Cosmetic Drugs

Cosmetic Drugs

Most primary care doctors usually don’t concern themselves with cosmetic drugs, so if you want one, you need to do your homework and bring up the subject. The best place to get information is the website MedlinePlus. It’s a government service of the U.S. National Library of Medicine National Institutes of Health and has no distracting or misleading advertisements. After reading about the drug you are interested in, I suggest Googling the prescribing guidelines and printing it for your doctor. This is also known as the package insert that comes with the product and is specifically written by the manufacturer for medical professionals.

Also, you have to be prepared to pay cash for the drug because insurance programs usually do not pay for cosmetic drugs.

If you go to a dermatologist or a specialist in the field of cosmetic medicine it’s unlikely that you will need to mention specific drug names, but if you plan on asking your primary care doctor for the prescription you might want to bring up the subject in a tactful manner. I would start out by telling the doctor all the things you have done to improve your health. Then I would say that since you are doing so well, you were wondering if you would be a candidate for the specific drug that you want. I would give the doctor the printed information and let him or her digest the situation.

If the doctor says no, you might want to ask the reason why and then work to remove that obstacle. You might even ask what you can do to remove that barrier.

Working with your primary doctor instead of a specialist in the field could save you a lot of money.

Cosmetic areas of improvement:
• Thicker, longer, eyelashes
• Reduced unwanted facial hair
• Anti-wrinkle creams
• Skin lighteners
• Hair growth stimulants

For thicker, fuller, and darker eyelashes use Latisse also known as bimatoprost solution 0.03 percent. It requires a prescription

It is applied to the lash line like eyeliner with an applicator that comes with the solution.
Eye irritation can be a side effect as well as brown pigment color change to the center of the eye called the iris. The frequency is less than 3 percent and many people are willing to take that chance because it works so well.

How well does it work?

• 25 percent increase in lash length (vs. 2 percent for the vehicle)
• 106 percent increase in lash thickness/fullness (vs. 12 percent for the vehicle)
• 18 percent increase in lash darkness (vs. 3 percent for the vehicle)
How much does it cost? For a 3ml bottle and applicators for a month, it will cost about $124.79

To slow the growth of facial hair there is eflornithine 13.9 percent cream, also known as Vaniqua. It requires a prescription.

Originally a cancer drug, it was discovered to dramatically slow hair growth. A small amount is to be applied to the chin or upper lip area twice a day at least eight hours apart.
How much does it cost? 45 grams = $150.00
How well does it work? Eflornithine cream reaches its full effect in about four weeks, sometimes longer. Hair growth is slowed, but not completely obliterated. You will probably have to continue your current method of hair removal (e.g., shaving, plucking, cutting) to a lesser extent.

There are also pills available to slow unwanted facial hair, but you have to be tested for a hormone imbalance. These therapies include glucocorticoids, oral contraceptives (OCs), spironolactone, flutamide, finasteride, and insulin sensitizers (metformin and rosiglitazone).

Drugs that cause faicial hair in women are testosterone, danazol, anabolic steroids, glucocorticoids, cyclosporine, minoxidil, and phenytoin, and DHEA. Therefore stopping the use of one of the drugs could eliminate the unwanted hair.

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