![]() ![]() I know that the next move is higher dose of Cellcept which because of the dangers of long term Cellcept use I would like to avoid. I have had some good reaction to the cream but the rash is fighting through. My doctor has raised me back to 2250 mg Cellcept, and a topical steroid cream and I still have some rash. I didn’t have any additional muscle loss but the stereotypical minor DM rash and some hair loss has come back. for 6 months and then down to 2000 mg 6 months later. Last year my doctor had me do a Cellcept reduction lowering me from 3000 mg to 2500 mg. I stayed on 3000 Cellcept and maintained a new normal. The results were much better in my skin and hair. My doctor had me do six rounds of IVIG treatment over a 6 month period. Over a 4 month period, I slowly gained strength and the use of my muscles but the skin and hair were not so responsive. My doctor put me on 60 mg of Prednisone and 3000 mg of Cellcept. In addition I had the typical DM rash on my upper body, head, arms and hands. When I had my first attack I had severe muscle loss in my legs, arms, and soft pallet in my throat. My name is Nancy and I have Dermatomyositis which was diagnosed in late 2011. ![]() We ask TMA members to avoid repetition and to submit questions that are of general interest, keeping in mind that only your physician has enough knowledge of your own particular case to recommend specific treatment. Vleugels, so you may find your question answered in the course of today’s discussion. Many questions have been left in advance for Dr. She is a member of TMA’s medical advisory board. She currently serves as the Associate Director for Education at Brigham and Women’s Dermatology and is a representative on Harvard Dermatology’s Education Committee. Vleugels is the Director of the Connective Tissue Disease Clinic at Brigham and Women’s Department of Dermatology, Co-Director of the Rheumatology-Dermatology Clinic at Children’s Hospital, and an assistant professor in dermatology at Harvard Medical School. Ruth Ann Vleugels to our live discussion today. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach.Wednesday, Janu12:00 pm – 12:00 pm EST This discussion is archived. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. See the FDA's Safe Disposal of Medicines website ( ) for more information if you do not have access to a take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Instead, the best way to dispose of your medication is through a medicine take-back program. However, you should not flush this medication down the toilet. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Keep this medication in the container it came in, tightly closed, and out of reach of children. Keep the burned area covered with cream at all times reapply the cream to any area that becomes uncovered. Cover the cleaned burned area with a 1/16-inch (0.2-centimeter) thickness of cream. Always wear a sterile, disposable glove when you apply silver sulfadiazine. ![]() If your burn becomes infected or if your infection worsens, call your doctor.īefore applying the medication, clean the burned area and remove any dead or burned skin. Gently wash the burned skin area daily to help remove dead skin. Your burn must be healed so that infection is no longer a problem. Do not use more or less of it or use it more often than prescribed by your doctor.ĭo not apply this drug to infants less than 2 months of age.ĭo not stop using silver sulfadiazine until your doctor tells you to do so. Use silver sulfadiazine exactly as directed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Silver sulfadiazine usually is applied once or twice a day.
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