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Archive for the ‘Skin’ Category

Time to get some Poison Ivy?

Every year I am determined to get out and do some yard work and every year I get a case of poison ivy.  If you are like me, I can get poison ivy just by looking at it.  Last year I had a pretty bad case. This year I am going to be ready for it.  Here are some facts that you might want to consider if you start itching.  By the way, I have several formulas to help you recover faster and minimize the itching.

Facts about Poison Ivy

How long does the rash last?

The typical rash can last anywhere from a week to 3 weeks, depending on how bad it is and how you treat it. Prescription medications can reduce the time to heal.

How long does the oil last?

The oil from poison ivy is extremely stable and will stay potent – essentially forever. You can get a rash from clothing or tools that have the oil from last summer, or even from many years back.

So if you don’t remove the oil by washing, using alcohol to dissolve it, or by just hosing off with a hard spray from a hose – assume it will stay forever.

Is it contagious?

Once you have the rash the oil has been absorbed and you probably can’t spread it to others or to other areas of your body. The big blisters filled with liquid it is mostly water.  If these rupture they do not make the rash worse by spreading.

Aren’t there 2 types of poison ivy?

Climbing variety (toxicodendron radicans) and the non climbing (toxicodendron rydbergii) poison ivy. Many people confuse poison ivy and poison oak are essentially the same when comparing the rash that is created.

If you have a bad case the typical treatment is a steroid dose pack and a topical steroid.  Let me know if you need a topical treatment that can provide you with better control of the itching and reduce the inflammation.  I often recommend adding Lidociane, Tranilast, Ketoprofen, Aloe, and many other items to improve the way the medication works.  So next time you start itching give me a call (901)757-9434.

Tired of Nail fungus?

View More: http://michaelallenphotography.pass.us/regal-pharmalabWouldn’t it be nice this summer to have clean clear toenails?  I wrote a little about this subject a few years ago.  Check it out click here.  In the last few years a couple new products have been produced for topical nail fungus.  You may have heard of Jublia and Kerydin.  My cost for these medications are over $1000.00 each for less than a half ounce.  The price for gold today is ~ $600.00 for a half ounce.  It is truly amazing what is going on right now with the cost of medications.

We are seeing this with brand name medications and generic medications as well.  Prices are climbing and there does not seem to be a ceiling.  For an interesting read on this read this story “A $2,500 tube of cold-sore cream? Now that stings” from the LA times in March of 2015.  (Click here)

Here are some steps you can take to prevent toenail fungus.

  1. Don’t wear the same shoes every day.  Rotate your shoes.  Allow the sweat to dry.
  2. Apply foot powder to inside of shoe to dry shoes more efficiently.
  3. Keep nails trim and clean daily.
  4. If you like pedicures, ask what preventive measure are taken to prevent nail fungus.

What price would you pay for pretty nails?

Are you familiar with our Retinol Complex Serum?

How do I use Retinol Complex?

  • Apply 3-4 drops to clean, dry skin.

  • Gently massage into face and neck until absorbed.

  • Use at bedtime for best results.

  • Once your skin is conditioned to the Retinol Complex, you may move up to the Retinol Complex Double Strength.

Rx Skin Therapy Product of the Month - Sept, 2015

The Retinol Complex is our Rx Skin Therapy product of the month.  During the month of September, all sizes of our Retinol Complex will be available at a discounted price.  Here is some information on this product, but please feel free to call us at 901-757-9434, email me at natalie.danielson@regelpharmalab.com or come in today with any questions!

Our Retinol Complex is beneficial for all skin types, including dry skin, normal skin, oily skin, blemish skin, patients with rosacea and patients who are looking for anti-aging skincare.

What does Retinol Complex do?

  • Reduces the appearance of fine lines and wrinkles

  • Fades sun spots/dark spots

  • Improves skin texture

  • Helps even out skin tone

  • Calms inflammation

  • Helps prevent clogged pores

  • Reduces breakouts

  • Fades acne scarring

    Click here to see the details and to place an order.

Not familiar with our skin care line, Rx Skin Therapy?  Read more at  http://regelpharmalab.com/blog/a-pharmacists-perspective-on-skin-care/

What skin issues are you experiencing?  Comment below.

Results with Rx Skin Therapy

At Regel Pharmalab we enjoy helping with medical issues.  On occasion we hear of a product not meeting a patient’s expectations.  Since we consider ourselves experts in this area of medicine we are always encouraged to resolve the issue at hand because we know the reward, in the end, of the patient having a positive experience, is what matters most.  There is nothing we like to hear more than a success story.  We appreciate hearing feedback from patients when they have had successful results using our products.  So I decided to share with you some of the comments about our latest skin care line, Rx Skin Therapy.  To read more about the Rx Skin Therapy line click here  http://regelpharmalab.com/blog/a-pharmacists-perspective-on-skin-care/

Our Skin Firming Serum is our #1 leading product in our skin care line.  The intended purpose for this product is to reduce the appearance of fine lines and wrinkles, hydrate the skin, and reveal firmer, more vibrant looking skin.

Skin Firming Image

Comments we are hearing…

“The skin firming has definitely worked to minimize the fine lines and wrinkles around my mouth!  I love the feeling of the serum, and I literally feel my face tightening right after I apply it.”

“I have tried many products for my uneven skin tone.  After using the skin firming serum, I noticed real improvement- my skin is more even and it feels great.”

“I started using this product every morning and every night.  It feels great on my skin and is not sticky like other products I have tried.  I can apply make-up on top of my skin firming without a problem.  The lines around my eyes are already starting to go away.”

 

Second is our Retinol Complex.  This serum is used to reduce the appearance of fine lines and wrinkles, fade sun spots, even skin tone and reduce blemishes.

rx_retinol_complex_5

 

 

Regel customers like it…

“I started using this product to help fade my sun spots and dark spots on my face.  I use this product every night.  The spots have started to fade, and I am very happy with the results I have seen.”

“If someone needs a product for acne this is the product they need to try!  I had problems with acne and acne scars for years.  I don’t break out anymore and my scars are going away!”

 

If you would like to try out either of these products, let me know.  I also offer a consultation service to provide you with a customized regimen for acne, anti-aging (wrinkles), sun damage and more!  During your consultation, I will address you skin care needs and determine which products are best for you.  If you are interested in setting up a skin consultation, you can call or email me to set up your appointment.

During the month of June the Skin Firming Serum is the product of the month and you can receive 10% off.  If you are reading this after June and you mention this blog you can still receive the 10% off of the #1 selling Rx Skin Therapy product – Skin Firming Serum.      

Don’t forget Cool Ladies Club members receive 15% off.

Comment below on other challenges you believe we may be able to help you with.

Someone who “kneeded” solutions!

Author Elise Abbas, Pharm.D. Candidate 2016

Nearly every month we have a pharmacy student who is on rotation come to our pharmacy and spend four weeks learning as much as one can, in a hands on environment, about specialized compounded medications.  At the same time, we are able to learn a few things from the student, as they are asked to present a topic of interest at the end of their month and support their research with reliable resources.  A recent student, Elise Abbas, 2016 Pharm. D. candidate presented a topic of interest that has become quite popular among sports medicine doctors, athletes, and anyone in pain who is unable to or has no desire to take oral anti-inflammatory and other over the counter and prescription pain medications for various reasons.  I am going to let her tell you her story.

After having to have surgery in order to repair two torn knee ligaments, I was left with knee pain and ugly scarring.  In order to rectify this issue, Regel Pharmalab has given me the opportunity to use two personally customized creams.

Knee Ligament Image

The first cream consisted of a ketoprofen, camphor, and menthol combination.  Prior to using the cream, I was simply using oral naproxen, which left me with many gastrointestinal side effects. The cream allowed me to target the drug to exactly where I needed it without interfering with the innocent bystander, that is my stomach. When applied, the cream had a fantastic cooling sensation followed by hours of joint pain relief!  It worked so well, in fact, that I wondered if my knee pain had dissipated spontaneously or if it was indeed the cream helping.  To test this theory, I abstained from using the cream, which previously I was applying twice per day, for two days.  I noticed the difference quite suddenly!  The penetration of the medication to my sore, achy knee joint works very well and I would recommend this or a similar product to anyone with post-surgical, arthritis, or even general pain.

Elise Abbas Scar Image

The next problem the surgery caused was scarring from the incisions. After the ACL/PCL repair, I was left with a three-inch, inflamed, and raised scar along with eight smaller scars from arthroscopic incisions.  With summertime quickly approaching, I planned to wear shorts, swimsuits, and other light clothing that would expose my knee.  The longer a scar is left untreated, the more difficult it is to correct later down the road; I needed to act quickly.  Two formulations were devised.  For the first 30 days, the cream included tranilast, betamethasone, and diphenhydramine in a silky silicone base.  Although I am only on day 20 of treatment, I have noticed the scar starting to lay flatter.  As you know, scars take months to heal so I will not see any major changes until much later, but this is a great start!  After my first 30 days, I will switch to the second formulation which includes tranilast, pentoxyfylline, and EGCg which are also in a silicone base.  All the above components will assist in breaking down the damaged skin while helping to rebuild new skin.  I am excited to see how this story will end!

We will keep you updated with Elise’s progress on her scars over the next several months.  If you have a problem with a scar or achy joints lets us formulate a medication for you.

Give us a call if you would like to know if Regel Pharmalab can help you @ (901) 757-9434 or email me (jregel@regelpharmalab.com)

Do you have an interesting sports injury?  Tell your story below.

 

A pharmacists perspective on skin care

“Do you have an anti-wrinkle cream?”, “Do you have a cream I can use for dry skin?”, “Can you make a cream that will help with my child’s acne?”… These are a few of the questions that our patients ask us every day.

Rx Skin Therapy Image (Personalized)

Our patients are looking for a skin care line that will take care of all of their skin care needs.  The skin care line needs to include anti-aging regimens, anti-wrinkle creams, topical acne medications, rosacea medications, dry skin recommendations etc..  Our patients are not the only ones who come to us for recommendations on their skin conditions.  We also receive requests from physicians to compound prescriptions for these skin conditions.  Since we are the experts in customizing medications, we decided it was the perfect opportunity for us to formulate products that could treat many skin conditions and that would be available to all of our patients.

After a lot of time and dedication spent on finding the best products for our patients, we are excited to introduce Rx Skin Therapy.  Rx Skin Therapy products are specially formulated by pharmacists and are made from pharmaceutical grade ingredients.  These products provide the most advanced treatments available without a prescription, and are formulated specifically for each skin type.  Rx Skin Therapy products include cleansers, moisturizers, masques, exfoliants and anti-aging serums.  I love finding products that are a perfect fit for each patient and would be delighted to tell you more about them next time you visit our pharmacy.

Rx Skin Therapy Image (Introduction)

Since many patients are interested in determining their skin type and what their skin care needs are, we are offering skin analysis consultations.  During our consultations, we use a skin analyzer to help evaluate your skin type, skin conditions, sun damage and more!  If you are interested in setting up a skin consultation, you can call or email me to set up your appointment.  During your consultation, I will address all of your skin care needs and determine which products are best for you.  I can also create customized prescription strength “cosmeceutical” creams made specifically for your needs, which can help your skin appear younger and healthier.  After all, finding the perfect skin care regimen for each individual is our ultimate goal!

To get started:

1.  Contact me (Natalie.Danielson@regelpharmalab.com) (901-757-9434)
2.  Set up a consultation
3.  Apply the product
4.  See the results

If you have already tried some of our products, tell us how they work for you in the comments section below.

Does your wrinkle cream or moisturizer have Hyaluronic acid in it?

I was recently working on a project for one of our area dermatologists.  She asked me to formulate a moisturizer that contained hyaluronic acid.  After discussing this with her, I realized that not everyone knows about one of the body’s most abundant moisturizers and wrinkle reducing ingredients.

Hyaluronic Acid is an ingredient that is found in the synovial fluid (fluid between joints), the vitreous (fluid) of the eye and the space between skin cells as well as other parts of the body. Hyaluronic acid is able to bind up to 1000 times its weight in water.  Up to 50% of the hyaluronic acid in your body is found in your skin. Hyaluronic acid fills in the space in between the skin cells and holds moisture. skinWithout hyaluronic acid, the skin loses its elasticity (wrinkles) and the surface of the skin becomes dry.   Moisture is lost when hyaluronic acid concentrations decrease.  As we age, we lose the ability to produce hyaluronic acid, which helps keep the skin wrinkle free.

Interesting fact, did you know that several of the products being used as lip fillers contain hyaluronic acid?

Would you like to try some?  If so, ask for me (Natalie Danielson, Pharm.D.) next time you are at the pharmacy.

 

 

Managing Rosacea from the inside out

RosaceaI recently worked with a local dermatologist in developing a topical formula for a patient with Rosacea. If you have not heard of Rosacea, this condition causes a red face usually on the nose and cheeks. There are a few prescription medications that can help, but most individuals I talk with tell me that they see the problem coming back after several months of use.  The topical formulation that we have been recommending has provided patients with improvements within a week or two.

Several years ago I was researching rosacea for a patient and the research seemed to link the gastrointestinal tract with rosacea. What I saw was that when the gastrointestinal tract is inflamed (symptoms range from minor reflux to colitis) the more patients experienced problems with rosacea.

I must say a word of advice before I continue. If I suggest you stop taking a medication that your physician has prescribed, discuss this subject with him or her before stopping the medication.

So here is my recommendation:
Clean up and take care for your stomach.  If there is a link between the GI tract and rosacea then lets figure out what the trigger is for you.  It may be the medications you are currently taking or maybe the foods that you are eating or even the amount of food you are eating.

The most problematic medications in my mind are the Proton Pump Inhibitors (PPI’s) a few of the most common of these are Prilosec, Prevacid, Nexium, Protonix, and Dexilant. A few of these are in generic forms and some are now over-the-counter.  These medications were originally prescribed to treat an active stomach ulcer until the ulcer healed. This usually takes a couple months. Now we are seeing this medication being used for things as simple as minor heart burn.

So here is the problem.  When you try to stop the acid reducing medication the acidity is higher than normal which can cause the problem to fire back up. Therefore you may need this medication for the long term.  In other words, your stomach is now addicted to lower acidity.

I do not recommend abruptly stopping these medications.  If your physician agrees to allow you to stop taking your medication, I have a recommendation that I will share to help stop taking these medications if you and your physician agree that you do not need this medication any longer.

I have also seen lactose intolerance and other food sensitivities affect rosacea.  When the GI tract is inflamed, the lining becomes more open to absorbing things your body is not able to handle.  This theory is often termed Leaky-Gut.  The idea is that the contents of your stomach are allowed more freely to pass into your blood stream.  Our understanding is that food sensitivities and allergies are related to this inflammation.   Some of the proteins that are found in cow’s milk are designed for the cow.  These proteins make our immune system work harder and can leave us more susceptible to other issues such as rosacea.

Last on this subject is over-eating.  Eating smaller meals will often help patients with reflux and heartburn.  I know when I get busy at work, I tend to skip meals or eat a little for lunch which leads me to be extra hungry for dinner.  Filling up the stomach creates pressure on the sphincter muscle that keeps the contents of the stomach from coming back up into the esophagus.  Another factor that only makes this problem worse is that after dinner your recline or go to sleep with an over-full stomach.  Gravity cannot help you when you are lying down.

In summary, Rosacea can be related to an unhealthy gastrointestinal tract.  This is not the only factor that can lead to flare-ups of rosacea but it is one that I would recommend you investigate if you have this condition.  Let me know in the comments section what you use for rosacea.  Does it work for you?

 

Toe nails you can be proud of by summer time

Who doesn’t love the view at the beach?  If your view includes a few fungal nails to go along with the sand and waves, this post is for you.

feet_atBeach

A few years back a family member contacted me about a fungal toenail he had had for over 30 years.  He was so embarrassed by the look of his toes that he didn’t enjoy walking barefoot on the beach and found reasons to wear his shoes at the pool.  We had already seen a lot of success with our topical prescription medication for nail fungus, but I was anxious to see its results on a prolonged infection.  Honestly, I wasn’t sure how it would work because the nail was very thick (about 2.5 times thicker than his other nails). Also, this was not his first attempt to get rid of the fungus.  He had tried several topical medications in the past with no success and was not a candidate for the anti-fungal medications taken by mouth due to drug interactions with his cholesterol medicine.  I provided some information for his doctor, who encouraged him to give it a try and report back with his results.

For 6 months, he brushed the medication on the nail, like polish, twice a day.  Over time, clear nail began to grow at the base.  With each trim, more and more infected nail was removed, leaving clear, healthy nail behind.  The next summer, he was able to wear sandals and flip-flops for the first time in years.   Now he’s proud of his feet and looks forward to strolling in the sand each year at the beach.

We have shared his success with many patients and physicians and have helped many find a solution for their embarrassing toes and fingers since then.

Many patients seek out a topical medication because they are concerned about or unable to take prescription anti-fungal medications by mouth.  The problems with oral prescription anti-fungal medications are:

  1. Anti-fungal medications have a lot of side effects.  Most notable are problems with the liver, upset stomach, and headaches.
  2. Drug interactions between these anti-fungal medications and other common medications.
  3. Most patients are unwilling to take medication for the 16 weeks required to treat the nail fungus.  Studies indicate that only 55% of patients were cured of the nail fungus after 16 weeks (4 months) of treatment.

 

Once your nails are clear of fungus, I always recommend the following to prevent the fungus from coming back:

  1. Wear dry shoes.  Fungi live and flourish in moist environments.  If your feet sweat make sure your shoes dry out completely before wearing them again.  It’s a good idea to have a second pair of shoes that you can rotate. (Note:  We also have a formulation that can help keep your feet from sweating.  If this is a problem for you, let us know.)
  2. Apply foot powders/sprays to shoes and feet to help keep the feet dry.
  3. Before you get a manicure or pedicure, ask what procedures the salon takes to prevent nail fungus.

 

Now is the time to get started on those fungal nails, and you’ll have happy feet by summer!

Call me to discuss how you can have happy feet by summer time.  (901) 757-9434

 

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