cuts, burns, or abrasions.

Locoid (hydrocortisone butyrate 0.1%) : A topical steroid used to treat dermatoses (inflamed and itchy skin lesions) and seborrheic dermatitis (a skin condition that causes flaky, yellowish-white scales that form on oily areas such as the scalp or inside the ear).

Loprox (ciclopirox) : Used as an antifungal that cures most jock itch (tinea cruris), athlete’s foot (tinea pedis), and ringworm (tinea corporis).  The duration of treatment and amount to be applied varies depending on the reason for use.

Lotrim (clotrimazole) : Used as an antifungal that cures most jock itch (tinea cruris), athlete’s foot (tinea pedis), and ringworm (tinea corporis). Relieves itching, burning, cracking, and discomfort which can accompany these conditions.  The duration of treatment and amount to be applied varies depending on the reason for use.

Lustra cream (hydroquinone 4%) : Used to gradually and temporarily bleach hyperpigmented skin caused by exposure to ultraviolet (UV) light or skin conditions such as chloasma/melasma (facial skin darkening), freckles, or senile lentigines (liver spots).  It is typically applied twice daily.

Luxiq foam (betamethasone valerate 0.12%) : A topical steroid used to treat dermatoses (inflamed and itchy skin lesions) of the scalp.  It is typically applied twice daily until control is achieved.

Mentax cream (butenafine HCl 1%) : A topical antifungal cream used to treat fungal infections cause by the tinea family such as tinea corpus (ringworm) and tinea cruris (jock itch).  The duration of treatment and amount to be applied varies depending on the reason for use.

MetroLotion (metronidazole 0.75%) : Used to treat inflamed papules and pustules (elevated skin lesions) caused by rosacea, decubitus ulcers (bedsores), or perioral dermatitis (small red bumps around the mouth).

Minoxidil 2% Topical Solution : A solution applied to the scalp used to treat hair thinning or loss.  At least twice daily applications for 4 months is required before results can be expected.

Mometasone 0.1% : A medium potency topical steroid used to treat dermatoses (inflamed and itchy skin lesions).

Mupirocin 2% cream/ointment : A topical antibiotic use to treat impetigo and other skin infections caused by certain types of bacteria.

Noritate cream/Metrogel (metronidazole 1%) : Available in a cream or gel, it is used to treat inflamed papules and pustules (elevated skin lesions) caused by rosacea, decubitus ulcers (bedsores), or perioral dermatitis (small red bumps around the mouth).

Nystatin (100,000 units/gram) : A topical antifungal used to treat skin infections caused by the Candida family (Any of the yeastlike imperfect fungi of the genus Candida that are normally present on the skin and in the mucous membranes of the mouth, intestinal tract, and vagina, and that may become pathogenic, especially C. albicans, the causative agent of thrush).

Nystatin and triamcinolone (100,00 units/0.1%) : A topical antifungal and steroid combination used to treat skin infections caused by the Candida family (see above definition).

Olux-E foam (clobesatol propionate 0.05%) : For the short-term topical treatment of moderate to severe dermatoses of the scalp and mild to moderate plaque-type psoriasis (thick red patches with silver scales).  Typically is applied to the affected area twice daily.

Oxistat (oxiconazole nitrate 1%) : A topical antifungal used to treat tinea pedis (athlete’s foot), tinea cruris (jock itch), and tinea corporis (ringworm) infections.  The duration of treatment and amount to be applied varies depending on the reason for use.

Permethrin 5% cream : Used to treat scabies (body lice).  It should be thoroughly applied to the skin (neck-to-toe) and left on the skin for 8-14 hours and then washed off.

Picato gel (ingenol mebutate) : Used to treat actinic keratosis (a precancerous, thick, scaly patch of skin in a sun-exposed area).  If it is applied to the face and scalp, it is used once daily for 3 consecutive days.  If applied to the trunk, arms or legs, it is applied for 2 consecutive days.

Pramosone (hydrocortisone acetate and pramoxine HCl) :  A topical steroid and local anesthetic combination used to treat dermatoses (inflamed and itchy skin lesions).

Prascion cleanser (sodium sulfacetamide 10% and sulfur 5%) : A cleanser used to treat acne, rosacea, and seborrheic dermatitis (a skin condition that causes flaky, yellowish-white scales that form on oily areas such as the scalp or inside the ear) by killing some acne-causing bacteria on the skin.

Topicort (desoximetasone) : For the relief of the inflammatory (redness, swelling, and itchy) or pruritic (itchy) manifestations.

Protopic ointment (tacrolimus) : For short-term and noncontinuous chronic treatment of moderate to severe atopic dermatitis (eczema).  It is used after other treatments have failed.  A thin layer is applied to the affected skin twice daily.

Regranex Gel (becaplermin) : For the treatment of diabetic foot ulcers in combination with good ulcer-care practices (ie frequent foot checks, pressure relief).  Regranex may increase the incidence of complete wound healing.  The amount applied varies depending on the size of the ulcer.

Renova (tretinoin emollient cream) : For treatment of facial wrinkles, brown spots,  and surface roughness associated with chronic sun exposure.  It is typically used in combination with sun avoidance.  The face should be washed before application.  The cream can be applied 30 minutes after wash.  It may take up to 24 weeks to notice improvement.

Retin-A Micro 0.04% and 0.1% (tretinoin): For the treatment of acne.  Typically it is applied once daily in the evening before bed.  The entire affected area should be covered lightly (pictured as pump above).

Salvax, Salacyn (salicylic acid) : For treatment of psoriasis, dandruff, corns, calluses, and warts.  It works by removing keratin (the outer layer of skin).  It comes in many different formulations (lotions, shampoos, liquids, gels, foams and patches) and strengths.

Sklice lotion (ivermectin) : For the treatment of head lice.  Enough lotion should be applied to dry hair to coat the scalp.  The lotion should be left on for 10 minutes, and then rinsed off with water.  A fine-tooth comb should also be used to remove the lice and eggs that are killed by the lotion.

Spectazole (econazole) : Topical cream is recommended for the treatment of tinea corporis (ringworm), tinea cruris (jock itch), and tinea pedis (athlete's foot).

SSD (silver sulfadiazine ) : For the prevention and treatment of infection in second- and third-degree burns.  It should be applied with a gloved hand twice daily.  The burned area should be covered by the cream at all times.

Sulfamylon (mafenide) : Used to control bacterial infections on second- and third-degree burns.  Typically is applied under moist dressings once or twice daily until healing is progressing.

Sumaxin (sulfur and sulfacetamide) : For the treatment of acne, rosacea, and seborrheic  dermatitis (an inflammatory skin that can affect the skin, face and torso).  It can be applied in a thin film 1-3 times daily.

Taclonex (calcipotriene and betamethasone) : Taclonex is available in an ointment for the skin and a topical suspension for the scalp. It is used to treat psoriasis in patients over the age of 18.  The ointment can be applied to the affected area once daily for up to 4 weeks.  The suspension can be applied to the scalp once daily for 2 weeks.

Tazorac (tazarotene) : For the treatment of Psoriasis, and acne.  It should be applied to the affected area(s) in the evening after the skin is gently washed.  If dryness occurs, it can be applied every other day.

Tersi (selenium sulfide) : For the treatment of dandruff, tinea versicolor (a skin discoloration).  If used for dandruff, typically it is applied twice weekly.  For tinea versicolor, it is applied once daily for 7 days by lathering into the affected area with a small amount of water.

Tetrix : Tetrix is used to decrease itching and burning of the skin in conditions such as eczema. A thin layer should be applied to the affected area 2-3 times daily.

Trixaicin (capsaicin) : For the treatment of nerve pain, specifically pain associated with postherpetic  neuralgia (pain that lasts for over 1 month after a Shingles infection).

Ulesfia (benzyl alcohol) : For the treatment of head lice.  Enough lotion should be applied to dry hair to coat the scalp.  The lotion should be left on for 10 minutes, and then rinsed off with water.  A fine-tooth comb should also be used to remove the lice and eggs that are killed by the lotion.

Vaniqa (eflornithine) : Vaniqa is used for the reduction of facial hair in women.   It is used twice daily, with at least 8 hours in between treatments.  Vaniqa has only been studied on the face and chin and should not be applied to other areas of the body.

Vanos (fluocinonide) : A cream used to decrease inflammation and itching in psoriasis.  Typically a thin layer is applied to the affected area 2-4 times daily depending on the severity of the condition.

Veltin, Ziana (clindamycin phosphate and tretinoin) : For the treatment of acne.  Typically a pea-sized amount is applied to the entire face once daily at bedtime.

Verdeso (desonide) : For the treatment of atopic dermatitis (eczema).  Typically a thin layer of foam is applied to the affected area twice daily.

Voltaren gel (diclofenac) : For the topical treatment of arthritis in the hands and knees. It has not been studied for use on the spine, hip, or shoulder.  It can be applied up to 4 times daily, and the dose is measured using dosing cards.

Vusion (miconazole/zinc oxide) : For the treatment of diaper rash in patients who also have a fungal infection called candidiasis.  Vusion is used in combination with frequent diaper changes and gentle cleansing of the diaper area. It should be applied to the diaper area at each diaper change for 7 days.

X-Viate (urea) : X-Viate can be used to treat a number of skin conditions including dry skin, rough skin, psoriasis, eczema, as well as corns and calluses.  It is typically applied to the affected area twice daily.

Zovirax (acyclovir) : Zovirax is available in both cream and ointment formulations.  It can be used for the initial management of genital herpes.  It is also used for the treatment of recurrent herpes labialis (cold sores).  It is typically applied 4-6 times daily for 4-7 days, depending on the reason for use.

Zyclara (imiquimod) : For treatment of genital warts, superficial basal cell carcinoma (a type of skin cancer), and actinic keratoses (a thick, scaly patch of skin that is premalignant).  Depending on the reason for use, the amount that is applied varies.  However, the cream is typically left on for 8 hours and then washed off with mild soap and water.


Michael Eliason, Nicholas Venvertloh, Meghan Laurin

Student Pharmacists, PharmD Candidates 2013



 

Peace of Mind with Every Prescription

 

What did you think of this article?




Trackbacks
  • No trackbacks exist for this post.
Comments
  • No comments exist for this post.
Leave a comment

Submitted comments are subject to moderation before being displayed.

 Name

 Email (will not be published)

 Website

Your comment is 0 characters limited to 3000 characters.