Active Ingredients: Isotretinoin
Group 3 includes patients who have rare diseases, or where not much information exists. The cycle can then be repeated to achieve a higher dose, so that by the end of a further 7 weeks they are taking 20 mg twice a day.
In this group of diseases, it is particularly important that the dermatologist links with the appropriate physician so that a very careful clinical and, where appropriate, laboratory measurement is made of the associated disease.
Isotretinoin in the treatment of acne variants.
These diseases are rare and isotretinoin provides a useful treatment in many of these cases.
This group includes patients with acne fulminans, rosacea fulminans, Gram-negative folliculitis, dissecting cellulitis of the scalp, hidradenitis suppurativa and acne conglobata. Patients with acne fulminans and rosacea fulminans respond to oral isotretinoin.
The steroids can usually be reduced gradually over the following 2 weeks, and isotretinoin can be introduced at a dosage of 0. Patients with acne conglobata and Gram-negative folliculitis usually do not require oral steroids, and can be started immediately on oral isotretinoin at a dose of 0.
The response to isotretinoin is variable.
Dissecting cellulitis of the scalp also responds variably to oral isotretinoin, but a 4-month course should be tried. There have to date been variations in the way treatment is started.
Consider keeping a higher percentage of your retirement savings in stocks than is traditional for retirees - more, say, than the 40 percent that was the old rule of thumb for a 60-year-old.
Look at alternatives to those safe bonds and bank certificates, too.
Great takedown defense from Machida on that; Davis needs to set up his takedown better.
Some nice striking exchanges as this round is really close so far.