Janie is an 18-year-old who presents to clinic with a concern that her acne has worsened since she started college. She currently is using a benzoyl...
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Janie is an 18-year-old who presents to clinic with a concern that

her acne has worsened since she started college. She currently is using a benzoyl peroxide 5% wash once a day. This regimen has helped some, but she is still having breakouts of acne. She is healthy with no medical problems and takes no medications. Janie has a pattern of moderate pustular acne in the "T-zone" of her face. Her cheeks are relatively clear. There is no acne on her chest or back.


Questions:
What additional information (e.g., clinical findings, laboratory test results) will confirm the diagnosis? (Note: the focus is on pharmacotherapy and the diagnosis will be provided)


What are your differential diagnoses for this patient?


What is(are) the desired treatment outcome(s)?


For infectious diseases: what are the suspected pathogens for this type of infection in this patient?


What are the desired treatment outcome(s)?


What non-pharmacological therapy would you recommend?


How would your pharmacotherapeutic plan differ, based on special population patients (such as children, obstetrics, geriatrics, etc)?


What pharmacotherapeutic plan (include prescription and non-prescription drugs) would you design for this patient? Rationale for pharmacotherapy to include mechanism(s) of action list drug(s), dose, route of administration, frequency, duration of treatment and one monitoring parameter.


What are the clinically significant adverse effects and drug interactions for the agents discussed?


How will you monitor the patient's response to therapy?


How will you counsel your patient about the pharmacotherapeutic plan?
 

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