Mr Smith returned in a months time looking much better.The Seborrhoeic Dermatitis rash on his face had cleared completely and he no longer had any….He had lost 8lbs in weight and his B/P had dropped to 140/90.The rash on his body was about 50% improved and was no longer itchy.He had reorganised his work schedule and managed to take two afternoons off a week to play golf.He also went for long walks on the beech with his dog at the weekends.He admitted he found it difficult having to stop drinking alcohol altogether but now is only having 3 pints on Fridays and Saturday nights. This case is quite typical of the kind of problems we face with patients with Psoriasis every day.It highlights the importance of adopting a holistic approach when managing Psoriasis and to look beyond the skin.Overlap of skin conditions is not uncommon and can create difficulty with diagnosis and treatment.In this case Mr Smith had both Psoriasis and Seborrhoeic Dermatitis and each rash required different treatments.A careful note of history should always be taken as any drugs can aggravate skin conditions including Psoriasis.Table 1 lists the most common drugs that aggravate Psoriasis. Eczema can also be caused by a problem with how the skin works. The skin has a barrier that keeps moisture in and germs out. If someone has eczema, their skin barrier does not work very well. This means their skin can become dry and bacteria can get in. Eczema triggers

Summary of Product Characteristics - HPRA

I explained to him that it normally takes 6‐12 weeks to clear Psoriasis.I was extremely happy with his progress and I asked him to stop using the Daktacort cream on his face and groin.I asked him to reduce the Dovobet ointment on the body, to only be used on Saturdays and Sundays.I introduced Dovonex cream which he was to use Monday to Friday once a day from the rash on his body.I advised him to stop the Dovonex scalp application but to continue using Nizoral shampoo twice a week and to bring the sods down on to his face and groin leaving it soak into these areas for three or four minutes every time he uses it. Mr Smith quite over weight with a BMI of 35.A random blood sugar was 10.9.Urinalysis was. His BP was 160/100.The law requires us to determine under which of six defined bases we process different categories of your personal information, and to notify you of the basis for each category. If a basis on which we process your personal information is no longer relevant then we shall immediately stop processing your data. If the basis changes then if required by law we shall notify you of the change and of any new basis under which we have determined that we can continue to process your information. insuring against or obtaining professional advice that is required to manage organisational or business risk

Ovelle Silcocks Base - McCabes Pharmacy Website

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