Course: W9-10: Ingredients and Customized Medications
W9-10: Ingredients and Customized Medications
Raja Sivamani, MD MS AP +2
Supported by Sytheon

Welcome to week 9-10 as we investigate ingredients and customized medications!

Topical Ingredients and Functions

This lecture will provide an overview for the types of ingredients that are found in skin care products. The role of water, emulsifiers, and preservatives are a few examples of the topics that will be covered. Their impact on skin will be reviewed in light of clinical studies, and the role of evaluating ingredients in relation to skin types will be discussed.
After completing this activity, participants will be able to:
  1. Identify different classes of ingredients and how they affect the skin mechanically
  2. Differentiate moisturizer ingredients from thick to thin formulations
  3. Recall the effect of emulsifiers on the transepidermal water loss

Ingredient Pairing No-No's and Yes-Yes's

This lecture explores how ingredients should be used together and how they should not be used together. Common mistakes to avoid will be discussed along with approaches to help take a mechanistic approach to treatment that allows for building synergistic regimens.
After completing this activity, participants will be able to:
  1. Discuss which ingredients do not pair well in skin care products
  2. Discuss how to be synergistic with topical ingredients
  3. Utilize synergy in building an approach to customized compounded formulas

Compounding Medications

Compounding medication is a time-honored tradition in dermatology. We explore the history as well as modern day aspects of compounding in clinical practice.
After completing this activity, participants will be able to:
1. Propose some reasons why compounding continues to be practiced in dermatology
2. Assess some of the potential safety and efficacy issues that can arise around compounding
3. Identify some compounds that may be useful in certain clinical scenarios


User: Raja Sivamani
Raja Sivamani

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

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User: peter.lio@dermveda.com
Peter Lio

Dr. Peter Lio is a Clinical Assistant Professor of Dermatology and Pediatrics at the Northwestern University Feinberg School of Medicine. He received his medical degree from Harvard Medical School, completed his internship in Pediatrics at Boston Children's Hospital, and his Dermatology training at Harvard where he served as Chief Resident in Dermatology. Dr. Lio is the founding director of the Chicago Integrative Eczema Center and has spoken nationally and internationally about atopic dermatitis, as well as alternative medicine.

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User: David Damaske
David Damaske
PharmD, MBA

David Damaske is the owner and president of Beaker Pharmacy in Mckinney, Texas. Beaker Pharmacy is an independent retail and compounding pharmacy licensed in 40+ states currently and working towards all 50. Areas of compounding specialty include Dermatology, ENT, GI and BHRT, among others. He has a Doctor of Pharmacy from Midwestern University and a Master of Business Administration for the University of Memphis. Prior to opening Beaker Pharmacy, David had a long career as a Director of Pharmacy for several large health systems in the Dallas-Fort Worth area.

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