Issue 5                                                                                                       
Old Fashioned logo
caf 8-5-08 
Chuck Fulmer, R.Ph., FIACP  
672 Lanier Park Dr.
Gainesville, GA 30501
 
770-536-CARE (2273)
Fax: 770-536-2635
Health Tip: Therapy for Facial Pigmentation
  Facial and neck pigmentations are common in middle-aged women, and are related to endogenous (hormones) and exogenous factors (such as use of cosmetics and perfumes, and exposure to sun radiation). Treatment of melasma and other facial pigmentations has always been challenging. It is important to avoid exposure to the sun or to ultraviolet lamps, and to use broad-spectrum sunscreens. Several hypopigmenting agents have been used with differing results. Topical hydroquinone 2 to 4% alone or in combination with tretinoin 0.05 to 0.1% is an established treatment. Topical azelaic acid 15 to 20% can be as efficacious as hydroquinone, but is less irritating. Tretinoin is especially useful in treating hyperpigmentation of photoaged skin. Chemical peels are useful to treat melasma under the supervision of a physician. Customized preparations, containing trichloroacetic acid, alpha-hydroxy acids, kojic acid, and salicyclic acid, alone or in various combinations have shown good results. 
Ask our compounding pharmacist for more information.
Nutritional Support: Omega-3 Fatty Acids
 capsules
  Omega-3 fatty acids are essential to human health but cannot be manufactured by the body. For this reason, omega-3 fatty acids must be obtained from food or supplements (salmon, tuna, and halibut, other marine life such as algae and krill). Extensive research indicates that omega-3 fatty acids reduce inflammation and help prevent risk factors associated with chronic diseases such as heart disease, cancer, and arthritis, as well as play a crucial role in brain function and normal growth and development. Symptoms of omega-3 fatty acid deficiency include extreme tiredness (fatigue), poor memory, dry skin, heart problems, mood swings or depression, and poor circulation.
   There are three major types of omega 3 fatty acids: alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA). It is important to maintain an appropriate balance of omega-3 and omega-6 (another essential fatty acid) in the diet, as these two substances work together to promote health. A healthy diet should consist of roughly 2 - 4 times more omega-6 fatty acids than omega-3 fatty acids. The typical American diet tends to contain 14 - 25 times more omega-6 fatty acids than omega-3 fatty acids (which can be balanced by an improved diet and supplements), and many researchers believe this imbalance is a significant factor in the rising rate of inflammatory disorders in the United States.
Compounding Tip: Customized Medications for Skin Care
 
derm jarCompounding pharmacists continue to develop new bases to improve both the aesthetic and therapeutic aspects of compounded medications. If skin analysis reveals areas of dry, oily, or aging skin, we can provide the appropriate correction for each skin type in a cosmetic base containing the exfoliants, emollients, and micronutrients necessary for cellular repair. Antioxidants such as Alpha Lipoic Acid and Vitamin C Ester are vital to the energy production of skin cells and formation of collagen. Amino acids such as DMAE tone and add firmness to the skin, prevent age spots, and aid in healing the micro-scarring which causes wrinkles.
We work together with prescribers and their patients to provide innovative solutions to challenging medical problems. Please contact our compounding pharmacist for more information or to discuss other "problem-solving" therapies.