Cleansing 101: Pro tips for cleansing your skin like a dermatologist

2021-07-26T09:01:01

(BPT) – Keeping skin clean and healthy might seem simple, but for many people, finding a skincare routine that works can take trial and error. From common misconceptions about cleansing to a store shelf overflowing with different types of products, it can feel overwhelming. In fact, according to a recent survey of dermatologists, there are a variety of topics their patients need more education on, with 46% of dermatologists saying their patients need help selecting products that are well-suited for their skin type and 25% saying they need help understanding ingredients in products. Luckily, board-certified dermatologist Dr. Daniel Sugai wants to break down the facts, give you tips and advice to perfect your skincare routine and help us all get the most out of our cleanser and find a more effective approach to having healthy, hydrated skin.

Fact: More cleansing doesn’t necessarily mean better cleansing

Many people think that frequent cleansing or harder scrubbing equates to cleaner skin. In fact, when asked what their patients are doing incorrectly when it comes to cleansing, the most common response from dermatologists was scrubbing too hard, according to that same survey of dermatologists, which was conducted by CeraVe. A better approach is a gentle cleansing routine, and Sugai recommends cleansing once or twice a day, depending on your skin type.

“If my patients have dry or sensitive skin, it is okay to skip the cleanser in the morning if preferred, but if they have oily or acne-prone skin, I always recommend cleansing both morning and night,” said Sugai.

He added that depending on your lifestyle, you may want to add an additional cleanse throughout your day as needed, such as after a workout. Sweat, dirt, sunscreen and sebum (an oily substance produced by skin) can get trapped in your pores, so an extra cleanse after exercise is recommended by dermatologists to help remove these substances and avoid acne breakouts. In fact, aside from a morning and nighttime skincare routine, nearly three-quarters (72%) of dermatologists agree that they are most likely to wash their face after working out.

Fact: Ingredients and formulation make a difference

When it comes to choosing the best cleanser, it should be one that both effectively removes dirt, oil and buildup and gives back to skin by preserving skin’s hydration with moisturizing ingredients. After that, it depends on your skin type. From active ingredients to hydrating benefits, and gel cleansers to creams and foams, the ingredients and the formulation make a difference in how well the cleanser will work for your skin.

“I recommend being open to different ingredients and products, as not one product fits everyone’s skin needs,” said Sugai. “Those with oily or acne-prone skin should choose between formulations like gel or foam, while those with dry or dehydrated skin should choose a cream. Choose ingredients based on your skin type. Those with acne-prone skin should look for an active ingredient like benzoyl peroxide, as well as niacinamide, an anti-inflammatory, while those with dry skin should look for hyaluronic acid to attract and retain moisture.”

Another key ingredient is ceramides. In fact, more than half (52%) of surveyed dermatologists agree the most important ingredient to look for in a cleanser is ceramides, which will help keep the skin barrier intact.

The CeraVe Hydrating Cream-to-Foam Cleanser is a gentle cleanser that was developed with dermatologists for those with dry skin to provide the benefits of a hydrating cream cleanser but also the refreshing feel of a foaming formula. It effectively cleanses and removes makeup, dirt, oil and buildup while giving back to skin with hyaluronic acid, amino acids and three essential ceramides, which work together to maintain the skin barrier and lock in moisture for all-day hydration. It transforms into a soft foam that gently, yet efficiently cleanses the skin, without disrupting the skin barrier or leaving skin feeling dry.

Fact: That squeaky-clean feeling isn’t good

Cleansing is supposed to not only remove dirt, oil and residue, but also maintain skin’s natural moisture. Yet, 52% of dermatologists say their patients believe their skin should feel tight or “squeaky clean” after they wash their face, which is actually a sign of dryness.

“If your cleanser is causing irritation or a sensation of tight, squeaky clean skin, then your skin is telling you that you are overdoing it,” said Sugai. “By being too harsh to your skin barrier, the products that follow after your cleanser can cause further skin irritation. Once the skin barrier is compromised, bad things can enter your skin, such as microbes and allergens, and good things leave, like moisture. Cleansing should be a balancing act of both stripping away the bad but maintaining the good.”

A final piece of advice from Sugai: “I recommend starting with one new product at a time. I would not consider switching to a different product until trying out the cleanser for at least a couple of months unless you are having significant signs of irritation, in which case, stop and consider switching to another product once the irritation resolves. For best results, always check with your dermatologist!”

Understanding When Depression May be Something More: Identifying and Managing Bipolar Depression

2021-07-26T07:01:01

(BPT) – It is common for people to experience both periods of happiness and sadness throughout their lives, but it can be hard to determine whether prolonged versions of these emotional states indicate something more serious than changing feelings. Sharp mood swings between extreme highs and extreme lows can often be a sign of a mood disorder. Bipolar disorder, also known as manic-depressive disorder, is a lifelong serious mental health condition that causes debilitating, severe mood swings and changes in energy and activity levels.[1] An estimated 5.8 million adults in the U.S. experienced bipolar disorder in the past year.[1]

Identifying Depressive and Manic Episodes

When symptomatic, most people living with bipolar disorder spend more time in the depressive phase, called bipolar depression.[2] Major depressive episodes in bipolar depression may cause depressed moods, fatigue, loss of interest in activities, or even suicidality.[2] Alternatively, a person experiencing a manic episode may express increased energy and activity, unusual talkativeness, agitation, risky behavior, distractibility, and poor decision making.[2] People living with bipolar disorder experience a 10-30 times higher rate of suicide, compared with the general population.[3]

During a manic or hypomanic episode, individuals living with bipolar disorder may have an elevated mood and an exaggerated sense of self-confidence, and they are less likely to characterize their behavior as risky or problematic.[2] Most of these individuals are likely to seek treatment during a depressive phase because depressive symptoms may be more troubling, negatively impact their quality of life, and cause functional impairment.[2],[4]

Challenges in Diagnosing Bipolar Depression

Bipolar depression can be difficult to diagnose, in part because people living with the condition are likely to experience other conditions with similar symptoms like anxiety disorder or Attention-Deficit Hyperactivity Disorder (ADHD).[5] Additionally, bipolar depression is commonly misdiagnosed as unipolar depression – or frequent depressive episodes without mania or hypomania.[5] In fact, only 20% of people with bipolar disorder who are experiencing bipolar depression are diagnosed correctly within the first year of seeking treatment.[6]

Dr. Roger S. McIntyre, M.D., FRCPC, Professor of Psychiatry and Pharmacology, University of Toronto, Canada, has been working with people with bipolar depression for 20 years and knows the importance of getting the correct diagnosis. It is imperative for healthcare providers to take the time to fully learn and understand an individual’s lived experiences, and that requires the individual to place significant trust in their care team. Once that trust is established, it allows for more productive conversations with people with bipolar depression and their caregivers about potential treatment plans.”

Getting the Proper Help

Talking to a healthcare provider about episodes of bipolar depression can be difficult, especially since people may feel embarrassed about their condition. “I always remind individuals that there is no shame in a bipolar depression diagnosis. With the right support and treatment, it is a manageable condition that is more common than many think,” says Dr. McIntyre.

Fortunately, there are treatments available to specifically treat bipolar depression that have been shown to reduce depressive symptoms. One such treatment is Latuda® (lurasidone HCl), a once-a-day prescription medicine FDA-approved to treat bipolar depression in adults, children, and teens (10 to 17 years).[7] In clinical studies, Latuda has shown efficacy in significantly reducing depressive symptoms in people with bipolar depression, with minimal side effects on weight, metabolic parameters, or prolactin.[7]

With the right caregiver support, healthcare team, and medication routine, those with bipolar depression can learn how to live a more balanced lifestyle and manage their symptoms. Before starting any treatment, people should talk to their healthcare providers to determine which treatment options may be right for them and to understand the potential benefits and risks.

For more information on bipolar depression and a discussion guide with tips on how to speak with your doctor about symptoms, visit www.latuda.com. Please see below for Important Safety Information.

IMPORTANT SAFETY INFORMATION AND INDICATIONS FOR LATUDA

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS

Increased risk of death in elderly people with dementia-related psychosis. Medicines like LATUDA can raise the risk of death in elderly people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia). LATUDA is not approved for the treatment of people with dementia-related psychosis.

Antidepressant medicines may increase suicidal thoughts or behaviors in some children, teenagers, and young adults within the first few months of treatment and when the dose is changed. Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Patients on antidepressants and their families or caregivers should watch for new or worsening depression symptoms, especially sudden changes in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed. Report any change in these symptoms immediately to the doctor.

LATUDA may cause serious side effects, including:

  • Stroke (cerebrovascular problems) in elderly people with dementia-related psychosis that can lead to death
  • Neuroleptic malignant syndrome (NMS) is a serious condition that can lead to death. Call your health care provider or go to the nearest hospital emergency room right away if you have some or all of the following signs and symptoms of NMS: high fever, increased sweating, stiff muscles, confusion, or changes in your breathing, heart rate, and blood pressure
  • Uncontrolled body movements (tardive dyskinesia). LATUDA may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop taking LATUDA. Tardive dyskinesia may also start after you stop taking LATUDA
  • Problems with your metabolism such as:
    • High blood sugar (hyperglycemia) and diabetes: Increases in blood sugar can happen in some people who take LATUDA. Extremely high blood sugar can lead to coma or death. If you have diabetes or risk factors for diabetes (such as being overweight or a family history of diabetes), your health care provider should check your blood sugar before you start and during treatment with LATUDA
      • Call your health care provider if you have any of these symptoms of high blood sugar (hyperglycemia) while taking LATUDA: feel very thirsty, need to urinate more than usual, feel very hungry, feel weak or tired, feel sick to your stomach, feel confused, or your breath smells fruity
    • Increased fat levels (cholesterol and triglycerides) in your blood
    • Weight gain. You and your health care provider should check your weight regularly during treatment with LATUDA
  • Increased prolactin levels in your blood (hyperprolactinemia). Your health care provider may do blood tests to check your prolactin levels during treatment with LATUDA. Tell your health care provider if you have any of the following signs and symptoms of hyperprolactinemia:
    • Females: absence of your menstrual cycle or secretion of breast milk when you are not breastfeeding
    • Males: problems getting or maintaining an erection (erectile dysfunction) or enlargement of breasts (gynecomastia)
  • Low white blood cell count. Your health care provider may do blood tests during the first few months of treatment with LATUDA
  • Decreased blood pressure (orthostatic hypotension). You may feel lightheaded or faint when you rise too quickly from a sitting or lying position
  • Falls. LATUDA may make you sleepy or dizzy, may cause a decrease in your blood pressure when changing position (orthostatic hypotension), and can slow your thinking and motor skills, which may lead to falls that can cause fractures or other injuries
  • Seizures (convulsions)
  • Problems controlling your body temperature so that you feel too warm. Do not become too hot or dehydrated during treatment with LATUDA. Do not exercise too much. In hot weather, stay inside in a cool place if possible. Stay out of the sun. Do not wear too much clothing or heavy clothing. Drink plenty of water
  • Mania or hypomania (manic episodes) in people with a history of bipolar disorder. Symptoms may include: greatly increased energy, severe problems sleeping, racing thoughts, reckless behavior, unusually grand ideas, excessive happiness or irritability, or talking more or faster than usual
  • Difficulty swallowing

Do not drive, operate heavy machinery, or do other dangerous activities until you know how LATUDA affects you. LATUDA may make you drowsy.

Avoid eating grapefruit or drinking grapefruit juice while you take LATUDA since these can affect the amount of LATUDA in the blood.

Do not take LATUDA if you are allergic to any of the ingredients in LATUDA or take certain medications called CYP3A4 inhibitors or inducers. Ask your health care provider if you are not sure if you are taking any of these medications.

Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. LATUDA and other medicines may affect each other, causing possible serious side effects. LATUDA may affect the way other medicines work, and other medicines may affect how LATUDA works. Your health care provider can tell you if it is safe to take LATUDA with your other medicines. Do not start or stop any other medicines during treatment with LATUDA without talking to your health care provider first.

Before taking LATUDA, tell your health care provider about all of your medical conditions, including if you:

  • have or have had heart problems or stroke
  • have or have had low or high blood pressure
  • have or have had diabetes or high blood sugar, or have a family history of diabetes or high blood sugar
  • have or have had high levels of total cholesterol or triglycerides
  • have or have had high prolactin levels
  • have or have had low white blood cell count
  • have or have had seizures
  • have or have had kidney or liver problems
  • are pregnant or plan to become pregnant. It is not known if LATUDA will harm your unborn baby. Talk to your health care provider about the risk to your unborn baby if you take LATUDA during pregnancy
    • Tell your health care provider if you become pregnant or think you are pregnant during treatment with LATUDA
    • If you become pregnant during treatment with LATUDA, talk to your health care provider about registering with the National Pregnancy Registry for Atypical Antipsychotics. You can register by calling 1-866-961-2388 or going to http://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/
  • are breastfeeding or plan to breastfeed. It is not known if LATUDA passes into your breast milk. Talk to your health care provider about the best way to feed your baby during treatment with LATUDA

The most common side effects of LATUDA include:

  • Adults with schizophrenia: sleepiness or drowsiness; restlessness or feeling like you need to move around (akathisia); difficulty moving, slow movements, or muscle stiffness; and nausea
  • Adolescents (13 to 17 years) with schizophrenia: sleepiness or drowsiness; nausea; restlessness or feeling like you need to move around (akathisia); difficulty moving, slow movements, muscle stiffness, or tremor; runny nose/nasal inflammation; and vomiting
  • Adults with bipolar depression: restlessness or feeling like you need to move around (akathisia); difficulty moving or slow movements; and sleepiness or drowsiness
  • Children (10 to 17 years) with bipolar depression: nausea; weight gain; and problems sleeping (insomnia)

These are not all the possible side effects of LATUDA. For more information, ask your health care provider or pharmacist.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

INDICATIONS

LATUDA is a prescription medicine used:

  • To treat adults and adolescents (13 to 17 years) with schizophrenia
  • Alone to treat adults, children and teens (10 to 17 years) with depressive episodes that happen with bipolar I disorder (bipolar depression)
  • With the medicine lithium or valproate to treat adults with depressive episodes that happen with bipolar I disorder (bipolar depression)

References



[1] National Institute of Mental Health. “Bipolar Disorder Statistics.” Available from: https://www.nimh.nih.gov/health/statistics/bipolar-disorder.shtml. Accessed April 2021.

[2] Depression and Bipolar Support Alliance. Bipolar Disorder Diagnosis and Symptoms. [Internet]. Available from: https://www.dbsalliance.org/education/bipolar-disorder/diagnosis/. Accessed April 2021.

[3] Dome, P., Rihmer, Z., & Gonda, X. (2019). Suicide Risk in Bipolar Disorder: A Brief Review. Medicina (Kaunas, Lithuania), 55(8), 403. https://doi.org/10.3390/medicina55080403

[4] Sylvia, L.G., Montana, R.E., Deckersbach, T. et al. (2017). Poor quality of life and functioning in bipolar disorder. International Journal of Bipolar Disorders, 5, 10. https://doi.org/10.1186/s40345-017-0078-4

[5] Singh T, Rajput M. (2006). Misdiagnosis of bipolar disorder. Psychiatry (Edgmont), 3(10):57-63. PMID: 20877548, PMCID: PMC2945875

[6] Phillips ML, Kupfer DJ. (2013). Bipolar disorder diagnosis: challenges and future directions. The Lancet, 381(9878): 1663-1671. https://doi.org/10.1016/s0140-6736(13)60989-7

[7] Loebel, A., Cucchiaro, J., Silva, R., Kroger, H., Hsu, J., Sarma, K., & Sachs, G. (2014). Lurasidone monotherapy in the treatment of Bipolar I Depression: A randomized, double-blind, placebo-controlled study. The American Journal of Psychiatry, 171(2): 160-168. https://doi.org/10.1176/appi.ajp.2013.13070984.

Seizures: Why a specific diagnosis can change everything

2021-07-22T16:39:05

(BPT) – Zora had her first seizure when she was only six months old. Her dad, away on a trip, got an urgent call from the neighbor. Zora and her mother had just been rushed to the hospital in an ambulance—and no one knew exactly why.

When someone has a seizure, it’s terrifying. The worry, the rush to help, the need to ensure that person is safe and well. That’s when good care is a lifeline. And when the danger has passed, the search for answers begins. One thought is foremost in every caregiver’s mind: “How can we help prevent these from happening?” The answer, of course, is twofold. First, follow your physician’s instructions exactly and share any concerns or questions you may have about what your child is experiencing. But also—and crucially—it’s important to understand what is causing the seizures in the first place to find the most appropriate treatment.

The human cost of seizures

Every year in the U.S., about 3.4 million people experience seizures.[i] These seizures can take a huge toll on patients and their families. Physically, each time someone has a seizure it can wreak havoc across body systems.[ii] And psychologically, the fear of the next seizure can make it hard for people to enjoy everyday life. Further, uncontrolled seizures have been linked to many long-term issues, including developmental disabilities, learning and behavioral disorders, and more.

Searching for the cause

The reasons for these devastating events can be as different as the person themselves and getting to the bottom of the causes can be like trying to solve a very complicated puzzle. There are several different types of seizure disorders, and each can present with a different combination of seizure types. Epilepsy causes seizures; seizures may also be caused by triggers such as illness or fever, heat, flashing lights, strong emotions, or overexertion. Sometimes, seizures have no known cause. It’s important to know that for some people experiencing seizures, getting a specific diagnosis for an underlying condition can lead to a different, more appropriate treatment approach.

Some of the primary challenges in treating seizures are getting them under control and balancing any side effects of treatment. For many, medication successfully controls seizures. But for people living with certain rare and severe conditions, the challenges can be more complex. Difficult-to-treat or drug-resistant seizures may be signs of serious conditions such as Lennox-Gastaut syndrome (LGS), Dravet syndrome, or tuberous sclerosis complex (TSC). For people with these conditions, it can often take years of uncontrolled seizures before getting an accurate diagnosis and, therefore, more tailored treatments plans and other disease-specific support.

Zora’s road to diagnosis

This was the case for Zora. After her first seizure at six months, the neurologist told Zora’s parents that she might grow out of them. But the seizures continued, and, over time, Zora was prescribed a series of anti-epileptic drugs (AEDs). Many of these AEDs caused side effects and she continued to have seizures. Eventually, Zora’s parents decided to get a second opinion and they took Zora to get a genetic test. It was then—about five years after her first seizure—that Zora got a specific diagnosis of Dravet syndrome.

Zora’s parents learned that some of the medications she had been taking can be dangerous for children with Dravet, and that they may cause even more seizures. Zora’s treatment plan was changed as a result of her diagnosis, and her family was able to access several resources specific to her condition. They also joined a patient community through the Dravet Syndrome Foundation, where they could learn from others who understand what they are going through.

Getting answers

For those experiencing seizures, or living with someone who does, it’s important to learn what may be causing the seizures. Seeking a specific diagnosis and requesting a genetic test may uncover an underlying condition. And there’s always the option to seek a second opinion from a specialist or epileptologist, like Zora’s parents did.

The sooner the cause of the seizures is known, the better, because this knowledge can change the approach to treatment. Also, having a specific diagnosis may open new doors and opportunities. New treatment options may be possible. Access to foundations and grants or financial assistance may be available. And patients and their families can enjoy the benefits of connecting with a supportive community of others living with the same diagnosis.

A new website, SeizuresAreSigns.com, is now available for families who are navigating uncontrolled seizures. This new site provides a seizure assessment tool, educational information, stories from families who have found a diagnosis, resources, links to advocacy groups, and more.

Living with seizures isn’t easy. The uncertainty of not knowing when one will occur—and trying to be prepared for it—can be difficult and very scary. Finding out why they are occurring and asking for a genetic test may help in moving forward more confidently. When it comes to seizures, knowledge is power—getting a specific diagnosis may help by unlocking new possibilities for care, connection, and treatment.



[i] Centers for Disease Control and Prevention. National and State Estimates of the Numbers of Adults and Children with Active Epilepsy — United States, 2015. https://www.cdc.gov/mmwr/volumes/66/wr/mm6631a1.htm. Accessed Nov. 24, 2020.

[ii] Healthline. The Effects of Epilepsy on the Body. https://www.healthline.com/health/epilepsy/effects-on-body. Accessed Nov. 24, 2020.

Rethink ADHD Drug Holidays

2021-07-23T15:01:00

(BPT) – Getting back into the swing of things for this year’s return to school may be a challenge after more than 18 months away, and even more so for children living with ADHD. But caregiver concerns about ADHD are not just limited to the school year. Some parents and/or caregivers opt for a “medication vacation” or “drug holiday” to give their children a break from treatment during the summer.

How to approach taking a drug holiday makes all the difference in managing ADHD. Seeking guidance from a healthcare professional is always the first step, but here are some things to know while your family is planning summer activities and preparing to transition into the upcoming school year.

Why parents/doctors consider ADHD drug holidays/medication vacation

Drug holidays are known as deliberate interruptions of pharmacotherapy for a defined period of time and for a specific clinical purpose and may vary from short breaks such as weekends, to longer breaks like summer vacation.1 Especially for children whose ADHD is managed with a controlled substance, parents may opt to take a break from the treatment while school is not in session.

ADHD is more than a school issue

Parents who helped their kids with virtual school during the pandemic may have seen the value of their children remaining on medication. If your child is returning to their ADHD medication regimen, it’s best to consult with your health care provider to consider the best time of day to take their medication to optimize effectiveness. Even for kids with ADHD that excel in school, the return of afterschool activities, completing daily chores or even learning how to drive may be a struggle.

Timing is everything

The beginning of the school year may not be the best time to make any big or drastic changes in your child’s treatment regimen. They will already be faced with new teachers and classes and perhaps a new school with new friends, especially following a year of virtual learning. It’s important to speak with your doctor to determine the best plan to resume your child’s medication before heading back to school.

No two kids are created equal

Your child is constantly developing and changing from year to year, so it’s important to pay attention to behaviors, changes to their response to medication and how they managed while being on a drug holiday. Consult with your physician when considering if a medication vacation is right for your child.

Other ADHD medication options

Nearly 6.1 million children and adolescents in the U.S. are diagnosed with ADHD2 and many may potentially be in need of new options for treatment.

Qelbree™ is a new, non-controlled medication approved for the treatment of ADHD in children and adolescents, aged 6-17. Talking honestly with your child’s healthcare provider is key to coming up with the best treatment plan.

For additional safety information and to learn more, visit Qelbree.com to sign up for updates.

IMPORTANT SAFETY INFORMATION ABOUT QELBREE

Suicidal Thoughts and Behaviors:

  • Qelbree may increase suicidal thoughts and actions in some children with ADHD, especially within the first few months of treatment or when the dose is changed.
  • Help prevent suicidal thoughts and actions in your child or adolescent by paying close attention to any new or sudden changes in mood, behavior, thoughts, and feelings. Call your child’s doctor right away or get emergency help if there are any new or sudden changes (e.g., attempts to commit suicide, depression, agitation or restlessness, insomnia, acting aggressive, angry or violent, an extreme increase in activity and talking, thoughts about suicide or dying, anxiety, panic attacks, irritability, acting on dangerous impulses, and other unusual changes in behavior or mood).
    • Your child should not take Qelbree if they: take a medicine for depression called a monoamine oxidase inhibitor (MAOI) or stopped taking an MAOI in the last 14 days; or take alosetron, duloxetine, ramelteon, tasimelteon, tizanidine, or theophylline.
    • Tell your child’s doctor about all your child’s medical conditions, such as: a personal or family history of suicide, bipolar disorder, depression, mania or hypomania, blood pressure or heart rate problems, severe kidney or liver problems.
    • Before taking Qelbree, tell your doctor if your child is or plans to become pregnant or, is or plans to breastfeed. You and your child’s doctor will decide if your child should take Qelbree.
    • Tell your doctor about all medicines your child takes or recently has taken. Qelbree and other medicines may affect each other causing possible serious side effects. Do not start or stop any medicines while taking Qelbree without talking to your child’s doctor first.
    • Do not let your teen drive or operate heavy machinery until you know how Qelbree will affect them. Qelbree may cause your teen to feel sleepy or tired.
    • Qelbree can increase blood pressure and heart rate. Your child’s doctor will monitor these vital signs.
    • Qelbree may cause manic episodes in patients with bipolar disorder. Tell your child’s doctor if they show any signs of mania.
    • The most common side effects of Qelbree include sleepiness, not feeling hungry, feeling tired, nausea, vomiting, trouble sleeping, and irritability. These are not all the possible side effects of Qelbree.
    • You may report negative side effects to the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
    • Please see Medication Guide at Qelbree.com.

References:

  1. Ibrahim K, Donyai P. What stops practitioners discussing medication breaks in children and adolescents with ADHD? Identifying barriers through theory-driven qualitative research. Atten Defic Hyperact Disord. 2018;10(4):273-283. doi:10.1007/s12402-018-0258-9
  1. Centers for Disease Control and Prevention. (2020, November 16). Data and Statistics About ADHD. Attention-Deficit / Hyperactivity Disorder. (ADHD)https://www.cdc.gov/ncbddd/adhd/data.html#:%7E:text=The%20estimated%20number%20of%20children,children%20aged%206%E2%80%9311%20years%22%20. Accessed July 12, 2021.

In rare form: Kate’s TGCT journey

2021-07-22T12:11:00

(BPT) – From practicing ballet at a young age to dancing and cheerleading for two professional sports teams, Kate has always been passionate about expression through movement. Unfortunately, Kate’s activities were interrupted in 2016 when, at age 30, she began to experience intermittent pain and swelling in her right knee. At first, Kate thought this was a result of her demanding dance routines; however, she then began to experience a debilitating loss of mobility.

“I would walk — my knee would lock on its own, and I would fall. There were days where I was crawling to the bathroom. I didn’t know what it was.”

Concerned and confused, Kate went to see her general practitioner. While her doctor didn’t think the swelling was anything serious, Kate was referred to an orthopedist. She shared her symptoms, which had worsened, noting she could no longer bend her knee past 90 degrees, which made it impossible for her to do certain dance moves and yoga poses. A week later, Kate was diagnosed with diffuse tenosynovial giant cell tumor (TGCT).

About TGCT

TGCT, also known as giant cell tumor of the tendon sheath (GCT-TS) or pigmented villonodular synovitis (PVNS), is a rare, typically benign tumor (not cancerous) occurring in or around a joint. It is subcategorized into two types: localized, which is more common and accounts for 80% to 90% of cases, and diffuse, which accounts for 10% to 20% of cases.[1],[2]

TGCT can cause pain, swelling and stiffness in the affected joint. TGCT can reduce the function of small and large joints, including the knee and hips, and in some cases, it can damage them. Surgery may be a cure for many people with TGCT. For some, however, tumors may grow back after surgery.

Researchers don’t know exactly how many people are diagnosed with TGCT each year. However, a study done in the Netherlands was used to help calculate estimates of how many people are diagnosed with TGCT worldwide. It is estimated that only 43 people of every million are diagnosed with TGCT worldwide each year.

Kate’s Journey

After her diagnosis, Kate received a referral to an orthopedic oncologist who recommended immediate surgical removal of the tumor. She received surgery on her right knee in June of 2017, followed by a second surgery in August of that year.

“After several long months and multiple doctor visits, I was thankful to be under the care of an orthopedic oncologist who was specialized to treat TGCT.”

In December 2018, an MRI revealed a recurrence in her knee, but her orthopedic oncologist recommended against another surgery, as he felt the chances of the tumor spreading further were low. Fortunately for Kate, her recurrence appears to be stable. A follow-up doctor visit in June 2019 revealed that the tumor has not progressed since her last visit. Kate feels fortunate that her condition was caught early on.

Kate is extremely motivated and works with her care team to stay active. She has found great joy in Pilates, calling it her “saving grace,” and has improved well beyond her doctor’s expectations.

“They said I’d never get back to past 90% [knee bend]. Well, I showed him,” Kate said. “I can do many different yoga poses. I can tell one knee is puffier than the other. But even that hasn’t been an impediment.”

Knowing the difficulties she faced throughout her journey to diagnosis and treatment, Kate takes every opportunity to share her story and hopes to help build a support network for TGCT patients.

“It’s really important that you have a care team you can count on when you are dealing with something like this that can impact your life so significantly,” said Kate. “They can provide the emotional, physical and medical support you need. I am very grateful I had people who were ready and able to help.”

If you are experiencing signs of TGCT, contact your doctor, who may be able to refer you to a specialized center. For more information on TGCT, treatment options and resources, visit TGCTFacts.com.

© 2021 Daiichi Sankyo, Inc.
PP-US-TGCT-0024
07/21


[1] Mastboom MJL, et al. Acta Orthopaedica. 2017;88(6):688-694.

[2] Ehrenstein V, et al. J Rheumatol. 2017; 44(10):1476-1483.

Benefits of support groups for people with paralysis and their caregivers

2021-07-16T12:01:00

(BPT) – There are many challenges to living with paralysis. Whether you have paralysis yourself or are caring for someone who does, it can feel overwhelming and isolating at times. Support groups can make a big difference in helping you feel connected and understood.

Virtual support groups are a good option for many people in the paralysis community. The Christopher & Dana Reeve Foundation Virtual Support Groups are led by professional facilitators and peer mentors who are living with paralysis or the family members/caregivers of individuals living with paralysis.

Here are the top reasons to consider joining a virtual support group today:

Convenience and flexibility

Virtual groups eliminate many barriers associated with in-person gatherings, including those related to transportation, location and time. Without the need for travel time, you have the flexibility to attend the sessions you need throughout the week.

Specialized groups

The Christopher & Dana Reeve Foundation Virtual Support Groups are for anyone impacted by paralysis. Groups are held for individuals living with quadriplegia, those living with paraplegia, and family members/caregivers so that meetings can focus on the unique needs and challenges of each.

Information and answers

When you bring people together, everyone benefits from their collective knowledge. There are many different questions you’ll have throughout your journey after being diagnosed with paralysis or spinal cord injury. Others in your support group may have already had the same experiences and know the answers, and if not, can help direct you to someone who does.

Mental wellness

Paralysis challenges go beyond the physical. Mental health can be impacted as well. Feelings of depression, isolation and many more concerns are common and can happen at any time. Support groups are a safe place to talk about these feelings and know that you are not alone.

Community and connection

The paralysis community is a broad spectrum of people all bound together by a common experience. Support groups help you become a part of this community, providing a feeling of connection and a sense of belonging, and for some people, are also a source of pride.

Freedom to be yourself

Support groups offer you a place to be your authentic self. You can share ideas, ask questions, feel vulnerable, laugh, cry and many more things, knowing that other people are there to help. Whether it’s good or bad days, weeks or months, a support group helps to guide you through them.

To learn more about virtual support groups for people impacted by paralysis, visit www.christopherreeve.org.

Lessons from the pandemic: How the relationship with our pets continues to grow

2021-07-15T17:07:00

(BPT) – The pandemic has brought with it a number of challenges, from quarantining to social distancing and remote working — all of which resulted in more time at home. For some, this meant more quality time with family, including pets. According to a survey by the makers of Seresto, more than one-in-three pet owners got a pet during the pandemic.

For many of us, pets were a source of comfort and unconditional love throughout the uncertainty. In fact, nearly three-in-four pet owners surveyed (73%) say their pet has become even more of an emotional companion during the pandemic. Most say their pets have raised their spirits (61%), made them feel less lonely (58%) and helped them cope with stress (57%).

And the number one benefit of having a pet? Unconditional love. Throughout the pandemic, the bond between pets and pet owners has grown stronger with a majority (76%) of people agreeing their pets have made them a better person.

Preparing for post-pandemic transitions

The pandemic has changed the relationship between people and pets, with some pets only knowing a life with their owners at home. As cities and communities across the country begin to open back up, many families are preparing to head back to the office and school in person again, making it harder for some people to leave the house and their pets for longer periods of time.

The survey showed that only one-third of pet owners who are working from home (32%) feel “very prepared” to leave their pets at home when they go back to the office, with some expecting their pets to be anxious, clingy, even worried while they’re gone.

Tips for strengthening the bond with your pet

It’s not just pets who will miss their owners. Pet owners want to spend more time with their pets too, proving just how unique that relationship with our pets truly is. According to the survey, the relationship with our pets is mutually beneficial, held strong by the bonds of unconditional love.

Pet owners say the top benefits pets provide are keeping us company, improving our mood and showing unconditional love. Taking care of our pets, protecting them and showing unconditional love in return will help you both prepare for the changes ahead. Here are three tips to get you started.

  1. Create a predictable routine. One way to prepare for an upcoming change is to create a predictable routine. This may include regular sleep, wake and mealtimes. You can also get your pet used to you being gone by leaving the house for small periods of time, then expanding that time period with every excursion.
  2. Catch up on pet wellness activities. Before schedules get busy with post-pandemic commitments, catch up on important pet wellness activities. If you’re behind on annual veterinarian visits, schedule one now. Ask your vet what other proactive measures you can take, like using Seresto to protect your pet from fleas and ticks. Many of us are getting back to the office, booking travel and spending less time at home. Seresto keeps your pets protected from fleas and ticks for eight continuous months, so you can focus on enjoying more time together.
  3. Plan for quality time. When you start your new schedule, remember that both you and your pet will experience many emotions. When you get home after being gone, plan for some quality time together. Pets provide so much love and companionship and, just like us, they have their own love languages. Maybe that’s going for walks, getting a treat, enjoying a scratch behind the ears or something else that makes them feel extra special. Think about what is meaningful to them and go out of your way to show them just how much they are loved.

As you ease back into a new schedule, paying attention to your pet and what they need will help both of you grow together. It’s those little things you learn about each other that make the companionship of having a pet such a special bond.

What should you look for in a collagen supplement?

2021-07-15T16:45:44

(BPT) – Collagen is the glue that holds your body together. Whether it’s your hair, your skin or your nails, collagen provides the structure your body needs to keep everything intact. That’s one of many reasons it’s been trending so much in recent years. Your body makes it by combining amino acids from foods you eat like chicken, fish, eggs, beans or other dairy products. However, eating collagen-rich foods isn’t always enough to reap all of the health benefits. That’s where supplements can be beneficial.

Why do you need collagen?

Your body produces less collagen as you age. Unfortunately, this decrease in production can reduce skin elasticity and hydration, meaning your skin could start wrinkling sooner. Low collagen production can also weaken joint support, as joints are made up of Type 2 collagen.

Collagen is also crucial for your heart health. Recent studies show that Type 3 collagen is essential for normal collagen Type 1 production in your cardiovascular system and other organs. When collagen production is low, it can increase your risk for various heart-related conditions, according to the National Institutes of Health (NIH).

Exercise, a balanced diet and the right blend of supplements can provide the right environment to help your body produce a healthy amount of collagen, which can allow you to look and feel your best.

“Collagen is not the fountain of youth,” says Dr. Lauren Horton, senior director of research and development at AdvoCare. “However, choosing the right collagen supplement combined with proper diet and exercise can help support you and your health goals. If you’re interested in taking collagen supplements, it’s important to do your research so you can separate fact from fiction.”

What should you look for in a collagen supplement?

Horton suggests looking for a collagen supplement that:

1) Supports natural collagen production

There are supplements available that can promote natural collagen production. These supplements typically source ingredients like bamboo extract, which complements collagen and supports your skin’s strength and elasticity.

You may also want to think about what collagen supplements will help you support your goals. Depending on what you’re trying to do, you may want to look for supplements that specifically support joint health or ones that support hair, skin and nails.

2) Includes peptides

Bone density can decrease as you age, which, in some cases, can lead to osteoporosis. The good news is people who took collagen peptide supplements for at least one year saw an increase in their bone mineral density compared to those who didn’t, according to a recent NIH study. The researchers concluded that the increase occurred because the collagen stimulated bone formation while slowing down bone loss.

AdvoCare, the company that makes Glow brand collagen supplements, uses marine collagen peptides, which tend to be more bioavailable. According to Horton, these supplements allow the collagen to absorb into your system better than traditional bovine collagen supplements, regardless of delivery method.

3) Comes in multiple forms

Not everyone takes supplements the same way; they can come in many forms. Some people prefer their supplements in pill or liquid form, while others may prefer a powder they can mix in with a beverage. One way isn’t better than the other, and it all boils down to your personal needs and healthy lifestyle goals. Taking supplements to fill in nutritional gaps is typically more important than the delivery form.

Horton says powders work better for those who want higher collagen intake. Others may be willing to trade off quantity and take pills for ease or convenience.

A path to feeling and performing better

Collagen alone can’t improve your health and well-being. But with the right diet, exercise regimen and supplement intake, you can look and feel better with the support of collagen.

So how much collagen is safe to have per day? While it can depend on the person, manufacturers typically say a 2.5 to 15 gram daily dose is acceptable. However, you should still check with your health care provider first before choosing the right amount for you.

For more information on collagen supplements, visit www.connect.advocare.com.

Why a personal emergency response system is crucial for aging in place

2021-07-14T16:29:00

(BPT) – With more people than ever choosing to age in place — that is, continuing to live in their own homes — medical alert devices and modifications to make seniors’ homes safer and more accessible don’t have to break the bank. Installing ramps, railings, and ensuring medication adherence are simple steps you can take to ensure your loved one’s comfort as their range of mobility changes with age.

As the needs of those we love evolve, technology has adapted to help allow seniors to continue living independent, confident lives while also providing peace of mind to their families. Gone are the days of medical alert devices that require a working knowledge of technology or are too pricey for the average retiree. Instead, the best senior medical alert systems on the market have accessible, intuitive technology that aid in opening up the worlds of seniors who are choosing to age in place amidst the pandemic and beyond.

Selecting the right personal emergency response device

Beyond living safely, seniors should feel empowered to live confidently. Personal emergency response systems, or medical alert devices, offer those who age in place the autonomy to continue life at home without the need for an around-the-clock caregiver, and the comfort of knowing help is just a push of a button away, should they need it.

Wearing a personal emergency response device can provide an added sense of security and can decrease the anxiety surrounding falling at home. However, the perceived stigma associated with their use may prevent some aging adults from taking advantage of their benefits.

Many medical alert necklaces and devices are easily recognizable as such and do not offer protection outside the home, limiting the self-sufficiency of the wearer. Aging adults may not be prepared to admit that they require additional help, but providing them with a device that is discreet and suits their lifestyle can aid their transition as they begin aging in place.

A device for every lifestyle

For a personal emergency response system that helps inspire confidence, BLACK+DECKER Health presents goVia — the discreet, on-the-go alternative to traditional personal emergency response devices. goVia products include monitoring at-home or on-the-go for those who aren’t ready to stop exploring. The wearable devices are lightweight and can be worn as a wristband, necklace or even clipped onto a belt for protection outside of the home. With location tracking via GPS, cell service and triangulation, aging in place has expanded beyond the four walls of a home.

Freedom to age with autonomy

One in four adults over 65 will fall each year, according to the National Council on Aging, making a personal emergency response system crucial for adults who are aging at home. With five devices to choose from, goVia offers an extra layer of protection for explorers, those homebound, and everyone in between.

Aging in place should not mean sacrificing freedom. Give your loved one the support needed to age independently and help defeat the stigma surrounding personal emergency response systems.

Prepare for severe weather: How to use and maintain a generator

2021-07-14T17:28:00

(BPT) – Tornados, floods, hurricanes and more — severe weather is increasing around the world. Are you ready if a threatening storm hits your home?

“Storm frequency and intensity is increasing, which means it’s important for homeowners to take a proactive approach to severe weather preparedness,” said Jonathan Green, senior regional parts and service manager at Northern Tool + Equipment. “Having the right equipment and gear on hand and ready to go means your family can stay as safe and as comfortable as possible.”

Power outages and severe weather

Power to your home may be intermittent and unreliable during bad weather. In worst cases, entire power grids can go out for days or weeks at a time. Green says it’s important to prepare by having flashlights ready, stocking up on batteries and properly maintaining a generator to power necessities in a home.

If a major storm is approaching, the American Red Cross recommends unplugging small appliances to reduce potential damage from power surges that could occur. Always follow orders from authorities, who may tell you to turn off utilities to prevent damage to your home or within the community.

If you are without electricity, a portable generator can help power critical household equipment. For example, the NorthStar Portable Generator with Honda GX390 OHV Engine has a fuel-efficient engine with a digital ignition for easy startup. The control panel features 10 outlets and a 12-volt DC outlet, so you can power things like a well pump, a refrigerator and freezer, lights and electronics like TVs and cell phones to stay connected to emergency information.

When selecting a generator, it’s important to know the right size for your needs, which is based on the rated wattage of what you want to power — as not all generators have the same power draw. To do this, add up the wattage of tools, appliances and motors you will want to run at the same time, then select a generator with the running wattage rating to match or exceed the total load. Items with electric motors require additional surge wattage at startup that can double or triple the normal wattage requirement — so look at the surge watts required.

Green adds that having a generator is half the battle as it is just as important to use the equipment safely and maintain it properly by following generator safety and maintenance tips:

1) Store units properly: When not in use, keep your generator clean and covered in a safe, accessible location.

2) Perform maintenance: Being prepared is key, and a critical component of that is making sure your gear is ready in advance of serious weather. To that end, test the generator monthly to ensure it’s working properly. Just like any other engine, a generator requires maintenance, so keep up with the manufacturer’s recommended schedule for things like oil changes and spark plugs. Northern Tool + Equipment offers parts, service and repair expertise to ensure that generators, water pumps and other equipment is tuned up and ready.

3) Use fresh gas: There is approximately a 90-day shelf life on fuel, especially in smaller quantities like what would be in the gas tank of a small engine or a small gas can. Never use bad gas in a generator or you risk damage to the engine.

4) Run units wisely: Place generators outdoors away from your home, but shielded from rain as much as possible. Never run generators inside or covered tightly because this can clog spark arrestors and filters resulting in a fire hazard. Additionally, not ventilating exhaust increases risk of carbon monoxide poisoning.

5) Keep it clean and level: Always run the generator on level surfaces free from debris or other items. Non-level or vibrating surfaces may result in problems including poor engine lubrication, which can cause overheating.

6) Don’t overdraw power: The size of your generator will dictate how many things it can power. Keep in mind, items with heating elements or motors often need double their rated wattage to start up, which is called surge.

“Having a generator can be life changing during extreme weather, and it’s important to use this equipment safely and maintain it properly so you’re ready no matter what so your family is ready when severe weather comes your way,” said Green.