Skin Health

A Mediaplanet Guide to Cleaner, Healthier, More Beautiful Skin

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Give your baby’s skin the care it needs — enter to win a variety pack of WaterWipes at

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Rudy Pankow The “Outer Banks” star shares his tips for getting breakouts under control

Why it’s critical to raise awareness of the skin condition hidradenitis suppurativa Find out what your baby needs when it comes to diaper rash cream

DECEMBER 2021 | WWW.FUTUREOFPERSONALHEALTH.COM

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The Ins and Outs of Fungal Infections Fungal infections of the skin and nails can be painful and uncomfortable, not to mention embarrassing, and they can happen to anyone. Amy Nicolo, president and chief operating offıcer of anti-fungal ointment brand Emuaid, breaks down the basics of skin and nail fungus, including the signs and symptoms, as well as how to treat them.

Fungal infections are pretty common, and usually don’t require a healthcare professional to diagnose or even treat.

“Skin and nail fungus are generally considered self-diagnosable conditions,” Nicolo said. The primary symptoms of nail fungus, she explained, are changes to the nail’s appearance.

“A fungal infection can turn nails yellow, brown, black, green, or white, and can cause nails to become thick and distorted in shape or texture, as well as fragile, brittle, and even crumbly,” she said.

Signs of skin fungal infections, which can happen anywhere on the body, include irritation, itching, redness, scaliness, hyperpigmentation, peeling, swelling, burning, blisters, and rash.

Taking care of the problem The good news is that if you do have a fungal infection, the issue is not life-threatening, and you probably don’t even need a doctor or prescription medication to treat it.

“Superfıcial fungal infections of the skin and nails (meaning not affecting the deep tissue), are considered relatively harmless and often treatable with overthe-counter medicine,” Nicolo explained.

She added that healing time can vary widely — anywhere between a few days to a year or more. She recommends using antifungal products that “work in tandem with the body’s own regenerative mechanisms to heal the skin and nails while eliminating the fungus.”

Nicolo recommends looking for ingredients that are safe and effective at killing the fungus, and at the same time can strengthen the skin barrier.

“Products with a combination of scientifıcally proven antifungal ingredients, such as silver, tea tree oil, and postbiotics (metabolic byproducts), are excellent powerhouse ingredients that all have scientifıc research studies backing their individual antifungal and antibacterial properties,” she said.

Lynne Daggett

@MEDIAPLANETUSA

@FUTUREOFPERSONALHEALTH

Hand Hygiene Tips That Won’t Harm Your Skin Frequent hand-washing, a job requirement for all healthcare workers, may cause dermatitis, which can actually make skin more susceptible to infection. Here’s how medical professionals can take care of their hands and their patients.

Everyone has become more aware of the importance of hand hygiene during the pandemic, and it’s a pretty safe bet that all of us have gotten into the habit of washing our hands more often than before.

There are some professionals, however, for whom hand-hygiene has always been essential, such as healthcare workers. The problem is that very frequent handwashing can often lead to severely dry skin, causing it to become irritated, flaky, and cracked, which itself can lead to higher rates of infection.

The official dermatologist name for the red, itchy, and sore skin caused by excessive hand-washing is

dermatitis. While washing your hands with warm soap and water effectively scrubs away germs, it also scrubs away the skin’s natural oils and wax that help keep it moisturized.

Dry skin picks up more germs than moisturized skin, which is why it’s especially important for healthcare workers to not only keep their hands clean, but to keep them moisturized.

Effective moisturization The solution to keeping hands moisturized even with frequent hand-washing is both in the type of products used, and how you use them.

When it comes to moisturizers, dermatologists recommend creams or ointments rather than lotions, which may contain irritating ingredients like lanolin.

An easy way to spot the difference is to look for an ointment that comes in a tube or jar, rather than a pump bottle. Look for ingredients like mineral oil or petroleum, such as Vaseline. If the skin

is severely irritated, a doctor may prescribe a topical steroid cream.

The right method How you wash and moisturize your hands also matters.

The first thing to remember is that there is no such thing as over-moisturizing.

You should apply a thick cream to your hands after every time you wash them.

After you wash your hands, instead of waiting for them to be completely dry, apply moisturizer while they are still damp. This will help better lock in moisture.

Be sure to work the ointment or cream into your fingertips and around your nails, as well as the rest of the hand. No one likes hangnails, after all.

Taking proper, preventative care of your hands and skin is especially important for those who already have sensitive skin, a skin condition like eczema, or are prone to skin reactions to irritants.

No matter the current state of your skin, keep that ointment at the ready.

Lynne Daggett

INQUIRIES: US.EDITORIAL@MEDIAPLANET.COM AND US.ADVERTISE@MEDIAPLANET.COM

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P u b l i s h e r N i n a M o n t r o s s B u s i n e s s D eve l o p e r J o e l l e H e r n a n d ez M a n a g i n g D i r e c to r L u c i a n a O l s o n L e a d D e s i g n e r T i f f a ny P r yo r D e s i g n e r C e l i a H a z a r d Lea d Editor M ina Fa nou s Copy Editor D u stin B re n na n Par tner ship a n d D is tr ibu tion M a na g er J orda n H e rna ndez Cover Photo Lu ke Fonta na A ll photos a re credited to Get t y Images unless other wise specif ied. This section was created by Mediaplanet and did not involve USA Today.

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The Triple Benefit of the Right Diaper Rash Cream Diaper rash is a common condition for babies, causing skin underneath the diaper to become red and irritated.

Although there are many diaper rash creams available, they’re not all the same.

The American Academy of Dermatology Association (AAD) recommends diaper rash creams with zinc oxide as the active ingredient because it forms a protective barrier to protect against moisture and irritation. The U.S. Food and Drug Administration (FDA) recognizes zinc oxide as a safe and effective active ingredient for the treatment and prevention of diaper rash.

Triple Paste addresses diaper rash in three ways because it protects, treats, and soothes. That means it helps stop diaper rash before it starts; treats diaper rash, restoring irritated skin to health; and provides immediate soothing relief for sensitive skin.

Formulated with just the right amount of zinc oxide, Triple Paste also contains well-recognized ingredients such as beeswax, oat extract, and lanolin, all of which provide gentle, soothing relief for sensitive skin.

Triple Paste, which has a long heritage of over 40 years, is free from fragrances, parabens, preservatives, talc, phthalates, and dyes. It’s also hypoallergenic. Endorsed by the National Eczema Association, the medicated cream is dermatologist tested and recommended by pediatricians and parents.

Although the incidence of diaper rash can be unpredictable, Triple Paste is a reliable solution. The premium over-the-counter diaper rash cream is sold in the baby care section of most retailers and is available online at Amazon and other e-commerce sites.

Kristen Castillo

For coupons and more information about Triple Paste, visit triplepaste.com.

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What to Do If Your Child Shows Signs of Eczema When my children were infants, they both had very “expressive skin.” Baby acne, urticaria (hives), and patches of eczema were things that as a new mom, I had to fıgure out how to treat and, more importantly, what this meant about their health to prevent recurrences.

Atopic dermatitis, AKA eczema, occurs for approximately 12 percent of children in the United States (9.6 million) and refers to patches of itchy, scaly, red, and irritated skin. Naturally, I looked to the possible sources of irritation that my babies were being exposed to, such as laundry detergents, bath products, and creams, as possible sources of allergens that might be to blame.

As a treatment, our pediatrician offered a topical cortisone cream to be applied to these angry spots. As my childrens’ eczema persisted and returned with flare-ups from time to time, I was compelled to learn more about how I could not only treat their skin but prevent this from occurring in the first place.

allergy can be to blame for your child’s dermatitis.

Other possible sources include environmental triggers (mold, pet dander, and other allergens), skin infections from bacteria on the skin, stress, and other irritants on the skin that are not allergens (such as food residue on your baby’s face that causes irritation but is not due to an allergy).

What’s the culprit?

We look to external irritants, but it is very possible that the source of your child’s skin problems actually is coming from within their little body. Allergies are responsible in many cases — in fact, there is a term called the “Atopic March” that refers to a progression of symptoms beginning with eczema, then allergic rhinitis (stuffy, itchy, and/or runny nose), and asthma. In about 35 percent of cases, a food

What should you do?

Have your doctor take a look and diagnose your child’s eczema to be sure that is what you’re dealing with. As The Allergy Mom, I am a huge proponent for allergy testing (skin and/or blood testing), and encourage you to look critically at what your child is exposed to (internally and externally) that might be one of the culprits listed above.

When my kids were suffering, I tried various lotions and

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petroleum jelly to create a barrier and lock in moisture, as well as the aforementioned cortisone creams prescribed by our doctor.

However, it wasn’t until we discovered the triggers (which in our case were food allergens for my daughter and environmental — dust and dog dander — for my son) that we found true relief from recurrences.

Current research encourages parents to take their infants’ eczema seriously and to provide treatment early on to prevent the progression to more severe conditions, such as asthma, down the road. I recommend reaching out to your family doctor and a pediatric allergist for diagnosis and treatment options. Don’t be afraid to seek opinions and ask as many questions as you need to.

Melissa Scheichl, Creator, The Allergy Mom

Fleecy sleep sacks, baby-sized sweaters, tiny furry boots. Are you getting your baby ready for winter?

As you start organizing your baby’s cold-weather gear, don’t forget to change their skincare routine, too. The dryness of winter weather can cause sensitive baby skin to get dry and rashy, making those comfy clothes a little less snuggly.

Here are my expert tips for healthy baby skin during the winter.

Baby skin is unique There’s a reason that your baby’s skin is so irresistible.

From birth, a baby’s soft, supple skin has the miraculous ability to protect from infection and injury. Infant skin is waterdense and highly absorptive.

However, during the first few months of life, the skin is rapidly developing and changing.

A Pediatrician’s Top Tips for Winter Baby Skincare Biological changes make baby skin more durable and adult-like over time. The skin’s outer layer becomes more acidic as oils and sweat start to float on the skin surface. Critical to skin function, this acidity helps the body fight microorganisms and prevent chronic disease. A baby skincare plan should support these important transitions.

Bathing your baby Bathing your baby should be relaxing and fun. A good bath not only cleans the skin but creates an intimate place of bonding and ritual for the day.

Quick, warm baths two

to three times per week are enough to hydrate the skin and keep your baby clean. Use a soft washcloth with a fragrance-free, liquid-based mild detergent during the bath. Soapfree products are preferred since they don’t contain harsh surfactants that disrupt the outer skin layer or cause skin irritation.

Seal in the moisture from the bathwater by finishing the routine with a head-to-toe application of fragrance-free lotion or emollient. Especially in the winter months, a daily application of quality lotion or petroleum jelly is the cornerstone of a healthy skin routine.

Warm the emollient to body temperature before an application to make this step even more comfortable.

Care for the derriere The goal for diaper skincare is to keep the area clean and protected. The diaper area is a warm, humid environment exposed to waste and debris.

Best care means frequent diaper changes with gentle and effective wiping.

Commercially-available disposable diapers do an excellent job of wicking away wetness from the skin and help to prevent diaper rash. Cloth

diapers do not have this wicking ability and can increase the risk of rash. In addition to a good diaper, choose a wipe that effectively cleans without using harsh ingredients.

Numerous clinical studies have demonstrated that modern baby wipes are superior for cleaning the diaper area compared to cloth and water. In my practice, I recommend WaterWipes for my babies with sensitive skin. WaterWipes contain only two ingredients and have been clinically shown to reduce the incidence and shorten the duration of diaper dermatitis in both term and preterm babies.

Enjoy this winter season and all the coziness it has to offer.

As always, if you have specific questions about caring for your baby, talk with a trusted healthcare provider.

This has been paid for by WaterWipes.

Natasha Burgert, M.D., FAAP

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he difficulty with hidradenitis suppurativa (HS) goes well beyond how to pronounce it. The chronic, painful and progressive inflammatory skin condition can affect every aspect of a person’s life.

What’s worse, many suffer the physical, social, and emotional burdens for an average of 7-10 years before receiving an accurate diagnosis and management plan. While awareness of HS has increased, it can still be difficult for HS patients to find answers and navigate disease management and appropriate treatment options.

HS may cause painful bumps, abscesses or nodules in private, sensitive areas of the body such as the groin or underarms. People may overlook symptoms because they can appear like ingrown hairs or acne, or don’t even bring it up with their doctor because they are embarrassed – which can also add to the timing of reaching an accurate diagnosis.

Important Safety Information About HUMIRA® (adalimumab) What is the most important information I should know about HUMIRA? You should discuss the potential benefıts and risks of HUMIRA with your doctor.

HUMIRA is a TNF blocker medicine that can lower the ability of your immune system to fıght infections.

You should not start taking HUMIRA if you have any kind of infection unless your doctor says it is okay.

• Serious infections have happened in people taking HUMIRA. These serious infections include tuberculosis (TB) and infections caused by viruses, fungi, or

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Breaking Down Misconceptions About Hidradenitis Suppurativa With more than three decades of experience, Dr. Scott Drew of Dermatology Associates of Mid-Ohio has witnessed firsthand the condition’s potentially devastating effects on his patients. People often suppress their whole HS experience from their doctors, so Dr. Drew grasps the importance of grounding his patient relationships in trust.

“I want my patients to feel comfortable opening up to me about the impact HS has had

on their lives so we can work together to change the course of several years of misinformation they may have read or received from previous providers,” Dr. Drew says. “I can help them better understand their condition and let them know there are treatment options – with the appropriate management, HS may not need to define their lives.”

To break through misinformation, Dr. Drew is setting the

record straight on three common misconceptions.

bacteria that have spread throughout the body.

Some people have died from these infections. Your doctor should test you for TB before starting HUMIRA, and check you closely for signs and symptoms of TB during treatment with HUMIRA, even if your TB test was negative. If your doctor feels you are at risk, you may be treated with medicine for TB.

developed a rare type of cancer called hepatosplenic T-cell lymphoma. This type of cancer often results in death. If using TNF blockers including HUMIRA, your chance of getting two types of skin cancer (basal cell and squamous cell) may increase.

These types are generally not life-threatening if treated; tell your doctor if you have a bump or open sore that doesn’t heal.

• Get a lot of infections or infections that keep coming back • Have diabetes • Have TB or have been in close contact with someone with TB, or were born in, lived in, or traveled where there is more risk for getting TB • Live or have lived in an area (such as the Ohio and Mississippi River valleys) where there is an increased risk for getting certain kinds of fungal infections, such as histoplasmosis, coccidioidomycosis, or blastomycosis.

These infections may happen or become more severe if you use HUMIRA. Ask your doctor if you are unsure if you have lived in these areas • Have or have had hepatitis B • Are scheduled for major surgery

• Cancer. For children and adults taking TNF blockers, including HUMIRA, the chance of getting lymphoma or other cancers may increase. There have been cases of unusual cancers in children, teenagers, and young adults using TNF blockers. Some people have

What should I tell my doctor BEFORE starting HUMIRA? Tell your doctor about all of your health conditions, including if you: • Have an infection, are being treated for infection, or have symptoms of an infection

Misconception 1. HS is directly caused by poor hygiene or being overweight Common misconceptions, such as HS is a direct result of poor hygiene or being overweight, may lead to delays in diagnosis and appropriate management.

HS is not a disorder of the sweat glands, and although secondary infections can occur, it is not

caused by infections. While the exact cause of this systemic inflammatory skin condition is unknown, HS is thought to begin within the body. Medical professionals know genetics, environment, and the immune system can contribute to symptom development, but it’s important to remember that HS is not caused directly by patient behavior.

“HS may keep people from doing things like working, dat-

• Have or have had cancer • Have numbness or tingling or a nervous system disease such as multiple sclerosis or Guillain-Barré syndrome • Have or had heart failure • Have recently received or are scheduled to receive a vaccine. HUMIRA patients may receive vaccines, except for live vaccines. Children should be brought up to date on all vaccines before starting HUMIRA • Are allergic to rubber, latex, or any HUMIRA ingredients • Are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed • Have a baby and you were using HUMIRA during your pregnancy. Tell your baby’s doctor before your baby receives any vaccines

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“While surgery is an option for some, it may not be an option for all patients living with HS,” he explains. “If you see a surgeon, they may recommend surgery, but it may only be a temporary resolution. Since HS stems from an overactive immune system, inflammation throughout the body could be treated from the inside, not only on the surface of the skin. There are a number of treatment options dermatologists may prescribe to help manage signs and symptoms of HS, including antibiotics, corticosteroids, and biologics.”

ing or even going to a healthcare provider because they may feel ashamed or they may have received incorrect information from doctors who didn’t understand the condition,” Dr. Drew notes. “For some patients, the nodules and abscesses may cause them to wake up at night, and some have to carry a change of clothes around at all times just in case of leakage. Stigma surrounding this condition exacerbates feelings of shame and

embarrassment, which often contributes to a delay in diagnosis and treatment. Fortunately, people have become more willing to share their experiences to help decrease the stigma.”

Misconception 2. HS can only be treated with surgery Most of Dr. Drew’s patients share similar stories that involve draining the abscesses and nodules, often at the emergency room.

Misconception 3: There are no FDA-approved treatments indicated for HS Compared to when he first began treating HS, Dr. Drew notes the evolved understanding and impact of available treatments such as HUMIRA (adalimumab), which is a prescription medicine used to reduce signs and symptoms of moderate to severe hidradenitis suppurativa in people 12

Also tell your doctor about all the medicines you take.

You should not take HUMIRA with ORENCIA® (abatacept), KINERET® (anakinra), REMICADE® (inf liximab), ENBREL® (etanercept), CIMZIA® (certolizumab pegol), or SIMPONI® (golimumab).

Tell your doctor if you have ever used RITUXAN® (rituximab), IMURAN® (azathioprine), or PURINETHOL® (mercaptopurine, 6-MP).

grade fever, weight loss, or loss of body fat and muscle.

• Hepatitis B infection in carriers of the virus. ymptoms include muscle aches, feeling very tired, dark urine, skin or eyes that look yellow, little or no appetite, vomiting, clay-colored bowel movements, fever, chills, stomach discomfort, and skin rash.

• Allergic reactions. Symptoms of a serious allergic reaction include hives, trouble breathing, and swelling of your face, eyes, lips, or mouth.

• Nervous system problems.

Signs and symptoms include numbness or tingling, problems with your vision, weakness in your arms or legs, and dizziness.

• Blood problems ((decreased blood cells that help fıght infections or stop bleeding).

Symptoms include a fever that does not go away, bruising or bleeding very easily, or looking very pale.

• Heart failure (new or worsening). Symptoms include shortness of breath, swelling of your ankles or feet, and sudden weight gain.

• Immune reactions including a lupus-like syndrome.

Symptoms include chest discomfort or pain that does not go away, shortness of breath, joint pain, or rash on your cheeks or arms that gets worse in the sun.

• Liver problems. Symptoms include feeling very tired, skin or eyes that look yellow, poor appetite or vomiting, and pain on the right side of your stomach (abdomen). These problems can lead to liver failure and death.

What should I watch for AFTER starting HUMIRA? HUMIRA can cause serious side effects, including: • Serious infections. These include TB and infections caused by viruses, fungi, or bacteria. Symptoms related to TB include a cough, low-

years and older. “With available treatments such as HUMIRA, I want those suffering from HS to seek care early, find a dermatologist who understands HS, and speak up about their experience with HS.” Serious infections have happened in people taking HUMIRA. These serious infections include tuberculosis (TB) and infections caused by viruses, fungi, or bacteria that have spread throughout the body. Some people have died from these infections.

HUMIRA may increase the chance of getting lymphoma, including a rare kind, or other cancers. HUMIRA can cause serious side effects including hepatitis B infection in carriers of the virus, allergic reactions, nervous system problems, blood problems, heart failure, certain immune reactions including a lupus-like syndrome, liver problems, and new or worsening psoriasis.

HUMIRA, the first and only FDA-approved treatment for moderate to severe hidradenitis

• Psoriasis (new or worsening).

Symptoms include red scaly patches or raised bumps that are fılled with pus.

Call your doctor or get medical care right away if you develop any of the above symptoms.

Common side effects of HUMIRA include injection site reactions pain, redness, rash, swelling, itching, or bruising), upper respiratory infections (sinus infections), headaches, rash, and nausea. These are not all of the possible side effects with HUMIRA. Tell your doctor if you have any side effect that bothers you or that does not go away.

Remember, tell your doctor

suppurativa in people 12 years of age and older, works by targeting and blocking a specific source of inflammation that is thought to contribute to symptoms.

USE for HUMIRA® (adalimumab) HUMIRA is a prescription medicine used to reduce the signs and symptoms of moderate to severe hidradenitis suppurativa in patients 12 years and older.

Please see important product information for patients on pages 8-9.

AbbVie

Open and honest conversations with a dermatologist who specializes in treating HS may help people manage their disease. Learn more about HUMIRA and partnering with your dermatologist at www.HUMIRA.com.

Sponsored by AbbVie.

right away if you have an infection or symptoms of an infection , including: • Fever, sweats, or chills • Muscle aches • Cough • Shortness of breath • Blood in phlegm • Weight loss • Warm, red, or painful skin or sores on your body • Diarrhea or stomach pain • Burning when you urinate • Urinating more often than normal • Feeling very tired HUMIRA is given by injection under the skin.

This is the most important information to know about HUMIRA. For more information, talk to your health care provider.

MEDIAPLANET | SEE PAGES 8-9 FOR IMPORTANT PRODUCT INFORMATION FOR PATIENTS

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HUMIRA® (Hu-MARE-ah) (adalimumab) injection, for subcutaneous use Patient Information What is the most important information I should know about HUMIRA? HUMIRA is a medicine that affects your immune system. HUMIRA can lower the ability of your immune system to fight infections. Serious infections have happened in people taking HUMIRA. These serious infections include tuberculosis (TB) and infections caused by viruses, fungi or bacteria that have spread throughout the body. Some people have died from these infections.

• Your doctor should test you for TB before starting HUMIRA. • Your doctor should check you closely for signs and symptoms of TB during treatment with HUMIRA. You should not start taking HUMIRA if you have any kind of infection unless your doctor says it is okay.

Before starting HUMIRA, tell your doctor if you: • think you have an infection or have symptoms of an infection such as: • fever, sweats, or • warm, red, or painful skin chills or sores on your body • muscle aches • diarrhea or stomach pain • cough • burning when you urinate • shortness of or urinate more often than breath normal • blood in phlegm • feel very tired • weight loss • are being treated for an infection.

• get a lot of infections or have infections that keep coming back.

• have diabetes.

• have TB, or have been in close contact with someone with TB. • were born in, lived in, or traveled to countries where there is more risk for getting TB. Ask your doctor if you are not sure.

• live or have lived in certain parts of the country (such as the Ohio and Mississippi River valleys) where there is an increased risk for getting certain kinds of fungal infections (histoplasmosis, coccidioidomycosis, or blastomycosis). These infections may happen or become more severe if you use HUMIRA. Ask your doctor if you do not know if you have lived in an area where these infections are common.

• have or have had hepatitis B. • use the medicine ORENCIA (abatacept), KINERET (anakinra), RITUXAN (rituximab), IMURAN (azathioprine), or PURINETHOL (6–mercaptopurine, 6-MP).

• are scheduled to have major surgery.

After starting HUMIRA, call your doctor right away if you have an infection, or any sign of an infection.

HUMIRA can make you more likely to get infections or make any infection that you may have worse.

Cancer • For children and adults taking Tumor Necrosis Factor (TNF)-blockers, including HUMIRA, the chances of getting cancer may increase.

CONSUMER BRIEF SUMMARY Consult Package Insert for full Prescribing Information

Read the Medication Guide that comes with HUMIRA before you start taking it and each time you get a refill. There may be new information. This brief summary is not comprehensive and does not take the place of talking with your doctor about your medical condition or treatment. For a copy of the full Prescribing Information, visit www.HUMIRA.com or you can enroll in a patient support program by calling 1-800-4HUMIRA (1-800-448-6472).

• There have been cases of unusual cancers in children, teenagers, and young adults using TNF-blockers.

• People with rheumatoid arthritis (RA), especially more serious RA, may have a higher chance for getting a kind of cancer called lymphoma.

• If you use TNF blockers including HUMIRA your chance of getting two types of skin cancer may increase (basal cell cancer and squamous cell cancer of the skin). These types of cancer are generally not life-threatening if treated. Tell your doctor if you have a bump or open sore that does not heal.

• Some people receiving TNF blockers including HUMIRA developed a rare type of cancer called hepatosplenic T-cell lymphoma. This type of cancer often results in death. Most of these people were male teenagers or young men. Also, most people were being treated for Crohn’s disease or ulcerative colitis with another medicine called IMURAN (azathioprine) or PURINETHOL (6-mercaptopurine, 6–MP).

What is HUMIRA? HUMIRA is a medicine called a Tumor Necrosis Factor (TNF) blocker. HUMIRA is used: • To reduce the signs and symptoms of: • moderate to severe RA in adults. HUMIRA can be used alone, with methotrexate, or with certain other medicines.

• moderate to severe polyarticular juvenile idiopathic arthritis (JIA) in children 2 years and older. HUMIRA can be used alone or with methotrexate.

• psoriatic arthritis (PsA) in adults. HUMIRA can be used alone or with certain other medicines.

• ankylosing spondylitis (AS) in adults.

• moderate to severe hidradenitis suppurativa (HS) in people 12 years and older.

• To treat moderate to severe Crohn’s disease (CD) in adults and children 6 years of age and older.

• To treat moderate to severe ulcerative colitis (UC) in adults and children 5 years of age and older. It is not known if HUMIRA is effective in people who stopped responding to or could not tolerate TNF-blocker medicines.

• To treat moderate to severe chronic (lasting a long time) plaque psoriasis (Ps) in adults who have the condition in many areas of their body and who may benefit from taking injections or pills (systemic therapy) or phototherapy (treatment using ultraviolet light alone or with pills).

• To treat non-infectious intermediate, posterior, and panuveitis in adults and children 2 years of age and older.

What should I tell my doctor before taking HUMIRA? HUMIRA may not be right for you. Before starting HUMIRA, tell your doctor about all of your medical conditions, including if you: • have an infection. See “What is the most important information I should know about HUMIRA?” • have or have had cancer.

• have any numbness or tingling or have a disease that affects your nervous system such as multiple sclerosis or Guillain-Barré syndrome.

• have or had heart failure.

• have recently received or are scheduled to receive a vaccine. You may receive vaccines, except for live vaccines while using HUMIRA. Children should be brought up to date with all vaccines before starting HUMIRA. • are allergic to rubber or latex. Tell your doctor if you have any allergies to rubber or latex.

• The needle cover for the HUMIRA Pen 40 mg/0.8 mL, HUMIRA 40 mg/0.8 mL prefilled syringe, HUMIRA 20 mg/0.4 mL prefilled syringe, and HUMIRA 10 mg/0.2 mL prefilled syringe may contain natural rubber or latex.

• The black needle cover for the HUMIRA Pen 80 mg/0.8 mL, HUMIRA 80 mg/0.8 mL prefilled syringe, HUMIRA Pen 40 mg/0.4 mL, HUMIRA 40 mg/0.4 mL prefilled syringe, HUMIRA 20 mg/0.2 mL prefilled syringe, HUMIRA 10 mg/0.1 mL prefilled syringe and the vial stopper on the HUMIRA institutional use vial are not made with natural rubber or latex.

• are allergic to HUMIRA or to any of its ingredients.

See the end of the Medication Guide for a list of ingredients in HUMIRA. • are pregnant or plan to become pregnant, breastfeeding or plan to breastfeed. You and your doctor should decide if you should take HUMIRA while you are pregnant or breastfeeding.

• have a baby and you were using HUMIRA during your pregnancy. Tell your baby’s doctor before your baby receives any vaccines.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Especially tell your doctor if you use: • ORENCIA (abatacept), KINERET (anakinra), REMICADE (infliximab), ENBREL (etanercept), CIMZIA (certolizumab pegol) or SIMPONI (golimumab), because you should not use HUMIRA while you are also using one of these medicines.

• RITUXAN (rituximab). Your doctor may not want to give you HUMIRA if you have received RITUXAN (rituximab) recently.

• IMURAN (azathioprine) or PURINETHOL (6–mercaptopurine, 6-MP).

Keep a list of your medicines with you to show your doctor and pharmacist each time you get a new medicine.

How should I take HUMIRA? • HUMIRA is given by an injection under the skin.

Your doctor will tell you how often to take an injection of HUMIRA. This is based on your condition to be treated. Do not inject HUMIRA more often than you were prescribed.

• See the Instructions for Use inside the carton for complete instructions for the right way to prepare and inject HUMIRA. • Make sure you have been shown how to inject HUMIRA before you do it yourself. You can call your doctor or 1-800-4HUMIRA (1-800-448-6472) if you have any questions about giving yourself an injection. Someone you know can also help you with your injection after they have been shown how to prepare and inject HUMIRA. • Do not try to inject HUMIRA yourself until you have been shown the right way to give the injections. If your doctor decides that you or a caregiver may be able to give your injections of HUMIRA at home, you should receive training on the right way to prepare and inject HUMIRA. • Do not miss any doses of HUMIRA unless your doctor says it is okay. If you forget to take HUMIRA, inject a dose as soon as you remember. Then, take your next dose at your regular scheduled time. This will put you back on schedule. In case you are not sure when to inject HUMIRA, call your doctor or pharmacist.

• If you take more HUMIRA than you were told to take, call your doctor.

What are the possible side effects of HUMIRA? HUMIRA can cause serious side effects, including: See “What is the most important information I should know about HUMIRA?” • Serious Infections.

Your doctor will examine you for TB and perform a test to see if you have TB. If your doctor feels that you are at risk for TB, you may be treated with medicine for TB before you begin treatment with HUMIRA and during treatment with HUMIRA. Even if your TB test is negative your doctor should carefully monitor you for TB infections while you are taking HUMIRA. People who had a negative TB skin test before receiving HUMIRA have developed active TB. Tell your doctor if you have any of the following symptoms while taking or after taking HUMIRA: • cough that does not • weight loss go away • loss of body fat and • low grade fever muscle (wasting) • Hepatitis B infection in people who carry the virus in their blood.

If you are a carrier of the hepatitis B virus (a virus that affects the liver), the virus can become active while you use HUMIRA. Your doctor should do blood tests before you start treatment, while you are using HUMIRA, and for several months after you stop treatment with HUMIRA. Tell your doctor if you have any of the following symptoms of a possible hepatitis B infection: • muscle aches • clay-colored bowel • feel very tired movements • dark urine • fever • skin or eyes look • chills yellow • stomach discomfort • little or no appetite • skin rash • vomiting • Allergic reactions. Allergic reactions can happen in people who use HUMIRA. Call your doctor or get medical help right away if you

have any of these symptoms of a serious allergic reaction: • hives • swelling of your face, • trouble breathing eyes, lips or mouth • Nervous system problems. Signs and symptoms of a nervous system problem include: numbness or tingling, problems with your vision, weakness in your arms or legs, and dizziness.

• Blood problems. Your body may not make enough of the blood cells that help fight infections or help to stop bleeding. Symptoms include a fever that does not go away, bruising or bleeding very easily, or looking very pale.

• New heart failure or worsening of heart failure you already have. Call your doctor right away if you get new worsening symptoms of heart failure while taking HUMIRA, including: • shortness of breath • swelling of your • sudden weight gain ankles or feet • Immune reactions including a lupus-like syndrome. Symptoms include chest discomfort or pain that does not go away, shortness of breath, joint pain, or a rash on your cheeks or arms that gets worse in the sun. Symptoms may improve when you stop HUMIRA. • Liver problems. Liver problems can happen in people who use TNF-blocker medicines. These problems can lead to liver failure and death. Call your doctor right away if you have any of these symptoms: • feel very tired • skin or eyes look yellow • poor appetite or • pain on the right side of vomiting your stomach (abdomen) • Psoriasis. Some people using HUMIRA had new psoriasis or worsening of psoriasis they already had. Tell your doctor if you develop red scaly patches or raised bumps that are filled with pus.

Your doctor may decide to stop your treatment with HUMIRA. Call your doctor or get medical care right away if you develop any of the above symptoms. Your treatment with HUMIRA may be stopped.

The most common side effects of HUMIRA include: • injection site reactions: redness, rash, swelling, itching, or bruising. These symptoms usually will go away within a few days. Call your doctor right away if you have pain, redness or swelling around the injection site that does not go away within a few days or gets worse.

• upper respiratory infections (including sinus infections).

• headaches.

• rash.

These are not all the possible side effects with HUMIRA. Tell your doctor if you have any side effect that bothers you or that does not go away. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of HUMIRA. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use HUMIRA for a condition for which it was not prescribed. Do not give HUMIRA to other people, even if they have the same condition. It may harm them.

This brief summary summarizes the most important information about HUMIRA. If you would like more information, talk with your doctor. You can ask your

pharmacist or doctor for information about HUMIRA that is written for health professionals.

Manufactured by: AbbVie Inc., North Chicago, IL 60064, U.S.A. US License Number 1889 You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.

Ref: 20066566 Revised: February, 2021 LAB-5827 MASTER

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Rudy Pankow of “Outer Banks” Talks About Caring for Your Skin and Yourself Rudy Pankow, best known for playing the role of JJ Maybank on the Netflix smash hit “Outer Banks,” used to struggle with acne and breakouts. We asked him about the methods and products he used to improve his skin and his overall health.

Men’s skin care is something we don’t talk about as much as women’s. Why is it important for men to prioritize their skin health?

When did you fırst start prioritizing your skin health and what changes have you made in your daily routine?

I started to prioritize my skin health when I realized it wasn’t just because of my age that I was having issues. I slowly realized certain things that caused me to break out, such as certain foods, fabrics I slept on, and how frequently I would use different products that actually made the break out worse and more irritated. Once I discov-

What kinds of products have been most effective when treating acne?

PHOTO: LUKE FONTANA

Your skin can be one of the most telltale signs letting you know how well you are taking care of your physical and mental health. Now I’m not saying if you have unhealthy skin it is all your fault, because there can be many factors that affect why your skin may not be where you want it to be. Whether it is how frequently you wash, the type of product you’re using, your diet, age, allergies, climate, and even stress level. But what I am saying is that prioritizing how you take care of your skin can help create healthier routines of taking care of yourself.

continuing with using the products I trust.

ered what those factors were that caused my skin to break out, I slowly started feeling more confident in my skin, which I think is the final step to taking good care of your skin.

I know that on television sets, you have to deal with things like lights, makeup, and props that can sometimes be harsh on the skin. Do you have any advice for how to deal with these kinds of obstacles that may be a part of your daily life?

complexion, but luckily people know how much it does, so it’s routine to remove as much makeup, sweat, and dirt off your face at the end of the day as you can. But the one that affects my skin the most, and most likely others are realizing nowadays, is the constant rubbing and moisture with wearing a mask. And the best advice I can give is quite simple: If you’re able to, get to a restroom and remove your mask safely, wash your face with clean water, and dry your face as best as you can.

Definitely as an actor the amount of makeup, sweat, and dirt can really affect your

How do you manage oily skin? What types of products have been most effective?

10 READ MORE AT WWW.FUTUREOFPERSONALHEALTH.COM

When managing oily skin, it’s hard to recommend certain products because everyone’s skin will react differently, but I would say when there’s an accumulation of oil on your skin, it’s clogging pores, which will cause under-skin acne, so I recommend oil-absorbing pads, but more importantly, wash and dry your face frequently.

What steps do you take to manage acne breakouts?

For me, the most effective way to manage a breakout is washing my face with a very warm washcloth — I call it soaking — and using an exfoliator, then

The types of products that work best for me are an exfoliating scrub, moisturizer, oil pads, and toner. Masks haven’t been very effective with my skin type and sometimes irritate it. But of course, that’s not for everyone.

I still believe the most effective product is warm water and drying your face.

What advice do you have for other young adults experiencing acne and breakouts?

My advice for young adults is to try and figure out as soon as possible the things that trigger your breakouts. If a breakout happens, ask yourself, “What irritated my skin?”

Which, again, could be many things, varying from dirt and sweat in your pores, to certain products and routines, and even diet, environment, and stress. All of these things can affect your skin. But taking care of your skin is a great first step to practicing and understanding how to take care of your body better, which will lead to feeling better.

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Singer Jackson Gillies on His 7-Year Fight for a Skin Diagnosis

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After developing an abscess the size of a ping pong ball on his forehead, country-pop musician and former “American Idol” contestant Jackson Gillies saw numerous doctors in search of a diagnosis.

eanwhile, additional lumps began popping up across his body, including several on each of his inner legs near his groin.

Eventually, a naturopathic doctor revealed the cause of the growths that he’d been hunting for: hidradenitis suppurativa, or HS, a chronic skin condition that sometimes resembles acne or boils.

“I got lucky finding it as early as I did because it takes an average of seven years for a person with HS to be diagnosed,” said Gillies, who is 19

and has been living with HS since he became a teenager.

According to the American Academy of Dermatology Association, HS that goes undiagnosed for several years can lead to the development of painful, non-healing wounds.

It’s not uncommon for someone to be admitted to the ER 10 times before receiving the correct diagnosis.

Although HS isn’t curable, medications, skincare, dermatological procedures (e.g., lump draining), and diet and lifestyle changes can aid management of the condition.

HS is not contagious, and

it affects an estimated 11 in 100,000 people in the United States, according to the National Center for Advancing Translational Sciences.

Under control For Gillies, diet has significantly helped him control HS symptoms. He avoids certain types of foods like wheat and gluten, nightshade vegetables, and processed fare. Meanwhile, he opts for specific whole foods like organic chicken, broccoli, carrots, butternut squash, zucchini, and olive oil.

“It’s as simple as that,” Gillies said. “I don’t give my body

anything that it disagrees with, and therefore I cannot flare.”

Gillies is vocal about his diagnosis in hopes of raising awareness of the skin condition.

In 2017 he gave a TED Talk called “Bringing HS (Hidradenitis Suppurativa) Out Of The Dark,” which has racked up nearly 200,000 views. Gillies called the experience “pretty unbelievable.” “But secondarily,” he added, “I’d have to say I’m just most proud of myself for talking about it to people that I see in my everyday life.”

He encouraged other people living with HS to figure out a treatment plan that works for

them, and to give diet changes a try, but above all to ask for help if they need it.

Gillies suggested turning to the web, which is replete with supportive people who are living with HS. “There are online forums on Facebook and blogs with people who’ve had HS for 10, 20, 30 years who have a lot of tricks up their sleeve,” Gillies said.

“And people will be there to just listen and help you understand that what you’re going through, you’re not going through it alone.”

Melinda Carter

MEDIAPLANET

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