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what about the sulphur and nux/puls as a detox? Good luck with this

one - I either keep my eczema children for a long time or they

disappear after the first visit!!

Janice

herbal remedies, jocelyne hemming <jh@g...> wrote:

> What advice would you have for a child with horrible eczema after

using

> Chinese herbs, (he had only a couple of patches before). Now he is

covered

> with terrible eczema including face, some patches have got

infected. He is 9

> years old, and has numerous allergies including peanuts. He is off

dairy

> produce too. He has an enormous appetite, which I am reading is

due to the

> fact that he is not absorbing his food properly. Does not have a

bowel

> motion everyday.

>

> I suggested a detox, which the parents are not keen on as he has

such a

> restricted diet already. I am sure there is problem around the

bowel area

> and liver, for a number of reasons.

>

> Any suggestions appreciated.

>

> Thanking you,

> Jocelyne.

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Jocelyne. I am a Chinese Style Herbalist and I am professionally - as well

as - personally interested in your son's condition.-- I have a 4 year old

who suffers mild re-occurring eczema. I have tried Chinese herbs,

homeopathy (graphics (spelling!) , laser acupuncture, colloidal silver and

seem to work but it keeps coming back as well as itching and constipation -

with little appetite.

 

could you tell me the name of the Chinese Herbs you used ?

a few more common formulas used;

-xiao feng san (eliminate wind powder) would seem to be indicated (weepy,

itchy red skin lesions)

- huang lian jie du tang (more for blood deficiency with some heat)

- long dan xie gan tang ( eczema, herpes etc,) but not for long term as it

damages the yin/ blood and may make the condition over time actually worse

- gui zhi tang which can treat eczema when it from an imbalance of ying and

wei qi but may make the condition worse if the cause is from interior heat -

which may be in your case

 

Of course there are numerous variations of the above.

 

Chinese herbs do work but the diagnosis has to be correct. I would venture

to say that the herbs used for our son were more for " superficial

releasing " when " downward draining " formulas were indicated.

 

I agree that he is not absorbing his food properly - which here would

indicate Stomach Heat and also relate to the constipation (TCM)

I could tell more if you could tell me the Chinese herbs and a little more

of your son's history.

 

Ed Kasper L.Ac., Acupuncturist & Herbs

Chinese Herbs and Energy to maintain and restore health

Santa Cruz, California & www.happyherbalist.com

e-mail eddy

 

 

 

 

Sat, 06 Apr 2002 05:53:26 +0100

jocelyne hemming <jh

Eczema

 

What advice would you have for a child with horrible eczema after using

Chinese herbs, (he had only a couple of patches before). Now he is covered

with terrible eczema including face, some patches have got infected. He is 9

years old, and has numerous allergies including peanuts. He is off dairy

produce too. He has an enormous appetite, which I am reading is due to the

fact that he is not absorbing his food properly. Does not have a bowel

motion everyday.

 

I suggested a detox, which the parents are not keen on as he has such a

restricted diet already. I am sure there is problem around the bowel area

and liver, for a number of reasons.

 

Any suggestions appreciated.

 

Thanking you,

Jocelyne.

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At 10:45 AM -0800 4/6/02, Ed Kasper wrote:

> Jocelyne. I am a Chinese Style Herbalist and I am professionally - as well

> as - personally interested in your son's condition.-- I have a 4 year old

> who suffers mild re-occurring eczema. I have tried Chinese herbs,

> homeopathy (graphics (spelling!) , laser acupuncture, colloidal silver and

> seem to work but it keeps coming back as well as itching and constipation -

> with little appetite.

>

 

I have found two things work. Sea water (the real stuff not made or a salt

solution). The second was a material used for treating dandruff.

 

Perhaps herbs which would help to remove skin faster might be a path.

 

I am completely ignorant, so just take this as some thoughts which might

inspire the more knowledgeable of you

 

Zip

 

The Dragonmaster

Heaven on Earth

 

dragonmasterzip

 

He who rules truly serves and she who serves truly rules.

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  • 2 years later...

inner cleanse the gi tract and your eczema will

improve

 

So go an a lenghtly fast.

 

drink diluted h202.

 

take tinctures of vermifuge

 

eat garlic

 

intake less exiotoxins.

 

change your diest to include natural foods that are

not starchy or sweet

 

and remember this inner cleanse can take up to seven

years to see results

--- forumtvm <forumtvm wrote:

 

> Hi,

>

> Does any one have any suggestion on how to deal with

> eczema?

>

> Pete

>

>

 

 

 

 

 

 

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, mike man

<mgsboediitodpc> wrote:

> inner cleanse the gi tract and your eczema will

> improve

>

> So go an a lenghtly fast.

>

> drink diluted h202.

>

> take tinctures of vermifuge

>

> eat garlic

>

> intake less exiotoxins.

>

> change your diest to include natural foods that are

> not starchy or sweet

>

> and remember this inner cleanse can take up to seven

> years to see results

> --- forumtvm <forumtvm> wrote:

>

> > Hi,

> >

> > Does any one have any suggestion on how to deal with

> > eczema?

> >

> > Pete

 

Make sure that H2O2 is Food Grade and not the store bought kind.

Also you can do an H2O2 soak along with Epsom Salts and get alot

of relief and possibly even a healing. You use the store bought

for this unless you can afford the food grade. I use store bought

and have had great success. You use one half cup of h2o2 and one

half cup of epsom salts to start with and add to a tub of very

warm water. Soak for at least 30 to 45 mins. Will also give you

get up and go so don't do it too close to bed time. You can do

this everyday if you want to. At first your skin will seem dry

but after a few soaks you will notice how soft and silky you skin

becomes. After 3 or 4 soaks use a cup of the h2o2 with the half

cup of epsom salts. I now use one large 92 cent bottle from Wally

World and love it!! This is a great way to pamper yourself. You

can even put your hair down in it and it will not harm anyones

color if they use it. This can be used for children also.

 

Liz S.C.

 

 

 

> >

> >

>

>

>

>

>

>

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Hi Pete,

I use total wellness and healthy products from Melaleuca, the wellness company. Below is one of my friend's testimonial which she sent out today. Some of the product names are included in her email.

 

Regards,

David

 

"My son has horrible eczema. Before I joined mela we had tried every product on the market and nothing helped. Less then 2 weeks after swithching my home over his eczema he'd had for a year was GONE! It was awesome. Every little thing helps, getting all the toxic stuff that touches the skin out helps (laundry detergent, hand soap, carpet cleaner ect) and replacing with Mela products is a great idea, but I attribute most of his miracle to the GOLD bar. I wash him with the gold bar and follow up with Renew and his eczema stays at Bay. Usually with eczema, the more you wash, the more dried out and irritated the skin gets so they say to wash only occationally, I find the opposite is true now, and that the more often he is washed with the gold bar the better! Doesn't dry his skin out at all! Hope that helps! Please let me know if you have any questions!

I also wanted to add that one of the naturals shampoos (melaleuca oil one is better for this!) should be used on the person with excema as they are the most gentle and when you rince the hair it touches other parts of the body so you don't want anything else touching the skin that might irritate it!"

~Jessica Middleton

--- forumtvm <forumtvm wrote:> Hi,> > Does any one have any suggestion on how to deal with> eczema?> > Pete>

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  • 1 year later...

Although the FDA here are not recommending these creams for hosptial

paitents they have nevertheless trialled them for 2 years on children and

infants!

 

With homeopathy, eczema is one of the easiest things to cure.

 

Jane

 

 

The agent pimecrolimus (Elidel) is a topical immunosuppressant calcineurin

inhibitor and is currently being very heavily marketed for use in children

with eczema. It is more effective than placebo, but there are no good

studies comparing its efficacy and safety with the previous standard

treatment of weak topical steroids.

 

There have been many concerns voiced regarding its potential for unintended

immunosuppression, and possible carcinogenicity. There are good biological

reasons to predict such effects and some animal & human evidence to suggest

the risks of both are not insignificant.

 

In the last couple of months there have been 2 studies published claiming

evidence for safety and lack of effect on immune function (as shown by

immune response to vaccination). These studies are small, short-term and

uncontrolled. They must be interpreted with caution.

 

Also, the Division of Pediatric Drug Development of the Federal Drug

Administration (FDA) has made recommendations that pimecrolimus (Elidel)

and tacrolimis (Protopic) carry a warning of these safety concerns.

 

My view: these agents are probably effective in the treatment of mild atopic

eczema but there remain very significant concerns about safety issues, which

only very large, and long-term studies will resolve. With the current level

of knowledge, I might prescribe them for very short-term use in older

children but would not use them for widespread or prolonged use in younger

babies. I know some dermatologists hold different views.

 

The RCH Drug Usage Committee has not approved these agents for use in our

hospital patients.

 

The studies mentioned, plus the FDA recommendation are detailed below.

 

MIKE

 

 

Long-term control of atopic dermatitis with pimecrolimus cream 1% in infants

and young children: A two-year study

J Am Acad Dermatol 2005;52:240-6Kim A. Papp, MD, PhD, FRCP,a Thomas Werfel,

MD,b Regina Fo¨lster-Holst, MD,c Jean-Paul Ortonne, MD,d Paul C. Potter,

MD,e Yves de Prost, MD,f Miles J. Davidson, MD,g Nathalie Barbier,

Hans-Peter Goertz, MPH,h and Carle Paul, MDh Waterloo, Canada; Hannover and

Kiel, Germany; Nice and Paris, France; Cape Town, South Africa; Dronfield,

United Kingdom; and Basel, Switzerland

 

Objective and methods: The safety and efficacy of treatment with

pimecrolimus cream 1% was evaluated for up to 2 years in infants and young

children with atopic dermatitis. Ninety-one patients participated in a

1-year, open-label extension to a 1-year double-blind study. Of these, 76

received pimecrolimus 2 years. Pimecrolimus was applied twice daily at the

first signs or symptoms of the disease until clearance. Outcome measures

included the incidence of adverse events and the Eczema Area and Severity

Index (EASI).

 

Results: No patient discontinued because of adverse events. The incidence of

systemic and skin infections did not increase over time. Over the 2-year

period, 2 patients experienced an episode of clinically diagnosed eczema

herpeticum. In patients receiving pimecrolimus for 2 years, the mean

decrease in EASI score from baseline was 68.7% at 3 months and 70.8% at 24

months.

 

Conclusion: Treatment with pimecrolimus cream 1% for up to 2 years was well

tolerated and resulted a marked and sustained improvement of atopic

dermatitis.

 

 

Long-term treatment of atopic dermatitis with pimecrolimus cream 1% in

infants does not interfere with the development of protective antibodies

after vaccination

J Am Acad Dermatol 2005;52:240-6

 

Objective We investigated whether treatment of atopic dermatitis with

pimecrolimus cream 1% in infants affects the development of a normal

antibody response to vaccinations.

 

Methods In all, 91 patients participated in a 1-year, open-label extension

to a 1-year double-blind study: 76 used pimecrolimus twice daily at the

first signs or symptoms of the disease until clearance for 2 years and 15

only in the second year. Serum concentrations of antibodies against tetanus,

diphtheria, measles, and rubella were measured at months 18 and 24.

 

Results The seropositivity rates of 93.6% for tetanus, 88.6% for diphtheria,

88.5% for measles, and 84.4% for rubella were comparable with those reported

in literature. Seropositivity was not significantly affected by the use of

pimecrolimus at the time of vaccinations (± 28 days).

 

Conclusions Treatment of atopic dermatitis with pimecrolimus cream 1% in

early childhood does not appear to interfere with the development of a

normal immune response to vaccinations.

 

 

 

Federal Drug Administration - Division of Pediatric Drug Development.

Recommendations for Tacrolimus and Pimecrolimus

 

The Division of Pediatric Drug Development (DPDD) recommends a boxed warning

for both Protopic and Elidel. This recommendation is based on the totality

of scientific information available thus far which includes animal

carcinogenicity signal both in mice and monkeys, post-marketing

tumor-related adverse event reports coupled with the increased absorption in

atopic dermatitis resulting in greater systemic exposure. The evidence

raises serious safety concerns in children regarding the potential for

carcinogenicity in humans treated with these agents. These products are

being widely used to treat atopic dermatitis, a non-life threatening

disease, and heavily advertised for use in young children without

appreciation by parents and physicians regarding the potential for

carcinogenic risk. We believe regulatory action is needed at this time since

a definitive answer to the carcinogenic risk of these products will not be

known for years and the difficulty of designing a clinical study that will

provide a definitive answer to this question

 

For background, Protopic Ointment (tacrolimus) and Elidel Cream

(pimecrolimus) are indicated for the short-term and intermittent long-term

treatment of atopic dermatitis in patients >2 years of age who are either

unresponsive or intolerant of alternative, conventional therapies or in whom

the use of these therapies is deemed inadvisable due to potential risks.

Protopic and Elidel are calcineurin inhibitors and immunosuppressants.

Although their exact mechanism of action is not known, they exert direct

immunosuppressive effects as evidenced by inhibition of T cell activation

and inhibition of various interleukins and interferon gamma.

 

Although these products are applied topically, they may be systemically

absorbed. Detectable drug levels in the blood are more frequently observed

in children than in adults. This higher systemic drug exposure in children

may be related to their greater body surface area to mass ratio.

 

Scientific evidence for systemic immunosuppression from topical application

of these products is available in both humans and animals.

 

In animals, the carcinogenicity signal is strong, consistent, and dependent

on dose and treatment duration. In mice, lymphoma formation was reported

with application of Protopic and with Elidel dissolved in ethanol, at 26x

and 47x MRHD (maximum recommended human dose) based on AUC comparisons,

respectively. In addition, the median time to skin tumor formation was

decreased in hairless mice following chronic Protopic administration with

concurrent exposure to UV irradiation. Furthermore, the latency time to

lymphoma formation was shortened to 8 weeks after administration of Elidel

in ethanol to mice at a dose of 179-217x MRHD based on AUC comparisons.

 

In humans, post-marketing tumor-related adverse events related to these

products continues to be reported. Since marketing approval (12/08/00 for

Protopic and 12/13/01 for Elidel), 7 cases of lymphoma have been reported,

four with Protopic and three with Elidel. Five of these 7 cases occurred in

adults; one, in a 2 year old child; and one in a patient of unreported age.

Duration of use is known in 5/7 cases (several weeks, 5 months, 6 months in

2 and 1 ½ years in another); occurrence was reported at the site of drug

application in one. In addition, there is one case of cutaneous Kaposis

sarcoma which developed at the site of Protopic application and that became

metastatic in an HIV positive adult. To date, 6 cases of skin cancer (of

which three were recurrences) have been reported in adults, five with

Protopic and one with Elidel. In 4/6 cases, the latency time to skin cancer

was reported: 1-2 weeks, 3-4 weeks, 8 weeks and 3 months. Of these 6 cases,

there was a history of atrophic lichen sclerosis in two cases and occurrence

at the site of drug application in 2 different cases. Of note, the incidence

of skin papillomas, a risk factor for precancerous lesions and cancer, was

reported pre-marketing in children treated with Elidel (in the Adverse

Reactions section of the Elidel package insert, the incidence of skin

papillomas in the 6-week pediatric study was 0.4% (1/267) with Elidel and 0

(0/136) with vehicle control; in the 1-year safety study, it was 3.3%

(9/272) with Elidel and <1% of 75 patients treated with vehicle control ).

Post-marketing, 2 cases of papilloma have been reported with Elidel, one in

a child and one in an adult. Additional post-marketing tumor-related cases

in children include one case each of facial tumor, type unspecified, with

Elidel cream, Sezarys syndrome after three years of Protopic use,

hepatoblastoma after one year of Protopic use and one case of sudden

increase in size of metastatic angiosarcoma after three months of Protopic

use.

 

Additional supportive evidence of immunosuppression in pediatric patients

includes the increased incidence of specific infections that occurred with

these products compared to vehicle alone in the pediatric clinical trials

conducted pre-marketing. These results are reported in the Pediatric Use and

Adverse Reactions sections of the Package Inserts. Of the cases of

infections reported post marketing in pediatric patients, the most

significant case was that of an 8-month old male who developed eczema

herpeticum with pseudomonas sepsis and subsequent cardiac arrest. Protopic

ointment was applied over his entire body for 6 months. Of note, the serum

tacrolimus level was 3.5 ng/ml two weeks after Protopic had been

discontinued. The patient survived.

 

It is known that oral or parenteral administration of immunosuppressant

drugs is associated with an increased incidence of infection and cancer,

particularly lymphoma. Tacrolimus injection (Prograf), cyclosporine and

azathioprine, all of which include an indication for prevention of organ

transplant rejection, contain a boxed warning. Although a systemic

preparation of tacrolimus, Prograf, is available, there currently is no

marketed systemic preparation of Elidel. Of note, a recent non-human primate

study conducted with an oral formulation of Elidel which is under

development, demonstrated the occurrence of lymphoma in all dose groups

studied, including the lowest dose which represented 30x MRHD for the

topical product. Therefore, a NOEL for lymphoma was not established in this

study. Of further concern, lymphoma was reported in one of four recovery

animals despite discontinuation of treatment. In this study, lymphoma was

associated with a latent infection by an Epstein Barr related virus which is

the same mechanism described in immunosuppressed humans following

transplantation. In addition, three of nine monkeys developed concurrent

leukemia.

 

The immunosuppressive effects of these topical products in animals,

manifested primarily as lymphoma formation, are strong, consistent and

compelling. The biological relevance of these animal findings to humans

exposed to these drugs cannot be excluded. In addition, immunosuppression is

the proposed mechanism of action of Protopic and Elidel.

 

These products are indicated for the intermittent but chronic treatment of a

non life-threatening condition, atopic dermatitis. The abraded skin

characteristic of atopic dermatitis increases systemic absorption of these

drugs and, as noted above, children have higher systemic blood levels of

these drugs compared to adults, and, thus, greater systemic drug exposure.

Given that these topical products may be applied chronically in a young

child over an extensive surface area of abraded skin, there is potential for

significant cumulative drug exposure. As demonstrated in the animal

carcinogenicity studies, the development of lymphoma was dependent on

cumulative drug exposure, being a function of dose and treatment duration.

The increasing number of post-marketing tumor-related adverse events is

concerning because they too, like the animal carcinogenicity findings and

the known carcinogenicity potential with systemic administration of these

drugs to humans, relate to the mechanism of action of this drug class, i.e.,

immunosuppression.

 

CFR 201.57 provides the Agency with the legal and regulatory authority to

require a boxed warning based on serious animal toxicity in the absence of

clinical data. FDA has previously exercised this authority. Such was the

case for Forteo (teriparatide injection) and Flagyl (metronidazole tablets).

Therefore, there is precedent. A boxed warning is the most effective

labeling tool FDA has to convey a potential safety signal or risk. It is

also recommended that the PPI for these products inform

patients/parents/caregivers of the potential cancer risk based on the animal

carcinogenicity findings and the post-marketing adverse events.

 

The use of these products continues to increase, including use in the very

young, although they are not approved in patients less than 2 years of age.

For example, from June, 2003-May, 2004, the number of prescriptions

dispensed for Protopic, increased by 16% and for Elidel, by 46%, compared to

the previous year. In this same time period, patients aged 1-2 years,

accounted for 8% and 13% of Protopic and Elidel prescriptions, respectively.

 

The increasing use may be related to aggressive and inappropriate

advertising with portrayal of these products as safer than steroids and the

implication that they can be used as first-line therapy and for unlimited

periods of time.

 

A presentation entitled: ELIDEL Redefining Successful Therapy & A Blockbuster

in the Making!was delivered by Kurt Graves, Chief Marketing Officer,

Novartis, on their 2003 R & D day. Included in this presentation were plans to

develop the drug for flare prevention among other indications (e.g., chronic

hand dermatitis) and to expand usage to infants with atopic dermatitis.

 

In conclusion, based on the scientific information available to date which

raises serious safety concerns regarding the potential for carcinogenicity

of these agents in humans, the Division of Pediatric Drug Development

recommends that a boxed warning be included in the Package Inserts for

Protopic and Elidel.

 

 

Mike

A/Prof Mike South,

Royal Children's Hospital, Parkville, Victoria 3052, Australia

 

 

----------

----

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  • 1 year later...

Sir I am certain that application of high quality almond or sesame oil over the

entire body followed by application of besan or chick pea flour paste left to

dry and then rubbed off will help you immensely along with milk thistle tea

twice daily to help support the liver.

_______

I have been suffering from eczema for a year now,...... I would be grateful if

someone knowledgeable from this group could

help me out, no allopathy medicine is helping me. Any Ayurveda

medicine is there for this.

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