Upper Respiratory Tract Infections PDF

Marina Pharmacy Group Scientific Training Program Upper Respiratory Tract Infections An upper respiratory tract infection, or upper respiratory infection, is an infectious process of any of the components of the upper airway. Infection of the specific are...

Marina Pharmacy Group Scientific Training Program Upper Respiratory Tract Infections An upper respiratory tract infection, or upper respiratory infection, is an infectious process of any of the components of the upper airway. Infection of the specific areas of the upper respiratory tract can be named specifically. Examples of these may include rhinitis (inflammation of the nasal cavity), sinus infection (sinusitis or rhinosinusitis) - inflammation of the sinuses located around the nose, common cold (nasopharyngitis) - inflammation of the nose, pharynx, hypopharynx, uvula, and tonsils, pharyngitis (inflammation of the pharynx, uvula, and tonsils), epiglottitis (inflammation of the upper portion of the larynx or the epiglottis), laryngitis(inflammation of the larynx), laryngotracheitis (inflammation of the larynx and the trachea), and tracheitis (inflammation of the trachea). Bacterial Vs Viral infection: Usually it is a viral infection at the beginning that might be converted into secondary bacterial infection. Viral infection: ▪ Itchy or scratchy throat. ▪ Fever for only 2 or 3 days. ▪ Mild body pain. ▪ Clear sputum. Bacterial infection: ▪ Blocked throat (can’t swallow). ▪ Fever for more than3 days. ▪ Severe body pain. ▪ Colored thick sputum. Bacterial infection: Adult: ⮚ Augmentin 1g (AMOXICILLIN+CLAVULANATE POTASSIUM) Dose: One tablet twice daily for 7 days with full glass of water with or after food. Broad spectrum activity The Clavulanic acid added to Amoxicillin increases the efficiency and stability of Amoxicillin. branded product If patient is allergic to penicillin, then dispense: ⮚ KLACID 500 mg (CLARITHROMYCIN) Dose: one tablet twice daily for 7 days Children: ⮚ AUGMENTIN 457mgSUSPENSION Dose: Otitis media, Sinusitis, lower respiratory tract infections and more severe infections: 45 mg/kg/day divided on 2 doses *Less severe infection: 25mg/kg/day divided on 2 doses ⮚ OMNICEF SUSPENSION (CEFDINIR) Dose: 7mg/kg of suspension every 12 hours or 14 mg/kg once daily for 5 days with meals. There should be 2 hours gap between any antacid or formula contains iron and Omnicef. ⮚ SUPRAX SUSPENSION(Cefixime) Dose: The recommended dosage for children is 8 mg/kg/day administered as a single dose or in two divided dose) 1  If the child allergic to Penicillin’s, then dispense ⮚ KLACID 125MG/5ML OR 250 MG/5ML SUSPENSION. Dose: Dose 7.5mg/kg every 12 hours with meals. Supplement Suggestion (Probiotics): Advice the customer to make a 2 hours gab between the probiotic and the antibiotic dose. Always suggests Probiotic caps to: People who had antibiotic-associated diarrhea in the past People who must take antibiotics for more than 5 -10 days People who have switched from one antibiotic to another over a relatively short period of time Also, for children you can recommend Proflora (Baby Drops & Start) Why Proflora? The probiotic strains are Microencapsulated (using Pro-target technology) Which Protects them against stomach acid Targeted release of probiotics in the intestines Ensures they reach the right part of the digestive tract before releasing. It is also contains prebiotic components which support the growth of probiotics. Supplement Suggestion (Probiotics) ✓ AMS FLORABIOTIX 50 BILLION PROBIOTIC CAP ✓ AMS FLORABIOTIX 30 BILLION PROBIOTIC CAP ✓ GOL DR FORMULATED PROBIOTICS ONCE DAILY MENS ✓ GOL DR FORMULATED PROBIOTIC ONCE DAILY WOMENS ✓ NP GI NATURAL PROBIOTIC MEGA 120BILLION CAP ✓ PROBULIN COLON SUPPORT PROBIOTIC 20B CAPS ✓ PREBIOTIC 10 SACHETS / 4.5G ✓ THE GUMMIES PROBIOTIC GUMMY VIT STRAW/ORANGE KIDS ✓ PROFLORA RESTORE PLUS SACHET 30S ✓ PROFLORA BABY DROPS ✓ GOL DR FORMULATED PROBIOTIC ORANGE KIDS+ 30CH ✓ RL ULTIMATE FLORA KIDS PROBIOTIC 30S ⮚ EZC PAK Cap 28’S: ▪ 5 Day treatment: Treat the causes of Cold & Flu. ▪ Boost immune system. ▪ Contain: Echinacea (Anti-viral), Zinc and Vitamin C. ▪ One capsule from each color 4 times for the first day, then 3 times for the second day and twice for 3-5 days. ⮚ Bee Prepared Max Strength: ▪ Concentrated formula which also includes Astaxanthin & Reishi mushrooms for when your system needs an extra boost ▪ Contain Propolis 1000 mg: antiviral, antifungal, antibacterial properties and modulates the immune system ▪ Contain Vitamin C and other ingredients work to boost immune system and antioxidant. ▪ One capsule 3 times daily after food. 2 ⮚ Manuka honey. ⮚ Marnys defens: ▪ Contains propolis and royal jelly. ▪ Contains Reishi and Shiitake mushrooms to support immunity. ▪ Contains colostrum, a mother milk extract which exhibits a very powerful antibacterial and antiviral effect. ▪ One vial 1-2 times daily. ⮚ Marnys Royal jelly / Mega 2000 / Provite 5000. ⮚ Now Effer C: ▪ Available at 2 flavors (ORANGE and ELDERBERRY which is the only one safe for diabetics) ▪ 1000 mg Vitamin C and vital Electrolytes ▪ Essentials Vitamins and Minerals to boost energy. ▪ Additional antioxidant COQ10&Alpha LIPOIC ACID. 3  Cold, Flu, Cough and Sinusitis Questions scheme (to be able to assess the case and dispense the right medication): ▪ Congested or Runny nose? In case of secondary infection, discharges tend to be thick and colored. ▪ Color of nasal drainage? ▪ Do you complain of feverishness? fever usually means secondary infection ▪ Do you complain of headache or body aches? ▪ Do you have difficulty in swallowing or pain in the throat? difficulty in swallowing usually means secondary infection ▪ Do you have cough? ▪ If wet, Color of sputum? ▪ If dry, frequency at night (disturbing sleep)? ▪ Are you diabetic / smoker? A. Blocked Nose (with or without) sneezing and lacrimation ⮚ Clarinase tab (loratadine 5mg and pseudoephedrine sulfate 120mg). Dose: Adult and children above12years, one tab twice daily. ⮚ ISOMAR NOSE DECON SPRAY W/ HYALURONIC ACID 100ML to cleanse, clear, moisturizes and protects the nose. ⮚ BETADINE COLD DEFENSE NASAL SPRAY 20ML (Saline water with antiseptic) ⮚ Nat Aroma Therapy (Nat Sinus Clear OR Nat Eucalyptus) always suggest for breath relive inhale Nat Aroma therapy steam 2 - 4 times a day. Advice to use a vaporizer or humidifier. ⮚ Boost Immune System; Item to boost immune system. o Note: ▪ Decongestant sprays as (Otrivin) are not usually advised for more than a few days. If you use one for more than 5-7 days, a rebound, more severe congestion of the nose may develop. In contrast, saline water spray and Respiratory blend or steroid sprays work well to clear symptoms, and can be used for long periods. ▪ Saline nasal sprays are two types, Hypertonic; which is more concentrated with salt and minerals for blocked nose and Isotonic which acts as a nasal wash only. B. Runny nose ⮚ CLARITINE TAB 10mg 30'S: for adults and children 12 years of age and older is once daily. (one tablet) ⮚ Sterimar Nasal Spray to moist and flush irritants out of your nasal passages and to treat or prevent the infection. ⮚ Item to boost immune system. C. Headache, fever or body aches ⮚ Celebrex: ▪ Reducing night time pain than Naproxen 1000 (max dose) mg. ▪ Relieving osteoarthritis pain than diclofenac max dose (150 mg). ▪ Relieving pain than 1200mg from Ibuprofen. (400mg 3 times daily). ▪ Selective Cox -2 inhibitors gentle on the stomach 65% less in GIT side effect. ▪ Initial dose of 400 mg followed by 200 mg every 12 hours. ▪ Contraindicated for cardiovascular oatients. ⮚ VOLTAREN 100MG RET TAB 30'S 4  ⮚ Voltfast Sachets: ▪ Dose: Adult and children 14 years old, one sachet 3 times daily. ▪ It is Safe to be used for hypertensive patient and nursing mothers. ⮚ Fever Patch. Aqua gel fever cooling patch is a hydrogel-based non-Pharmaceutical product designed for temporary fever relief. Its high-water content provides a continuing and anti-fever affect or up to 8 hours relief. Safe to use with any medication. Great for both children and adults ▪ N.B Remember to ask the patient how she/he is measuring the temperature ▪ It is a chance to sell Thermometer (Digital and I.R) BRAUN NTF 3000 NO TOUCH + FOREHEAD THERMOMETER provides precise non-contact temperature measurements. Is a fast, accurate infrared thermometer with convenient features to help you monitor your child or baby’s temperature with ease. 5  ✓ 3-in-1 measurement. Safe control for body, surface and room temperature ✓ Measures without skin contact (3-5cm) ✓ Fever alarm ✓ Large color coded backlit display ✓ 32 memory sets ✓ °C/°F switchable ✓ Beeps at end of measurement ✓ Silent Mode ✓ Auto-off ✓ Practical storage box ✓ Low battery indicator ✓ The infrared thermometer reads temperature quickly and accurately. It is ideal for babies and children. D. Sore throat: Symptoms ▪ Pain, itchy and dry& Hoarseness of the voice ▪ Difficulty in swallowing, fever, greenish sputum (Tonsillitis) Treatment ⮚ Antibiotic: as mentioned in case of bacterial infection. ⮚ Gargle: BETADINE MOUTHWASH 250ml ⮚ Lozenges: Comvita (Manuka Honey with propolis) lozenges. ⮚ Spray: Comvita throat spray, shake before uses, spray into the throat 3-6 times per day. ⮚ Spray: BETADINE THROAT SPRAY 50ML spray into the throat 3-6 times per day. ⮚ Pain killer &Anti-inflammatory: Voltfast sachets. 1 sachet 3 times daily for 3 days. Note: Betadine Gargles It is Povidone iodine antiseptic which kills microorganism such as bacteria, fungi, viruses, protozoa. Contraindication Direction for use Not to be used in As gargle: use undiluted for 30sec 1-allergy to iodine As mouth wash for routine use: dilute solution with 2 2-children under 6 years old parts of water, repeat every 3-4 hours 3-thyroid disorders 4-pregnancy and breast feeding ▪ For children Comvita spray: can be used for 2 years + Comvita lozenges: can be used for 5 years + E. Cough 6 Type of cough Medications Productive cough :Persisting cough that bring up An Comvita Original Cough Syrup (contain: Propolis) Or Comvita yellowish or greenish mucus Blackcurrent Cough Syrup (Dose: 10 to 15 ml tds) Dry cough :Allergic cough (continuous) especially at Adult: Comvita Original Cough Syrup (contain: Propolis) Or night, usually take longer time ,mostly with wheezing Comvita Blackcurrent Cough Syrup (Dose: 10 to 15 ml tds) + Telfast 180mg / Claritin (in case disturbing sleep) Children: Comvita Children Lemon Cough Syrup (Dose: Child from 2 years old: 10 ml tds.) + Claritin syrup Diabetic patient Dry cough –Sinecod syrup (15 ml 3 times daily) Productive cough – Prospan syrup (5 ml 3 times daily) SUPPLEMENT SUGGESTION: If the patient is smoker help him convincing to quit smoking by explaining that: There a number of products that can help quit smoking Nicotine patch, gum, lozenges and behavior therapy (Electronic Cigarette) can help to reduce craving and withdrawal symptoms that happen while you give up smoking. Antioxidant as a daily supplement, helps to detoxify the body from the cancer –causing toxins in cigarettes while he quit: Now EVE or Now ADAM Now Effer C Always suggest the NAT aroma therapy to be used to relieve breathing and Lozenges to soothe the throat Why Comvita Original cough syrup? Nature’s way to treat cough and cold and strengthens immune system Higher efficacy and more safety Free from preservatives. Safe in most patients’ categories 1. Bronchial Asthma 2. Safe from the age of two year and above. Indications Ingredient Wet and dry cough Natural Propolis (Regulate immunity, anti-bacterial, anti-inflammatory) Nocturnal cough UMF+10 Manuka Honey (Suppress Cough, Moisturises and soothes the Colds and flu throat) Nasal congestions Tea Tree oil (Decongestant, Clear Cough, Antiseptic) Immune stimulant Fennel Oil (Expectorant, Suppress cough) Peppermint Oil (Cooling action, Clears the airways, Suppress cough) Eucalyptus Oil (Expectorant, Suppress cough) NOTE: Shake well before using the Zinc (immune system) syrup. 7  ▪ For children o Prospan syrup. 1-6 years, 1.25 ml twice daily. 6-11 years, 2.50 ml twice daily. o Bronchicum syrup. 6 months -1 year, 2 ml three times daily. 1-4 years, 5 ml three times daily. Above 8 years, 10 ml three times daily. o Sinecod syrup. 2 moths - 1 year, 10 dr 4 times daily. 1-3 years, 15 dr 4 times daily. Above 3 years, 25 dr 4 times daily. F. Sinusitis: The sinuses are small, air-filled spaces inside the cheekbones and forehead. They make some mucus which drains into the nose through small channel Symptoms: ▪ Runny or stuffy nose ▪ Pressure in your forehead, face ,cheeks and between eyes ▪ Yellow or green drainage or drip from your nose or down the back of your throat ▪ Cough that produce mucus ▪ Fever Treatment: ⮚ Gloclav 1g or Ziquin 500mg in case of fever and colored drainage. ⮚ Clarinase tab as decongestant ⮚ Sterimar Nasal Spray ⮚ Corticosteroid spray: Avamys Nasal Spray ⮚ Nat Sinus clearing for clearing sinuses ⮚ Voltfast 1 sachet 3 ds for 3 days ⮚ Item for boosting the immune system ⮚ Enzymedica MUCOSTOP: What is smoker cough? It is due to long-term smoking, which causes damage and destruction of the protective cilia of the respiratory tract. Cilia are hair-like structures that sweep harmful substances out of the lungs. This leads to a build-up of mucus mixed with these substances in the respiratory tract, which the body tires to clear by coughing. A smoker's cough is generally a wet cough that is productive of phlegm, which can be clear, white, yellow-green or blood tinged. 8  o Promote easy breathing during seasonal or occasional congestion. o Contains a blend of enzymes. o The high-potency enzyme Mucolase™ assists the body’s natural ability to break down and eliminate excess mucus in the sinus and nasal passages. o Contains supporting enzymes to balance inflammation and histamine. o Indications: Sinusitis and promotes easy breathing during seasonal or occasional nasal congestion and post nasal drip. Recommended Use: 2 capsules three times daily on an empty stomach, one hour before or two hours after a meal. More may be taken as needed. Note: Advice the patient to combat the itching, sneezing and misery of hay fever Take a good all –around antioxidant supplementation containing vitamin A, C, E, beta carotene, selenium and zinc plus the amino acids Vitamin C 1g a day helps to control excessive histamine levels. How a Humidifier Keeps You Healthy All Winter ✓ Best way to combat dry air and reduce your susceptibility to infection. When the air is too dry, sinuses don't drain and function properly. According to many ENT experts, adding humidity to the air is generally good for sinus health especially if you're regularly suffering from congestion and sinusitis. ✓ Whether it is a cold, asthma, or allergies, a humidifier keeps your nasal passages lubricated, which helps speed up the healing process. ✓ Keeping your nasal passages moist and lubricated is essential is to prevent nosebleeds. ✓ Specially designed to purify the air. Other benefits Support beautiful skin: Soothe dry skin by sleeping with a humidifier on through the night. In the morning, you'll not only notice that your face looks suppler, but your hands and lips won't feel dry and dehydrated either. NAT Aroma Therapy: What is Aromatherapy? Aromatherapy is science of using fragrant plant essences, (known as “essential oils”) for therapeutic purposes that has been practiced for thousands of years. Each essential oil has its own unique properties Essential oils contain the active ingredients of a plant in highly concentrated form. Children under 18 months should not be treated with essential oils, unless professionally advised. One of the most satisfactory features of using essential oils is that they enter and leave the body with great efficiency, leaving no toxins behind. Unlike chemical drugs, essential oils do not remain in the body Not to use in the first four months of pregnancy. Do not apply directly to skin in pregnancy. PRODUCT FEATURE & ADVANTAGE INDICATIONS & DIRECTION BENEFITS 9 NAT Lavender pure Mind & Emotions: It’s relaxing and How to use your essential oil: essential oil 10 ml healing qualities. 1. Improves sleeplessness Burner: add a few drops (5-6) 2. And has a soothing and drops to your electric or tea light calming effect on the vaporizer. nerves. Massage: add a few drops 3 to 3. relieving tension, 5 to a carrier depression, panic, hysteria Oil to use for massage. 4. Effective for headaches, migraines. Bath: add 3 to 5 drops to a full bath before immersing yourself in the warm water Shower: sprinkle 1-2 drops on your shower floor and let the scent wash over you Inhalation: add 1-2 drops to a bowl of steaming hot water. NAT. Eucalyptus pure Treats colds and flu. Relaxes Have many benefits How to use your essential oil: essential oil 10 ml nervous for the whole family. Burner: add a few drops to System. your electric or Reduces pain associated vaporizer with rheumatism and gout. Massage or body oil: add a few drops to a carrier oil to use for massage Bath: add drops to a full bath before immersing yourself in the warm water Shower: sprinkle drops on your shower floor and let the scent wash over you Inhalation: add drops to a bowl of steaming hot water to clear sinuses and assist with cold and flu relief 10  NAT. Tea Tree pure ❖ Skin & Hair: ❖ Antiseptic scent, How to use your essential oil: essential oil 10 ml Helps to clear acne, burns, ❖ Bath: add 5-6 drops to a full herpes, oily skin, athlete’s is wonderful for bath beforeimmersing foot, cold sores, blemishes, fighting infections yourself in the warm water nappy rash, warts, sunburn, and infected wounds. and skin irritation ❖ Burner: add a few drops to your electric or Vaporizer ❖ Massage or body oil: add a few drops to a carrier oil to use for massage ❖ Combines the essential ❖ Clearing blend How to use your essential oil: oils of Lemongrass, to relieve NAT. Sinus Clear ❖ Burner: add a few drops 5-6 Lime, Grapefruit and ❖ Symptoms essential oil blend 10 ml to your electric or Peppermint in a associated with vaporizers refreshing, clearing colds and flu. blend to help treat the ❖ Massage or body oil: add a symptoms of hay fever, few drops to a carrier oil to sinus, colds and flu. use for massage ❖ Bath: add 3-5drops to a full bath before immersing yourself in the warm water ❖ Shower: sprinkle 1-2drops on your shower floor and let the scent wash over you. ❖ Inhalation: add 1-2drops to a bowl of steaming hot water to clear sinuses and assist with cold. Note: All the aroma should be tested on a small area on the wrist. If reaction occurs, then dilute the blend 50/50 with any vegetable oil “cold pressed olive oil or almond oil. Colds and flu (infants and children 0-9 years old) It is always recommended by pediatricians to use medications containing natural ingredients, this way the immunity system of the child will develop by time. 1. Homeocan 0-9 Flu buster / All allergies. 2. Sterimar Baby or Physiologica soluton 5ml 20 sterile 3. Anti-Histamine In Case of blocked nose Lorinase syrup. 6-12 years, 2.5 ml twice daily. In Case of running nose Cetirizine syrup 2-5 years, 5 mg once, Loratadine 2-5 years, 5 mg once, Desloratadine 6 months to 1 year, 1 mg once, 1-6 years, 1.25 mg once, 6-11 years, 2.50 mg once 4. Immune stimulant. ▪ The Gummies Vitamin C (starting from 1 year) ▪ The Gummies Propolis and Echinacea (starting from 1 year) ▪ Marnys Protect Junior (Vials from 4 years and syrup starting 1 year age) 11 Homeocan kids 0-9 ✓ 100% all natural products, homeopathic and phototherapeutic products remedies for kids from 0 to 9 years old. ✓ Made in Canada. ✓ Sugar FREE and great taste. ✓ 9 different products. ✓ No drug interaction, no toxicity. ✓ Should be taken away from meals,20 minutes. ✓ No chance for allergic reaction or hyper sensitivity. ✓ Easy to Administer Products To relieve from Allergies Oral Solution Helps relieve allergy symptoms: sneezing, nasal congestion, and throat and skin irritation, teary eyes. Great Banana Flavor Pain and Fever Oral Solution Helps reduce fever and relieve pain from: sore throat, headaches, toothaches and soreness. Great Cherry Flavor Colic Oral Solution Helps relieve colic and gas pains, calm nausea, reduce burping, agitation and irritability. Great Raspberry Flavor Calm Syrup Helps relieve nervousness, restlessness and agitation in children. Great Grape Flavor Cough & Cold Syrup Helps relieve dry cough, congestion, mucus build- Great Grape Flavor Cough & Cold Helps relieve symptoms associated with nighttime cough and cold: dry cough, congestion, mucus build-up, aches, Nighttime Formula Syrup pains and fever. Earache Oral Solution Helps relieve pain associated with earache: fever, throbbing pain, inflammation. Great Grape Flavor Flu Buster Oral Solution Exactly the same as OSCILLOCOCCINUM Great Raspberry Flavor Teething Oral Solution Helps soothe gum pain; relieve irritability and agitation caused by teething. Great Orange Flavor 12 Note: always suggest along with infants and children nose congestion medications NASAL ASPIRATOR, Nose Frida or Omron Duo Baby (NE-C301-D) Compressor-Nebulizer Immune stimulants. To whom we should recommend immune stimulant Customer feeling cold and/or flu. Customer exposed to a contagious virus. Customer under stress due to life style. Customer always getting sick. Children at school. 1- Manuka honey. ▪ Medical-grade honey. ▪ Exclusively found in the New Zealand region. ▪ Safe to be used above 1 year. ▪ Contains Methylglyoxal which is not available in normal honey and has natural strong anti-bacterial, antiviral and antifungal properties. ▪ Healing properties to treat a wide range of health conditions such as ulcers, acid reflux, gastritis, acne, wounds, burns, eczema, ringworm, wrinkles. 13  Indications. 1. Gastric Ulcer (Proven to Eradicate H. Pylori) 2. Irritable Bowel Syndrome (IBS) 3. Hyperacidity 4. Heartburn 5. Increase Immunity 6. Increase Energy and Stamina 7. Cold sore How to be taken ▪ One table spoonful 3 times daily half an hour before meals. ▪ Try not to drink immediately after having the honey. ▪ Having the honey on bread, toast or biscuit holds it in the stomach for longer time. Unit of measure ▪ UMF (Unique Manuka Factor) responsible for antibacterial property. ▪ M.G.O. concentration of (Methylglyoxal) ▪ MGO400 equivalent to UMF 12+. 2- Propolis ▪ It is a substance produced by honeybees to use in building their hives. It is a mixture of beeswax, many other bee secretions, and resins collected by the bees from plants such as leaf buds and flowers. ▪ It is used by humans for several medical purposes, some of which are supported with scientific research and some of which are based on tradition. ▪ A powerful natural antibiotic, also exhibits anti-viral and anti-fungal properties. ▪ Powerful anti-inflammatory. ▪ Help to increase the immunity ▪ Can be used as an antibiotic for minor infections with dose 1000 mg 3 times per day or as Immune stimulant with dose 1000 mg per day. Available in forms of: Spray: ✓ SN PROPOLIS EXTRACT 20% PURE ✓ MEDEX PROPOLIS ORAL JUNIOR SPRAY ✓ MARNYS PROPOLTO SPRAY Liquids: ✓ MARNYS PROPOLVIT DEFENS ✓ MARNYS ROYAL PROVITE 5000 ✓ FORCENRGY VITAMIN C PROPOLIS Gummies: 14  ✓ THE GUMMIES PROPOLIS&ECHINACE Capsules: ✓ MARNYS PROPOLIS 1000MG W/ ECHINACEA 30 CAPS 3- Royal jelly: ▪ A fluid made of a mixture of secretions of worker bees. It is the only food eaten by the queen bee for all its life. ▪ Source of B vitamins and supplies big amounts of trace elements and substances that stimulate hormone production. ▪ It increases mental performance in periods of stress and fatigue. ▪ Recommended for post-operative states because of its high content of vitamins, minerals and trace elements. It also helps regain appetite. ▪ It’s essential amino acids are good for general body functioning. ▪ It shows antiseptic and antibacterial properties that strengthen our body resistance to external aggressions. This is the reason why a lot of people take it in periods of change of weather or just before winter in order to prevent colds and infections ▪ Ideal for children and people who have lost their appetite and with weakened resistance to infections. Available in forms of: Liquid: ✓ MARNYS PROPOLVIT DEFENS ✓ MARNYS ROYAL PROVITE 5000 (3850 mg of royal jelly) ✓ MARNYS MEGA 2000mg ✓ MARNYS APIVIT C 1000MG ROYAL JELLY ✓ FORCENRGY VITAMIN C GINGER VIALS ✓ FORCENRGY-S MULTIVITAMIN ✓ FORCENRGY SUPERTONUS Capsules: ✓ MARNYS ROYAL JELLY 1000MG 90'S 15 4- Echinacea ▪ Herb commonly used either in response to or daily prevention of the common cold. ▪ Has Antiviral effect. ▪ Immune stimulant. ▪ Antiviral dose is nearly 2500 mg per day. ▪ Immune stimulant dose is nearly 500 mg per day. 5- Vitamin C ▪ Help stimulating immune system. ▪ Not well proved to remove cold symptoms. ▪ Strong anti-oxidant. ▪ Enhance collagen production in skin, cartages and vessels (decrease capillaries fragility). ▪ Remove muscles soreness. ▪ Mild body tonic. ▪ Increase blood flow. ▪ Rose Hips is a great source of Vit. C and also increase its absorption. ✓ MARNYS VIT C LIPOSOMAL (for better absorption and fast action) ✓ MARNYS APIVIT C 1000MG ROYAL JELLY (2 in 1 to boost the immune system and energetic) ✓ AMS Rapid C 1,000 mg. ✓ THE GUMMIES VIT C+BETA CAROTENE 6- Zinc ▪ Zinc is essential mineral that our body can’t produce or store it. ▪ The second most important mineral after Iron. ▪ Important for: Gene expression, Enzymatic reactions Immune function, Protein synthesis DNA synthesis, Wound healing and Growth and development ▪ Zinc is essential in every vital process for all cells including immune cells. ✓ NEW CHAPTER ZINC COMPLEX ✓ AMS CHELATED ZINC 50MG 16  Skin Disorders ❖ Skin Type: There are 4 basic skin care types: a. Oily Skin (Over production of oil) (Tends to shiny with enlarged pores, and is prone to blackheads and blemishes. You might experience some tightness) ▪ Oily-shiny skin ▪ Inflammatory acne ▪ Retention acne ▪ Enlarged, Dilated pores b. Dry Skin (Lack of Sebum) (Feels tight, especially after cleansing. You have a tendency towards fine wrinkles, flaking and red patches). Skin may appear dull from dead skin buildup. ▪ Dry skin ▪ Very dry-sometimes attack ▪ Atopic skin(eczema flare) c. Combination Skin (T-Zone): usually is oily, cheeks dry. d. Normal Skin: No Visible pores, soft smooth ❖ Skin Conditions: a. Dehydrated: Flaky areas, skin that wrinkles easily, can be caused by lack of skin care, sun damage or inappropriate skin products. The Active ingredient used is Hyaluronic Acid b. Acne: occurs when your hair follicles become plugged with oil and dead skin cells. It often causes whiteheads, blackheads or pimples, and usually appears on the face, forehead, chest, upper back and shoulders. The Active ingredient used is Salicylic acid, Benzyl Peroxide, Retinol c. Sensitive Skin (tends to be thin, delicate with fine pores. It flushes easily, is prone to broken capillaries, is frequently allergic and can be rash. d. Rosacea: Is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. The Active ingredient used is Retinaldehyde (Precursor of Retinol) e. Hyperpigmentation: Dark patches of colour, usually caused by sun exposure, hormone imbalances and vitamin B12 deficiency. The active ingredients used are: Kojic acid, Azelaic acid, Mandelic acid, Niacinamide (Vit B3), Glycolic acid, Lactic acid, Retinols, Vitamic C & Hydroquinone f. Aging Skin: Loss of elasticity, skin sags & wrinkles. The Active ingredient used is Retinol, Hyaluronic acid, Vitamin C, Vitamin E & Collagen g. Sun Damage: Chronically exposed to sun, wrinkles, sags, skin is dehydrated and has hyperpigmentation 17  ❖ What's the Best Daily Routine for Skin? Daily Benefits 1- Cleanser (AM & PM) Facial care product that is used to remove make-up, dead skin cells, oil, dirt, and other types of pollutants from the skin of the face. This helps to a. Rinse Cleanser (Foam) unclog pores and prevent skin conditions such as acne. b. Non-Rinse Cleanser (solution or milk): apply with cotton 2-Toner (AM & PM) a. Non-Rinse Cleanser (solution or milk): apply with cotton a. Alcohol-Free Toners (Dry & b. Make up remover Sensitive Skin types) c. Prepare the skin for the treatment b. Alcohol Toners (Oily Skin) d. Minimize the pore size e. Moisturize the skin after the cleanser 3- Serum or Treatment (AM or-and PM) Serum is a skincare product you can apply to your skin after cleansing but before moisturizing with the intent of delivering powerful ingredients directly into the skin. 4- Moisturizer (AM & PM) Complex mixtures of chemical agents specially designed to make the external layers of the skin (epidermis) softer and more pliable. a. Dry Skin Moisturizers contain emollients and is heavier Moisturizers can be used to prevent the skin from becoming too dry or consistency oily, such as with light, non-greasy water-based moisturizers. b. Oily Skin Moisturizers smaller amounts of emollients, some are mineral oil free so as not to clog the pores 5- Eye Products (AM & PM) Used to treat: a. Dark circles b. Pigmentation c. Puffy eye d. Fine lines and wrinkles 6- Sun Protection Factor (SPF): (AM) ❖ What's the Best Weekly Routine for Skin? Weekly Benefits Exfoliate a. Removal of the dead, keratinized skin cells sitting on the skin's surface. a. Physical (Scrub) b. Chemical 18  c. Enzymatic. b. Exfoliation leaves the skin smoother and fresher looking, and makes it easier for expensive facial products like serums to penetrate the skin's surface. Mask a. Relaxation b. Deep Cleansing c. Unclogs Pores d. Glowing Skin e. Helps your overall regimen ❖ Oily skin ❖ ❖ Supplements Recommended: 1- Zinc: Help with acne prone skin, breaks down the nerve chemical that causes oil production when our body gets stressed. 2- Selenium: Fighting infection, hormone balance and anti-inflammatory 3- Vitamin B Complex: Stress acne, skin breaks out or becomes more oily and irritated during times of stress, fatigue, or emotional turmoil 4- Omega 3: Fighting infection, hormone balance and anti-inflammatory 5- Vitamin E: Anti-inflammatory, It encourages healing, and is specifically renowned helping with acne scarring 6- Vitamin C: Antioxidant fights free radical damage and helps with collagen renewal 7- Collagen: Help with healing the wound. Collagen plays a key role in scarring as it’s used by the immune system to close the wound and form ‘new’ skin in the area. ❖ General Scheme for most recommended brands: CASE BIODERMA AVENE Marti Derm 1. OILY SKIN Sebium Cleanance Acni-Over Cleanser Sebium Gel Moussant (face and Soapless Gel cleanser Acniover Gel body) (face and body) Sebium Bar Toner Sebium H2O Cleanance Micellar Water Micellar Cleansing Solution With prebiotics to maximize the skin defense and strength. Exfoliant Exfoliating gel ( Sebium Gel Cleanance Mask-Srub Gommant ) (exfoliating and absorbing Mask Sebium Mask extra sebum) Sun protection Photoderm Max fluid Avene Emulsion SPF 50+ Oily- Combination Photoderm Aquafluid Sun Protection Photoderm AKN Cleanance Emulsion SPF Acne 50+ A) Blackheads Sebium Mat (anti-shine) with Cleanance Mat (anti- 1. Acniover Cremigel (Retention acne) Sebium Serum (Night) shine) 2% salysilic acid and and Shiny look. & 4%Niacinamide as Black Head antibateriaal and anti- 19  inflammatory agents. Botanical bioactive ingredients as mattifier Sebium Gel Gommant ( Weekly ) 2. Proteos Liposome Serum with proteoglicanos, vit E and C act as mattifier and tighten the pores. B) Acne Red Spot Sebium Global (on the spot) Cleanance Expert Martiderm Acniover Serum (Inflamed) and /or Sebium Serum (Night) Cleanance TriAcneal Martiderm Acniover Expert (contain Concealer Stick Retinaldehyde used on the spot at night) C) Enlarged Dilated Bioderma sebium Pore refiner Avene cleanance expert Martiderm Proteos Liposome pores Contain Agaric acid (Astringent): emulsion Tightens the pores & less visible Avene cleanance Mask Excellent foundation base for and Scrub make-up Bioderma Sebium Serum ( Night ) D) With Sebium Hydra Hydrance Optimale Light Isotretinoin E) Dehydrated oily Hydrabio Gel-Cream Hydrance Optimale Light skin LIPS Atoderm lipbalm Cold Cream (Lip cream and balm) ISDIN Brand Products: ANTI AGING OILY SKIN ATOPIC SKIN DRY SKIN ( for wrinkles ) - ISDIN T/S ACNIBEN - ISDIN -ISDIN CEUTICS AGE -ISDIN UREADIN LIMP PURIFYING NUTRATOPIC REVERSE DAY FACE HYDRATING BATH CLEANSER FOAM 150ML PRO AMP BATH CARE CREAM GEL or GEL 400ML -ISDIN CEUTICS AGE - ISDIN T/S ACNIBEN REVERSE NIGHT REPAIR G/F EMULSION FACE CARE CREAM CLEANSER 180ML (for face only ) -ISDIN MICELLAR SOLUTION 400ML - ISDIN T/S ACNIBEN - ISDIN -ISDIN CEUTICS -ISDIN UREADIN BODY SPRAY 150ML NUTRATOPIC HYALURONIC ULTRA20 ANTI- PRO AMP BOOSTER 2ML ROUGHNESS FACIAL CREAM AMPULES 10S CREAM 40ML (for Kids) 20  - ISDIN -ISDIN CEUTICS NUTRATOPIC FLAVO C PRO AMP ULTRAGLICAN 2ML EMOLIENT AMPULES 10S CREAM 200ML -ISDIN CEUTICS HYALURONIC CONCENTRATE SERUM 30ML - ISDIN T/S ACNIBEN -ISDIN -ISDIN CEUTICS -ISDIN UREADIN REPAIR HYDRATION NUTRATOPIC NIGHT PEEL 2ML ULTRA10 MOIST GEL CREAM PRO AMP APMULES 10S REPAIRING LOTION LOTION 400ML PLUS -ISDIN CEUTICS REJUVENATE K-OX EYES SERUM CREAM 15ML (for puffiness and dark circles ) -ISDIN FOTO - ISDIN FOTO -ISDIN FOTO ULTRA -- ISDIN FOTO PROTECTOR FUSION PROTECTOR AGE REPAIR FUSIN PROTECTOR FUSION WATER SPF50 CREAM FUSION FLUID SPF50 WTR FLD FLUID SPF50 SPF50 CREAM CREAM -ISDIN AGE REPAIR COLOR FUSION WATER SPF-50 Thanks for your outstanding effort, it’s never wasted ☺ To be followed by Topic 2 soon 21