Justin Lippincott d'o'b 3111985

1
Justin Lippincottd.o.b 3/11/1985

• Medications?

2
Sunscreen recommendations?

• Formulation considerations
• UV spectrum
• Other advice

3
Frank Jenningsd.o.b. 6/13/1934

• Medications
• Zestoretic 20/25 1 qd
• Toprol XL 50 mg 1 qd
• Pravachol 40 mg 1 qd
• Wellbutrin SR 150 mg 1 bid
• Diclofenac 75 mg 1 bid

4

• Photosensitivity
• Photoallergy
• Phototoxicity
• Tetracyclines
• Sulfonamides
• Antineoplastics
• Hypoglycemics
• Thiazides
• Phenothiazines
• Others

5

• UVA 320-400 nm
• Aging, DNA damage, photosensitivity
• Avobenzone, dioxybenzone, menthyl anthralite,
  oxybenzone (to 350)
• UVB 290-320 nm
• Erythema, wrinkling, skin CA
• Oxybenzone, octyl methoxycinnamate, octyl
  salicylate, padimate O
• Both 290-770 nm
• Titanium dioxide
• Zinc oxide

6
Skin cancer

• Malignant melanoma (3)
• Fair skin, moles, family history, excess sun
  exposure
• Nonmelanoma skin cancer
• Basal cell carcinoma (75)
• Increased risk with childhood sun exposure
• Squamous cell carcinoma (20)
• Blonde or red hair, freckling, light skin, burn
  rather than tan

7
Early detection

• A- asymmetric shape
• B- border irregularity or poorly defined border
• C- color variation within the same lesion
• D- diameter larger than 6 mm

8
Jenna OBriand.o.b. 5/14/2001wt. 48 lb

• New prescription for amoxicillin 125/5
• 2 tsp bid

9

• MED
• SPF
• Instructions for use
• Other recommendations