NSH management of acne guidelines jan 2015
http://www.lambethccg.nhs.uk/news-and-publications/meeting-papers/lambeth-borough-prescribing-committee/Lambeth%20Borough%20Prescribing%20Committee/Clinical%20Guidelines/Management%20of%20Acne%20Guidelines%20Jan%202015.pdf
Melasma| Melasma and its Treatment| Facial Pigmentation| Post-Pregnancy Pigm...Dr. Rajat Sachdeva
Melasma, Pigmentation on facial skin, most commonly occur on the face of female and in Dark Skin Races.
Treatment for melasma, Sun protection, avoid waxing, Tretinoin, Hydroquinone, Corticosteroid, Azeloic Acid, Glycolic Acid, Chemical Peels, Microdermabrasion, Laser Intensed Pulse Light,
Melasma| Melasma and its Treatment| Facial Pigmentation| Post-Pregnancy Pigm...Dr. Rajat Sachdeva
Melasma, Pigmentation on facial skin, most commonly occur on the face of female and in Dark Skin Races.
Treatment for melasma, Sun protection, avoid waxing, Tretinoin, Hydroquinone, Corticosteroid, Azeloic Acid, Glycolic Acid, Chemical Peels, Microdermabrasion, Laser Intensed Pulse Light,
INTRODUCTION OF PSORIASIS, EPIDEMIOLOGY OF PSORIASIS, CLINICAL FEATURES OF PSORIASIS, PROGNOSIS OF PSORIASIS, HISTOPATHOLOGY OF PSORIASIS, TRIGGERING FACTORS OF PSORIASIS, PATHOGENESIS OF PSORIASIS
A concised information regarding use of photo therapy in dermatology. made by me as a part of MD dermatology residency. includes additional information about sunscreens.
This is a seminar conducted by 4th year medical student under supervision of a lecturer. Sorry for not attaching the references.
Information were from few textbooks, google and also from previous dermatology posting group's seminar.
Includes physiological skin changes in pregnancy, specific dermatoses such as intrahepatic cholestasis of pregnancy, polymorphic eruption of pregnancy (pruritic urticarial papules and plaques of pregnancy - PUPP), pemphigoid gestationalis and atopic eruption of pregnancy, as well as non-specific dermatoses ranging from infections, infestations, inflammations and immune disorders.
Powerpoint made by Dr. Jerriton, second year MD post graduate in DVL, SVMC, Pondy.
With newer biologics enriching the armentarium of Dermatologists almost everyday,it is often difficult to recollect all the information at a time.This powerpoint helps to summarise the pathogenesis of psoriasis as well asdifferent aspects of use of biologics in a nutshell.
INTRODUCTION OF PSORIASIS, EPIDEMIOLOGY OF PSORIASIS, CLINICAL FEATURES OF PSORIASIS, PROGNOSIS OF PSORIASIS, HISTOPATHOLOGY OF PSORIASIS, TRIGGERING FACTORS OF PSORIASIS, PATHOGENESIS OF PSORIASIS
A concised information regarding use of photo therapy in dermatology. made by me as a part of MD dermatology residency. includes additional information about sunscreens.
This is a seminar conducted by 4th year medical student under supervision of a lecturer. Sorry for not attaching the references.
Information were from few textbooks, google and also from previous dermatology posting group's seminar.
Includes physiological skin changes in pregnancy, specific dermatoses such as intrahepatic cholestasis of pregnancy, polymorphic eruption of pregnancy (pruritic urticarial papules and plaques of pregnancy - PUPP), pemphigoid gestationalis and atopic eruption of pregnancy, as well as non-specific dermatoses ranging from infections, infestations, inflammations and immune disorders.
Powerpoint made by Dr. Jerriton, second year MD post graduate in DVL, SVMC, Pondy.
With newer biologics enriching the armentarium of Dermatologists almost everyday,it is often difficult to recollect all the information at a time.This powerpoint helps to summarise the pathogenesis of psoriasis as well asdifferent aspects of use of biologics in a nutshell.
Acne vulgaris is a common chronic skin disease involving blockage and/or inflammation of pilosebaceous units
Acne can present as noninflammatory lesions, inflammatory lesions, or a mixture of both,
affecting mostly the FACE but also the back and chest.
การจัดทำภาษีมูลค่าเพิ่ม for community pharmacist
โครงการประชุมวิชาการร้านยา
ภาพลักษณ์ใหม่ของงานบริบาลเภสัชกรรมชุมชน
New Image of Community Pharmacy
วันอาทิตย์ที่ 25 กันยายน 2559
ณ โรงแรมแอมบาสเดอร์ สุขุมวิท
http://www.pharm.chula.ac.th/broadcast1/
Acne is one of the most common diseases with a point prevalence of up to 100% among adolescents and often persists into adulthood, with detrimental effects on self-esteem. Sixty percent of all acne cases are so-called ‘physiologic acne’, the other 40% are those that need continuous help by a specialist to prevent physical or psychological scarring
Acne is the result of overactive sebaceous glands and excessive keratin production, leading to excessively oily skin that is prone to blackheads and pimples. You cannot change your skin type you cannot stop this process permanently. However, you can control this process and minimise your acne breakout reoccurrence by....
Malaria is curable if effective treatment is started early because delay in treatment may lead to serious consequences including death.
Prompt and effective treatment is also important for controlling the transmission of malaria.
A revised National Drug Policy on Malaria has been adopted by the Ministry of Health and Family Welfare, Govt of India in 2010 and these guidelines have been prepared for healthcare personnel involved in the treatment of malaria.
Dr Patrick Treacy shares some of his most challenging
cosmetic dermatology cases. This month, the he talks about a 71 year old socially isolated HIV+ patient with significant facial defects after undergoing treatment with antiretroviral drugs (HAART)
Dr Patrick Treacy shares some of his most challenging
cosmetic dermatology cases. This month, the he talks about a 71 year old socially isolated HIV+ patient with significant facial defects after undergoing treatment with antiretroviral drugs (HAART)
แนวทางการจัดการความเสี่ยงที่ส่งผลต่อต้นทุนการจัดการสินค้าคงคลัง
ของร้านขายยา CDE ในจังหวัดขอนแก่น
The Approach of Risk Management that Affecting the
Inventory Management Cost of CDE Drugstore in Khonkaen Province
Best Practice in Communication
ราชวิทยาลัยกุมารแพทย์แห่งประเทศไทย สมาคมกุมารแพทย์แห่งประเทศไทย
บรรณาธิการ วินัดดา ปิยะศิลป์ วันดี นิงสานนท์
ISBN 978-616-91972-1-8
Saccharomyces boulardii in the prevention of antibiotic-associated diarrhoea ...Utai Sukviwatsirikul
Saccharomyces boulardii in the prevention of antibiotic-associated
diarrhoea in children: a randomized double-blind placebo-controlled
trial
M. KOTOWSKA, P. ALBRECHT & H. SZAJEWSKA
Department of Pediatric Gastroenterology and Nutrition, The Medical University of Warsaw, Warsaw, Poland
Accepted for publication 24 November 2004
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
3. Management of Acne - Key Prescribing and Counselling information for Healthcare Professionals
• Check for acne inducing medication e.g. lithium, ciclosporin, topical or anabolic steroids, vitamin B12 injections (this is NOT an exhaustive list) &
ensure patient is not using comedogenic (greasy) emollients/ hair preparations.
• Patients who have Fitzpatrick scale type V/VI skin (Asian/African/Afro-Caribbean) are more prone to hyperpigmentation - consider treating as though
acne were at a more severe stage.
To improve compliance with topical preparations encourage patients to test a small amount on inside of forearm once daily for 5 days, then leave on
face just for a couple of hours or use on alternate days before progressing to overnight applications. Treat whole area not just existing spots.
• Prescribe gels for greasy skin, creams for dry skin; use keratolytics at night as inflammatory response will fade by the morning.
• Give patient information leaflet http://www.patient.co.uk/health/Acne.htm to improve understanding and compliance
• Images to guide prescribing are available at http://www.pcds.org.uk/clinical-guidance/acne-vulgaris#images
Benzoyl peroxide (BZPO): has keratolytic and antimicrobial properties; it can bleach bedding and clothing.
lower concentrations seem to be as effective as higher concentration; start low and increase concentration gradually
counsel patient to apply at night, there will be local skin irritation upon initiation but scaling and redness will often subside with treatment; if
troublesome, consider reducing application frequency or suspend until irritation subsides and reintroduce at a reduced application frequency
Avoid excessive exposure to sunlight.
Some forms of BZPO are available to purchase ‘Over the Counter’ and have a lower acquisition cost than a prescription.
Topical retinoids: have anticomedonal properties;
several months of treatment may be required to achieve optimal response; continue treatment until no new lesions develop
counsel patient redness and skin peeling can occur initially but will often subside with treatment; if troublesome consider reducing application
frequency or suspend until irritation subsides and reintroduce at reduced application frequency
avoid use in severe acne over large areas;
avoid exposure to UV light or if unavoidable use appropriate sunscreen and protective clothing
are contraindicated in pregnancy; counsel women of child bearing age to use effective contraception (oral progestogen only contraceptives not
indicated as may worsen acne ).
Azelaic acid: has antimicrobial and anticomedonal properties;
is considered less likely to cause local irritation than BZPO therefore may be an alternative in facial acne;
can cause skin lightening in type VI skin
Topical antibacterials:
can cause mild skin irritation, rarely sensitisation and GI disturbances reported with topical clindamycin;
antibacterial resistance to P.acnes is increasing therefore to avoid development of resistance use antimicrobial preparations such as benzoyl
peroxide or azelaic acid at the same time.
avoid concomitant treatment with oral and topical antibacterials (to reduce anti-microbial drug resistance);
can be useful in patients wanting to avoid systemic antibiotics;
treatment with topical antibacterials should be continued for at least 6 months but do not continue for longer than necessary
Systemic antibiotics:
Tetracyclines are contra-indicated in pregnancy and patients under 12 years of age; erythromycin may be a suitable alternative for these patients.
Absorption of tetracyclines is affected by antacids.
Prescribing topical adapalene, fixed dose adapalene with benzoyl peroxide or azelaic acid with oral antibiotics reduces the development of
resistant strains of P acne
There is a lack of evidence to suggest one tetracycline is superior to another in terms of efficacy.
Once daily preparations which can be taken with food and plenty of water, may reduce nausea and aid compliance (especially in teenagers).
Doxycycline may cause more photosensitivity than lymecycline especially in higher doses and fair skinned individuals. Use of non-comedogenic
sunscreens may prevent this. If photosensitivity occurs with doxycycline, consider switching to lymecycline.
Minocycline is no longer considered a first line therapy due to associated serious ADRS
Once patients have had a sustained improvement to systemic treatment (at least 3 months) consider discontinuing and continue to
manage with topical treatments.
For women wanting contraception or whose moderate papulo-pustular acne is not improving after 3/12 of oral antibiotics and topical keratolytic; a
low acquisition cost COCP (especially those containing levonorgestrel) may be effective.
Co-cyprindiol: is especially suitable for women with PCOS/ hirsutism, for those with moderate nodular or severe acne and 2
nd
line if not improving
after 3/12 of standard COCP, oral antibiotics and topical keratolytic.
Preparations containing abrasive agents: such as aluminium oxide or nicotinamide are considered less effective treatments.
Oral isotretinoin: only to be initiated and prescribed by a consultant dermatologist due to the serious side effects including teratogenic and
possible psychiatric effects; ensure women are using effective contraception prior to referral.
NHS Lambeth CCG and NHS Southwark CCG Guidelines for the Management of Acne.
Approved by: Lambeth and Southwark Joint Prescribing Committee Date: Feb 2014 Review date: Feb 2016
Direct any queries to: LAMCCG.medicinesoptimisation@nhs.net 0203 049 4197 or SOUCCG.medicines-optimisation@nhs.net 0207 525 3253
Page 3 of 4
4. Primary and Secondary Care Prescribing Formulary
Product Dose Advice/Restrictions for prescribing
(For full prescribing information please refer to BNF Online or Summary of Product Characteristics)
Cost (Drug Tariff &
MIMs Online Dec 14)
Topical preparations
Benzoyl peroxide gel 5% (Acnecide) 1-2 x daily Good for patients with greasy skin; once daily application; can bleach towels, clothes and bedding. 30g = £5.44†
Benzoyl peroxide cream 5% OD night Good for patients with dry skin; can bleach towels, clothes and bedding. 40g = £1.89
Benzoyl peroxide cream 10% 2-3 x daily Good for patients with dry skin; can bleach towels, clothes and bedding. 50g = £4.59
Benzoyl peroxide cream 4% 1-2 x daily Good for patients with dry skin; can bleach towels, clothes and bedding. 50g = £4.13
Benzoyl peroxide 5% + clindamycin phosphate 1% Gel OD night Good for patients with greasy skin 25g = £10.94†
Benzoyl peroxide 3% + clindamycin phosphate 1% Gel OD night Good for patients with greasy skin and when patient is experiencing sensitivity with 5% strength product 30g = £11.94
Azelaic acid 20% cream 1-2 x daily 30g = £3.74
Erythromycin/Zinc acetate lotion 40mg/ml/12mg/ml 2 x daily Reconstituted with ethanol based solvent; good for patients with greasy skin 30ml = £7.71†
Clindamycin phosphate topical solution 1% OD Sponge applicator - aqueous alcoholic basis; for greasy skin 30ml = £4.34†
Clindamycin phosphate lotion 1% OD Roll-on applicator - aqueous basis; for dry skin 30ml = £5.08†
Clindamycin phosphate gel 1% OD Good for patients with greasy skin 30g = £8.66
Erythromycin topical solution 2% BD Alcoholic basis; good for patients with greasy skin 50ml = £7.69
Adapalene 0.1% cream OD Contraindicated in pregnancy; good for patients with dry skin 45g = £16.43
Adapalene 0.1% gel OD Contraindicated in pregnancy; good for patients with greasy skin 45g = £16.43
Isotretinoin 0.05% gel OD Contraindicated in pregnancy; good for patients with greasy skin 30g = £5.94
Adapalene 0.1%+ benzoyl peroxide 2.5% gel OD night Contraindicated in pregnancy; may need to apply a non-comedogenic moisturiser 45g = £17.91
Isotretinoin 0.05% + erythromycin 2% gel OD night Contraindicated in pregnancy 30g = £7.47
Tretinoin 0.025% + erythromycin 4% solution 1-2 x daily Contraindicated in pregnancy; alcoholic base 25ml = £7.05
Systemic preparations (Tetracyclines are contraindicated in pregnancy and children under 12 years of age)
Doxycycline 100mg capsule 100mg OD 1st
line choice; take with food and plenty of water to reduce nausea; use sunscreens with sunshine
exposure, to minimise photosensitivity
28 = £3.99
Lymecycline 408mg capsule 408mg OD Alternative 1st line choice especially in patients experiencing photosensitivity/ ADRs/ contraindication/
intolerance/ inefficacy with doxycycline
28 = £8.74
Oxytetracycline 250mg tablet 500mg BD Alternative choice; if patient can take 1 hour before or 2 hours after food 112= £4.88 (28/7)
Erythromycin 250mg gastro-resistant tablets 500mg BD For use IN PREGNANCY or contraindication/intolerance to tetracyclines 112 = £ 7.56 (28/7)
Trimethoprim 100mg, 200mg tablet As advised UNLICENSED USE; Specialist initiation only (GPwSI/Consultant): For moderate-severe resistant acne where
topical treatment & systemic antibiotic therapy are ineffective or inappropriate
28 x 200mg = £2.02
28 x 100mg =£1.08
Minocycline 100mg MR capsule As advised SECONDARY CARE INITIATION ONLY; use limited to exceptional circumstances due to risk of serious ADRs 28 = £10.04
Combined oral contraceptive pill As advised Consider the lower acquisition cost COCPs first line
Co-cyprindiol 2000/35 tablets 1 OD WOMEN ONLY, moderate nodular or severe acne or as 2nd
line - see BNF online for CSM warning 63 = £5.42
Isotretinoin 10mg and 20mg capsules As advised SECONDARY CARE INITIATION AND PRESCRIBING ONLY 30 x10mg = £14.54
30 x 20mg = £19.55
Cyproterone acetate tablet As advised Specialist initiation - severe or resistant acne in women only
† larger pack sizes available
NHS Lambeth CCG and NHS Southwark CCG Guidelines for the Management of Acne.
Approved by: Lambeth and Southwark Joint Prescribing Committee Date: Feb 2014 Review date: Feb 2016
Direct any queries to: LAMCCG.medicinesoptimisation@nhs.net 0203 049 4197 or SOUCCG.medicines-management@nhs.net 0207 525 3253
Page 4 of 4