CariDee English: Top Model With Psoriasis

CariDee English: Top Model With Psoriasis

Updated: 3 August, 2019

Popularly known as the winner of the seventh season of ”America’s Next Top Model” in 2006, CariDee English is an advocate for women living with psoriasis. The American model and television personality was born on September 23, 1984, in Fargo, North Dakota, United States. Psoriasis is a serious autoimmune skin condition appearing as thick red patches on the skin covered by flaky white skin. If one is suffering from this skin condition, their immune system sends out bad signals that will abnormally speed up the growth of the skin cells. Psoriasis affects relatively 2% of the world population, making it a relatively common condition”, says James W. Swan, MD., dermatologist, associate professor in the department of medicine and medical director of the Patch Testing Program at the Loyola University Medical Center, Chicago. He also stated that psoriasis is one of the top ten chronic skin conditions with the first signs of raindrop-like eruptions. This sign will later progress to a more severe plague. About 7.5 million Americans are diagnosed with the disease so it is fairly common in the country.

However people are not yet equipped with enough information about the skin condition. This disease is usually diagnosed in people between the ages of 15-35 but it was different for CariDee English. She was diagnosed at just 5 years old and has learnt to live with it since then. She first noticed a small patch on her leg and dismissed it as a bug bite. English showed her mother the supposed bug bite and was told it was a skin condition more serious than the regular ones. Her mother knew it was psoriasis as she has the same skin condition.  Psoriasis is hereditary so it was clear to English’s mom that her daughter had inherited the disease from her. As she got a bit older, English probably thought that the patch on her skin will remain as it is (worst case scenario) or eventually disappear, but it was not so. As she grew, the patch not only grew but multiplied all over her body. It started appearing on various areas of her skin as lesions, covering every part of her body (legs, arms, back, chest, etc.). She was very lucky that her face was spared, leaving her with little confidence to hold on to. 



As English grew into adolescence, she became more conscious of her condition. She was ok with her skin at first until her early teens when she became more aware of the problem. Her skin was different from that of her peers. It wasn’t just the regular pimples or reactions that were characteristic of adolescence, her condition was more severe. The first full flare she had at 12 awakened her senses to the damage the disease was doing to her skin. It dawned on her that her skin might never be free of these patches and will keep getting worse. She often felt insecure knowing her skin could flare up at any moment. Out of necessity, she devised ways to cover up her skin to hide what she considered as defects. All she wanted at that point in her life was to fit in and be ”normal” like others, but her skin made her the exact opposite. She stood out among her peers and not for a good reason. Wearing long sleeved tops even in hot weather just to cover up her skin was one way she could blend in even at her own discomfort. She mastered the act of hiding her arms stylishly so others couldn’t take notice of them.

If she had to go to the gym with her mates, she would make sure to get a doctor’s report that will exempt her from gym activities. Gyming will definitely involve removing her clothes and by so doing people will see how psoriasis has dealt with her skin. English felt insecure and her self-esteem kept dwindling. She knew the disease was not peculiar to her only, that there were other people out there. This didn’t boost her esteem one bit during her teenage years as the disease gained more ground on her skin taking up to 70% of her entire body surface. When asked about the impressions on her skin, she would reply that she got hurt.

Trying to explain her condition to close friends was hard, besides she didn’t really know what to say about it at that age. She always felt hurt when people tried to keep away from her because of the way her skin looked. They thought the disease was contagious and she couldn’t convince them otherwise. These hostile reactions from people towards her planted in her the desire to learn all she could about the disease. She wanted to be able to talk about it, to create awareness on the skin condition, as she observed that people deserted her because they didn’t fully understand what her condition was.

Determined not to be deterred by psoriasis, English started working towards the actualization of her modeling dream. She was signed on by Mega Models at 17 after graduating early from high school. What would have been hard for someone without her condition was even harder for her as modeling requires skin perfection of some sort which she was really lacking. She tried so much to hide the lesions on her skin (this time with improved tactics) by covering them up with heavy foundation makeup. It was very stressful, exhausting and emotional for her as she had to dedicate time to hide who she really was on a daily basis. It didn’t help matters that the patches and lesions increased daily creating even more surface to be covered up. According to Dr. Swan ”significant increase in stress level can trigger a psoriasis flare-up or make the condition worse”. A person suffering from psoriasis can flare up because of reasons ranging from stress, anxiety, emotional problems or medications. The stress of English’s new job was making her flare up more often.

After partaking in her first photo-shoot as a model, her secret was let out in the open. The pictures of her shoot came out showing the psoriasis on her legs. At that moment she was scared of losing the job she just started so she denied any knowledge of her condition. She insisted that the photographer was not efficient and was responsible for the poor pictures. English knew she had to set things right and take the fall, so she wrote to her agency about the disease she had. She was asked to leave the agency the next day as they didn’t want her with her condition. It was a bad moment for her, the rejection stung. However she pressed on, moving on to other agencies but was still rejected because of psoriasis.

Constant rejection from various modeling agencies motivated English to gather all the information she could on psoriasis and study them. She researched the condition with the aim of knowing all there is about it. English discovered several ways to manage psoriasis and that constant experiments were constantly being carried out to find a cure for the disease. She understood that if she wanted people to understand her condition and accept her with psoriasis, then she has to first understand and embrace it.

Psoriasis cannot be permanently cured, one who is afflicted with it has to learn to live with it. Knowing this, English sought the assistance of good dermatologists. After meeting with three of them, she was glad to be told that her condition can be properly managed. Controlling it would be great but English also wanted the whole world to be aware of the disease. She could get treated and move on with her life but she wanted others suffering like her to be encouraged and get treated too. She knew some people living with psoriasis might not even understand what it is or know what to do about it. So before she could start her own treatment she decided to document herself in front of a camera during one of her full blown flare-ups.

While discussing her skin condition with Mary Elizabeth Dallas, English said that she decided to show the public what psoriasis looked like. She wanted to inspire people suffering from psoriasis to live their lives to the fullest even with the disease. They could learn to enjoy life like normal people because they are indeed normal. She believed that psoriasis was just like any other sickness one might be afflicted with. A psoriasis patient can still pursue her dreams and make great achievements. She admitted that doing the video documentary was both liberating and scary. Liberating because she was able to be her true self in front of the camera and scary because she didn’t know how people will react to the video.

To her greatest surprise, she received positive responses to her documentary. People commended her for showing the world what psoriasis is. Those suffering from the disease were encouraged to speak up. Because of her video, lots of psoriasis patients learned to love themselves. Their condition had made them feel ugly and unacceptable but seeing the viral video made by English and how the public reacted to the video re-positioned their thinking.

After creating the awareness she so desired, English engaged in her own treatment. She encouraged psoriasis patients to make follow-up care a routine, as it is very important to keep the flare-ups in check. It is also important to keep a record of their progress as they get treated. They are to identify the major trigger to their flare-ups and work on them. Psoriasis is largely manageable and better, more advanced treatments are constantly being invented. 

New English


With all these challenges experienced by English she was still able to rise to the top of her career. She insists that she does not have anything against those who rejected her at the onset due to her condition. She believes that her success is the best answer she could ever give to them. The rejection served as a driving force that kept her pushing forward. If she was not rejected she would probably have settled for less. The same disease that people rejected her for brought her to the limelight and made her a household name. The documentary she made on psoriasis became her awakening. Many people suffering from psoriasis can now open up about their situation without feeling abnormal. She has actualized her dream of becoming not just a model but an inspiration to others. She is living her dream and desires to see other psoriasis patients live theirs as well. As she had experienced firsthand the limitation one can feel because of a health condition they can’t control, she decided to help others push past such limitations.

English was made a spokesperson for the National Psoriasis Foundation in 2007. While many might think this position is all about a supermodel acting as the face of the foundation, English disagrees. ”It’s not about being a supermodel, it’s about being a role model”, she says. The position means a lot to her as she states that it is the highest level she can achieve. She wants all psoriasis patients to learn from her story. Life is filled with challenges that will try to discourage people from pursuing their dreams. She wants others suffering from psoriasis and probably experiencing all the challenges she had to pass through, to believe in themselves and persist in their efforts to achieve what they desire.

She encourages people not to let any situation dictate how they live their life. No matter the health challenge, beat it and forge ahead. Psoriasis is for life, if you have it embrace it fully. It might not be easy but that is who you are. Tell people you have psoriasis, do not be ashamed of it. You can’t hide forever, come out of your shell and live fully. Make sure you get into a good treatment program, it makes all the difference.

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Chapter 1 – CariDee English: Top Model With Psoriasis


10 Simple Ways To Treat Heat Rash

10 Simple Ways To Treat Heat Rash

Updated: 3 August, 2019

Heat rash is one of the most common skin problems. If you have not experienced it, you must be very lucky. Otherwise known as prickly heat, heat rash occurs more often during summer.  In summer, people tend to sweat more. Continuous and excessive sweating will eventually block the sweat pores. Such constant sweating will result to the formation of pustules all over the skin. These pustules are often tiny and numerous. They can be itchy and very uncomfortable, turning red even as you scratch them.

What then happens if your sweat pores are blocked while you continue to sweat? Where does the sweat go? How is it discharged out of the body? As the sweat pores are blocked, sweat has no place to go. It remains under the skin and builds up in it. It then springs up as boils and rashes commonly referred to as Miliaria (a more generalized name for prickly heat and heat rash). The concentration of salt in human sweat is high and when left underneath the skin, causes irritation. It is the strain of the sweat logged beneath the outer skin that leads to irritation, itchiness and discomfort, all symptoms of heat rash.

Heat rash is very common in babies. Babies are very tender and need to acclimatize to the surrounding environment before being fully exposed to it. Due to this, infants are often wrapped up in their early days, be it in summer or winter. The fear of cold gaining entrance into their body is far greater than that of them getting prickly heat, as mothers dread the thought of their babies getting pneumonia. Mothers and caregivers will therefore prefer to keep them wrapped up. When babies are wrapped up more often than they should be, without giving time for them to get some air, heat rash is inevitable. If babies wear pampers or nappies constantly (as is the common case), they tend to also develop heat rash. They are usually restless when they have this rash and cry more often as their skin is constantly itch. There are three common types of heat rash (miliaria).

They include:

  • Miliaria crystallina: This is the clear form of  heat rash. Rash is not intense, itchy or painful and is usually the early stage of prickly heat. If treated immediately, it will clear on its own, within 2 days. At this stage the skin still appears clear.
  • Miliaria rubra: This type of rash is more intense, prickly with red bumps. Common in both infants and adults. It occurs much deeper in the epidermis and is usually the result of mild heat rash left untreated.
  • Miliaria profunda: This is the result of constant occurrence of heat rash in an individual. It is not very common and usually manifest in adults. At this point the affected skin surfaces are covered with lesions. Treatment should be taken very serious as regular routine change will not make the rash go. 

Heat rashes occur in some people more than others. The following individuals are more likely to have heat than others: bedridden patients, obese people, infants, military troops, athletes, children under four and people with congenital absence.

Parts of the body usually affected by heat rash include: back, abdomen, groin, chest, neck, face, buttocks, elbows and under the breasts.

Heat rash can generally be diagnosed by non-medical personnel (or by self). It does not necessarily require a formal diagnosis by a doctor. It is only when it becomes persistent that such formal diagnosis by a physician is advised.

treat heat rash


Regular heat rash is not communicable. It usually clears up within few days. However, the way you care for your skin during this period determines how soon the rash will disappear.  Treatment of heat rash basically requires consistent care and certain adjustments to your daily routines. Specific cosmetic products are also targeted to treat this condition. Consistent use of these products will definitely produce good results in a short time. Treatments are generally given based on intensity of the rash and conditions that cause or aggravate the heat.

The following Are Simple Ways to Treat Heat Rash

 1.  Use Powder:

This type of powder is made specifically for the treatment of heat rash. Get one for yourself if you are experiencing this condition. The powder cools and soothes your skin. It reduces the severity of the irritation and calms the itch. In short while, your skin will become clear and smooth. The powder may contain essential oils that not only give you a refreshing feeling but make you smell nice. It helps you feel fresh in humid seasons that may lead to excessive sweating which may cause body odor and counter such foul smell. This  powder can be used by both adults and children. It is best used after bath especially in the night. It works by preventing further irritation, itch and soreness while reducing the current discomfort. Keep powder close in warm seasons. It does not only treat heat rash but can also serve as a preventive measure. 

2.  Wear loose cotton clothes:

If you have heat rash, it is best to wear clothes that will allow air into your skin without much restriction. Clothes that absorb sweat are also highly advised if you are suffering from this skin condition. Regular rash usually disappears if your skin receives more air. Switching over to strictly cotton clothes for the duration of the condition can be of great help towards its treatment. Change to light cotton beddings too. If you sweat on your bed-sheet during hot season and it does not dry off immediately, it will irritate your skin and worsen the rash you already have. It might even cause heat rash if you don’t presently have it. Let all clothing material used at this period be porous cotton. 

  3.  Take your shower more often:

It will make you feel itchy more often. As your pores are clogged by sweat you will feel hot most of the time. This is a very uncomfortable feeling. Take cold shower at least 3 times daily to cool your body. Let your skin be free of sweat so the rashes can go quickly. Take your bath if you sweat so as not to make the condition worse. You should dedicate time to soak in a cold bath if possible. This way moisture is forced into your pores and the tension of trapped sweat on your skin is greatly reduced. This will make the rash disappear in a very short time. 

  4.  Drink more water:

Water helps cool down the body system even from the inside. It is important to stay dehydrated if you have rash. During hot seasons, you will thirst more for water even as you sweat more. As you sweat more, drink more water to avoid dehydration. When you take water, it helps to maintain a cooler body system thereby reducing the intensity of the rash. It generally thrives on a warm skin resulting from a hot body system. 

  5.  Use Sprays:

Heat rash sprays are specially formulated to cool down the body. It soothes the skin and minimizes the itching that accompanies this uncomfortable rash. It can spread to other body parts if it is constantly scratched. This spray helps to relieve the urge to scratch the rashes. Go for heat rash sprays that do not contain chemicals and synthetic materials. These compounds might not be good for your skin and can cause reactions. It is better to use sprays that contain beneficial herbal substances like lavender and eucalyptus. They have additional soothing properties and will hardly react with your skin. Heat rash sprays can be used directly on the affected body parts. It sticks properly to the skin and soothes them, cooling down the body and making it difficult for the rash to continue. Within a very short time, the rashes will disappear. 

  6.  Get an allergy sunscreen:

The first basic step to treating heat rash is to stop it from spreading to other parts of the skin. If the rash becomes more intense, it gets more difficult to handle and wrecks more havoc to your skin. In some cases of heat rash, dark spots remain on the affected skin parts even after the rash is gone. Such spots give the skin an unpleasant look and should be avoided. Intense sunlight on a skin covered by heat rash can cause such spots. The last thing you need when you have heat rash is more sun. It intensifies the rash, giving you more itch and irritation. You tend to scratch the rash more and this will only make it more pronounced and sore. Use a good sunscreen to avoid heat rash. It will also treat the rash. Get a sunscreen that also acts as an allergy sun lotion. They help you sweat less as they protect your skin from the intense power of the sun. As you already know, if you sweat less, the rashes on your skin will disappear quickly. 

  7.  Avoid medicated soaps:

You already know how important it is to take frequent baths when you have heat rash. Use only mild soaps for your bath. Stay away from medicated soaps at the moment. While these soaps help you fight germs of all kinds, it will most likely add to your skin irritation if you have heat rash. Use only soaps that will soothe your skin during this period (you can go back to using your medicated soap after treating the rash). Wash your body gently too. Do not use harsh wash cloth as they might worsen the rash, causing them to spread out on other skin surfaces. You have to avoid anything that will make the rashes more intense. Allow the rashes to clear without aggravating them. 

  8.  Spend more time in air-conditioned rooms:

If your skin is covered with rash you will feel warm (even hot) most of the time. Hot environments could increase this rash and make them more difficult to clear up. Try to spend more time in an air-conditioned room. If you don’t have an air-conditioner in your house, visit places that have (malls, cinemas, banking halls, bowling alleys). Let the cold air from such environment penetrate your skin and lower your skin temperature. Heat rashes will not thrive in a cold open environment that allows free circulation of air. As your body temperature decreases, the rash will decrease too. With time they will disappear from your skin. 

  9.  Avoid skin to skin contact: 

Skin surfaces that overlap or are in constant contact (under the breasts, groin, and abdomen) normally trap sweat. Therefore, when heat rash occurs on these surfaces, extra attention should be given to them. Place cotton materials between touching or overlapping skin surfaces. Do not let them rub off on each other as irritation will be intensified. If these surfaces keep touching they will itch more and become sore. Try to let air constantly touch these body surfaces and keep them dry. 

  10.  Apply antifungal Creams:

Heat rash can occur because of a fungal infection. If this is the case, common practices cannot treat the condition. Use antifungal creams that are specially formulated to soothe and alleviate such cases of heat rash. If heat rash is caused by fungus, itching and irritation may be more intense. Antifungal creams that contain clotrimazole fight the fungus responsible for itching and irritation. Hydrocortisone creams are also very effectiv. Hydrocortisone is usually characterized by a foul odor but is a very effective cream for heat rash. Calamine lotion is another product that has proven effective against treatment of rash.

Heat rash is very common and springs up in every hot season. They usually disappear on their own if routine care is practiced.

That’s it guys, We hope you found this really helpful.

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Chapter 1 – 10 Simple Ways To Treat Heat Rash


Rozerem: Uses, Dosage, and Side Effects

Rozerem: Uses, Dosage, and Side Effects

Updated: 3 August, 2019

Rozerem also known as ramelteon is a sedative used in the treatment of insomnia or sleepless ness. Rozerem helps your system regulate your sleep-wake cycle.’ The good thing about this drug is that unlike many other sleep medications out there, it is not habit-forming. Rozerem helps you sleep faster to enjoy a long night rest as sleeping makes you mentally alert and gets your body functioning optimally.

Rozerem makes you sleep. Rather than calling your witch doctor’s hotline and paying 199 to hear what ancient spirits keep the sleep spirits away, Rozerem here is just a simple sedative that does the work of regulating your sleep-wake cycle. Put simply. It is a brand of ramelteon and ramelteon If your boss has kept you up working the late hours of the last few months and now you find it difficult going to sleep, as usual, Rozerem is like a default reset button to normalize your sleeping habits. It is smooth right?

Now, even in the case where insomnia that has to do with the difficulty in going to sleep, Rozerem is used to treat it.

What’s better? You don’t even have to be scared of being an addict. You know how the goodies like to keep us dependent all the time. Well, Rozerem is kind of a nice guy of drugs. Not like medications of similar use, Rozerem does not induce the forming of a habit.

Important Notes

Let’s now learn a couple of important facts concerning Rozerem and how they can best be taken, without the emergence of mishaps.

First and foremost, ensure you consult your doctor. You must seek the professional instructions of your doctor before using this or any other similar medication. You don’t want to go about looking like you have a rare disease whereas it’s ‘just’ a side effect.

While you’re at it with your doctor, there are certain conditions you should alert him to, such as; sleep apnea, liver disease, a breathing disorder such as chronic obstructive pulmonary disease, mental illness, a history of depression, or suicidal thoughts.

In the case where you have been diagnosed with having a problem with your liver, or if you are already taking fluvoxamine (Luvox) which is an antidepressant, you should NOT take Rozerem or Ramelteon generally.

Our bodies have a funny way of working, but we don’t decide how it does. High-fat meals in the body make it difficult for it to absorb the drug. So for whatever reasons high-fat decided to form a beef with Rozerem you don’t want to be caught up in the middle so do NOT take Rozerem with or after such a meal.

This one is sought of interesting. After the use of Rozerem, some have been reported to drink, eat, make calls and even drive. The main part is that they usually have no later memories of these events. Now if this ever happens to you, nobody needs to explain why you should immediately quit the medication. You can decide with your doctor on another treatment.

Some Caution

Without a doubt, most persons for some reason or the other take drugs indiscriminately. Without a prescription, and even worse without a complete knowledge of the effects, dosage, recommended methodology for taking the drugs. To be clear, though there are no actual inconsequential medications, if there were, then you would find Rozerem among the top named sedatives.

When is Rozerem Best Taken?

Doctors advise that this medicine should be taken when about to sleep or rest. In order to prevent anything funny, you have to be sure you have at least 8 hours to dedicate to sleep before taking this medication. Taking this medication during your normal waking period will only help create the imbalance to your sleep-wake cycle you are trying to solve.

Rozerem And Its effects on Pregnancy, Breastfeeding

In a case whereby you and your spouse were working towards getting a baby or if perhaps you are pregnant already, ensure your doctor or medical professional is notified before commencing a dosage of Rozerem. It is at present not confirmed if unborn children are affected by the medicine and what effect this may be if indeed there is one. No one wants to take the risk anyway. Studies are yet to validate any adverse impact of the said medicine on breastfeeding if ramelteon is passed through into the milk export of nursing mothers is not known. Nonetheless, the safest thing to do is to inform your Doctor still before having a go at the sleep inducing medication.

Menstruation, Libido, and Related subjects.

Rozerem has been known to contribute in some way to alteration in the menstrual periods of women. Also, the desire for sex in men can be affected by the sedative, numbing its drive and intensity mildly. Fertility and the chance of conception are subjects also potentially affected by this medicine, important you know.

As a passing note, there is the censure on the intake of Rozerem. Medical professionals have set the eligibility to take this drug to be for 18 years old individuals and older. Approval has not been given to persons below the age of 18. The ban is to help curb the abuse of the medicine and to ensure full organ developments in them.

Rozerem Dosage

This is precisely how a tablet of Rozerem comes. It is round, pale orange-yellow and film-coated. On either side of it is printed RAM-8 and TAK. Each Rozerem tablet has a strength of 8mg.

Maybe so much will be said about the dosage for Rozerem, perhaps not, but if it is prescribed for you to take, this is the dosage; 8mg per day, 30 minutes before bed, and absolutely not with any high-fat meal. It is the mathematical formula for a good night I guess.

How Rozerem Should Be Taken

Doctors are your first instructors when it comes to how to take your drug, so do exactly as instructed.

Follow the directions provided on your prescription label and avoid taking your medication more, less or longer than recommended for you.

Rozerem is meant to be swallowed whole so avoid breaking, chewing or crushing the tablet.

It is important to keep your drug in a room void of moisture and heat. Store the medicine in a cool, dry place, always ensuring the bottle is bottle tightly closed whenever it is not in use.

If you have used Rozerem for up to 7 to 10 days without any improvement in your symptoms then it is best you contact a doctor. It is absolutely not advisable to continue medication after this period.

If you are an adult insomniac with your insomnia characterized by a difficulty to sleep, your dosage is 8mg per day and nothing more. It should be taken 30 minutes before going to bed and should not be taken with a high-fat meal. Whatever you do, the most important thing is to follow instructions as laid down by your doctor.

Just So You Know

There doesn’t appear any need for a dosing schedule for anyone since it is simply “take 30 minutes before bedtime”. But if you feel you missed a dose, please do NOT take an extra one to make up. Now that will be overdosing.

But if you do overdose, then you should seek emergency medical attention. Rozerem has a helpline which you can call at 1-800-222-1222.

Now, this is important. You should completely suspend your alcohol for whenever you are taking this medication. This reduces the possibility of the drug counteracting with your body system

Rozerem is capable of impairing your thinking and reaction. The truth is you don’t want to start acting bunkers on your sleep medication. That will be dark and in some instances, quite dangerous, especially if you drive or do anything that requires your full attention. Also, Rozerem which has no habit-forming tendencies may become addictive if taken with alcohol. We know how we like our booze.

Special Cases

If you are a patient with a severe hepatic impairment, then for the sake of your own health and well-being do NOT use Rozerem.

In a case where the hepatic impairment is moderate, then the use of Rozerem should be cautious. It is advised that your use of Rozerem should be carefully guided by a doctor.

If you are a patient with renal impairment, however, you are okay to take a normal dose of Rozerem. This one has no effects on you.

Rozerem Side Effects

Rozerem is made in a way that triggers you to sleep. This means that you should expect to experience such common effects as drowsiness, fatigue, and dizziness. So if you experience any of these, there is no need to run to the doctor. I mean, not immediately.

There, however, are the unwanted side effects of Rozerem. Since the drug is made with specific active ingredients, it is not unexpected that such effects may occur. You don’t get to have all these effects perhaps, but you should be sure to seek medical attention in case of an occurrence quickly.

If you have an extended case of dizziness, sleepiness or drowsiness, common as these side effects may be, it is only proper that you meet a healthcare professional.

The truth is that you have nothing to worry about. These effects are very common and only need some getting used to. You know how the body works. Within a while, you would have adjusted easily to it.

There are the more unattractive effects though. These are not that common, but when they occur, you should not be too scared or worried. It might just need some getting used to from your body. But in a case where they want to be stubborn, it is best to report them to your medical professional.

While on your Rozerem medication, these are the side effects that may occur, so it is only smart you pay attention to them. They include; body aches or pain, change in taste, chills, cough, difficulty in breathing, difficulty in moving, discouragement, ear congestion, fatigue, feeling sad or empty, fever, general feeling of discomfort or illness, irritability, joint pain, loss of appetite, loss of interest or pleasure, loss of taste, loss of voice, muscle aching or cramping, muscle pain or stiffness, nasal congestion, nausea, pain in joints, runny nose, shivering, sleeplessness, sneezing, sore throat, sweating, swollen joints, trouble concentrating, trouble sleeping, unable to sleep, unusual tiredness or weakness and vomiting.

When you experience swelling of the face, lips, throat, tongue or any other allergic reactions, please be sure to immediately contact your doctor.

Uncommon Side Effects

Some of the side effects listed before could prove to be quite bothersome. In certain cases, they could develop to unwanted levels. It is very important that no one makes a joke about these things because they could become dangerous.

In some cases of the use of ramelteon, hallucinations can occur. There is no fun in hallucinating and worse still, and you don’t want to go about doing things under such influence. If it gets to such a point, it is very important to quit the medication and immediately contact a medical practitioner.

Ramelteon is also capable of influencing behavioral changes. Nobody wants to go coo-coo, but incompatibility with the body could result in agitation and mania. Don’t get scared though if it happens. It is not madness. It is just a reaction advising you to quit the use of your ramelteon medication and quickly contact a medical professional.

There is also the possibility of engaging in certain behavioral patterns, normal as they seem but influenced under the medication. One could go sleep-driving: this one is like sleep-walking but behind the starring wheel and hopefully not in dangerous traffic, or one could go about making a meal, making a call, having sex but eventually having no memory of carrying out any such activity. Ramelteon has ingredients that make them hypnotics, you should know, but these are not common reactions anyway.

These extreme side effects from the use of ramelteon are recorded in such a low percentages and usually for predictable reasons. You can be assured that the chances of such an occurrence remain really minimal. What is important to note however is that, uncommon as these reactions may be, in the case of an incident it is not to be taken too lightly. All you have to do is quit medication and immediately contact your medical practitioner. You will be fine.

Vital Health continually publishes more helpful health articles on this blog.

Table Of Contents

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Chapter 1 – Important Notes

Chapter 2 – When is Rozerem Best Taken?

Chapter 3 – Rozerem And Its effects on Pregnancy, Breastfeeding

Chapter 4 – Rozerem Dosage

Chapter 5 – How Rozerem Should Be Taken

Chapter 6 – Rozerem Side Effects

Chapter 7 – Uncommon Side Effects

Lexapro: Uses, Dosage and Side Effects

Lexapro: Uses, Dosage and Side Effects

Updated: 3 August, 2019

Lexapro is a brand name for the generic drug escitalopram, which belong to a type of medication referred to as selective serotonin reuptake inhibitor (SSRI). It is a prescription drug used to treat cases of depression and all forms of anxiety disorder in adult patients. This drug can be presented in the form of a coated tablet. Its different strengths are 5, 10 and 20 milligram. The liquid type is also available for use. As for all drugs, the brand name ones are usually more expensive than the generic types. Such generic types though more affordable, may not be available in all strengths as its brand name counterpart. Lexapro was approved by the Food and Drug Administration (FDA) in 2000 and in 2012, the first generic version of the drug was also approved by the FDA.  

Lexapro uses

As an antidepressant drug, lexapro is used to treat a whole lot of associated conditions which include depression and extreme mood swings. As a drug of the SSRI class, it is used to treat obsessive compulsive disorder but might not be the best medication for this condition, therefore it may not be prescribed for it. Lexapro treats depression by helping the restoration of serotin balance in the brain. Serotin is a natural substance that can improve the level of your energy, how good you feel about your self or life and decrease any form of anxiety or nervousness. Before commencing treatment with this drug, discuss mode of treatment with your doctor to know if there are alternative ways to tackle your depression or anxiety without taking drugs. Use lexapro if it is found to be the best way to treat and improve your condition. 

How To Use Lexapro

Read the instruction label very well before taking this medication. Make sure you fully understand what is written on it. Discuss with your doctor regarding any misunderstanding you might have. Check for the ingredients contained in the drug on the package. You should be able to identify any ingredient you are allergic to and tell your doctor about it. Adhere to all the instructions on the drug label. It is possible for your doctor to prescribe this medication for you in a different way as written on the medication package. Discuss this with your doctor if it happens and clarify why it was adjusted.

This medication can be taken with food or without it. For drug to function maximally and bring good results quickly, take them at the same time on a daily basis (as prescribed). Take medication by mouth and wash down your throat with a glass of water. If you are taking the liquid form, you will most likely be given a dosing syringe. Otherwise a special dosing spoon or cup will be made available to you if you do not have (request for it from your pharmacist if you were not given). Measure your liquid lexapro with this syringe, cup or spoon.

Patience is needed when taking this medication as it might take up to 4 weeks of medication for symptoms to improve. Keep a strict medication routine throughout this period. Try not to miss any dose. Continue taking your medication even if you feel well, till you complete it. Let your doctor know if your symptoms don’t improve. Withdrawal symptoms may occur if you suddenly stop using this drug. Such withdrawal symptoms are not good for you and might put you in a worse state than you were at the beginning of the medication. Adhere strictly to your doctor’s instructions on how to end your medication with care. You are to be gradually weaned off this drug.



The usual dose for adults suffering generalized anxiety disorder (GAD) starts at 10 milligram to be taken orally, once per day. After about 1 week of medication, your dosage might be increased by your doctor to 20 milligram to be taken once daily. The dosage per day should not exceed 20 milligram taken orally once in a day. Progress made while taking this medication is carefully monitored by the doctor. With this, your doctor can decide to up your dosage or make necessary adjustments. Frequent re-evaluation is to be done to determine if you are to continue with the medication. After some months of medication, the condition can be managed with maintenance treatment using a dosage of 20 milligram once per day to keep patients on track.

When treating depression, an initial dose of 10 mg is taken orally on a daily basis. This dosage can also be increased to 20 mg to be taken daily after one week of medication. At this rate, the dosage can not be increased again for daily intake until the end of this medication. For severe depression cases, treatment can take several months of steady therapy. Frequent follow up checks and examinations will be done to determine the effectiveness of this drug and if treatment should continue. 20 milligram once daily is prescribed by doctors for the maintenance treatment of depression in patients.

For major episodes of depressive disorder 10 milligram is usually prescribed to be taken by mouth, once daily. Patient is monitored by doctor, to make sure that there is consistent improvement. Maintenance treatment is also by taking 20 milligram of this drug, once daily.

For the treatment of depression and general anxiety in children 12 years and above, dosage usually starts at 10 milligram, taken once daily. This dosage can be increased to 20 milligram, daily, after about 3 weeks of treatment and frequent check-ins with the doctor. The dosage cannot be increased as this is the limit for this drug. Based on the severity of the condition, treatment can take several months while patient is assessed from time to time to know if maintenance treatment will be initiated. Patient is to take 20 milligram of the drug, once daily. Prescribed dosage should be adhered to strictly. Do not take more or less of the dosage prescribed. Do not take this medicine more than once daily.

Lexapro Overdose

If you accidentally overdose, call your doctor. You might experience the following symptoms due to such overdose:

  • Nausea
  • Dizziness
  • Lack of sleep
  • Abnormal sweating
  • Low blood pressure
  • Shaky feeling
  • Seizures
  • Fast and intense heart rate
  • Drowsiness without actually sleeping
  • Confusion
  • Seizure
  • Vomiting
  • Disorientation
  • Coma if left unattended 

In case of a missed dose, take it as soon as you remember. However, if you remember that you missed a dose close to your next dose time, wait until the next dose and take a single dose. Do not double your dose. Try to keep to your dose time (try not to miss the dose as consistency makes the dose more effective). Do not reduce or increase your dose on your own, follow your doctor’s instruction to the later.

Do not stop taking lexapro abruptly, you may develop the following withdrawal symptoms if you do:

  • Agitation
  • Dizziness
  • Legs and feet numbness
  • Mood swings
  • Confusion
  • Headache
  • Difficulty sleeping
  • Easily irritated
  • Anxiety

Your doctor will tell you when to stop using this drug. You are to slowly wean off this medication to avoid the symptoms mentioned above. Tell your doctor about any uneasy feeling you might have while on this medication. 

Side Effects of Lexapro

Your body has its own way of fighting foreign substances. When you start taking lexapro, your body will perceive it as foreign. It will therefore fight It and by doing so exhibit some symptoms. With time, your body will get used to the drug and begin to see it as one of its own. It will stop exhibiting those funny symptoms. In some cases, the body never fully accepts a particular drug and keep expressing the symptoms. They might even progress to worse symptoms of you continue taking the drug if your body does not accept it. These symptoms are referred to as the side effects of a drug. 

Lexapro side effects include:

  • Drowsiness
  • Profuse sweating
  • Change in sex drive
  • Nausea
  • Diarrhoea
  • Heartburn
  • Dizziness
  • Constipation
  • Increased appetite
  • Frequent yawning
  • Stomach pain
  • Patchy and dry mouth
  • Flu symptoms like running nose, sneezing, coughing
  • Constant tiredness 

These side effects can progress into severe ones. Tell your doctor of this happens. You should send a report to the FAD by yourself or through your doctor if you start experiencing severe side effects of this drug.

Severe side effects include:

  • Confusion
  • Fever
  • Anxiety
  • Hallucination
  • Profuse sweating
  • Sharp breaths
  • Very stiff muscles

Drug interactions

Do not take lexapro with other pills that might induce sleep as they will add to the side effects of this drug. Give your doctor complete and detailed information on all the drugs, vitamins, supplements or herbal substances you are currently using. Let your doctor be aware of any sleeping pills, anxiety drugs, depressants, muscle relaxers, narcotics or seizure medications you intend taking.

Some drugs that interact with lexapro include:

  • Headache (migraine) medication
  • Blood thinners
  • Pain medication (narcotics)
  • ADHD (stimulant) medication 

Warnings regarding lexapro

A clinical study carried out on a group of children, teenagers and young adults (up to 24 years of age) who were taking antidepressants like lexapro showed that the people under study became suicidal. They were having thoughts of either killing themselves or have already started putting plans together to carry out their intentions. Some of them even tried to put their thoughts to action. From this clinical study it was established that children, teenagers and young adults who use antidepressants to treat depression or general anxiety disorder are more likely to commit suicide than other people within the same age group who are suffering depression but are not being treated with antidepressants.

There is still no valid theory to explain why the use of antidepressants increase suicidal tendencies in people and if children, teenagers and young adults should continue using the medication for the treatment of depression and anxiety problems. It is best not to treat children under 12 with antidepressants except recommended by their doctor as the most effective way to treat their condition with positive results.

Be aware that taking antidepressants like lexapro can cause sudden and unexpected changes to your mental health. This does not only affect younger people but adults above 24 too. Suicidal tendencies can arise at the onset of your medication or when your dosages are altered by increasing or decreasing them as your doctor deems best for you. Call your doctor if you develop any of these symptoms as they may indicate that your depression is getting worse while you are on this medication:

  • Suicidal thoughts
  • Suicidal actions
  • Anxiety
  • Panic attacks
  • Agitation
  • Insomnia
  • Aggressive behaviour
  • Spontaneous acts
  • Easily irritated
  • Severe restlessness
  • Over excitement

There might come a time when you might be unable to seek treatment on your own. Let your family or caregiver know which symptoms to look out for so as to contact your doctor in case of an emergency. You are to be closely monitored by your doctor or health care provider while on this medication. Make sure to keep all appointments for check ups, so that your progress can be accurately evaluated.

Be sure you discuss the risks and benefits of using (or not using) this drug with your doctor before starting treatment. Let your doctor know the medical history of your family especially if there is any incident of bipolar among your family members. Having any form of mental illness increases your chance of being suicidal in the near future. Engage in any treatment program that will help get you out of this condition and make yourself available for regular monitoring by your doctor. They will help you watch out for any tendency to commit suicide. Let your family understand your condition so as to alert your doctor if need be.

Do not let anyone use your medication. Store your drug in its own container (close lid tightly). Keep away from extreme temperatures. Contact the drug disposal agency or your pharmacist to know the best way to dispose unused lexapro, do not flush down the toilet. Be very careful with this medication, keep away from children and pets.

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Table Of Contents

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Chapter 1 – Lexapro uses

Chapter 2 – How To Use Lexapro

Chapter 3 – Dosage

Chapter 4 – Lexapro Overdose

Chapter 5 – Side Effects of Lexapro

Chapter 6 – Drug interactions

Chapter 7 – Warnings regarding lexapro


Meloxicam: Uses, Dosage, and Side Effects

Meloxicam: Uses, Dosage, and Side Effects

Updated: 3 August, 2019

Welcome to Vital Health Recipes. In this post, we’ll be talking about the uses, dosage and side effects of Meloxicam.

Meloxicam is a non-steroidal anti-inflammatory drug (NSAID) usually prescribed for the relief of pain and inflammation in patients having rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. They are also referred to as ‘anti-inflammatories’. It is available as oral tablet, capsule and oral suspension. The oral tablets are available as both generic and brand-name forms. The common brand name for the oral tablet is known as Mobic while that of the capsule is Vivlodex. Suspension meloxicam is only available in brand name form (Mobic). The generic forms of both the oral tablet and capsule cost less than the brand name forms but may not be available in all strengths as the brand ones.

Meloxicam Uses

Meloxicam reduces pain, swelling and loosen up stiff joints. It is used majorly to treat all types of arthritis which include juvenile arthritis (in children above 2 years), osteoarthritis and rheumatoid arthritis. Meloxicam works by blocking the enzyme prostaglandin and lowering its level in the body.  Prostaglandin is a chemical substance that mimics the character of hormones and is responsible for inflammation at the joints. As this substance causes pain, tenderness and swelling which are symptoms of arthritis, lowering it will in turn reduce these symptoms leading to the patient’s relief. Before commencing treatment with this drug, go through the instruction manual that is given to you by your pharmacist. Also do same if you are getting a refill. Meloxicam was approved for use in 2000.

If orodispersible tablets were prescribed (tablets that are to be melted in the mouth first, before swallowing) by your doctor or pharmacist, ensure that your mouth is moistened (you can take a sip of water) before taking the drug. Make sure you do not moisten the tablet while removing it from the packet. Allow time for it to dissolve slowly in your tongue (about 5 minutes required). Try not chew or swallow such tablet before it melts in your mouth. 

How to take Meloxicam

This medication is to be taken by mouth and washed down the throat with a full glass of water (unless told otherwise by your doctor). It is better to take each dose with a meal or a snack. Continue to drink plenty water while on this medication. Sit upright (or stand) for at least 10 minutes after taking this drug, try not to lie down for these few minutes. If you are taking the suspension type of meloxicam medication, shake containing vessel well before taking each dose. Make sure you use the special measuring device to measure out the dosage prescribed for you.

You should not replace this device with household spoon as it will alter the dosage specified for you due to varying dimensions. In any incidence of stomach upset while on this medication, ensure you use this drug with milk, antacid or food to support your stomach contents and prevent such upsets. Meloxicam is most effective when used at same time on a daily basis. Importantly, keeping a strict medication routine while using this drug will also guarantee speedy results.

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Meloxicam Dosage

Those above 18 suffering from osteoarthritis are usually advised by their doctors or pharmacists to start their medication with initial dose of 7.5 mg, taken once daily. As they continue with this medication, the doctor or pharmacist might increase the dosage to a maximum of 15 mg daily. No dosage has been established for those suffering from osteoarthritis who are below 18 years.

Medication starts with a once daily dosage of 7.5 mg for people above 18 suffering from rheumatoid arthritis. The daily dosage may also be increased to 15 mg by their doctor.

Dosage for juvenile rheumatoid arthritis is usually prescribed by doctors to starting at 0.125 mg per kilogram of the body mass, to be taken once daily. The dosage can be increased to a maximum of 7.5 mg daily. Little children above 2years are usually treated with the oral liquid type of meloxicam. There is no established dosage for children under 2 years.

No matter the form of arthritis, this drug should be used in the shortest possible time and dosage should be the most effective minimum. Take this medication as directed by your doctor even if It differs from what is written on the manual. Tell your doctor about any misgivings you might have about your supposed dosage. Certain conditions like your body weight, extent of discomfort and overall health determine how your dose can be adjusted to suit you specifically.

It is not advisable to share this medication with another person even if they exhibit the same symptoms as you do. To monitor the effectiveness or any adverse effect of this drug, medical tests like blood count, kidney function or blood pressure tests might be taken. Discuss with your doctor to know if non-drug treatment for arthritis is more beneficial for you. Adjustments like weight loss and exercises might be just what you need to treat your condition. In such cases, taking drugs may not be best for you.

If you discover that you have missed a dose, take it immediately. However, if you make such discovery close to the time for your next dose, wait till the next dose and take only a single dose. Do not double your dose to make up for a missed dose.

Meloxicam overdose

If you accidentally overdose this drug, contact emergency medical help. Symptoms of overdose include severe stomach pain, continuous vomiting, shallow breathing and serious drowsiness.

Certain people are not to take meloxicam due to some health challenges. If they must use this medication, extra care must be taken. Tell your doctor about any important detail about your health. Let your doctor decide if you should start or continue with this medication.

It is very important to let your doctor know;

  • If you are pregnant, breastfeeding or trying to conceive
  • If you have a history of stomach or duodenal ulcer
  • If you have liver or kidney problem
  • If you are asthmatic
  • If you are allergic to any substance especially those that are ingredients of this drug
  • If you have any problem with your blood vessel or circulation
  • If you have a poor heart
  • If you smoke
  • If your blood pressure is high
  • If your cholesterol or sugar level is high
  • If you have any history of blood clotting problems
  • If you are allergic to any NSAID drug like ibuprofen and aspirin or any other medicine
  • If you are currency on any prescribed or non-prescribed medication, vitamins, supplements and herbal substances
  • If you have the inflammatory condition called lupus 

Meloxicam Side Effects

The body has its way of reacting to new substances. All drugs are made to be beneficial to the human system. However, often times they might affect the body system as it tries to adjust to the drug. Meloxicam has some side effects that arise as the body tries to adjust to the medication. Your doctor or pharmacist will only prescribe this drug if confident that it will cause more good than harm to you. If the reverse is the case for you, meloxicam is better not taken. There might be alternative drugs that can effectively treat your situation. The minor side effects are expected to get better as the body get used to the drug.

These side effects include:

  • Vomiting
  • Diarrhoea
  • Constipation
  • Indigestion
  • Headache
  • Dizziness
  • Flatulence
  • Light sensitivity
  • Insomnia
  • Increased blood pressure
  • Mood swings
  • Restlessness

You can manage the side effects with some lifestyle adjustments as your body continue to adjust to the drug. These effects can be managed in the following ways:

  • Take this drug after meal or with a snack if you feel indigestion
  • Drink more water, take vegetables and fruits high in fibre if you have constipation while on this medication
  • Eat simple meals you can hold down if you are vomiting while taking this drug. Take more water to replenish fluids lost in vomit
  • If this drug makes gives diarrhoea, take plenty water to keep you hydrated as you will lose body fluid in frequent stool. Take simple meals that will not upset your system. This way the drug will be held down and complete it’s function.
  • Since this medication increases blood pressure, it is best to constantly monitor your blood pressure while on it. In any case of unhealthy blood pressure increase, contact your doctor.

The minor side effects will normally clear in some hours if adjustments are made. However in rare situations, they might progress to severe side effects. If you start experiencing these symptoms, call your doctor immediately or visit an emergency medical center:

Itchy skin or swelling areas around your mouth or face

  • Persistent headache
  • Ringing in the ear
  • Confusion
  • If you bruise easily unlike before treatment
  • Breathing problems like wheezing and breathlessness
  • Abdominal pain that might be accompanied with vomiting blood and passage of dark stool
  • Yellowing of the eyes and skin
  • Sudden weight gain
  • Blurred vision
  • Appearance of red spots on your skin
  • Swelling of the feet and ankle

Discontinue this medication as soon as your symptoms graduate to the above mentioned conditions. If you notice any other effect of this drug not mentioned, contact your doctor or pharmacist.

Warnings regarding the use of meloxicam

The Food and Drug Administration agency (FDA) has rated this drug with a black box warning. A black box warning is the most severe warning that can be issued by the FDA. It draws the attention of doctors, pharmacists and patients to the dangerous effects of this drug. The following high risks are associated with meloxicam;

Increase in blood pressure that may lead to blood clotting, heart attack or even stroke. The tendency to experience this condition is high if you have a history of heart problem, high blood pressure or any related health conditions. Patients who are on prolonged medication with this drug are also at high risk of a heart attack that may be fatal. If you are getting ready for a heart bypass surgery (or you have already done one), do not take meloxicam for pain. It will also increase your risk of stroke and heart attack.

Meloxicam might make you develop stomach and intestinal problems like bleeding, ulcers, perforations in the stomach or intestine. All these may be fatal if not monitored and assessed. These effects might occur without expressing itself in a noticeable manner (you might be unaware), during the course of your medication. Adults (starting from 65 years and above) are more susceptible to this reaction.

If you are allergic to any NSAID, do not take this drug. It might trigger a more severe reaction.

Bladder damage can be caused by meloxicam usage. It’s effect on the liver can express symptoms like yellowing of the skin or whitening of the eye. Liver inflammation that might lead to liver failure is possible. Let your doctor check your liver function when you are on this drug.

Apart from the possibility of making your blood pressure worse, the efficiency of blood pressure medication can be reduced by meloxicam if used together.

If you are trying for a baby (or already pregnant), do not take this drug. It has been reported to decrease fertility in women. If you must use it during pregnancy, stop in your last trimester. It might cause heart and kidney problem for the developing baby. Labour might be prolonged with too much bleeding during childbirth if a woman keeps taking this drug in her last trimester.

Drug Interactions

Meloxicam can interact with other drugs when taken at the same time. They either prevent the other drug from functioning fully or may be harmful to your health. To avoid drug interactions, let your doctor manage all your medications. Talk to your doctor or pharmacist to know which drug interacts with meloxicam. Examples of drugs that interact with this meloxicam include drugs that lower the level of potassium in the body, NSAIDs, cyclosporine, methotrexate, anticoagulant blood thinners, antidepressants, heart drugs and drugs for bipolar disorder. Read the information on the package or leaflet to get all the information on drug interactions and side effects.

Store meloxicam at room temperature (25 degree C), out of children’s reach. Keep them in their original containers and close tightly. Store away from extreme temperatures. Do not freeze meloxicam suspension, keep away from damp areas. Dispose drug properly, out of reach of children and pets.

Table Of Contents

clickable navigation

Chapter 1 – Meloxicam Uses

Chapter 2 – How to take Meloxicam

Chapter 3 – Meloxicam Dosage

Chapter 4 – Meloxicam overdose

Chapter 5 – Meloxicam Side Effects

Chapter 6 – Warnings regarding the use of meloxicam

Chapter 7 – Drug Interactions


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