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Did you know that beauty concoctions, including mascara and rouge, are personal? Dermatologists explain why amiguis beauty products should not be paid. Consider the main problems as being good people: You can stick herpes: “The person may suffer from herpes and, although it has not broken out, could spread to the other girl who lends lipstick; even the person without being herpes because the virus is still there. The bug is hidden, caught the person weak and the virus appears. The mouth is an area of ​​high risk for the subject of the mucosa, “explains dermatologist John Honeyman, of the School of Medicine at UC. He insists that the virus that causes rashes remains with the person throughout life and that contagion occurs, even if no visible injuries. “If I have a cold and occupied a lip, the boto. Otherwise, if you still use run the risk of following autoinoculando the bug, “the dermatologist Cristina Montero Avansalud. A lipstick can last two years, but well maintained: “There are people who when they have a cold cast lipstick, arguing that that are passed. Always hold lipstick, leaving viral particles in this object. They are autoinoculando the bug. ”

Conjunctivitis sight: under no circumstances should share or provide mascara and eyeliner because it can increase the presence of eye infections. “A hobby that people have is to open the tube and shove the brush several times. With that oxygenates and promotes the growth of bacteria. That puts and takes is lousy, “explains Dr. Montero. He adds that “six months have to fire him despite last longer. We must think of bacterial growth. ” Dr. Honeyman said also the mascara can be transmitted bacteria and germs. “There is more risk given a cream because the skin has more defenses than the mucosa of the conjunctiva,” he warns. “The mascara has an expiration date: no more than six months,” agrees Roger Reyna, director of Bobbi Brown, who has painted to Sarah Jessica Parker and Antonio Banderas. He says: “The 60 percent of women use expired products unknowingly and even bacteria accumulates on the brush mascara.

If the friend takes the product can be transferred to your eye. ” It can infect the skin: Dr. Montero explains that creams can cause skin infections. “Each person has their own bacterial flora. Then a skin can be colonized by a bug that I have and sharing makeup, I catch that same bug in my skin, it can be pathological. ” He adds that this is the chance. “I can not pass anything, but it is likely that the girl occupying my makeup just have a bug. For example, a Demodex infestation (mite). If you have rosacea, acne or seborrheic dermatitis (skin diseases that are superinfected) . . . there are bugs stuck inside.

” ¿Make-up ? : “Today we are not just cosmetic makeovers; now they come with other properties: have vitamin E, an antioxidant, sunscreen, hyaluronic acid, “says Dr. Montero. But all these additional improvements expire when the product reaches the day and time of maturity. Alvaro Marquez, the Chamber of Cosmetics Industry, suggests that you have to buy name brand products and have well labeled the origin of import, who address matters and to your phone. He adds that skin creams and face, now also used by men, should not last more than a year. “People buy to use and not to keep it,” he says. To learn more about cosmetic and health, visit www. ispch. cl/cosmeticos “As a general rule, if I have a cold and occupied a lip, the boto”

Cristina Montero, dermatologist Avansalud

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SALES DE SCHÜSSLER

eczemas Ezcemas anal Pomada 1 Calcium fluorite encías Pálidas Sal phos 2 Calcium encías sensitive Sal phos 2 Calcium Con borde rojo y sangrado Sal phos 5 potassium Encías sensitive, pareodontosis Sal 1 Calcium fluorite y Sal 11 Silica Erupciones CUTÁNEAS

Crónicas Sal 6 Potassium sulphate Crónicas, con enrojecimiento agresivo Sal 10 sodium sulphate Con aspecto rojizo Sal phos 3 Ferrum Húmedas Sal 10 sodium sulphate Piel grasienta, escamosa Sal 6 Potassium sulphate + Médico Escamas blancas polvorientas Sal 8 Sodium chloride Escamas cutáneas producidas por ampollas reventadas con revestimiento harinoso

Sal 4 Kali Muriaticum Con Costras blancas amarillentas Sal phos 2 Calcium Con pústulas reventadas y capa de pus Sal 11 Silica Erupciones que desprenden líquido Sal phos 9 sodium Si el sodium sulf. no es eficaz. También para Costras de color amarillo Sal 4 Kali Muriaticum Después de vacunarse. En relación con los herpes

Sal 8 Sodium chloride + Médico psoriasis Ver programa para la psoriasis ESTREÑIMIENTO Heces grasientas, duras y de color apagado Sal 10 sodium sulphate + Médico Cuando los sintomas mejoran Sal 8 Sodium chloride Programa anti-ESTREÑIMIENTO Ir a la cura estrias Estrias en la piel Pomada 1 Calcium fluorite

Estrias por embarazo Sal y pomada 1 Calcium fluorite Enfermedades Y PROBLEMAS articulares Refuerza las Articulaciones: remedio básico Sal 11 Silicea + Médico Dolor agravado por el movimiento con dolor paralizante Sal 3 Ferrum phos y Sal 4 Kali Muriaticum + Médico Con dolor y rigidez Sal 5 potassium phos + Médico Dolor punzante, cambios localizados Sal 2 Calcium phosphate + Médico Rigidez por la mañana con dolor inicial Sal phos 9 sodium

Bursitis de la rodilla Sal 4 Kali Muriaticum + Médico Problemas reumáticos, agravados por el tiempo húmedo Sal 10 sodium sulphate + Médico Enfermedades Y PROBLEMAS ÓSEOS Enfermedad del periostio, huesos Frágiles, huesos blandos, dolores por evolución de osteoporosis, huesos poco desarrollados Sal 11 Silicea + Médico Osteoporosis Sal 2 Calcium phosphate + Médico Sensibilidad, osteoporosis, tendencia a las fracturas Sal 11 Silica En los niños, dolor al crecer posterior a las fracturas Sal phos 2 Calcium

ENURESIS NOCTURNA orinar involuntariamente Sal 6 Potassium sulphate Debilitación del esfínter urinario Sal phos 3 Ferrum Agotamiento nervioso, debilidad Sal phos 5 potassium EMBARAZO vomitos Sal 8 Sodium chloride náuseas Sal 2 Calcium phosphate D6 ESTREÑIMIENTO

Sal 10 sodium sulphate Hiperacidez estomacal Sal phos 9 sodium Anemia Sal phos 3 Ferrum Calambres Sal 7 Magnesium Phosphoricum Piernas cansadas Sal y pomada 10 sodium sulphate hemorroides Sal y pomada 1 Calcium fluorite Cloasma (manchas en la piel) Sal y pomada 6.

Potassium sulphate D6 Picores en la piel Sal y pomada 6. Potassium sulphate D6 varices Sal y pomada 1 Calcium fluorite Estrias y refuerzo de la piel abdominal Sal y pomada 1 Calcium fluorite celulitis Sal 4 Kali Muriaticum + pomada 1 (mañanas) + pomada 11 (Noches) Energía posparto Sal phos 5 potassium

herpes simplex

– Christian Hoffmann – Herpes simplex infections are a common problem in HIV patients, and especially with significant immunodeficiency (below 100 CD4 cells / mm) chronic courses are possible. There are two different viruses: HSV-1 is transmitted through mucosal contact (kissing) and causes itchy perioral blisters on the lips, tongue, palate or buccal mucosa. HSV-2 is sexually transmitted and causes herpetiform lesions on the penis, vagina, vulva and anus. The lesions increase the risk of transmission of HIV significantly (Freeman 2006 Ouedraogo 2006 see chapter on prevention). In severe cases, other organs can be markedly affected. These include esophagus (ulcers), CNS (encephalitis), eye (keratoconjunctivitis, uveitis) and respiratory tract (pneumonitis, bronchitis). In these cases, and the persistence for more than four weeks, the herpes simplex virus infection, is regarded as AIDS-defining. clinic The itching and burning blisters. In oral infestation food intake is difficult. In genital or anal infection (proctitis!

) Micturition and defecation can be very painful. Patients with severe immunodeficiency extensive lesions are possible. Often regional lymph nodes are swollen. The clinic disseminated herpes infections depends on the affected organs. diagnostic For oral, genital or perianal infection often extends the visual diagnosis. If in doubt, a swab be taken, which must be brought into a virus culture medium rapidly to the lab. Also resistance testing in refractory lesions are possible. Organ manifestations are usually diagnosed histologically. In the HSV encephalitis, diagnosis is difficult as the cerebrospinal fluid often does not help. Serologies only Assagekraft if they are negative, thus making (rare) HSV infection improbable. therapy Each therapy is more effective the sooner it is started.

In good immune status and only discrete lesions topical administration of acyclovir can range. Penciclovir cream (Vectavir®) is likely to be just as effective (Chen 2000) and supposedly a little less irritating, however, considerably more expensive. Systemic remains nucleoside analogue acyclovir drug of choice. It inhibits the DNA polymerase of herpes viruses. Resistances are also 40 years after launch rare (Levin 2004). Aciclovir is well tolerated and is effective against HSV-1 and HSV-2. In severe cases and in organ manifestations should be treated intravenously. Since the CNS levels are lower than in the plasma, the dose should be increased at an encephalitis. In the intravenous administration of acyclovir, the kidney values ​​should be monitored. Equivalent alternatives are valacyclovir and famciclovir (Ormrod 2000 Conant 2002) that must be taken in better oral availability less frequently, they also cost more and not allowed with immunosuppression. They should be used only if acyclovir does not act. We made with Famciclovir, a prodrug of penciclovir (Vinh 2006), good experience. In uncomplicated genital lesions may be sufficient for only two days of 500 mg famciclovir, unless there is immunodeficiency (Bodsworth 2008).

For HSV-1 and VZV brivudine is an alternative, however, the increase of the mitochondrial toxicity and jeopardize the effect of ART can (Ulrich Walker, pers. Comm). Treatment / prevention of HSV infection (daily dose) acute treatment Duration: 7-14 days 1st Choice acyclovir Aciclovir ratiopharmÒ 5 x 1 Tbl. 400 mg Severe cases Aciclovir p. i. Ò 3 x ½-1 Amp.

500 mg (3 x 5-10 mg / kg) i. v. alternatives valaciclovir ValtrexÒ 3 x 2 tablets. 500 mg alternatives famciclovir FamvirÒ 3 x 1 Tbl. Of 250 mg alternatives brivudine ZostexÒ 1 x 1 Tbl.


Of 125 mg prophylaxis Not recommended In exceptions, especially when lesions remain refractory to treatment, several weeks of therapy with foscarnet can be useful. New drugs that inhibit another enzyme of the herpes viruses with the helicase, were in animals more effective than acyclovir – their clinical value must be shown (Kleymann 2003). For painful mucocutaneous lesions, a local anesthetic is also useful. Unfortunately, the best tetracaine solution (Herviros®) was taken off the market, some pharmacies may but touch anything comparable. prophylaxis A primary prophylaxis with HSV drugs is generally not recommended. An early meta-analysis, according to which under acyclovir, the risk of both HSV and Cardiac disease by more than 70% and even mortality decline (Ioannidis 1998), is now believed to relativize. However: For stubborn recurrences can low continuous dose acyclovir or valacyclovir (DeJesus 2003 Warren 2004) may be useful. Interactions between HIV and herpes simplex increase genital HSV infections, the risk almost tripled, becoming infected with HIV (Freeman 2006) – see also the section on prevention in STYLE section.

Large randomized studies have shown in recent years that under an HSV therapy interestingly also decreases the viral load, rising by 0. 26 to 0. 53 logs below valaciclovir (Nagot 2007, Baeten 2008) and 0. 25 to 0 , 34 logs below acyclovir (Delany 2008 Celum 2010). This reduction was indeed at first glance not very impressive, but it is still significant. If a acyclovir therapy HIV transmission obviously could not prevent (Celum 2008 + 2010 Watson-Jones 2008), these observations of HSV and especially the acyclovir therapy in recent months new life breathed into (Vanpouille 2009) , All of a sudden a “very old drug” such as acyclovir has become interesting once again possibly new derivatives on this basis can be developed, their antiviral potency is better with good tolerance to HIV. literature Baeten JM, knitting LB, Lucchetti A, et al. Herpes simplex virus (HSV) -suppressive therapy Decreases plasma and genital HIV-1 levels in HSV-2 / HIV-1 coinfected women: a randomized, placebo-controlled, cross-over trial. J Infect Dis 2008 198: 1804-8. Bodsworth N, Bloch M, McNulty A, et al. 2-day versus 5-day famciclovir as treatment of Recurrences of genital herpes: results of the FaST study. Short-Course Herpes Therapy Study Group.

Sex Health 2008, 5: 219-25. Celum C, Wald A, Hughes J, et al. Effect of aciclovir on HIV-1 acquisition in herpes simplex virus-2 seropositive women and men who have sex with men: a randomized, double-blind, placebo-controlled trial. Lancet 2008 371: 2109-19. Celum C, Wald A, Lingappa JR, et al. Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2. NEJM 2010, 362: 427-39. Chen XS, Han GZ, Guo ZP, et al. A comparison of topical application of 1% penciclovir cream with acyclovir 3% cream for treatment of genital herpes: a randomized, double-blind, multicentre trial. Int J STD AIDS 2000 11: 568-73. Conant MA, Schacker TW, Murphy RL, et al. Valacyclovir versus aciclovir for herpes simplex virus infection in HIV-infected worth individuals: two randomized trials. Int J STD AIDS 2002 13: 12-21.

DeJesus E, Wald A, Warren T, et al. Valacyclovir for the suppression of recurrent genital herpes in HIV-infected subjects. J Infect Dis 2003; 188: 1009-16. Delany S, N Mlaba, Clayton T, et al. Impact of aciclovir on genital and plasma HIV-1 RNA in HSV-2 / HIV-1 co-infected women: a randomized placebo-controlled trial in South Africa. AIDS 2009 23: 461-9. Freeman EE, Weiss HA, Glynn JR, Cross PL, Whitworth JA, Hayes RJ. Herpes simplex virus 2 infection Increases HIV acquisition in men and women: systematic review and meta-analysis of longitudinal studies. AIDS 2006 20: 73-83. Ioannidis JP, Collier AC, Cooper DA, et al. Clinical efficacy of high-dose acyclovir in patients with HIV infection: a meta-analysis of randomized individual patient data. J Infect Dis 1998, 178: 349-59. Kleymann G.

New antiviral drugs did target herpesvirus helicase primase enzymes. Herpes 2003 10: 46-52. Levin MJ, Bacon TH, Leary JJ. Resistance of herpes simplex virus infections to nucleoside analogues in HIV-infected patients. Clin Infect Dis 2004, 39 Suppl 5: S248-57. Nagot N, Ouedraogo A, Foulongne V, et al. Reduction of HIV-1 RNA levels with therapy to suppress herpes simplex virus. N Engl J Med 2007; 356: 790-9. Ormrod D, Scott LJ, Perry CM. Valaciclovir: a review of its long term utility in the management of genital herpes simplex virus and cytomegalovirus infections. Drugs 2000, 59: 839-63. Ouedraogo A, Nagot N, Vergne L, et al. Impact of suppressive herpes therapy on genital HIV-1 RNA among women taking antiretroviral therapy: a randomized controlled trial.

AIDS 2006 20: 2305-13. Safrin S. Treatment of acyclovir-resistant herpes simplex virus infections in patients with AIDS. J Acquir Immune Defic Syndr 1992 Suppl 1: S29-32. Vanpouille C, Lisco A, Margolis L. Acyclovir: a new use for an old drug. Curr Opin Infect Dis 2009, 22: 583-7. Vinh DC, Aoki FY. Famciclovir for the treatment of recurrent genital herpes: a clinical and pharmacological perspective. Expert Opin Pharmacother 2006 7: 2271-86. Warren T, Harris J, Brennan CA. Efficacy and safety of valacyclovir for the suppression and episodic treatment of herpes simplex virus in patients with HIV. Clin Infect Dis 2004, 39 Suppl 5: S258-66.

Watson-Jones D, Weiss HA, Rusizoka M, et al. Effect of herpes simplex suppression on incidence of HIV among women in tanzania. N Engl J Med 2008 358: 1560-71.