Podcasts about Isotretinoin

Summary In this episode of the Future of Dermatology Podcast, we hear from Dr. Maria Aleshin who spoke at the Annual SF Derm Society's 2024 Meeting. She presents on Hidradenitis Suppurativa (HS) and various non-biologic treatment strategies. Dr. Aleshin covers practical approaches to managing HS flare-ups, long-term management considerations, and the role of antibiotics in treatment. She emphasizes the importance of personalized care and the need for a multifaceted approach to effectively address this challenging skin condition.   Takeaways The pathogenesis of HS is multifactorial, requiring a comprehensive treatment approach. Treatment stacking often involves combining medical, procedural, and lifestyle interventions. Topical therapies like chlorhexidine and benzoyl peroxide are commonly recommended, but alternatives exist. Systemic antibiotics are frequently used for managing HS flares. Hormonal therapies, including oral contraceptives and spironolactone, can be effective for female patients with HS. Metformin may be beneficial for patients with metabolic dysfunction associated with HS. Isotretinoin is not a first-line treatment for HS due to mixed results. Botulinum toxin can help reduce sweating and inflammation in HS patients. Combination antibiotic therapy, particularly clindamycin and rifampin, shows high efficacy but has relapse risks. Urtipenem is a powerful antibiotic reserved for severe HS cases as a bridge to surgery or biologics. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:19 - Understanding Hidradenitis Suppurativa (HS) and Its Complexities 07:10 - Treatment Strategies for Managing HS Flare-Ups 10:21 - Long-Term Management of HS: Hormonal and Metabolic Considerations 13:20 - Antibiotic Therapies for Hidradenitis Suppurativa 17:22 - Severe HS Cases: Advanced Treatment Options and Considerations

Un nouvel épisode du Pharmascope est disponible! Dans ce 143e épisode dédié aux questions de nos fidèles auditeurs, Nicolas, Isabelle et Olivier tentent tant bien que mal de pondre des réponses intelligentes. Au menu : nomenclature des médicaments, thiamine, isotrétinoïne, anxiété et superpatch!  Les objectifs pour cet épisode sont : Comprendre la nomenclature des médicaments Discuter des bénéfices de la thiamine à titre d'agent répulsif Identifier des avantages et désavantages de l'isotrétinoïne à faible dose  Identifier de ressources pertinentes pour les patients pour le contrôle de l'anxiété Discuter des bénéfices des « superpatch » Ressources pertinentes en lien avec l'épisode ThiamineShelomi M. Thiamine (vitamin B1) as an insect repellent: a scoping review. Bull Entomol Res. 2022 Aug;112(4):431-440. Committee to Advise on Tropical Medicine and Travel (CATMAT). Statement on Personal Protective Measures to Prevent Arthropod Bites. 2012. Faible dose d'isotrétinoïneGravel A, Carreau S. L'isotrétinoïne efficace et bien tolérée, est-ce possible? Médecin du Québec, août 2022, 55-57. (Réservé aux abonnés). Brar K, Korownyk C. Is less more with isotretinoin and acne? Tools for practice. 2016. Strauss JS, Rapini RP, Shalita AR, Konecky E, Pochi PE, Comite H, Exner JH. Isotretinoin therapy for acne: results of a multicenter dose-response study. J Am Acad Dermatol. 1984 Mar;10(3):490-6. Lee JW, Yoo KH, Park KY, Han TY, Li K, Seo SJ, Hong CK. Effectiveness of conventional, low-dose and intermittent oral isotretinoin in the treatment of acne: a randomized, controlled comparative study. Br J Dermatol. 2011 Jun;164(6):1369-75. Agarwal US, Besarwal RK, Bhola K. Oral isotretinoin in different dose regimens for acne vulgaris: a randomized comparative trial. Indian J Dermatol Venereol Leprol. 2011 Nov-Dec;77(6):688-94. Dhaked DR, Meena RS, Maheshwari A, Agarwal US, Purohit S. A randomized comparative trial of two low-dose oral isotretinoin regimens in moderate to severe acne vulgaris. Indian Dermatol Online J. 2016 Sep-Oct;7(5):378-385. Ressources pour les patients pour l'anxiétéAnxiété Canada Centre d'études sur le stress humain TCC Montréal Psychopap Relief La clé des champs Phobies-zéro « Superpatch »Le Pharmachien : Super patch

Demodex mites mate on your face... frequently - Updates from the SPD - Emergency contraception for isotretinoin - Want to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠physicians.utah.edu/echo/dermatology-primarycare - ⁠ Connect with us! - Web: ⁠dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge) - ⁠www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!

Think acne's just a teenage problem? Think again! Many women in their 30s, 40s, and even older still deal with breakouts. While we often hear about 'hormonal' acne showing up along the jawline for adults, in reality, adult acne can pop up all over the face! And guess what? Hormones are usually behind most acne, no matter how old you are.  If you're struggling with stubborn acne, seeing a dermatologist can provide personalized solutions to help you feel better about your skin! Tune in to this week's podcast with Dr. Barbieri to learn about hormonal acne in midlife women, effective treatment options, and the safety and side effects of isotretinoin. Key Takeaways: - Acne is a common condition that affects people of all ages, not just teenagers. - Oral antibiotics are often overprescribed for acne, leading to antibiotic resistance and other health issues. - Hormones play a significant role in acne development, and hormonal treatments like spironolactone and combined oral contraceptives can be effective. - Clascoterone, a topical anti-androgen, is a new treatment option for acne that can be used in both men and women. - Over-the-counter regimens with topical retinoids and benzoyl peroxide can be effective for mild acne. - Isotretinoin is a highly effective treatment for severe acne, but it should be used under close medical supervision due to potential side effects. - Pregnancy monitoring is crucial while on isotretinoin due to the risk of birth defects. It is important to follow the iPledge program guidelines. - Reducing sugar intake and considering dietary changes, such as avoiding whey protein, may help improve acne. Supplements like vitamin D, vitamin B5, and zinc can also be beneficial. In this Episode: (6:38) What is acne? (9:09)The Impact of Acne on Mental Health and Social Stigma (12:54)Treatment Options for Hormonal Acne in Middle-Aged Women (24:54)Isotretinoin: The Big Gun for Severe Acne (29:40) The Importance of Pregnancy Monitoring with Isotretinoin (36:03)Dietary Considerations for Acne Management (40:00)Exploring New Treatments for Acne Get Dr. Mina's free PDF on How to create Healthy Skin Habits here. Download the free eBook 'Skincare Myths Busted' here. John Barbieri, MD, MBA is an Assistant Professor at Harvard Medical School and the Director of the Advanced Acne Therapeutics Clinic at the Brigham and Women's Hospital. He is an associate editor at JAMA Dermatology and is also the co-chair of the American Academy of Dermatology Acne Guidelines Work Group. His research is focused on conducting innovative clinical trials, health economic, and epidemiology studies to identify the best approaches to care for patients with acne. He also focuses on exploring the role of patient-reported outcomes to ensure we are capturing the patient's voice and perspective on their care.  Find Dr. Barbieri here: https://www.youtube.com/@DrJohnBarbieri https://www.instagram.com/drjohnbarbieri/ https://barbierilab.bwh.harvard.edu/ Follow Dr. Mina here:- https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Andrea Zaenglein, MD, and colleagues Sarah Horvath, MD, and Sara Gold, MD provide important information about how and why to counsel patients taking isotretinoin on the use of emergency contraception. This podcast reviews data gleaned from a 2022 PeDRA survey about the comfort level of pediatric dermatologists counseling patients taking isotretinoin about emergency contraception and the counseling and provision practices of those pediatric dermatologists. Listen to learn more. Click here to read the recent article Emergency Contraception for Patients Taking Isotretinoin published in JAMA Dermatology. For the survey results publication, please click here. Listeners can also learn more about the iPledge program by listening to a 2021 PeDRA Points of Discussion Podcast: Is iPledge Working? A Conversation on Isotretinoin.

Want to hear the latest research on isotretinoin? We've got another expert podcaster to help! This week, we're joined by Dr. Luke Johnson as he discusses dermatology podcasting and the ins and outs of isotretinoin. Listen in as he dives into the research on isotretinoin and offers practical advice for patient questions. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com. Luke Johnson, MD, is an assistant professor of pediatric and general dermatology at the University of Utah and co-host of the dermatology podcast Dermasphere! Collaboration with Dermasphere Podcast Visit Dermasphere website to learn more.     

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Acne is one of the most common skin diseases, and nearly every individual will develop acne at some point in their lives. Treatment options range from OTC antimicrobials to prescription oral therapies, like isotretinoin. Hilary Baldwin, MD, Founding Director of the Acne Treatment and Research Center in Brooklyn, NY provides an overview of acne pathogenesis, gives insights on treatment selection, and shares tips to optimize topical treatment tolerability and outcomes. Plus, Alexa Hetzel, MS, PA-C talks sunscreens and Darren West, MPAS, PA-C addresses the importance of keeping up on new therapeutics.Like what you're hearing? Have a topic you want to hear more about? Hit us up and spread the word on Instagram!

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.                                                  >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.                                                                                  Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Dr. Renita Ahluwalia, a respected authority in dermatology, stands at the forefront of skincare with a clear message: protection is paramount. She asserts with confidence that the secret to youthful skin, above all other remedies and regimens, lies in the consistent use of sunscreen. According to Dr. Ahluwalia, this is not merely a summer routine but a year-round shield against the aging effects of the sun.Her expertise extends to understanding the unique needs of diverse skin types, highlighting that those with richer pigmentation benefit from sunscreens enriched with visible light filters like iron oxide. These filters are not just cosmetic enhancements but a critical line of defense in reducing the exacerbation of reds, browns, and fine lines that disproportionately affect pigmented skin.Dr. Ahluwalia is equally passionate about the scientifically backed benefits of retinol and its derivatives. While commonly known for treating acne, she educates on retinol's potent anti-aging and pigmentation properties. Her advocacy for these two key skincare elements positions her as a trusted guide for patients seeking to preserve their skin's health and vitality. In a world crowded with miracle cures and fleeting trends, Dr. Renita Ahluwalia remains a steadfast champion of evidence-based skincare.Welcome back to another fascinating episode of "Ditch the Labcoat," where we peel away the mystique of modern medicine and explore practical health topics with the experts. I'm your host, Dr. Mark Bonta, and with me today is the esteemed Dr. Renita Ahluwalia, a renowned dermatologist and founder of the Canadian Dermatology Center.In today's episode, we're smoothing out the wrinkles of truth behind anti-aging treatments. We'll delve deep into the world of Botox, fillers, and the lifestyle factors that contribute to our skin's health. Dr. Ahluwalia will share her wealth of knowledge on maintaining a wellness lifestyle for better aging and decipher the complex landscape of hair loss treatments, from PRP to hair transplants. We'll also clear up some common misconceptions about acne and its treatments, debunking myths about chocolate and diet while reinforcing the importance of establishing a proper skincare routine. Expect practical tips on preventative measures for acne scarring and insights on how injectable treatments, when administered correctly, can achieve subtle, natural enhancements.Amidst these discussions, Dr. Ahluwalia urges the importance of wearing sunscreen to protect against sun exposure and highlights the impressive benefits of retinol for skin health. And for a bit of fun, we play with the idea of animal hair transplants and see where that takes us.Join us as we uncover the layers of skin and hair care, discuss ancient Greek skincare practices that still influence us today, and focus on the vital role of mental health and stress management in treating skin conditions. By the end of our conversation, I'm confident both you and I will have a treasure trove of insights to bring into our personal and professional lives.So sit back, lather on that sunscreen, and get ready to challenge some age-old beliefs while embracing scientifically-backed skincare strategies. Don't forget to rate and review us on your favorite streaming platform, and to always stay updated, visit Labcoat FM for more info. Let's dive right in!

Folge 184: Vitamin B12, Isotretinoin und Chlormadinon

Order 'Build, Don't Talk' (in English) here: https://amzn.eu/d/eCfijRuOrder 'Build Don't Talk' (in Hindi) here: https://amzn.eu/d/4wZISO0--------------Subscribe To Our Other YouTube Channels:-https://www.youtube.com/@rajshamaniclipshttps://www.youtube.com/@RajShamani.Shorts---------------Timestamps:00:00 - Intro02:36 - Dermatologists selling their own products08:00 - Anti dandruff shampoos work?08:25 - Does gut health promote hair fall?09:55 - Reason of acne & pimples12:40 - Do anti acne products work?14:22 - Isotretinoin side effects17:03 - Skin treatments bollywood celebrities take19:09 - Difference between filler & botox20:49 - Types of fillers22:48 - Side effects of fillers23:36 - Process of doing fillers25:12 - Going under knife surgery26:29 - IV therapy28:36 - Does glutathione pills & creams work?30:55 - Oral collagen is a scam?32:38 - Gimmicky skin care products34:35 - Does face yoga work?35:59 - Does face roller work?36:50 - What is collagen?38:41 - Anti ageing creams work?39:11 - Does hyaluronic acid work?41:36 - Does Retinol work?42:39 - Best skin care routine45:18 - Korean glass skin 46:19 - Does hydra facial work?47:24 - Should you do facial & face cleanup?48:37 - How to remove blackheads?49:07 - Face mask & sheet masks work?50:34 - Do natural ingredients work?51:19 - Does UV light mask work?52:03 - Barrier repair52:31 - Food based skin care products53:01 - What is micro needling?54:16 - Reality of period blood facial54:57 - Skin care myths busted1:01:44 - Reason of dark circles1:03:45 - Best sunscreen1:04:04 - Does fairness creams work?1:05:13 - Income of a dermatologist in India1:07:18 - Fat freezing treatments1:10:56 - Conclusion--------------In today's episode of Figuring Out, we have Dr. Gurjot Singh Marwah in conversation with Raj Shamani. He is a certified dermatologist and hair transplant surgeon based in Mumbai. His knowledge of skin health, medicines, and different surgeries will give you clear answers to a lot of your doubts today. In this episode, he shared the reality of medicines and creams that dermatologists sell under their name. He revealed the facts and side effects of chemicals like minoxidil, and isotretinoin, and shared if anti-dandruff shampoos and a healthy diet have any effect on dandruff. He shared some common beauty treatments in Bollywood and the difference between Botox and Fillers and other IV Therapies. He also shared his thoughts on the products that are just a ‘hype' in the market. We also asked him about the effects of chemicals like Hyaluronic acid, Salicylic acid, Niacinamide, Kojic acid, and Retinol. Towards the end, he exposed a 7-step skincare routine, hydra facials, cleanups, facials, facemasks, micro-needling, and more. We also asked him about popular myths like- does masturbation cause pimples? Are more SPF sunscreens better? Do anti-aging products make your wrinkles disappear? And many such myths. We ended with asking him the most googled questions and the answers will surprise you! Till the next episode subscribe to our channel and join us on this journey of Figuring Out. Follow Dr. Gurjot Singh Marwah On:Instagram: https://www.instagram.com/dr.gurjotmarwah/Twitter: https://twitter.com/MarwahGurjotFacebook: https://www.facebook.com/dr.gurjotmarwah/YouTube: --------------About Raj ShamaniRaj Shamani is an Entrepreneur at heart that explains his expertise in Business Content Creation & Public Speaking. He has delivered 200+ speeches in 26+ countries. Besides that, Raj is also an Angel Investor interested in crazy minds who are creating a sensation in the Fintech, FMCG, & passion economy space.

Winkelheide, Martinwww.deutschlandfunk.de, Sprechstunde

Dr. Feldman on THE HALO EFFECT - REAR: SGD and PA - Oral isotretinoin & photoaging - Anogenital warts & child abuse - Electroacupuncutre for AD - TGs increase drug penetration - TGs for calluses - Want to donate to the cause? Do so here! http://www.uofuhealth.org/dermasphere Check out our video content on YouTube: https://www.youtube.com/@dermaspherepodcast and VuMedi!: https://www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠⁠https://physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: ⁠https://dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠https://healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com (a social platform for doctors to share knowledge) - ⁠https://www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!)

What's the difference between primary and secondary failure of a biologic? And why does it matter? Exploring an actual patient case, faculty from the DEF Biologic and Small Molecule NP/PA CME Bootcamp—April Armstrong, MD, MPH; David E. Cohen, MD, MPH; Kara Gooding, MMS, PA-C; and Joe Gorelick, MSN, FNP-C—address these questions and many more. Plus, Mary Beth Hagan, Founder of TITAN Aesthetic Recruiting, gives tips for PAs and NPs interested in cosmetic dermatology, and there are changes coming to iPLEDGE for isotretinoin.Like what you're hearing? Have a topic you want to hear more about? Hit us up and spread the word on Instagram!

Hormones, HRT, and the right kind of skincare - plus: Roaccutane (and other meds), in-clinic options, scarring, diet, alternative treatments…this is Dr. Sophie's 101 when it comes to acne.

Nutraceuticals for hair - Systemic ACD to drugs - Histology of AA vs androgenetic alopecia - Isotretinoin ocular AEs - Psych meds in psychodermatology - Want to donate to the cause? Do so here! http://www.uofuhealth.org/dermasphere Check out our video content on YouTube: https://www.youtube.com/@dermaspherepodcast and VuMedi!: https://www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠⁠https://physicians.utah.edu/echo/dermatology-primarycare - ⁠⁠Connect with us! - Web: ⁠https://dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠https://healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge) - ⁠https://www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!)

Omega-3s help isotretinoin - Covid and autoimmune disease - Transient abdominal telangiectasia of the newborn - Systemic tacrolimus in derm - MTX + prednisone for alopecia totalis/universalis - Tofacitinib for BP - Check out our video content on YouTube: https://www.youtube.com/@dermaspherepodcast and VuMedi!: https://www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠⁠https://physicians.utah.edu/echo/dermatology-primarycare - ⁠⁠Connect with us! - Web: ⁠https://dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠https://healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge) - ⁠https://www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!)

ACNE SUCKS!  We get it - we have clients DESPERATE to get rid of it ASAP! In a recent episode, we talked about Isotretinoin (such as Roaccutane) and we received many follow-up questions about antibiotics for acne which is another common conventional prescription.Here's what we're covering in today's episode:- Why they're used- What it does and doesn't do- If you choose this path, what you need to know- Damage control, fixing the root cause and a few random side tangents about the gut-skin axisHit us with your skin story experiences with antibiotics + acne below!And don't forget to share this episode with friends or family who would benefit from hearing this!LINKS MENTIONED: Join The Holistic Health Collective MembershipSEND US A QUESTION:https://www.speakpipe.com/theholistichealthpodcast FIND NAT BELOW: Website - https://nataliekdouglas.com/Thyroid Rescue - https://nataliekdouglas.com/thyroid-rescue/Gut Rescue - https://nataliekdouglas.com/gut-rescue/Hormone Rescue - https://nataliekdouglas.com/hormone-rescue/Fertility Support Package - https://nataliekdouglas.com/fertility-and-preconception-care-package/A Guide To Coming Off The Pill - https://nataliekdouglas.com/coming-off-the-pill-mini-course/How To Test Your Thyroid Properly - https://nataliekdouglas.com/thyroid-testing-mini-course/Instagram - https://www.instagram.com/natalie.k.douglasBook a Free Assessment Call - https://calendly.com/nataliekdouglas/thyroid-discovery-call  FIND AMIE BELOW: Website - https://whatthenaturopathsaid.comInstagram - https://www.instagram.com/thatnaturopathJoin the mailing list - https://elysium-clinic-of-natural-medicine.ck.page/69663ce14aBook a Discovery Call: https://p.bttr.to/3yBdmu3Free eBook 'Is mould making you sick?' - https://www.amieskilton.com/MPYHeBookFree webinar 'The 9 subtle signs your home has a mould problem' - https://www.amieskilton.com/MPYHwebinarMouldProof Your Home eCourse - https://www.amieskilton.com/mouldproofMould Prevention 101 mini-course - https://p.bttr.to/3Cp5DkB    GET DISCOUNTS ON PRODUCTS WE LOVE! Block Blue Lighthttps://www.blockbluelight.com.au/?aff=234 use code AMIESKILTON for 10% off Bon Charge (formerly BluBlox)https://www.boncharge.com/?rfsn=5621350.23bd9ab 15% discountSomnilighthttp://somnilight.ositracker.com/coupons/index

Mixing ILK with lidocaine/epinephrine for AA - Highlights from the IDS - Isotretinoin for rosacea - Leukotriene receptor antagonists for chronic urticaria - Jak inhibitors for HS - Check out our video content on YouTube: ⁠Dermasphere Podcast - YouTube⁠ - and VuMedi!: https://www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠⁠https://physicians.utah.edu/echo/dermatology-primarycare - ⁠⁠Connect with us! - Web: ⁠https://dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠https://healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge) - ⁠https://www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!)

Having "bad skin" SUCKS, right? Skin issues have a way of affecting so much of your life and we have compassion for you if you're navigating this!Isotretinoin (such as Roaccutane, and similar Vitamin A analogues) are frequently prescribed for Acne.In this episode, we chat about:- What Isotretinoin is & how it works- What it doesn't do (& why this is important)- Clinical side effects- Your options for addressing Acne holistically &/or concurrently with Isotretinoin- The most common "root causes" of Acne & how we approach this with our clients LINKS MENTIONED: Join The Holistic Health Collective MembershipSEND US A QUESTION:https://www.speakpipe.com/theholistichealthpodcast FIND NAT BELOW: W - https://nataliekdouglas.com/Thyroid Rescue - https://nataliekdouglas.com/thyroid-rescue/Gut Rescue - https://nataliekdouglas.com/gut-rescue/Hormone Rescue - https://nataliekdouglas.com/hormone-rescue/Fertility Support Package - https://nataliekdouglas.com/fertility-and-preconception-care-package/A Guide To Coming Off The Pill - https://nataliekdouglas.com/coming-off-the-pill-mini-course/How To Test Your Thyroid Properly - https://nataliekdouglas.com/thyroid-testing-mini-course/IG - https://www.instagram.com/natalie.k.douglasBook a Free Assessment Call - https://calendly.com/nataliekdouglas/thyroid-discovery-call  FIND AMIE BELOW: W - https://whatthenaturopathsaid.comIG - https://www.instagram.com/thatnaturopathJoin mailing list - https://elysium-clinic-of-natural-medicine.ck.page/69663ce14aBook a Discovery Call: https://p.bttr.to/3yBdmu3Free webinar 'The 9 subtle signs your home has a mould problem' - https://www.amieskilton.com/MPYHwebinarMouldProof Your Home eCourse - https://www.amieskilton.com/mouldproofMould Prevention 101 mini-course - https://p.bttr.to/3Cp5DkB   Clear Skin Secrets eBook: https://the-clear-skin-coach.dpdcart.com/cart/add?product_id=159798&method_id=171152 (Podcast listeners 25% off discount code: THHP) GET DISCOUNTS ON PRODUCTS WE LOVE! Block Blue Lighthttps://www.blockbluelight.com.au/?aff=234 use code AMIESKILTON for 10% off Bon Charge (formerly BluBlox)https://www.boncharge.com/?rfsn=5621350.23bd9ab 15% discountSomnilighthttp://somnilight.ositracker.com/coupons/index

Senior Send-Off! - Baricitinib for LP (with Angie Hwang) - EB patients: peds -> adult care (with Morgan Dykman) - Isotretinoin and IUDs (with Gui Kuceki) - Addressing visual racism in medical school (with Michael Birdsall) - Rural & underserved derm health disparities (with Eleonora Marcacci) - Check out our video content on YouTube: ⁠Dermasphere Podcast - YouTube⁠ - and VuMedi!: https://www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: ⁠⁠https://physicians.utah.edu/echo/dermatology-primarycare - ⁠⁠Connect with us! - Web: ⁠https://dermaspherepodcast.com/⁠ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! ⁠https://healthcare.utah.edu/dermatology/skincast/⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge) - ⁠https://www.levelex.com/games/top-derm⁠ (A free dermatology game to learn more dermatology!)

On this episode, I discuss isotretinoin pharmacology, side effects, drug interactions, and much more. The iPLEDGE program is in place to ensure that pregnant patients do not receive this medication. I discuss this in more detail on this episode. Sun sensitivity is an important adverse effect that patients should be aware of during seasons of high sun exposure. Hepatic issues, myalgia, and psychiatric changes are rare adverse effects associated with isotretinoin.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the July 2023 issue of DTB. They discuss evidence-based medicine, access to evidence and increasing use of press releases and social media to present evidence (https://dtb.bmj.com/content/61/7/98). They talk about the safety of isotretinoin (https://dtb.bmj.com/content/61/7/99) and review a study that assessed the accuracy of conflict of interest statements in clinical guidelines (https://dtb.bmj.com/content/61/7/100). The main review article explores the evidence for cardiac and renal effects of SGLT2 inhibitors (https://dtb.bmj.com/content/61/7/103). They begin by discussing the impact of the shortage of Utrogestan.

Season 4, Episode 8

John Barbieri, MD, MBA, FAAD interviewed by Jacquelyn Dosal, MD, FAAD

Dr. Steve Feldman on behavioral economics - Hormonal IUDs and androgenic skin conditions - Acquired ichthyosis review - Isotretinoin improves neuropsychiatric outcomes - Connect with us! Web: https://dermaspherepodcast.com/ Twitter: @DermaspherePC Instagram: @dermaspherepodcast Facebook: https://www.facebook.com/DermaspherePodcast/ Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: Kikoxp.com (a social platform for doctors to share knowledge) https://www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!) The University of Utah Dermatology Echo: https://physicians.utah.edu/echo/dermatology-primarycare

Join me as I talk about the pronunciations of phenytoin and isotretinoin. 

Recording of the Evidence Based Hair Podcast for the Oct 11, 2022 issue.  TINEA CAPITIS STUDIES Cukierman E et al (starts at 5:18). Alopecia and pet: a case report. Einstein (Sao Paulo). 2022 Jul 4;20:eRC6881.   TELOGEN EFFLUVIUM - COVID 19 Visconti A et al (starts at 20:00) Cutaneous Manifestations of SARS-CoV-2 infection during the Delta and Omicron waves in 348,691 UK users of the UK ZOE COVID Study App. Br J Dermatol. 2022 Jul 22;   TELOGEN EFFLUVIUM - ISOTRETINOIN Tran PT et al (starts at 29:30) Characteristics of Patients with Hair Loss after Isotretinoin Treatment: A Retrospective Review Study. Int J Trichology. 2022 Jul-Aug;14(4):125-127.   TRICHOTILLOMANIA STUDIES Grant JE and Chamberlain SR (starts at 42:17). Natural recovery in trichotillomania. Aust N Z J Psychiatry. 2022 Oct;56(10):1357-1362   Chesivoir EK et al (starts at 47:30). Comorbid trichotillomania and attention deficit hyperactivity disorder in adults. Psychiatry. 2022 Jul; TELOGEN EFFLUVIUM -   IRON DEFICIENCY   Kano Y. Blue sclera (starts at 55:33): An overlooked finding of iron deficiency. Cleve Clin J Med. 2022 Oct 3;89(10):549-550.    

 1 Short courses of ciclosporin can induce long remissions in chronic spontaneous urticaria2 Isotretinoin laboratory monitoring in acne treatment- a Delphi consensus3 Clinical presentation and virological assessment of confirmed human monkeypox virus cases in Spain: a prospective observational cohort study4 Clinical features and natural course of paediatric longitudinal melanonychia: a retrospective cohort study in Korea5 The association between frontal fibrosing alopecia, sunscreens and moisturizers: a systematic review and meta-analysis6 What exactly are odds ratios?7 Isla Galpin. Violin Sonata in G minor, 1st and 2nd movement by Eccles

PN epidemiology and clinical features with Dr. Kwatra - PN pathogenesis and management with Dr. Kwatra - Dupilumab facial redness - Isotretinoin labs are unnecessary - Dupilumab for LS - SCC after AK treatment - Connect with Dr. Kwatra! @drshawnkwatra Luke's Practical Dermatology for Primary Care course: https://registration.socio.events/e/pdpc2022 Join us at Texas Derm: https://www.texasdermatology.org/amsimis/TDS/Meetings/Annual_Meetings/Annua_Meetings.aspx Connect with us! Web: https://dermaspherepodcast.com/ Twitter: @DermaspherePC Instagram: dermaspherepodcast Facebook: https://www.facebook.com/DermaspherePodcast/ Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: Kikoxp.com (a social platform for doctors to share knowledge) https://www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!)

Part 3! With some real life experiences! Enjoy

Empowering consumers with Dr. Fayne Frey – Best systemic treatments for androgenetic alopecia – Isotretinoin lab monitoring guidelines – Suture distance from the wound edge doesn't matter – Shingles vaccines recommendations Connect with Dr. Frey! Fryface.com Connect with us! - Web: https://dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com(a social platform for doctors to share knowledge) - https://www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!)

FRONTAL FIBROSING ALOPECIA : ISOTRETINOIN VS FINASTERIDE Rakowska A, et al (starts at 9:15). Efficacy of Isotretinoin and Acitretin in Treatment of Frontal Fibrosing Alopecia: Retrospective Analysis of 54 Cases. J Drugs Dermatol. 2017. Rokni GR et al (starts at 10:43). Evaluating the combined efficacy of oral isotretinoin and topical tacrolimus versus oral finasteride and topical tacrolimus in frontal fibrosing alopecia - A randomized controlled trial. J Cosmet Dermatol. 2022 Jul 11.   FRONTAL FIBROSING ALOPECIA : EYELASH INVOLVEMENT Salas-Callo C et al (starts at 16:14). Eyelash involvement in frontal fibrosing alopecia: A prospective study. J Am Acad Dermatol 2022 Jul;87(1):232-234.   FRONTAL FIBROSING ALOPECIA : QUALITY OF LIFE David Saceda-Corralo et al (starts at 22:52). Health-Related Quality of Life in Patients With Frontal Fibrosing Alopecia. JAMA Dermatol. 2018 Apr 1;154(4):479-480. Varghae A et al (starts at 24:43). Assessment of health-related quality of life in patients with frontal fibrosing alopecia. J Cosmet Dermatol. 2022 Jun 27.   FRONTAL FIBROSING ALOPECIA : MALE FFA STUDIES OF ORAL MINOXIDIL AND FINASTERIDE/DUTASTERIDE Moussa A et al (starts at 30:00). Clinical features and treatment outcomes of frontal fibrosing alopecia in men. Int J Dermatol. 2022 Jun 21 LPP PREVALENCE STUDIES Trager MH et al (starts at 40:50). Prevalence estimates for lichen planopilaris and frontal fibrosing alopecia in a New York City health care system. J Am Acad Dermatol 2021 Apr;84(4):1166-1169 Lavian J et al (starts at 41:37). Incidence estimates for lichen planopilaris and frontal fibrosing alopecia in a New York City health care system.Dermatol Online J. 2021 Aug 15;27(8). Lim S H et al (starts at 42:29). Rapidly increasing incidence and prevalence of lichen planopilaris in an Asian population: A Korean nationwide population-based study. J Dermatol. 2022 Jun 21. Joshi TP et al (starts at 49:10). Prevalence of lichen planopilaris in the United States: A cross-sectional study of the All of Us research program. JAAD Int. 2022 Jun 13;8:69-70   CENTRAL CENTRIFUGAL CICATRICIAL ALOPECIA: QUALITY OF LIFE Akintilo et al (starts at 54:48). Health care barriers and quality of life in central centrifugal cicatricial alopecia patients. Cutis. 2018 Dec;102(6):427-432.   Maranga et al (starts at 56:49). Quality of life in patients with central centrifugal cicatricial alopecia: a preliminary study. Br J Dermatol. 2022 Jun 15.     CONCLUSION AND SUMMARY - starts at 58:46

JAK KINASE INHIBITORS AND SKIN CANCER Jalles et al (starts at 5:29). Skin cancers under Janus kinase inhibitors: A World Health Organization drug safety database analysis. Therapie. 2022 May 7;S0040-5957(22)00092-0.   ISOTRETINOIN LAB MONITORING Xia E et al (starts at 13:36). Isotretinoin Laboratory Monitoring in Acne Treatment: A Delphi Consensus Study. JAMA Dermatol. 2022 Jun 15.   ISOTRETINOIN & SURGERY Davis and Perkins (starts at 18:28). Oral isotretinoin (Roaccutane) use during incisional surgery: safe or risky? Case Reports Plast Surg Hand Surg. 2022 May 13;9(1):131-134. Spring L et al (starts at 20:17). Isotretinoin and Timing of Procedural Interventions: A Systematic Review With Consensus Recommendations. JAMA Dermatol. 2017 Aug 1;153(8):802-809. Mysore V et al. Standard Guidelines of Care: Performing Procedures in Patients on or Recently Administered with Isotretinoin J Cutan Aesthet Surg. 2017 Oct-Dec; 10(4): 186–194.   CONGENITAL TRIANGULAR ALOPECIA Shimrada K et al (starts at 23:57). Atypical Localization of Congenital Triangular Alopecia Associated with Down's Syndrome. Indian J Dermatol. 2022 Jan-Feb; 67(1): 94 Starace M et al (starts at 25:40). Atypical Presentation of Congenital Triangular Alopecia: A Case Series in Italy. Dermatol Pract Concept Oct 2020.   HYDROXYCHLOROQUINE DOSING Chen R et al (ssarts at 30:00). Impact of an Electronic Decision Support Tool to Improve Ophthalmic Safety in Hydroxychloroquine Prescribing Practices Ophthalmic Surg Lasers Imaging Retina. 2022 Jun;53(6):310-316. Melles & Marmor (starts at 31:24). The Risk of Toxic Retinopathy in Patients on Long-term Hydroxychloroquine Therapy. JAMA Ophthalmol. 2014;132(12):1453–1460.

Skin of color with derm hero Dr. Rina Allawh! - ORAL surveillance study of JAK risks - Acitretin in kids - Antihistamines help isotretinoin - Suicidality decreases while on isotretinoin For more Dr. Rina Allawh: instagram: @drrinaderm Podcast: Skin The Surface www.skinthesurfacepod.com Connect with us! - Web: https://dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: https://www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: Kikoxp.com (a social platform for doctors to share knowledge) https://www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!)

Episode 90: Vaccines and Acne. Updates on pneumococcal and COVID-19 vaccines. Sarah explains the treatment of acne.New Pneumococcal Vaccine Recommendations. Written by Harkiran Bhattal, MS4, Ross University School of Medicine; Timiiye Yomi, MD; and Hector Arreaza, MD.During the recording, we used brand names because they are easier to use. We are not sponsored by the manufacturers of these vaccines. Terminology of pneumococcal vaccines: PCV13: Prevnar13®PPSV23: Pneumovax23®PCV15: Vaxneuvance® PCV20: Prevnar20®Tips about pneumococcal vaccines:-Prevnar13 is no longer used in adults. -Pneumovax23 is still being used in adults.-The two newer members of the pneumococcal vaccines are: Prevnar20® (PCV20) and Vaxneuvance® (PCV15). The following groups of patients are all adults 19-64 with underlying conditions OR >65 years old. Group A: Unknown or no prior doses of Prevnar13 or Pneumovax 23Option 1: Prevnar20 given as a single doseOption 2: Vaxneuvance followed by a dose of Pneumovax23 at least a year later (Consider >8 weeks in patients >19 at the highest risk)Group B: Previously received Pneumovax 23Give Prevnar20 or Vaxneuvance (at least 1 year since the last Pneumovax 23)Group C: Previously Received Prevnar13Give Pneumovax23 or Prevnar20 (if Pneumovax 23 is not available) >1 year since last dose of Prevnar13Group D: Previously completed series of Prevnar13 and Pneumovax23 in any orderNo additional doses are needed. Scenario 1: 68 yo M who has not previously received PCV or whose previous vaccination history is unknown (Group A). This patient should receive: 1 dose of Prevnar20 and be done, or Vaxneuvance followed by a dose of Pneumovax23. Scenario 2: 25 yo F with HIV not previously received PCV or whose vaccination history is unknown (Group A). This patient should receive: 1 dose of Prevnar20 and be done, or Vaxneuvance followed bya dose of Pneumovax 23 given 8 weeks later. This patient is in the highest risk group. Scenario 3: 50 yo M with chronic alcoholism who has not received any vaccine or unknown status (Group A). This patient should receive: 1 dose of Prevnar20 and be done, or Vaxneuvance followed by Pneumovax 23 one year later. Scenario 4: 43 yo M with previous Pneumovax 23 only (Group B). This patient should receive either: a single dose of Prevnar20 or Vaxneuvance and be done with either vaccine. Give either vaccine at least 1 year after Pneumovax 23. Scenario 5: 25 yo F with CSF leak and previously received Prevnar13 (Group C). This patient should receive Pneumovax23 or Prevnar 20 (if Pneumovax 23 is unavailable) at least one year after her las Pneumovax dose. Scenario 6: 35 yo M who previously completed Prevnar13 and Pneumovax in any order because he has a cochlear implant (Group D). This patient should NOT receive any additional dose. Research and MonitoringCDC and ACIP will continue to assess the safety of Vaxneuvance and Prevnar20 vaccines (the new kids on the block), monitor the impact of the implementation of new recommendations, and assess post-implementation effectiveness and recommendations as appropriate. Examples of risk factors to consider administration of pneumococcal vaccines: Chronic renal failure, HIV infection, alcoholism, cigarette smoking, chronic heart, liver, and lung disease. For a complete list of conditions, visit CDC.gov.___________________ A second booster shot of COVID-19 vaccines. By Hector Arreaza, MD.On March 29 and 30, 2022, CDC announced that a second booster dose of any mRNA COVID-19 vaccine may be given to certain individuals who are at risk of severe outcomes from COVID-19(1). Individuals who may choose to receive a second booster are: 1. People older than 12 years of age who have a moderate to severe immunocompromising condition. Remember, use Pfizer for older than 12 yo, and Moderna for older than 18 yo.2. People older than 50 years of age who are NOT moderately or severely immunocompromised.3. People 18-49 years of age who are NOT immunocompromised but received the J&J COVID-19 vaccine as both the primary and booster dose. When can you receive the second booster shot? At least 4 months after the first booster dose.Who is considered up to date? A person is considered up to date when he/she has received all recommended doses in their primary vaccine series, and a booster dose when eligible. A second booster dose is not required to be considered up to date at this time.Underlying medical conditions associated with higher risk for severe COVID-19 include: Cancer, obesity, cerebrovascular disease, diabetes mellitus, HIV, obesity, COPD, smokers, and chronic liver disease.Comment: Remember to give the second booster to your patients. ____________________Acne Treatment.  By Sarah Park, MS3, University of California Los Angeles. Discussed with Hector Arreaza, MD.  Definition: Acne vulgaris is a common inflammatory disorder of the pilosebaceous unit, which includes the hair follicle and sebaceous gland. It is characterized by chronic or recurrent development of papules, pustules, or nodules commonly on the face, chest, or upper back.(1,2) Acne affects nearly 50 million people in the U.S. per year and can cause significant psychological distress in those who are affected. It primarily begins at puberty when the production of androgens and/or sensitivity of androgen receptors increase, thereby commonly affecting adolescents and young adults.(2) Pathophysiology: The pathophysiology of acne involves four main processes: 1) sebum overproduction, 2) hyperkeratinization of the follicle, 3) bacterial colonization by Cutibacterium acnes, and 4) inflammation.(2,3) It can be classified as mild, moderate, or severe based on the extent and types of lesions.3Treatment: Treatment is selected based on the severity of the condition, patient preference, and tolerability. Acne treatment often requires long-term, consistent use of one or more medications.(3) The main objective of treatment is to decrease sebum production, get rid of extra keratin, treat infection and decrease inflammation. You can warn your patients that their skin may feel dryer and more scaly than usual, but that's part of the treatment. For mild and exclusively comedonal acne, topical retinoids like tretinoin are the treatment of choice(4), but topical retinoids can be used in any level of severity for maintenance. Examples: Adapelene, tazarotene, and tretinoin, For mild inflammatory papulopustular acne or mild mixed comedonal and papulopustular acne, topical retinoids may be used in combination with antimicrobial therapy (either combined with benzoyl peroxide or combined with benzoyl peroxide plus clindamycin or erythromycin). If patients cannot tolerate a topical retinoid, alternatives include salicylic acid and azelaic acid. Of note, oral or topical antibiotics should only be used in combination with benzoyl peroxide and retinoids for a maximum of 12 weeks. If unresponsive to these topical therapies, namely retinoids, benzoyl peroxide, and/or clindamycin, alternative therapies may be initiated. These include topical dapsone, minocycline, and clascosterone.Topical dapsone is an effective treatment for both inflammatory papulopustular and comedonal acne lesions. Topical minocycline is an alternative topical antibiotic used for specifically moderate to severe acne. And last but not least is topical clascosterone, a relatively new topical (specifically an androgen receptor inhibitor) approved by the FDA in 2020.(4)Treatment for moderate to severe acne: For moderate to severe acne vulgaris, management is systemic therapy. This includes oral antibiotics or hormonal therapies, often used in conjunction with topical therapy, or monotherapy with oral isotretinoin. 1. Oral antibiotics for acne vulgaris include doxycycline, minocycline, and sarecycline. Treatment should be limited to three to four months.(5)2. For female patients, hormonal therapy with oral contraceptives and/or spironolactone is also an option. A meta-analysis comparing oral contraceptive therapy and oral antibiotic therapy suggests similar efficacy for the treatment of acne. OCP treatment is often the first-line choice for hormonal therapy, especially for patients who desire the added benefit of contraception. Spironolactone is often used for patients who have contraindications to OCP therapy or prefer to avoid OCPs. Both methods work to inhibit acne by reducing the effects of androgen on the pilosebaceous unit.53. For severe, extensive, nodular acne vulgaris, oral isotretinoin is the drug of choice. It is given as a monotherapy and is often used when all other treatment modalities fail.  Oral isotretinoin is the only medication that can permanently affect the natural course of acne by affecting all four factors in acne pathogenesis. Isotretinoin is most notably known for its teratogenic adverse effects and so is contraindicated in pregnant women and pregnancy must be avoided during therapy by using two forms of birth control.(5)Comment about isotretinoin use: Although prescribing isotretinoin (brand name Accutane®) is within the scope of family medicine, many providers choose not to prescribe it because of lack of training, monitoring hassles, fear of side effects, especially due to concerns with teratogenicity. Isotretinoin is an effective treatment for a condition that can not only disfigure and scar the face but can also cause significant psychosocial dysfunction. Dr. Van Durme recommended when you prescribe isotretinoin, you should have a regular schedule of monthly laboratory tests (including pregnancy test), then office visit, and then prescription, in that order. This schedule will improve the likelihood that side effects are managed promptly and medication is taken appropriately(7). If you would like more information about prescribing isotretinoin, visit https://ipledgeprogram.com.Conclusion: Use topical retinoids alone for mild cases of acne; topical retinoids combined with benzoyl peroxide or topical clindamycin or erythromycin for moderate cases; and topical retinoids combined with benzoyl peroxide and oral antibiotics in severe cases. Remember that isotretinoin is an oral treatment reserved for severe inflammatory papules and pustules with nodules. Treating acne effectively can certainly improve the quality of life of your patients. Now we conclude Episode 90 “Vaccines and Acne”. We gave you an update on pneumococcal and COVID-19 vaccines. Prevnar 20 seems to be the new star in the show. PCV15 is also useful but it needs to be followed by a shot of Pneumovax 23. Regarding COVID-19 vaccines, a second shot may be given to patients older than 12 who are immunocompromised or patients older than 50 who are NOT immunocompromised. Then we finished with a discussion about acne and we learned that topical is usually enough for mild cases, but oral therapy may be needed in moderate to severe cases of acne. Even without trying, every night you go to bed being a little wiser. Thanks for listening to Rio Bravo qWeek. Send us your feedback by email to RioBravoqWeek@clinicasierravista.org, or in our website riobravofmrp.org/qweek. This podcast was created for educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Timiiye Yomi, Amardeep Chetha and Sarah Park. Audio edition: Suraj Amrutia. See you next week!  References:Kobayashi M, Farrar JL, Gierke R, et al. Use of 15-Valent Pneumococcal Conjugate Vaccine and 20-Valent Pneumococcal Conjugate Vaccine Among U.S. Adults: Updated Recommendations of the Advisory Committee on Immunization Practices — United States, 2022. MMWR Morb Mortal Wkly Rep 2022;71:109–117. DOI: http://dx.doi.org/10.15585/mmwr.mm7104a1 2. Pneumococcal Vaccination Timing for Adults, CDC. https://www.cdc.gov/vaccines/vpd/pneumo/downloads/pneumo-vaccine-timing.pdf, accessed on March 30, 2022. Interim Clinical Considerations for Use of COVID-19 Vaccines, Centers for Disease Control and Prevention, CDC.gov, https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html#considerations-covid19-vax-booster, accessed April 5, 2022.  Thiboutot, Diane, MD; and Andrea L Zaenglein, MD. Pathogenesis, clinical manifestations, and diagnosis of acne vulgaris, UpToDate. Accessed on April 1, 2022. https://www.uptodate.com/contents/pathogenesis-clinical-manifestations-and-diagnosis-of-acne-vulgaris Leung AK, Barankin B, Lam JM, Leong KF, Hon KL. Dermatology: how to manage acne vulgaris. Drugs Context. 2021 Oct 11;10:2021-8-6. doi: 10.7573/dic.2021-8-6. PMID: 34691199; PMCID: PMC8510514. Oge' LK, Broussard A, Marshall MD. Acne Vulgaris: Diagnosis and Treatment. Am Fam Physician. 2019 Oct 15;100(8):475-484. PMID: 31613567. Graber, Emmy, MD, MBA. Acne vulgaris: Overview of management, UpToDate. Accessed on April 1, 2022. https://www.uptodate.com/contents/acne-vulgaris-overview-of-management Harris C. Clascoterone (Winlevi) for the Treatment of Acne. Am Fam Physician. 2021 Jul 1;104(1):93-94. PMID: 34264597. Acne vulgaris: Management of moderate to severe acne, UpToDate. Accessed on April 1, 2022. https://www.uptodate.com/contents/acne-vulgaris-management-of-moderate-to-severe-acne Van Durme DJ. Family physicians and accutane. Am Fam Physician. 2000 Oct 15;62(8):1772, 1774, 1777. PMID: 11057835. https://www.aafp.org/afp/2000/1015/p1772.html

In this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink discuss what options there are when topical acne medication isn't enough A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinon of our employer. 

Injectable doxycycline for baggy eyelids – ACD to AirPods – Platelet-rich plasma for androgenetic alopecia – Isotretinoin laboratory monitoring – PRAME in melanoma diagnosis https://dermaspherepodcast.com/ Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no conflicts of interest.

Register for my Upcoming Webinars mentioned in the video: www.dianekazer.com/webinars

In the first episode of this three-part miniseries, Is IPLEDGE Working? A Conversation on Risk Management and Isotretinoin, Dr. Leah Lalor talks about the program's history with Dr. Jill Lindstrom. Listen as Dr. Lindstorm shares important information on the evolution of this REMS (Risk Evaluation and Mitigation Strategy) program for isotretinoin and how the program was molded into what it is today. Dr. Lindstrom is a practicing dermatologist at Walter Reed National Military Medical Center. She was previously the Deputy Director of the Division of Dermatology and Dental Products at FDA, where she worked for 17 years. 

In this final episode, Dr. Lindstrom and Dr. Frieden discuss the value of the program and changes that could be made to better serve patients and still protect the original aim of the program. Listen to learn more about how transparency might just be the key to achieving both the program goals, as well as supporting all patients fairly and safely.

In episode two of three, Dr. Ilona Frieden outlines the challenges providers and patients face with the iPledge program. Listen as Dr. Frieden raises important, thought-provoking issues like how the program impacts those who are not able to become pregnant and perpetuates health care access disparities. Dr. Ilona Frieden is a pediatric dermatologist and Professor of Dermatology at the University of California, San Francisco. She is the President of the Pediatric Dermatology Research Alliance and co-chair of the American Academy of Dermatology Association iPledge Workgroup.

This week the USPSTF update aspirin recommendations for those 60 years and older; The FDA take a stance on needle-free devices for injecting dermal fillers; REMS requirements are updated for isotretinoin products; A new treatment approved for pediatric congenital athymia; An emergency use request submitted for an oral antiviral COVID treatment; And the FDA advisory panel vote on boosters for the Moderna vaccine.

Lots of us have acne growing up, or even as adults. And for lots of us, the right anti-blemish products will clear it right up! But when that doesn't work... and changes to your diet don't work... and antibiotics from your doctor don't work.... that's when dermatologists can sometimes prescribe medication to treat your acne. So what's it like taking the most controversial acne drug? Kelly finds out!   CREDITS Host: Kelly McCarren Guest: Dr Shyamalar Gunatheeson Producer: Gia Moylan GET IN TOUCH: Got a beauty question you want answered?  Email us at youbeauty@mamamia.com.au or call the podphone on 02 8999 9386.  Join our You Beauty Facebook Group here. Want this and other podcasts delivered straight to your inbox? Subscribe to our podcast newsletter. Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present and extend that respect to all Aboriginal and Torres Strait Islander cultures. See omnystudio.com/listener for privacy information.

Liam Hemsworth. Diving boards. Accutane (a.ka. Isotretinoin). what do all of these things have in common? Nothing, except for the fact that we somehow weave all three into a rich tapestry that is THIS EPISODE! After taking some time to rest (jk, we were overwhelmed by other things in life lol), we are BACK, baby, with a super-rich deep dive into Ellen's final stretch of Accutane, one of the most powerful acne drugs available through a dermatologist in the United States. We'll take you on a deep dive into the symptoms and solutions Ellen has discovered in her course of this prescription drug . Products Mentioned (No affiliate links of any kind just stuff we like – we have no sponsors

Bezüglich der Einnahme von Isotretinoin und den möglichen Nebenwirkungen dieses Medikamentes kursieren einige Mythen

Welcome to our weekly #Beautybomb, a burst of info on the latest and greatest ingredients, products, and treatments in the spa industry to help you expand your knowledge and stay on top of your game as an aesthetic expert.    In this week’s #Beautybomb, I’m talking about Isotretinoin (more commonly known by its discontinued name, Accutane), which is the internal use of retinol for the treatment of severe acne.    In this episode you’ll learn:   What Isotretinoin is utilized for and how it works within the skin to help patients with severe acne  An overview of Isotretinoin’s side effects ranging from common to severe and how these side effects determine what we can do as aesthetic providers  The psychological element behind prescribing Isotretinoin to treat acne and what those on the drug can expect with treatment    To keep the conversation going, ask questions, request future #Beautybomb topics and connect with other like-minded aestheticians building thriving careers, join the free Spa Marketing Made Easy Podcast community.    To read the full show notes for this episode with included links to resources mentioned, click here.

Isotretinoin in Tablettenform wird seit über 40 Jahren zur Behandlung der Akne eingesetzt.

He played over 200 games as a pro, enjoying a spell in the top-flight with Notts County and a loan period at Manchester United. But CHRIS SHORT saw his career ruined after taking the acne drug Isotretinoin. It led to chronic muscle fatigue, and in 2001 he collapsed on the pitch at Craven Cottage. However, his 15-year battle with the drug's shocking side effects inspired him to pursue a career in sports science.

Ein umstrittenes Hautmedikament soll jetzt auch gegen Covid helfen! Unsere Anti Aging Expertin und Dermatologin erklärt, wie das gehen soll.