Podcast
Questions and Answers
What is the minimum recommended duration for treating deep pyoderma?
What is the minimum recommended duration for treating deep pyoderma?
- At least 2 weeks after resolution of clinical lesions
- At least 1 week after symptoms appear
- At least 3 weeks following clinical resolution
- At least 4-6 weeks including not less than 2 weeks after resolution of clinical lesions (correct)
Which type of antibiotic is oxytetracycline classified as?
Which type of antibiotic is oxytetracycline classified as?
- Bacteriostatic, time-dependent (correct)
- Bacteriostatic, concentration-dependent
- Bactericidal, concentration-dependent
- Bactericidal, time-dependent
What mechanism do sulfonamides and dihydrofolate reductase inhibitors primarily target?
What mechanism do sulfonamides and dihydrofolate reductase inhibitors primarily target?
- Folic acid production (correct)
- RNA synthesis
- Protein synthesis
- Cell wall synthesis
Which condition is cited as a common use for lincosamide antibiotics?
Which condition is cited as a common use for lincosamide antibiotics?
What is often combined with sulfadiazine to enhance its effect?
What is often combined with sulfadiazine to enhance its effect?
What is the primary mechanism of action of oclacitinib?
What is the primary mechanism of action of oclacitinib?
Which of the following is a known adverse effect of ciclosporin?
Which of the following is a known adverse effect of ciclosporin?
What specific cytokine does lokivetmab target?
What specific cytokine does lokivetmab target?
What is a potential unwanted effect of oclacitinib due to its mechanism of action?
What is a potential unwanted effect of oclacitinib due to its mechanism of action?
How long may it typically take for improvement to occur when starting treatment with certain anti-inflammatory therapies?
How long may it typically take for improvement to occur when starting treatment with certain anti-inflammatory therapies?
What is the primary action of glucocorticoids in the treatment of allergic dermatitis?
What is the primary action of glucocorticoids in the treatment of allergic dermatitis?
How do calcineurin inhibitors function in the management of atopic dermatitis?
How do calcineurin inhibitors function in the management of atopic dermatitis?
Which of the following is a mode of action of oclacitinib in treating pruritis?
Which of the following is a mode of action of oclacitinib in treating pruritis?
What is a primary characteristic of lokivetmab in treating atopic dermatitis?
What is a primary characteristic of lokivetmab in treating atopic dermatitis?
When considering therapy for atopic dermatitis, which factor should NOT be taken into account?
When considering therapy for atopic dermatitis, which factor should NOT be taken into account?
What is an effect of using alpha-2-adrenoceptor agonists like xylazine in mammals?
What is an effect of using alpha-2-adrenoceptor agonists like xylazine in mammals?
Which of the following is a commonly used glucocorticoid?
Which of the following is a commonly used glucocorticoid?
What is the purpose of insect growth regulators like methoprene?
What is the purpose of insect growth regulators like methoprene?
What strategy is recommended for stopping chronic glucocorticoid therapy?
What strategy is recommended for stopping chronic glucocorticoid therapy?
Which medication is an example of a calcineurin inhibitor?
Which medication is an example of a calcineurin inhibitor?
Which medications act as H1-receptor antagonists to counteract allergic responses?
Which medications act as H1-receptor antagonists to counteract allergic responses?
What is the recommended duration for administering essential fatty acids to observe their effects?
What is the recommended duration for administering essential fatty acids to observe their effects?
What common side effect is associated with glucocorticoids like prednisolone?
What common side effect is associated with glucocorticoids like prednisolone?
Which combination is commonly formulated for effective ectoparasitic control?
Which combination is commonly formulated for effective ectoparasitic control?
Which class of antibacterial medications is well-known for treating skin diseases?
Which class of antibacterial medications is well-known for treating skin diseases?
How does ciclosporin primarily exert its therapeutic effects?
How does ciclosporin primarily exert its therapeutic effects?
Which mechanism of action do adult ectoparasiticides like ivermectin utilize?
Which mechanism of action do adult ectoparasiticides like ivermectin utilize?
What is a key consideration when selecting anti-inflammatory agents for skin diseases?
What is a key consideration when selecting anti-inflammatory agents for skin diseases?
What is the main advantage of allergen-specific immunotherapy?
What is the main advantage of allergen-specific immunotherapy?
Which antifungal is the systemic choice commonly selected for treatment?
Which antifungal is the systemic choice commonly selected for treatment?
What do insect growth regulators specifically target in the lifecycle of insects and arthropods?
What do insect growth regulators specifically target in the lifecycle of insects and arthropods?
What is the mechanism of action for fipronil?
What is the mechanism of action for fipronil?
Which ectoparasiticide should not be used in rabbits due to potential severe side effects?
Which ectoparasiticide should not be used in rabbits due to potential severe side effects?
Which insecticide belongs to the neonicotinoid group and has high affinity for post-synaptic nicotinic ACh receptors?
Which insecticide belongs to the neonicotinoid group and has high affinity for post-synaptic nicotinic ACh receptors?
What is the active component of macrocyclic lactones that opens glutamate-chloride channels?
What is the active component of macrocyclic lactones that opens glutamate-chloride channels?
Which ectoparasiticide is particularly known for its neurotoxic effects in cats?
Which ectoparasiticide is particularly known for its neurotoxic effects in cats?
Which of the following mechanisms do pyrethroids primarily employ to affect ectoparasites?
Which of the following mechanisms do pyrethroids primarily employ to affect ectoparasites?
Amitraz is primarily used to treat which types of parasites?
Amitraz is primarily used to treat which types of parasites?
Which of the following statements best describes the action of neonicotinoids?
Which of the following statements best describes the action of neonicotinoids?
Flashcards
What is the mechanism of action of tetracyclines?
What is the mechanism of action of tetracyclines?
Tetracyclines are a class of antibiotics that inhibit protein synthesis in bacteria, resulting in a bacteriostatic effect. This means they stop the bacteria from multiplying but don't directly kill them. Their effectiveness is time-dependent, meaning the longer they are present, the more effective they are.
How do sulfonamides and dihydrofolate reductase inhibitors work?
How do sulfonamides and dihydrofolate reductase inhibitors work?
Sulfonamides and dihydrofolate reductase inhibitors, often combined as trimethoprim-sulfamethoxazole (TMP-SMX), interfere with the production of folic acid in bacteria. This disrupts their ability to synthesize purines, essential building blocks for DNA. This action is bactericidal, meaning it directly kills bacteria, and is time-dependent.
What is the mechanism of action of lincosamides?
What is the mechanism of action of lincosamides?
Lincosamides are a group of antibiotics that inhibit protein synthesis in bacteria, leading to a bacteriostatic effect. Their action is time-dependent, meaning their effectiveness increases with longer exposure.
What does it mean for an antibiotic to be 'time-dependent'?
What does it mean for an antibiotic to be 'time-dependent'?
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What does 'bacteriostatic' mean?
What does 'bacteriostatic' mean?
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Itraconazole
Itraconazole
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Ectoparasiticides
Ectoparasiticides
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Macrocytic Lactones
Macrocytic Lactones
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Fipronil
Fipronil
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Neonicotinoids
Neonicotinoids
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Pyrethroids
Pyrethroids
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Amitraz
Amitraz
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Demodicosis
Demodicosis
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What does oclacitinib do?
What does oclacitinib do?
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What is Lokivetmab (Cytopoint)?
What is Lokivetmab (Cytopoint)?
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What are JAK inhibitors?
What are JAK inhibitors?
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What are some side effects of ciclosporin?
What are some side effects of ciclosporin?
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What's ciclosporin used for in dogs?
What's ciclosporin used for in dogs?
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What are alpha-2-adrenoceptor agonists?
What are alpha-2-adrenoceptor agonists?
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What are insect growth regulators?
What are insect growth regulators?
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What is an adulticide?
What is an adulticide?
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What is a combination product for insect control?
What is a combination product for insect control?
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What are glucocorticoids?
What are glucocorticoids?
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What are calcineurin inhibitors?
What are calcineurin inhibitors?
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What is polydipsia, polyuria, and polyphagia?
What is polydipsia, polyuria, and polyphagia?
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What is iatrogenic hyperadrenocortism?
What is iatrogenic hyperadrenocortism?
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Glucocorticoids' mode of action
Glucocorticoids' mode of action
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Calcineurin inhibitors' mode of action
Calcineurin inhibitors' mode of action
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Janus kinase (JAK) inhibitors' mode of action
Janus kinase (JAK) inhibitors' mode of action
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Lokivetmab's mode of action
Lokivetmab's mode of action
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Antihistamines' mode of action
Antihistamines' mode of action
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How do antihistamines work?
How do antihistamines work?
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What are the limitations of antihistamines for treating allergies?
What are the limitations of antihistamines for treating allergies?
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How do essential fatty acids help manage allergies?
How do essential fatty acids help manage allergies?
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What is allergen-specific immunotherapy?
What is allergen-specific immunotherapy?
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What are some commonly used antibacterial medications for skin infections?
What are some commonly used antibacterial medications for skin infections?
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What are common topical and systemic antifungals for skin infections?
What are common topical and systemic antifungals for skin infections?
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How do adult ectoparasiticides work?
How do adult ectoparasiticides work?
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Study Notes
Therapeutics for Skin
- The presentation covers various medications used to treat skin conditions in animals.
- Different classes of medications are used to treat various aspects of skin conditions, including infections, infestations, inflammation and allergies.
- Learning outcomes include describing the classes of medications used for skin disease, modes of action of anti-inflammatory drugs, long-term corticosteroid regimens, and distinguishing between anti-inflammatory agents.
Drug Therapies
- Infections and infestations: Antimicrobials (antibiotics, antifungals, antiyeast) and ectoparasiticides are used
- Inflammation and allergies: Glucocorticosteroids, cyclosporin, oclacitinib, lokivetmab, antihistamines, and essential fatty acids are used.
Antibacterials
- Inhibit cell wall synthesis: Penicillins, cephalosporins, carbapenems, monobactams, vancomycin.
- Inhibit protein synthesis: Aminoglycosides, chloramphenicol, tetracyclines, clindamycin, macrolides, fusidic acid, streptogramins.
- Inhibit nucleic acid synthesis: Fluoroquinolones, metronidazole, rifamycins, sulfonamides, trimethoprim
β-lactam antibiotics
- Inhibit bacterial growth by interfering with the transpeptidation of bacterial cell wall synthesis.
- Bactericidal, time-dependent.
- Examples include amoxicillin and cefalexin.
- Duration of treatment varies depending on the severity of the condition.
Tetracyclines
- Inhibit protein synthesis in susceptible bacteria.
- Bacteriostatic, time-dependent.
- Examples include oxytetracycline and doxycycline.
Sulfonamides, DRIs, and combination antibiotics
- Inhibit the production of folic acid, which affects purine synthesis.
- Usually combined (TMS), which is bactericidal, time-dependent.
- Inhibit protein synthesis, are bacteriostatic, and time-dependent.
- Examples include clindamycin.
Fusidic acid and Polymyxin B
- Fusidic acid inhibits bacterial protein synthesis (bacteriostatic), but in high concentrations can be bactericidal.
- Effective against Gram-positive bacteria, particularly Staphylococcus pseudintermedius.
- Polymyxin B disrupts bacterial cytoplasmic membranes, which is bactericidal, and is effective against Gram-negative bacteria.
Antifungals and antiyeasts- Topical
- Imidazoles (miconazole, ketoconazole, enilconazole) inhibit ergosterol incorporation, increasing cell wall permeability and leakage
- Miconazole is an antifungal with activity against yeasts.
- Nystatin is a broad-spectrum antifungal, effective against Candida.
Antifungals- Oral
- Triazoles, such as itraconazole, are the systemic treatment of choice.
- Griseofulvin is absorbed over a prolonged period and prevents fungal invasion of cells
Ectoparasiticides- general mechanisms
- Act on the nervous system (AChE inhibitors, Na + channel blockers, nicotinic ACh receptor antagonists, GABA and Cl- channel inhibitors)
- Inhibit insect growth and development.
- Ectoparasite repellent
Ectoparasiticides
- Macrocyclic lactones (selamectin, ivermectin, moxidectin) affect open glutamate-chloride channels.
- Phenylpyrazoles (fipronil), are insecticides and acaracides that inhibit the GABA complex, impacting chloride channels, potentially causing seizures in rabbits.
- Imidacloprid and nitenpyram belong to the neonicotinoid insecticides and are highly effective on post-synaptic nicotinic receptors, causing paralysis.
- Pyrethroids (permethrin/cypermethrin/flumethrin) affect sodium channels, initially causing excitement followed by paralysis.
- Amitraz is a formamidine insecticide/acaracide that increases nervous activity, leading to rapid detachment and death of parasites.
Ectoparasiticides (Insect growth regulators)
- Insect growth regulators (e.g., methoprene) affect developing stages of insects (eggs, pupae, larvae) and arthropods but not the adult parasite.
Bewildering number of products
- There are many medications available for treatment of skin conditions, pet owners may request specific kinds.
- Clinicians should follow a practice policy to make appropriate treatment decisions.
Allergy and inflammation
- Inflammation is complex and involves multiple inflammatory mediators.
Glucocorticoids
- Are highly effective anti-inflammatory drugs.
- Examples include prednisolone and dexamethasone.
- Have wide-ranging side effects.
- Long-term use needs careful tapering of dosages to prevent adrenal atrophy.
Calcineurin inhibitors
- Ciclosporin has more targeted T-cell suppression than glucocorticoids.
- Inhibits activation of T-lymphocytes by reducing IL-2 production.
Oclacitinib
- A Janus kinase (JAK) inhibitor, it inhibits a variety of cytokines associated with allergic responses.
Lokivetmab
- A caninised monoclonal antibody that targets the pro-inflammatory cytokine interleukin-31 (IL-31).
Other anti-inflammatory therapies
- Antihistamines (e.g., chlorphenamine) antagonize histamine binding to H1 receptors.
- Essential fatty acids (omega-3 and omega-6) might have a weak anti-inflammatory effect.
Key Points
- Summarizes the main points from each section.
- Highlights various medications and treatment approaches.
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