Case Study 1
Nanyang Hospital
180 Ang Mo Kio Ave 8
Singapore 569830
Tel: 6550 0000
Wu Ming Wing
IC: S9217689Z
Blk 769 Pipe Street
#17-41
Singapore 777769
Date Packed by Dispensed by Supplied Balance
S/N Description Duration
1 Doxycycline 100mg om 1 months
2 Differin Gel on 1 months
3 Clindamycin Lotion bd 1 months
4
5
6
7
4 Jul 2009 Dr Arnold Sim
Date Doctor’s Name Doctor’s Signature
What are the important counselling point when dispense the medications?
Case Study 2: Patient Presentation
A secondary school girl come to your pharmacy asking you some preparation for pimple treatment. She had some close comedone in her forehead and 4 minor outbreak at the T zone area. Her friend recommended her this brand called PanOxy. After looking through the counter, she found that there are three types, namely, 2.5, 5 and 10. She is asking you which one is suitable for her. Besides, she wanted you to recommend her a antibacterial facial wash.
1. What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
2. What others alternative which contain the same ingredient besides PanOxy?
3. What is the different between different Dosage Form?
4. What type of antibacterial face wash that you can recommend to her?
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
6. What are the other advice can you give her when she is using acne treatment product?
Case Study 1
ReplyDeleteWhat are the important counselling point when dispense the medications?
Doxycycline:
-1 capsule is to be taken every morning for 1 month.
-This is an antibiotic and it is to be taken at regular intervals. Do not skip any doses. Continue to take it even when you feel better. You must complete the entire course of antibiotic. If you don't, the infection will not clear completely.
-Take the capsule together with food or immediately after a meal, with a full glass of water in a sitting or standing position. Do not lie down within half an hour after swallowing it.
-Common side effects: diarrhoea, nausea, vomiting and stomach discomfort. These side effects are usually temporary. If you have diarrhoea, drink lots of water to replace the fluids lost. However, if you have severe diarrhoea or diarrhoea with severe stomach cramps or bloody stools, alert your doctor.
-If you develop rashes, breathlessness, swollen mouth or eyes, stop the medicine and inform your doctor quickly. These could be signs of an allergic reaction.
-While taking this medicine, may cause your skin to be more sensitive to sunlight. Avoid direct and long hours of exposure to the sun and other forms of ultraviolet (UV) light like tanning beds or sun lamps.
-Avoid alcohol.
-Do not take capsule with dairy products such as milk, cheese, yoghurt or ice-cream. These could reduce the effectiveness. Take the capsule at least 2 hours before or after you have taken any dairy products.
Differin Gel
-The gel is to be applied on affected area every night for 1 month.
-Avoid contact with eyes, lips, angles of the nose & mucous membranes. Do not apply to cuts, abrasions and severe acne. Minimize exposure to excessive sunlight, including sunlamps.
-Some side effects: scaling, dryness, burning
-Wash your hands after applying the gel to affected area.
Clindamycin Lotion
-Lotion is to be applied to affected area twice daily for 1 month.
-Wash your hands after applying the lotion.
-Some side effects: Skin irritation & dryness, stinging of the eye, skin oiliness.
-If you develop rashes, breathlessness, swollen mouth or eyes, stop the medicine and inform your doctor quickly. These could be signs of an allergic reaction.
Case Study 2
ReplyDelete1. What is the active ingredient in PanOxy and what is the difference in the three types of PanOxy?
Active ingredient: Benzoyl Peroxide
The difference for the 3 types of PanOxyl is that each of the type contains different strength of the active ingredient.
2. What others alternative which contain the same ingredient besides PanOxy?
Brevoxyl Cream
3. What is the different between different Dosage Form?
Different dosage forms have different instructions on how to use them.
PanOxyl Bar is used by washing the affected area for 1 to 2 minutes and rinse thoroughly with water.
PanOxyl (2.5, 5 or 10) is a lotion or gel. Clean and pat dry the skin to be treated. It is then applied in a thin layer and rubs in the area gently.
4. What type of antibacterial face wash that you can recommend to her?
Acnederm® foaming wash
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
Cetrimide. It has actions and uses typical of cationic surfactants which dissociates in aqueous solution into a smaller inactive anion and into a large and complex cation which is responsible for the surface activity. It has bactericidal activity against gram-positive bacteria.
6. What are the other advice can you give her when she is using acne treatment product?
-Use on the skin only. Avoid getting it in your eyes, nose, or mouth, on highly inflamed or damaged skin, or on your lips. If you get them in your eyes, immediately wash them out with cool tap water.
-Do not apply acne treatment product to raw or irritated skin, including sunburns, or to open wounds.
-Talk with your doctor before you use any other medicines, special cleansers, aftershave, or cosmetics on your skin.
-Common side effects: Dryness; feeling of warmth, irritation, itching, mild peeling, redness.
Case Study 1
ReplyDeleteWhat are the important counselling point when dispense the medications?
Doxycycline
1.This is Apo-Doxy(Doxycycline).It is for your bacterial infection.
2.Take 1 tablet every morning for 1 month.
3.Take tablet with food.
4.Take dose with full glass of water and remain upright for at least 30 minutes.You do not have to stand up for 30 minutes, just prevent from lying down will do.
5.Remember to take dose in an upright position as well.
6.Avoid taking with dairy products like milk.
7.It may cause photosensitivity, so avoid under the sun or going for sun tanning.Apply sun block lotion whenever you need to go out.
8.Do not take if pregnant or trying to become pregnant.
9.Do not take if wisdom tooth is growing. (tooth development, check with doctor)
10.Some side effects include nausea, vomitting and diarrhoea.
11.To prevent gastric side effects like nausea, vomitting and diarrhoea, take tablet with food or after food.
12.If you experience diarrhoea, try to replenish fluid loss by drinking water and taking more fruits and vegetables. However, if diarrhoea or any side effects are too severe, consult doctor immediately.
13.Avoid alcohol during course of medication.
14.As this medication is an antibiotics, remember to complete the whole course of medication, even if you feel better.
15.Try to take at the same time every morning.
Differin Gel
1.This is Differin Gel. It is for your acne.
2.Apply once daily to affected areas every night for 1 month.
3.Apply after bathing and before going to bed.
4.Avoid contact with eyes, lips, angles of the nose and mucous membranes.
5. Do not apply to cuts, abrasions or severe acne.
6.Minimise exposure to excessive sunlight, including sunlamps.
7.Some side effects include itching, dryness and burning sensations.
8. Do not wet the area that you have applied with gel. (apply after bathing)
9. Wash hands before and after use.
Clindamycin Lotion
1.This is Clindamycin Lotion. It is for your acne.
2.Apply to affected area, twice daily for 1 month.
3.Some side effects include skin irritation and dryness.
4.Avoid contact with eyes, lips or mucous membranes.
5.Remember to wash hands before and after use.
Case Study 2
ReplyDelete1.What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
Ans: The active ingredient for PanOxyl is
benzoyl peroxide. The difference in the 3 types of PanOxyl is the different strengths of Benzoyl Peroxide.
2. What others alternative which contain the same ingredient besides PanOxy?
Ans:Acnacyl® [gel]
3. What is the different between different Dosage Form?
Ans:PanOxyl is available in bar and gel form.
For PanOxyl bar, its like your normal cleanser where you wash affected area for 1-2 minutes and then rinse it away.
For the PanOxyl gel, you do not need to rinse the gel away. Just apply after bathing.
4.What type of antibacterial face wash that you can recommend to her?
Ans: She can use Acnederm foaming wash.
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
Ans: Salicylic Acid
Salicylic acid is a mild comedolytic agent and surface keratolytic agent.It has a potent keratolytic action and a slight antiseptic action when applied topically. It softens and destroys the stratum corneum by increasing endogenous hydration which causes the horny layer of the skin to swell, soften, and then desquamate.
6. What are the other advice can you give her when she is using acne treatment product?
Ans:
Firstly, I would recommend her the PanOxyl 2.5 first. If she feels that her condition doesnt improve,I would then recommend the PanOxyl 5 or PanOxyl 10.
1.Apply thin layer to affected area once daily.
2.Avoid eyes, nose or mucous membranes.
3.Avoid going under the sun as it might cause skin sensitivity. Avoid sun tanning etc.
4.Avoid using on inflammed or broken skin.
5.Consult doctor if skin alergies occur(rashes).
5.Other advises would be:
-It can be triggered by high levels of humidity and sweating. So try to wipe sweat whenever possible.
-Try not to use hands to touch affected areas.
-Drink more water, take more fruits and vegetables.
Case study 1
ReplyDeleteDoxycycline
- It is an antibiotic. It is used to treat
bacteria infection.
- One tablet to be taken every morning for one
month.
- It should be taken with food (take with full
glass of water & remain upright for at least
½ hour.)
- Avoid taking it with dairy product.
- It may cause nausea , vomiting and diarrhea.
- Do not use doxycycline if you are pregnant. It
can make birth control pills less effective.
- Do not use this medication if you are allergic
to doxycycline.
- Take doxycycline exactly as it was prescribed
for you. Do not take the medication in larger
amounts, or take it for longer than
recommended by your doctor. Follow the
directions on your prescription label.
- Take doxycycline for the entire length of time
prescribed by your doctor. Your symptoms may
get better before the infection is completely
treated. Doxycycline will not treat a viral
infection such as the common cold or flu. Do
not give this medicine to another person, even
if they have
the same condition you have.
- If you need to have any type of surgery, tell
the surgeon ahead of time that you are taking
doxycycline. You may need to stop using the
medicine for a short time.
- Throw away any unused drug when it expires or
when it is no longer needed. Do not take any
of it after the expiration date printed on the
label. It will cause damage to kidneys.
- It can cause diarrhea, which may be a sign of
a new infection. If you have diarrhea that is
watery or has blood in it, call your doctor.
Do not use any medicine to stop the diarrhea
unless your doctor has told you to.
- Avoid exposure to sunlight or artificial UV
rays (sunlamps or tanning beds). It can make
your skin more sensitive to sunlight and
sunburn may result. Use a sunscreen (minimum
SPF 15) and wear protective clothing if you
must be out in the sun.
- Do not take iron supplements, multivitamins,
calcium supplements, antacids, or laxatives
within 2 hours before or after taking it.
Differin Gel
- It is used to treat acne.
- Apply once daily to affected areas after
washing & before going to bed for one month.
- Avoid contact w/ eyes, lips, angles of the
nose & mucous membranes.
- Do not apply to cuts, abrasions, eczematous
skin, severe acne.
- Minimise exposure to excessive sunlight,
including sunlamps. Take measures to protect
yourself from overexposure.
- Use it exactly as prescribed. Applying
excessive amounts or using the gel more than
once a day will not produce better results and
may cause severe redness, peeling, and
discomfort.
- If you have an allergic reaction or severe
irritation, stop using the medication and call
your doctor.
- In the first few weeks of treatment, your acne
may actually seem to get worse. This just
means that the medication is working on
hidden acne sores. Continue using the product.
It can take as much as 8 to 12 weeks before
you start to see improvement in your condition.
- Avoid using Differin with any other product
that can irritate the skin, such as medicated
soaps and cleansers, soaps and cosmetics that
have a strong drying effect, and products with
high concentrations of alcohol, astringents,
spices, and lime.
Clindamycin Lotion
ReplyDelete- It is used to treat acne.
- Apply twice daily for one month.
- Shake well before each use. Clean and dry the
affected area. Cover the affected area and
surrounding areas with a thin film of medicine.
- It may cause skin irritation and dryness.
- It works best if it is used at the same time
of each day.
- It is for external use only. Do not get it in
your eyes or on the inside of your nose or
mouth. If you accidentally get the medicine in
your eye, immediately flush with a large
amount of cool tap water.
- Be sure to use it for the full course of
treatment. If you do not, the medicine may not
clear up your infection completely. The
bacteria could also become less sensitive to
this or other medicines. This could make the
infection harder to treat in the future.
- Several weeks may pass before you see
improvement in your acne. Continue using
it for the full time recommended by your
doctor.
- Talk with your doctor before you use any other
medicines or cleansers on your skin.
Case study 2
ReplyDelete1.Conent-- Benzoyl Peroxide
Three types of PanOxyl is different strength of benzoyl peroxide.
2.
- Acnacyl® (gel)
- Brevoxyl® (cream)
3.
>PanOxyl gel (2.5,5,10%)--Apply once daily. No need to rinse after applying.
>PanOxyl bar (5,10%)--Wash the affected area with PanOxyl Bar for 1 to 2 minutes. Rinse
thoroughly with water and pat skin dry with a clean towel.
>PanOxyl aquagel, wash--same with bar
4.
>Acnederm® (foaming wash)
>Content-- Cetrimide 1%, chlorhexidine gluconate 0.5%, glycerin 10%
>Administration -- Use as a face wash.
5.
- Salicylic acid
MOA
>mild comedolytic agent
>surface keratolytic agent
- Sulphur
MOA
>keratolytic agent
6.
1.PanOxyl® (acne gel)
- Apply once daily. Start with lowest strength.
- Avoid contact w/ eyes, mouth & other mucous
membranes.
- May bleach hair, clothing and bed linens.
- It may cause excessive drying, peeling,
transient stinging and burning.
- Avoid excessive sun exposure because it will
cause irritation.
- The alcohol-based product like cleanser may
exacerbate stinging and buring.
2.Acnederm® (foaming wash)
- Use it as a face wash.
- For external use only. Avoid contact with
eyes.
- If severe irritation occurs, wash affected
area and discontinue use.
Case Study 1
ReplyDeleteWhat are the important counselling point when dispense the medications?
Doxycycline:
• This medication is used to treat your acne that caused by bacterial infection.
• One capsule to be taken every morning after meal for one month.
• Take capsule with full glass of water and remain upright for at least 30 minutes. No necessary to stand up for 30 minutes, just prevent from lying down will do.
• Complete the whole course of medication.
• Avoid taking with dairy products such as milk.
• Avoid excess exposure to sunlight.
• Avoid taking with alcohol.
• This medication may cause permanent staining of teeth.
• Try to take the medication at the same time every morning.
• If breathing problem, serious rash or abnormal tiredness occurred, stop the medication immediately, contact and tell your doctor.
Differin Gel:
• This medication is used to treat your acne.
• Apply onto affected area every night for one month.
• Apply only after washing or bathing (Dry the area before applying).
• Avoid contact with eyes, lips, angles of the nose and mucous membranes.
• Do not apply the gel onto cuts, abrasions or severe acne.
• Avoid excess exposure to sunlight.
• Wash your hand before and after applying the gel.
• This medication may cause itching, dryness and burning sensations.
Clindamycin Lotion:
• This medication is used to treat your acne.
• Apply a thin layer onto affected area twice daily for one month.
• Avoid contact with eyes, lips, angles of the nose and mucous membranes.
• Wash your hand before and after applying the gel.
• Do not apply onto cuts, abrasions or severe acne.
• This medication may cause itching, dryness and oily skin.
• If serious diarrhoea or serious gastric pain occurs, stop the medication immediately, contact and tell your doctor.
Case Study 2
ReplyDelete1. What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
ANS: Active ingredient- Benzoyl peroxide 2.5%, 5%, or 10%.The different between the three types of PanOxy (2.5, 5 and 10) is the different strength of Benzoyl peroxide present.
2. What others alternative which contain the same ingredient besides PanOxy?
ANS: Akneroxid 5® gel- Benzoyl peroxide-5.5%
Acnacyl® gel - Benzoyl peroxide-5%
Benzac AC® gel- Benzoyl peroxide- 2.5%, 5%, or 10%
Brevoxyl®cream- Benzoyl peroxide- 4%
3. What is the different between different Dosage Form?
ANS: Some of them have different strength, and also depend on individual, what she/he prefer to have (gel /cream).
4. What type of antibacterial face wash that you can recommend to her?
ANS: Oxy® daily wash
5. Besides Benzoyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
ANS: Salicylic Acid
Acne is formed when skin cells inside hair follicles shed too fast and clump together, plugging up the follicle and causing a pimple.
MOA- Salicylic acid helps slow down shedding of the cells inside the follicles,preventing clogging. Salicylic acid also helps break down blackheads and whiteheads.
6. What are the other advice can you give her when she is using acne treatment product?
ANS:
PanOxy®
• Start PanOxy® with the lower strength first, if no improvement after sometime can increase the strength. (Strength from 2.5%, 5% and 10%)
• Apply on clean (No cuts, abrasions) affected area once daily.
• Avoid contact with eyes, mouth & other mucous membranes.
• Wash your hand before and after applying the gel.
• This medication may cause excessive drying, peeling, transient stinging and burning.
• This drug may bleach hair, clothing and bed linens.
• Avoid exposure to excessive sun exposure.
• Alcohol-based products such as cleansers and aftershave lotions may exacerbate stinging and burning.
Oxy® daily wash:
• Use the wash 2 to 3 times daily.
• Shake well; wet face; apply to hands, add water, work into a lather and massage gently onto face; rinse thoroughly and pat dry.
• If bothersome dryness or peeling occurs, reduce application to once a day or every other day.
• If irritation or sensitivity (rash) develops, discontinue use of both products and consult a doctor.
Important counseling points for Doxymycin 100mg
ReplyDeleteBrand: Doxymycin-100 Beacons capsule
-This medication is for treatment of your acne problem.
- One capsule to be taken with food every morning for one month.
- Take this medication with a full glass of water and remain upright of at least ½ hour.
- Complete the course of medication that is prescribed to you by the doctor. Do not discontinue the medication even though your symptoms may improve after taking it for a period of time.
- This medication may cause side effect such as nausea, vomiting, diarrhoea and photosensitivity.
- Avoid taking this medication together with dairy product, antacid and iron supplements. Take doxycycline at least 1 hour before or 2 hour apart after taking antacid, dairy product or iron supplements.
- This medication may cause photosensitivity. Advice the patient to avoid prolonged exposure to the sun and if possible, wear sunscreen when taking such compounds.
- This drug may cause diarrhoea. If diarrhoea occurs, drink plenty of water to replace for thr fluid lost through diarrhoea. However, if you experience serious diarrhoea, consult your doctor immediately.
- Avoid taking alcohol while taking this drug.
- Avoid taking this medication if you are pregnant.
- Doxycycline may decreases the effectiveness of some oral contraceptives, another form of birth control should be used while taking this drug.
- If rashes occurs after taking this medication, stopped taking the drug and consult your doctor immediately.
Important counseling point for Differin gel
-This medication is for treatment of your acne problem.
- A thin film of Differin gel to be applied to area of the face affected by the acne every night at least one hour before bedtime for one month after washing your face.
- This medication may cause side effect such as redness of skin, dryness and itching.
- Avoid contact with eyes, lips, angles of the nose and mucous membranes. This medication should not be applied to cuts, abrasions, eczematous skin or sunburned skin.
- Exposure to sunlight including sunlamps should be minimized during the use of this medication. Use of sunscreen products and protective clothing over treated areas is recommended when exposure cannot be avoided.
- During the 1st 3 week while using this medication, your acne problem may seem to get worse. However, you should continue to use the medication unless irritation or other symptoms become severe.
- Full improvement of your acne condition can be seen within 12 weeks of usage.
- Wash your hands before and after using the cream.
Important counseling points for Clindamycin lotion
- This medication is for the treatment of your acne problem.
- Shake the solution well before each use. Clean and dry the affected area before applying this medication.
- A thin film of the topical solution twice daily to area of face that affected by acne for one month.
- This lotion works best if it is used at the same time each day.
- Use this lotion for the entire length of time that was prescribed even though your symptoms may improve sometimes after use.
- This medication is for external use only. Do not get this lotion in your eyes or on the inside of your nose or mouth. If you accidentally get the medicine in your eye, immediately flush with a large amount of cool tap water.
- This medication has an unpleasant taste. Use caution when applying this lotion around the mouth.
- It may take several weeks before you can see the full benefits while using this medication.
- This medication may cause side effect such as dryness, itching and oiliness of your skin.
Case study 2: patient presentation
ReplyDelete1. The active ingredient in PanOxyl is benzoyl peroxide. The difference in the three types of Panoxyl is the strength of the benzoyl peroxide.
2. Other alternative which contain the same ingredient besides PanOxyl
- Acnacyl Gel® contains Benzoyl peroxide 5%
- Akneroxide 5 ® gel contains Benzoyl peroxide 5.5%
- Brevoxyl ® cream contains Benzoyl peroxide 4%
3. There is a different dosage form to cater to the different preference of the customers. In addition, the different dosage form contains different strength of the active ingredient in order to suit the severity of the patient condition.
4. I can recommend her Oxy® daily wash
5. Other chemical that can be used in the treatment of pimples:
- Salicylic acid which is a mild comedolytic agent and surface keratolytic agent.
-Sulphur which is a keratolytics agent.
6. Counselling point for PanOxyl gel
- start PanOxyl with the lowest strength first. If there is no improvement in your acne condition, increase the strength of the PanOxyl used.
- Avoid applying this medication on cut, broken skin or abrasion.
- Apply this medication on to clean dry skin that is affected by acne once a day.
- This medication may cause side effect such as drying of skin, transit burning and stinging effect and peeling of skin.
-Avoid using alcohol based product as it will cause irritation to the skin.
- Avoid excessive exposure to sunlight while using this medication.
Counselling points for oxy daily wash
- Wash your hands before and after applying this medication. Shake the lotion well just before each use.
- Clean and pat dry the skin to be treated. Apply a thin layer of this medication and rub in gently.
-This medication is to be applied one to three times daily.
-Benzoyl peroxide may bleach hair or fabrics. Avoid allowing this medication to come into contact with your hair or clothing.
-It may take several weeks of using this medicine before your symptoms improve.
-Avoid getting this medication in your mouth or eyes. If it does get into any of these areas, rinse with water.
Case Study 1
ReplyDeleteDoxycycline capsule
•For the treatment of your acne condition
•One capsule to be taken once daily in the morning for a duration of one month
•Should be taken with food. Take with a full glass of water & remain upright for at least half an hour. Avoid taking with dairy products.
•Take doxycycline at least 1 hour before or 2 hours after taking antacid, milk, or iron supplements.
•Side effects include:
- GI disturbance (nausea, vomiting, diarrhoea), drink water to rehydrate yourself if diarrhoea occurred.
- Photosensitivity, avoid exposure prolonged exposure to excessive sunlight. Wear sunscreen when taking doxycycline.
- Rashes
Differin Gel
•For the treatment of your acne condition
•To be applied to the affected area once daily at night for a duration of one month
•Avoid contact with eyes, lips, angle of nose.
•Do not apply to cuts, abrasions, eczematous skin, and severe acne.
•Minimize exposure to excessive sunlight, including sunlamps.
•Side effects include: redness, burning, itching, and drying.
•During first three weeks, acne may seem to get worse. Should not stop using it. Continue to use, unless irritation or other symptoms become severe.
•Full improvements should be seen within 12 weeks.
Clindamycin Lotion
•For the treatment of your acne condition
•To be applied onto affected area twice daily for a duration of one month
•Side effects included: skin irritation, dryness
•Contain an alcohol base, if come into contact with eye, may cause eye irritation and burning. If come into contact with eye, abraded skin, mucous membrane, bathe with plenty amount of cool tap water.
Case Study 2: Patient Presentation
ReplyDelete1. What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
The active ingredient in PanOxy is benzoyl peroxide.
The different between the three types of PanOxy is in the strength of benzoyl peroxide present in the gel.
2. What others alternative which contain the same ingredient besides PanOxy?
The others alternative include:
•Acnacyl gel®, 5% benzoyl peroxide × 25g
•Akneroxid 5 gel®, 5.5% benzoyl peroxide × 50g
•Benzac AC gel®, available in 2.5%, 5% and 10% × 60g
•Brevoxyl cream®, 4% benzoyl oxide × 40g
3. What is the different between different Dosage Form?
There are different dosage form (gel and/ or cream) available to cater to the different preference of individual. The dosage of active ingredient in each dosage form is also different and to dispense according to severity.
4. What type of antibacterial face wash that you can recommend to her?
I will recommend her with a wide spectrum antibacterial facial wash, which is Oxy Daily Wash.
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
•Salicylic acid
MOA: Mild comedolytic agent and surface keratolytic agent
•Sulphur
MOA: Sufuace keratolytic agent
6. What are the other advice can you give her when she is using acne treatment product?
When using PanOxy® acne gel, start with the lowest strength first, which is 2.5%.
Apply once daily onto affected area. Avoid contact with eyes, mouth, and mucous membrane. It may bleach the hair, clothes, and bed linens. Avoid exposure to excessive sunlight. Alcohol-based product, e.g. toner, cleanser, aftershave product may exacerbate stinging and burning sensation.
Side effect included: drying and peeling of skin, redness, transient stinging and burning.
Oxy Daily Wash is only for external use.
Directions of use: Wet hands, squeeze a little Oxy Daily Wash onto your hands and work into a lather. Gently smooth over your face and massage it in. Rinse thoroughly and dry gently. Avoid contact with the eye.
Use Oxy Daily Wash first, then apply PanOxy acne gel onto the affected area.
Other recommendations:
•Do not over-wash. Limit to two wash per day. Do not use harsh scrubs.
•Do not squeeze or pick the blemish. This may cause damage to the surrounding skin and most likely to leave a permanent scar. Too, will cause the bacteria deeper into the skin and cause inflammation and infection.
This comment has been removed by the author.
ReplyDeleteCase study 1
ReplyDeleteDoxycycline 100 mg om 1 month
Doryx® (modified-released capsules)
• This medication helps with the bacterial infection which will help treat acne.
• Take one capsule every morning for one month with food. Remain upright for at least half an hour. Do not take the medication with milk or other dairy product.
• You must complete the course of antibiotics.
• Contact your doctor immediately if stomach pain, cramps or severe diarrhea occur.
• You may experience nausea, gastric discomfort or sensitivity to sunlight.
• When you experience stomach discomfort, take with food.
• As doxycycline may cause you to become sunburned more easily, avoid the sun, sunlamps or tanning booths until you know how you will react to doxycycline. Use a sunscreen while you’re using doxycycline.
• If you experience itchness, rash, difficulty breathing, swelling of the mouth, face, lips or tongue, stop medication immediately and contact your doctor immediately.
• You may see improvement only after 3-6 weeks, therefore, its important to continue taking it if you see no improvement.
Differin gel on 1 month
• This medication is to help you treat acne.
• Differin should be thinly applied onto affected area, once a day at bedtime for a month.
• You may experience acne flare-ups, burning, dryness, irritation, redness and sun sensitivity. They are likely to occur during the first 2-4 weeks and usually diminish with confined treatment.
• Do not apply excessive amount as it may cause severe redness, peeling and discomfort.
• It can take as much as 8-12 weeks before you start to see improvement in your condition . So, continue using this product at all time.
Clindamycin lotion bd 1 month
• This medication is an antibiotic used to treat acne.
• Apply this lotion in a dabbing motion twice a day onto clean, dry affected area for a month.
• If you experience rashes, swelling of face, lips or eyelid, stop the medication and consult your doctor immediately.
• You may experience dryness, itchiness and oiliness when using this product.
• You must continue to use this product even if you see improvement.
Case study 2
ReplyDelete1. Panoxyl – It contains benzyl peroxide as active ingredient. The difference between the 3 products are that they are in different strength.
2. Benzac AC® (gel) – 2.5%, 5%, 10%.
3. Gel preperations are more potent dosage form. For patients with dry or overly sensitive skin, they should be recommended a milder cream, lotion or facial wash.
4. Cetaphil oily skin cleansers – mild, non-comedogenic facial wash
5. Salicylic acid, it gives the result due to its keratolytic effects.
6. Cetaphil oily skin cleansers
- Wet your skins, massage onto dry skins in circular motion and wash away soap. Wash your face with cleansers twice daily and towel dry.
Panoxyl
- I will introduce 2.5% first. If it doesn’t work out for her, I will increase the strength.
- After washing your face with cleansers, pat skin dry and apply twice daily on affected area.
- Avoid contact with eyes, mouth and other mucous membrane.
- This may bleach dyed clothing and fabrics.
- You may experience skin irritation. If you experience skin irritation, decrease frequency of use to once daily.
Other advice:
- Do not squeeze the pimples.
- Avoid contact with affected area.
- Remember to get ample sleep as its important for a healthy skin.
- Do not get too stress as stress will aggravate the acne condition. Engage in relaxing activity if needed.
Case Study 1
ReplyDeleteDoxycycline 100mg om 1 months
- One tablet (Doxycycline 100mg) to be taken once every morning for one month.
- It is an Antibiotics for the treatment of Acne. Complete whole course of Antibiotics.
- Should be taken with food. To avoid GI discomfort &
- Should be taken with at least a glass of water in an upright position for at least ½ hour.
- Avoid taking with dairy products such as milk. Or to take them at least 2hours apart.
- If you develop rashes, and have fever, consult your physician.
- This medication may also cause photosensitivity, so avoid long exposure to sun or use sunblock.
Differin Gel on 1 months
- Apply once daily to affected areas after washing & before retiring for one month.
- This is for the treatment of Acne.
- Avoid contact with eyes, lips, angles of the nose & mucous membranes. Do not apply to cuts, abrasions, eczematous skin, severe acne. Minimise exposure to excessive sunlight, including sunlamps.
- Some side effects includes: scaling, dryness, itching & burning.
Clindamycin Lotion bd 1 months
- Apply twice daily to affected area for one - This is for the treatment of Acne.
month.
- Some side effects includes: Skin irritation & dryness, abdominal pain, GI disturbances, stinging of the eye, skin oiliness.
Janella Ann
Case Study 2
ReplyDelete1. What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
Active Ingredient in PanOxy - Benzoyl peroxide
Different types; 2.5, 5 and 10 contains different strength of active ingredients. 2.5%, 5% & 10%, X 40g X 1’s.
2. What others alternative which contain the same ingredient besides PanOxy?
- Acnacyl gel® - Benzoyl peroxide 5% X 25g
- Akneroxide 5® gel - Benzoyl peroxide 5.5% X 50g
- Brevoxyl® cream - Benzoyl peroxide 4% X 40g
3. What is the different between different Dosage Form?
Different dosages contain different strengths for different severities. And different dosage form eg Acnacyl® gel and Bervoxyl® cream for her preference.
4. What type of antibacterial face wash that you can recommend to her?
Avene® antibacterial cleanser
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
Salicylic Acid 0.5-2%
- mild comedolytic agent
- surface keratolytic agent
Sulphur 3-10%
- keratolytic agent
6. What are the other advice can you give her when she is using acne treatment product?
PanOxyl® Acne gel
Apply once daily. Commence with lowest strength (2.5%).
Avoid contact with eyes, mouth & other mucous membranes.
Clean skin gently, try not to touch skin and avoid sun.
Janella Ann
Case Study One
ReplyDeleteDoxycycline
Brand name: Doxymycin-100
- This medication is for treatment of your acne.
- One capsule to be taken every morning for one month.
- Should be taken with food
- Take with a full glass of water and remain upright for 30mins. You can sit down but refrain from lying down.
- Avoid taking with dairy products
- Avoid alcohol
- May cause permanent teeth discolouration
Differin gel
- This medication is for treatment of your acne
- To be applied onto affected area every night for one month
- Apply after washing. Dry the area before applying.
- Avoid contact with eyes, lips, angles of nose and mucous membrane
- Do not apply to cuts, abrasions, eczematous skin and severe acne
- Minimise exposure to excessive sunlight
- May cause dry skin, itching and burning sensation
Clindamycin Lotion
Brand name: Dalacin T
- This medication is for the treatment of your acne
- To be applied thinly onto the affected area twice daily for one month
- Continue to apply throughout the one month even when symptoms improve
- Avoid contact with eyes, lips, angles of nose and mucous membrane
- May cause dry skin, skin irritation and stinging of eyes
Case Study Two
ReplyDelete1. Active ingredients in PanOxyl: Benzoyl peroxide (2.5%, 5%, 10%). The differences between the three types are the strength of benzoyl peroxide present in each product.
2. Other alternatives:
- Akneroxid 5%
- Benzac AC 2.5%, 5%, 10%
- Brevoxyl 5%
3. There are different dosage form available to cater for the different preferences of patients. Different dosage form contains different strength of the active ingredients.
4. Oxy Daily Wash
5. Salicylic acid: Mild comedolytic agent; surface keratolytic agent
Sulphur: Keratolytic agent
6. For PanOxyl gel:
Start using the lowest strength first. Increase to the next higher strength if there is no significant improvement seen.
Do not apply onto cuts, abrasions and broken skin
Avoid contact with eyes, mouth, angles of nose and mucous membranes
Avoid exposure to excessive sunlight
Side effects include dry skin, redness, burning and stinging sensation
For Oxy Daily Wash:
Use 2 to 3 times daily. If it causes excessive drying, reduce to once daily.
Wash hands; Wet face; Squeeze some of Oxy Daily Wash onto your hand and work into a lather. Massage gently onto face. Then, rinse thoroughly and pat dry
*Use Oxy Daily Wash before applying PanOxyl gel.
Other advices:
Acne products should be applied to area affected by acne instead of just putting onto individual spots.
Apply an oil-free moisturiser only if skin is obviously peeling.
Case Study 1
ReplyDeleteWhat are the important counselling point when dispense the medications?
Doxycycline
•Treatment of acne
•Take one capsule every morning with food for one month.
•Do not take iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking doxycycline.
•Take w/ a full glass of water
•Remain upright for at least ½ hr.
•Avoid taking w/ dairy products such as milk
•Complete the whole course
•Side effects include nausea, GI upsets and photosensitivity
•Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds).
•Hypersensitivity may occur. If rashes appears stop taking the medicine and seek medical attention
•Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor.
Differin Gel
•Treatment of acne
•To be applied once every night at bedtime for a month.
•Cleanse affected area with a mild or soapless cleanser and dry the area before applying the medication.
•Apply a thin film on affected area. Do not apply more than once daily or excessive amounts as it may cause severe redness, peeling, and discomfort.
•Avoid contact w/ eyes, lips, angles of the nose & mucous membranes.
•Do not apply to cuts, abrasions, eczematous skin, severe acne.
•Minimise exposure to excessive sunlight, including sunlamps.
•Side effects include erythema, scaling, dryness, pruritus & burning.
•Wash your hands before and after using the cream.
•Acne may seems to get worse in the first few weeks of treatment. This just means the medication is working on hidden acne sores. Continue using the product.
Clindamycin Lotion
•Treatment of acne
•Apply a thin layer on affected area twice daily for a month
•Shake the bottle well before each use.
•Clean and dry the affected area before applying the lotion
•Continue to use even if your condition improves. Do not miss any doses.
•Side effects include skin irritation, dryness and oiliness.
•To be sure to for the full course of treatment
Case Study 2
ReplyDelete1.Panoxyl contains benzoyl peroxide. The difference between the 3 products is that they have different strength of benzoyl peroxide.
2.Benzac AC gel®, available in 2.5%, 5% and 10% × 60g
3.There are different dosage form are available to cater to the different preference of individual. The dosage of active ingredient in each dosage form is also different and to dispense according to severity.
4.Dermavive Soap Free Wash®
5.Salicylic Acid:- MOA:
•Mild comedolytic agent
•Surface keratolytic agent
6.
•Start using PanOxy® with the lowest strength first, which is 2.5%.
•Then increase the strength if there is no improvement
•After washing with cleansers, pat skin dry and apply twice daily on affected area.
•May bleach hair, clothing and bed linens
•Other sources of irritation e.g. excessive sun exposure should be avoided.
•Alcohol-based products e.g. cleansers and aftershave lotions may exacerbate stinging and burning.
•Do not expect immediate results and never squeeze the pimples.
•Dermavive Soap Free Wash® is to be applied one to three times daily.
•Avoid getting this product into the eyes.
Case study 1
ReplyDeleteDoxycycline 100mg om 1 month
- Medication is for acne treatment
- One capsule to be taken every morning for 1 month
- Complete whole course of medication
- Take after food with full glass of water
- Do not lie down after taking medication, remain upright position for at least half an hr
- Contact doctor if experience allergic reaction such as rash, swollen eyes/mouth, breathlessness
- May cause diarrhoea and nausea
- May also cause skin to sensitive to light, avoid prolong exposure to sun/apply sunscreen products
- Do not take with dairy products such as milk, cheese, yoghurt or ice-cream. These could reduce the effectiveness of Doxycycline
- Take at least 2 hours before or after you have taken any dairy products.
- Avoid alcohol
Differin Gel on 1 month
- Medication is for acne treatment
- Apply before bed time for 1 month
- Washing face with mild non-soap cleanser and warm water
- Gently pat dry with soft towel
- Squeeze a pea-sized amount on your finger
- Dot it on your forehead, cheeks and chin and spread evenly over the entire face
- Avoiding the areas around your eyes and lips
- May cause redness, dryness and itching of the skin
- Avoid exposure to sunlight or apply sunscreen products
- Acne may seem to be worsen initially, however, do not discontinue the medication. It will get better after full treatment
Clindamycin Lotion bd 1 month
- Medication is for acne treatment
- Apply twice daily for 1 month on affected area
- Shake well before each each
- Clean and dry affected area before applying
- May cause skin irritation and dryness
- Avoiding the areas around your eyes and lips
- If lotion comes in contact with the eyes, wash with running tap water
Case study 2
1. Active ingredient in PanOxyl is Benzoyl peroxide. The difference in the three types of Panoxyl is the strength of the benzoyl peroxide (2.5%, 5%, 10%).
2. Acnacyl® gel
Akneroxid® 5 gel
3. Different dosage forms are available to cater to the different preference of individual and also according to severity of acne.
Dosage form includes gel and bar
4. Oxy daily wash
5. Salicylic Acid
- Mild comedolytic agent and Surface keratolytic agent
6. PanOxyl gel and other advice
- Start with the lowest strength 2.5%, increase dosage if no improvement shown
- Wash and pat dry skin before applying the gel
- Apply once daily to affected area
- May cause drying and irritation of skin
- Avoiding the areas around your eyes and lips
- Avoid squeezing the pimples and touching it
- Drink plenty of water
- Get enough sleep and have a relax lifestyle
1. active ingredient in PanOxy: Benzoyl Peroxide. differnt types of PanOxy (differs in strength): 2.5%, 5%, 10%.
ReplyDelete2. alternative that contains same ingredient beside PanOxy:Aakneroxid gel 5%.
Benzac AC gel 2.5%, 5%, 10%.
Brevoxyl cream 4%.
3. the difference between dosage form: different dosage form would have different strengths of the same active ingredient. for example,Akneroxid and Benzac AC (gels) would usually contain 2.5% to 10% of active ingredient while Brevoxyl (cream) would contain different strength (4%).
4. anti-bacterial face wash to recommend: AcneDerm foaming wash.
5. other treatment of pimple: salicylic acid.
MOA: it is a mild comeodolytic agent and surface keratolytic agent.
6. other advice when using acne treatment product:
- PanOxy:
1. start from lowest concentration of the gel (2.5%).
2. apply once daily on affected area.
3. avoid contact with open wounds or broken skins.
4. avoid contact with eyes, mouth and other mucus membranes.
5. it may bleach dyed clothing and fabrics.
6. avoid excessive exposure to sunlight.
- AcneDerm foaming wash:
1. it can be used as face wash as per normal.
2. avoid contact with eyes. discontinue if servere irritation occurs.
ShiPing
1. Doxycline 100mg om 1 month:
ReplyDelete- this medication is for your bacterial infection.
- take 1 capsule every morning for one month.
- complete full course of medication; do not discontinue unless as instructed by doctor.
- take with full glass of water and remain in upright position for at least half an hour.
- avoid taking with dairy products. if there is a need for you to take dairy product, take it in 2 hours apart interval.
- you might experience some GI disturbances. if there is a need to, take capsules with or after meal.
- drug may cause photosensitivity. hence, avoid excessive exposure to sunlight. if there is a need to, use an umbrella as shade, or apply sunblock before exposed to sunlight.
- avoid alcohol.
2. Differin Gel on 1 month
- it is for your treatment of acnes.
- apple once daily every night on affected area after wash.
- avoid exposure to lips, eyes, angles of the nose and mucous membranes.
- do not apply on broken skins or open wounds as well as severe acne.
- minimise exposure to excessive sunlight, including sunlamps.
- it may cause dryness on the skin.
- wash hands before and after using cream.
3. clindamycin lotion bd 1 month
- it is for treatment of acne.
- apply lotion twice daily for 1 month.
- shake bottle well before applying.
- clean and dry affected area well before application.
- complete full course; do not discontinue unless as instructed by doctor.
- do not apply on open wounds or broken skin.
- lotion may cause some irritation or dryness of the skin.
ShiPing
Case Study 1: Prescription
ReplyDeleteDoxycycline 100mg om 1 months
- For your acne
- One capsule to be taken with food every morning for a month
- Finish the entire course
- Take with a full glass of water and remain upright for at least half an hour
- Avoid taking with dairy products, eg. milk, yoghurt, etc. Take any form of dairy products at least 2 hours after taking your capsule
- Do not take this drug with any antacids
- This may cause stomach upsets
- This may cause photosensitivity as well, avoid going under the sun. If need be, use an umbrella.
- If you experience rash, swollen lips or eyes, consult your doctor immediately as you may be allergic to the drug
Differin Gel on 1 months
- To treat your acne
- To be applied to the acne-affected area every night for one month
- Apply a small amount as a thin film at least one hour before bedtime
- Before applying, ensure that skin is clean and dry
- Do not apply near mouth, eyes or nose
- May cause burning/stinging sensation, dryness/peeling, itching or redness
- Your acne may appear to worsen during the first 3 weeks of therapy, but you should not stop your usage unless irritation or other side effects become severe
- You will see improvement in your skin condition within 12 weeks
Clindamycin Lotion bd 1 months
- For the treatment of your acne
- To be applied twice daily for one month
- Apply a thin film to the affected area
- Avoid applying near the eyes, nose and mouth as the alcohol in the lotion may cause a stinging/burning sensation or irritation. If it enters your eyes/nose/mouth, flush out with cool tap water.
- May cause skin irritation or dryness
- Do not use with any other products unless otherwise advised
- Store in a cool place, between 15-30 degrees Celsius
Case Study 1
ReplyDelete1. Doxycycline
One (100mg) tablet to be taken every morning for 1 month
Complete full course
Do not take with any antacids (decreases absorption)
Take with full glass of water
Do not take with any dairy products
Take tablet in an upright position
Remain upright for at least ½ hr
May cause photosensitivity, discontinue use and consult doctor if affected
2. Differin Gel
This gel is to be used for 1 month
Apply once to affected area after washing of face and before going to bed
Avoid contact with eyes, lips, angles of nose and mucous membranes
Do not use product if u have eczematous skin
Do not apply on braised skin or open wounds
Minimise exposure to excessive sunlight or sunlamps
May cause stinging and burning sensation
May cause skin dryness
Stop use and consult doctor if hypersensitive reactin eg rashes, redness, itch occurs
3. Clindamycin Lotion
Apply twice daily for 1 month
Do not use this product if you are pregnant of lactating
Alcohol base-may cause stinging sensation
Skin may feel oily, dry or itchy
Do not apply to eyes or mucous membranes
Atopic users should not use this product
Do not apply to broken skin or open wound
Case Study 2
ReplyDelete1. What is the active ingredient in PanOxy and what is the different in the three types of PanOxy?
Ans: Benzoyl peroxide
2.5%:
5%:
10%:
2. What others alternative which contain the same ingredient besides PanOxy?
Ans: Benzac AC (Galderma)
3. What is the different between different Dosage Form?
Ans: Different strengths are accustomed to different patient needs. It depends on the severity of the problem.
4. What type of antibacterial face wash that you can recommend to her?
Ans: Acnederm medicated foaming wash
5. Besides Benzyl Perioxide, what other chemical can be used in the treatment of pimple? And how they work?
Ans: Salicylic acid. They have mild camedolytic and surface keratolytic properties.
Sulphur. It is a keratolytic agent.
6. What are the other advice can you give her when she is using acne treatment product?
Ans:
- Avoid wearing occlusive accessories that causes friction eg headbands, helmets
- Avoid high humidity environment that can cause excessive sweating
- Avoid dirty and dusty areas
- Do not use oil based products
- Relax, as prolonged periods of stress can cause acne
- Cut down on oily food
- Drink lots of water
- Wash face regularly with clean water
Case Study 2: Patient Presentation
ReplyDelete1. The active ingredient in PanOxy is benzoyl peroxide. The difference between the 3 types is the concentration of benzoyl peroxide.
2. Other products that contain the same active ingredient are:
- Acnacyl gel (benzoyl peroxide 5%)
- Akneroxid 5 gel (benzoyl peroxide 5%)
- Benzac AC gel (benzoyl peroxode 2.5%, 5%, 10%)
3. The difference between the dosage forms is that they act differently and one dosage form may not be as harsh to the skin as another due to the difference in the time of contact with the user's skin. For example, a 10% benzoyl peroxide gel would be harsher than a soap bar containing the same active ingredient because it stays on the skin for a longer period of time.
4. I can recommend her an antibacterial face wash like Acnederm foaming wash.
5. Besides benzoyl peroxide, salicylic acid can be used in the treatment of pimples. Salicylic acid is a mild comedolytic agent and a surface keratolytic agent.
6. I would recommend PanOxyl 2.5% to her.
Advice to give:
- Apply PanOxyl once daily to clean and dry affected areas
- Avoid contact with eyes, nose and mouth
- May bleach clothing, hair and/or bed linen
- Use Acnederm like a normal face wash
- Avoid contact with your eyes
- Discontinue use if irritation occurs
- Lead a healthy lifestyle
- Drink more water
- Resist the urge to pick at/squeeze your pimples
- Use Acnederm to wash your face before applying PanOxyl
Case Study 1
ReplyDeleteDoxycycline
• This is antibiotics, for bacteria infection.
• Take one capsule every morning for one month.
• To be taken with food.
• Take with full glass of water and remain upright for at least half an hour.
• Avoid taking with dairy products.
• Finish the course of medication.
• Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds).
• Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
Differin Gel
• This is Differin Gel, for treating acne.
• Apply the gel once every night to the affected areas for one month.
• Apply to dry, clean areas that are affected by acne.
• Apply a small amount as thin film, and at least one hour before bedtime.
• Avoid contact with eyes, lips, angles of the nose & mucous membranes.
• Do not apply to cuts, abrasions, eczematous skin.
• Minimise exposure to excessive sunlight, including sunlamps.
• May cause burning sensation and redness of the skin.
Clindamycin Lotion
• This is Clindamycin Lotion, for treating acne. For topical use on skin only.
• Apply twice daily to the affected area for one month, at about the same time each day.
• Shake well before each use.
• Clean and dry the affected area. Cover the affected area and surrounding areas with a thin film of medicine.
• Avoid contact with eyes or mucous membranes. May sting the eyes.
• May cause irritation and dryness of the skin.
• Continue to use Clindamycin Lotion even if condition improves.
• If severe diarrhea or cramping develops during treatment with Clindamycin Lotion, consult a doctor immediately.
Case Study 2
ReplyDelete1.
The active ingredient is Benzoyl peroxide. The three types are different in terms of the concentration of Benzoyl peroxide (2.5%, 5% and 10%).
2.
Benzac AC® Gel
Acnacyl® Gel
3.
The various dosage forms cater to the needs and preferences of each consumer. The different concentrations provide treatment for different severity.
4.
Oxy Daily Wash Anti-Bacterial
5.
Salicylic acid – It is a mild comedolytic agent and a surface keratolytic agent.
Sulphur – It is a keratolytic agent and has some comedolytic effect. It may contribute to antibacterial activity.
6.
I would recommend her to start PanOxy with the lowest concentration first – PanOxy 2.5%.
• Apply once daily to the affected area.
• Avoid contact with eyes, mouth & other mucous membranes.
• May cause stinging sensation and drying.
• May bleach hair, clothing and bed linens.
• Avoid applying to open wounds.
• Avoid excessive sun exposure.
• Alcohol-based products e.g. cleansers and aftershave lotions may exacerbate stinging and burning. Avoid if possible.
Then in the mean time, use Oxy Daily Wash to wash the face regularly, about twice daily.
Other advices:
• Reduce usage of oil-based products e.g. cosmetics, moisturisers and tanning oils.
• Reduce on oily food consumption.
• Drink plenty of water.
• Wash and cleanse your face regularly.
• Try not to wear headband/helmet too often.
• Avoid excessive exposure to sunlight or artificial UV rays (sunlamps or tanning beds).
Doxycycline 100mg om 1 months
ReplyDelete- This is for the treatment of your acne condition.
- One tablet to be taken every morning for one month.
- It should be taken after food.
- Take with a full glass of water and remain in an upright position for at least 30minutes.
- Avoid taking with dairy products.
- Avoid alcohol.
- Complete the whole course of antibiotic.
- Drug may cause skin to be sensitive to sunlight.
- Shield skin against UV light using shades, umbrella or apply sunscreen before heading outdoors.
Differin Gel on 1 months
- This is for the treatment of your acne condition.
- Apply once daily to the affected area after washing and before going to bed for one month.
- Do not apply near the areas of the eyes, lips and sides of the nose.
- Do not apply to cuts, abrasions, eczematous skin and severe acne.
- Minimise exposure to excessive sunlight, including sunlamps.
- May cause burning sensation, itching or redness of skin.
Clindamycin Lotion bd 1 months
- This is for the treatment of your acne condition.
- Apply twice daily to the affected area for one month.
- Avoid applying near the areas of the eyes, lips or nose.
- May cause skin irritation or dryness, redness or stinging sensation of the skin.
- Do not apply to broken skin.
1. PanOxyl contains benzoyl peroxide as the active ingredient. The difference in the three types of PanOxyl is the strength of benzoyl peroxide.
ReplyDelete2. The alternatives include Acnacyl Gel®, Akneroxid 5 gel® and Benzac AC gel®.
3. The different dosage forms contain different strength of benzoyl peroxide, it is to cater to the different severity of the condition to suit individual need.
4. I would recommend her Acnederm Foaming Wash.
5. Salicylic acid
- mild comedolytic agent
- keratolytic agent
Sulphur
- keratolytic agent
6. - Apply once daily to the affected area.
- Start with the lowest strength first.
- Avoid applying near the areas of the eyes, mouth and other mucous membranes.
- May bleach dyed clothing & fabrics.
- Avoid excessive sun exposure.
- Avoid using alcohol based product to prevent the irritation to the skin.
Where are the rest of the class?
ReplyDeleteMs annie here
:)
CASE STUDY 1
ReplyDelete1. doxycyxline (doxymyxin-100)
- one capsule is to be taken once daily, every morning.
- Take this capsule after meal with a glass of water. Remain upright for at least 1/2 hour after taking the medication
(NOTE: the patient can sit down, not necessarily have to stand up for 1/2 hour)
- Do not take with dairy products as it may inhibit the drug getting absorbed into the body.
- Avoid direct and long exposure of sunlight as this medicine may cause your skin to be sensitive to light. Therefore, use sunscreen (or sunblock) if you need to go out of the house.
- Do not take this medication together with antacids, multivitamins, calcium pills, iron pills or laxatives that contain magnesium together with doxycycline as it may reduce the effectiveness of the antibiotics. If you must take them, take it 2 hours before or after taking doxycycline.
- Since this is an antibiotics, finish the whole course of medication
2. Differin Gel
- apply a thin layer of the gel to the affected area, at night time (ie. before going to sleep)
(NOTE: applying more may only irritate your skin. apply only sufficient amount)
- Before applying, wash and pat dry the affected area first.
(NOTE: Do not scrub your skin vigorously)
- Avoid contact with eyes, lips and nose.
- acne problem may worse during the first few days of usage as this gel encourages the growth of pimple that have begun to form but not yet visible. Therefore, do not stop treatment.
- Beneficial result can only be seen after 8 to 12 weeks of using this medication.
- You may experience burning, stinging sensation when using this medication.
- Redness is also common when using this medication.
- This medication may make your skin more sensitive to sunlight, therefore leading to sunburn. Hence, use sunscreen or sunblock when you are under direct or long exposure to sunlight.
- Do not apply this medication to open wounds (ie. cuts, burns, around the lips etc)
3. Clindamycin lotion (Dalacin T)
- Shake well before using the lotion.
- apply sufficient amount of lotion to the affected areas and its surrounding areas, two times a day.
- Clindamycin lotion works best if it is used at the same time each day.
- Be sure to use clindamycin lotion as directed by your doctor (period of usage) as the bacteria could get less sensitive to the medicine if you do not follow instructions.
- you may experience dryness or itching when using this medication.
- Do not get Clindamycin Lotion in your eyes or on the inside of your nose or mouth. If you accidentally get the medicine in your eye, immediately flush with a large amount of cool tap water.