Dupilumab - the miracle cure?
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Dupilumab - the miracle cure?
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I have been following the recent trials for dupilumab, for the past year. I had really pinned my hopes on it being the cure for eczema, so imagine my happiness when I received an email from the National Eczema Association, explaining that it had been approved by the FDA!
I have done a fair bit of research into dupilumab, and from what I have gathered, it is administrated as an injection once every 2 weeks. Which isn't ideal, but at this point I am willing to try anything. After trying everything from steroid creams and tablets, to oat baths, coconut oil, aloe vera and phototherapy; I am now coming to the point, were my only option left is imunosuppressants. As a pharmacy student, I have access to a lot of resources which have allowed me to continuously read about the terrifying side effects caused by ciclosporin. During my revision last night, I even read it can potentially make women sterile!
However dupilumab, has only a few known side effects such as eye infections and injection site reactions, although it is a new drug, so the long term effects are not known. From what I can gather, although the drug is not licensed in the UK yet, it is available on the Early Access Medicines Scheme and can be prescribed by a dermatologist. The requirements are that a patient has severe eczema and has tried all available treatments, therefore I am not sure I would qualify as I haven't tried ciclosporin yet.
There are a few different clinical trials you can read to get more information on the success of dupilumab -SOLO 1, SOLO 2 and CHRONOS. So is dupilumab the miracle cure for eczema? No I don't think so, as there has been no research into how long patients will have to continue with the treatment - possibly indefinitely. Plus the fact, it is most effective when used with steroids, which I think will put a lot of people off, especially those that have been affected by TSW. However, I will be enquiring about this treatment with my dermatologist, to see if it may be something I could try in the near future.
I have done a fair bit of research into dupilumab, and from what I have gathered, it is administrated as an injection once every 2 weeks. Which isn't ideal, but at this point I am willing to try anything. After trying everything from steroid creams and tablets, to oat baths, coconut oil, aloe vera and phototherapy; I am now coming to the point, were my only option left is imunosuppressants. As a pharmacy student, I have access to a lot of resources which have allowed me to continuously read about the terrifying side effects caused by ciclosporin. During my revision last night, I even read it can potentially make women sterile!
However dupilumab, has only a few known side effects such as eye infections and injection site reactions, although it is a new drug, so the long term effects are not known. From what I can gather, although the drug is not licensed in the UK yet, it is available on the Early Access Medicines Scheme and can be prescribed by a dermatologist. The requirements are that a patient has severe eczema and has tried all available treatments, therefore I am not sure I would qualify as I haven't tried ciclosporin yet.
There are a few different clinical trials you can read to get more information on the success of dupilumab -SOLO 1, SOLO 2 and CHRONOS. So is dupilumab the miracle cure for eczema? No I don't think so, as there has been no research into how long patients will have to continue with the treatment - possibly indefinitely. Plus the fact, it is most effective when used with steroids, which I think will put a lot of people off, especially those that have been affected by TSW. However, I will be enquiring about this treatment with my dermatologist, to see if it may be something I could try in the near future.
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Lets start at the beginning...
Let's start at the beginning
For as long as I can remember, I have suffered from eczema. Although up until I was 19, it was fairly mild - mainly just affecting my inner elbows and the back of my knees. I vaguely remember seeing many doctors and dermatologists about it, when I was younger, were they'd just encourage me to cover myself in emollients a million times a day. As a child it barely bothered me, and I certainly wasn't going to be wasting time I could be playing, smothering myself in greasy cream. I mainly just left it be and it would come and go as it pleased.
Coming up through my teens, I became a more self-conscious of the red scaly patches on my arms and legs, and would just use any old steroid cream I had laying about - even if it was 5 years old. How that makes me cringe, now that I have learnt so much about medicine in my Pharmacy degree. But anyway, it seemed to do the job just fine.
Fast forward to being 19 in my second year of university...and the real …
For as long as I can remember, I have suffered from eczema. Although up until I was 19, it was fairly mild - mainly just affecting my inner elbows and the back of my knees. I vaguely remember seeing many doctors and dermatologists about it, when I was younger, were they'd just encourage me to cover myself in emollients a million times a day. As a child it barely bothered me, and I certainly wasn't going to be wasting time I could be playing, smothering myself in greasy cream. I mainly just left it be and it would come and go as it pleased.
Coming up through my teens, I became a more self-conscious of the red scaly patches on my arms and legs, and would just use any old steroid cream I had laying about - even if it was 5 years old. How that makes me cringe, now that I have learnt so much about medicine in my Pharmacy degree. But anyway, it seemed to do the job just fine.
Fast forward to being 19 in my second year of university...and the real …
Phototherapy - my experience
Over the past few years, I have occasionally used sunbeds as a fail safe way to clear my skin up temporarily before a big night out. I am well aware of the risks of skin cancer, but sometimes I really need the confidence boost that clear skin can give me. A week in the sun after a holiday also completely clears my skin, which is why I was excited when my dermatologist recommended me 24 sessions of phototherapy, twice a week. She made it very clear that this would only be a temporary solution, and it was very likely my eczema would return once I finished the course of UVB therapy. But at the time I was having one of my worse flares and was desperate for some relief.
Before I started the treatment I took prednisolone for 2 weeks to sort my skin out, as it was really bad. I then started my first phototherapy session about a week after that. So for those of you who don't know what to expect, I will give you a bit more information. These are not ordinary sunbeds. They are incredibly in…
Before I started the treatment I took prednisolone for 2 weeks to sort my skin out, as it was really bad. I then started my first phototherapy session about a week after that. So for those of you who don't know what to expect, I will give you a bit more information. These are not ordinary sunbeds. They are incredibly in…
Emollients - Are they worth the effort?
Lets face it. Who has the time to cover themselves head to toe in cream, five times a day like the doctors recommend? Certainly not me. I'd say I manage to apply it between two and three times a day, which I don't think is too bad. It's certainly more difficult to find the motivation when you have severe eczema, as it can seem like a waste of time. But if you find the right emollient, it can soothe your skin somewhat and reduce that irritating itch. However I can't say I'm completely sold on the theory that they improve the skin barrier and prevent flares...
There is a lot of trial and error going on, when you are on the hunt for your perfect emollient - one that doesn't irritate you further, and manages to keep your skin moisturised for more than 5 minutes. I tried many brands over the years such as Dermol, Cetraban, Aveeno ect. I finally settled on Epaderm after trying it out in hospital. I woke up to notice my skin's redness was massively reduced and ha…
There is a lot of trial and error going on, when you are on the hunt for your perfect emollient - one that doesn't irritate you further, and manages to keep your skin moisturised for more than 5 minutes. I tried many brands over the years such as Dermol, Cetraban, Aveeno ect. I finally settled on Epaderm after trying it out in hospital. I woke up to notice my skin's redness was massively reduced and ha…
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