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Acne - Patient's guide
Tretinoin
This topical acne treatment option is a vitamin A derivative and is used for acne and sun damaged skin.
How Do Patients Use This Medication?
Your patient should apply this tretinoin cream or gel lightly to their skin at bedtime. Avoid putting it around the eyes, and minimize the amount applied to the sides of the mouth and chin, as it can be irritating.
How Well Does It Work?
It works slowly to prevent new comedones and will also have an anti-inflammatory effect in acne. Patients can expect signs of improvement after 8-12 weeks. Benefits in repairing the effects from sun damage are much slower, and can often take 6-12 months. They may see a reduction of fine lines and blotchy pigmentation.
It is available in combination with topical antibiotics (Stievamycin®), which also provides help against
inflammatory acne.
How Does It Work?
The exact mechanism is unknown, we do know that it reduces the production and stickiness of blackheads to the hair follicle. It encourages collagen production, and inhibits melanin production, and there is minimal absorption through the skin.
Will There Be Side Effects?
- Skin irritation, dry, red, scaly skin
- Inflammation of the skin can result in a short term increase or decrease in pigmentation
- Photosensitivity
- Initial flare of acne may occur
Check-out www.MildCleanser.ca
Suggestions for minimizing irritation:
- Use on dry skin (as opposed to wet skin - use a towel)
- Reduce the quantity used
- Reduce the frequency - use on alternate days
- Reduce the time of contact with the skin - wash off after 5 minutes
- Use gentle cleansers
- Use light moisturizers
- Avoid the sun
Taking Other Medications?
Taking drugs that make you sun sensitive can increase the potential to burn. Your patients should take care when using with other irritating topicals.
Which Brands Are Available?
- Stieva-A® cream/gel/solution (Stiefel)
- Retisol-A® (Stiefel)
- Retin-A® cream/gel (Ortho Dermatological - J&J)
- Vitamin A Acid® (Rorer)
- Renova® (Ortho)
- Avita® cream/gel (Bertek)
What Conditions Are Treated By This Medication?
FDA-approved:
- Acne
- Photodamaged skin
- Ichthyosis
- Flat warts
- Darier's disease
- Acne scars
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INTRODUCTION
Clinical experience confirms what has been shown in clinical trials, that Clindoxyl Gel is effective and well tolerated
Once daily application of topical that combines two active anti-acne agents may well increase patient compliance...
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CLININCAL EXPERIENCE
More than six international studies involving over 6,000 patients have shown reductions in the PASI (Psoriasis Area and Severity Index) of approximately 40% after one week of treatment and 70% after four weeks...
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INDICATIONS
Moderate comedonal and papulo-pustular acne
Approved in Canada as a once daily topical for moderate Acne in December 2000...
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PATIENT PROFILE
Any patient who has inflammatory acne can be treated with Clindoxyl Gel
Acne patients with comedones only are best treated by topical retinoids
Patients with cystic acne usually require systemic therapy...
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DOSING
Once daily application of Clindoxyl Gel is recommended
The product needs to be applied to the whole region of skin that is affected with acne. In other words...
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EFFICACY
The following figures show pooled data from randomized, controlled double-blind trials involving 673 patients with acne...
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COMPLIANCE
Three factors to consider for good compliance of Clindoxyl Gel are:
Well tolerated by most patients,
results are often seen within 2 weeks...
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SIDE EFFECTS, SAFETY AND RISKS
Overall tolerance was rated as excellent in 94% of patients.
Potential side effects expected in some patients...
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COST OF TREATMENT
This is a cost effective product.
Reducing inflammation can reduce the risks of scarring...
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View the entire Clindoxyl® Gel presentation.
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INTRODUCTION
There are limitations for regulators, pharmaceutical companies and pharmaceutical sales representatives to present clinical evidence following development of product monograph and drug approval...
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CLININCAL EXPERIENCE
Diane-35® (2mg cyproterone acetate and 0.035mg ethinyl estradiol) is approved for use in Canada to treat women with severe acne who are unresponsive to other available treatments and who have associated symptoms of androgenization, such as seborrhea and mild hirsutism. In addition to treating acne, Diane-35® also provides reliable contraception...
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INDICATIONS
Used to treat women with severe* acne and its associated symptoms of androgenization, including seborrhea and mild hirsutism..
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PATIENT PROFILE
Women who have acne associated or not with signs of hyperandrogenism.
Any woman who has acne that is not controlled with topical medication...
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DOSING
Diane-35® is sold in blister pack units containing 21 tablets.
Each tablet contains 2mg of cyproterone acetate and 0.035mg of ethinyl estradiol. Each cycle consists of 21 days on the medication and a 7-day interval without it...
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EFFICACY
Improvements in seborrhea are generally seen after 2 to 3 months.
Improvements to acne are generally seen after 3 to 4 months.
Numerous studies have proven the efficacy of hormonal therapy in treating acne over 6 or more months of use...
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COMPLIANCE
Patients should take Diane-35® at the same time each day with liquid...
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SIDE EFFECTS, SAFETY AND RISKS
Side effects are typical of most oral contraceptives and can include breast tenderness, headache, nausea, breakthrough bleeding, ankle swelling and weight gain. These side effects are typically mild and tend to resolve by the second or third cycle of therapy...
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COST OF TREATMENT
Diane-35 is sold to pharmacy wholesalers at a cost of $19.00 per cycle...
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View the entire Diane-35® presentation.
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