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Frequently Asked Questions
What is Psoriasis?
What Causes Psoriasis?
How Is Psoriasis Diagnosed?
Is There more than one kind of Psoriasis?
What is Noble Formula? (OTC)
What is Noble Formula Rx?
What is Clobetasol Propionate?
Why try NF-Rx when a previous Clobetasol Rx didn't work well for me?
Can Noble Formula be found in regular pharmacies?
How do I order by mail?
Ask MD? I have lichen planus.I have tried everything.Can you tell me of a natural
remendy?Something in the holistic type medicine.
Ask MD? Is Noble Formula with Clobetasol effective with Eczema?
Ask MD? i have dark sopt under my arm and my nick and it's very darker than my skin color , please i need any help
Ask MD? Is Eczema contagious?
Ask MD? what can u use to remove sports from ur body.i some times itch my body and brings wounds on my body ,so can i stop itching my body.
Ask MD? if scales are lose from the skin is it ok and safe to peel them off
Ask MD? i have a combination skin that is nose,cheecks and chin has oily n other
parts are very dry so plz tell me what type of soap should i use so that it
wont dry my skin n i have a post pimple marks on my cheeks so plz tell me
what type of diet
Ask MD? Is this a FDA approved product?
Ask MD? My wife has DSAP - Disseminated Superficial Actinic Porokeratosis. What
treatment would you suggest. Do you think noble formula would help?
Ask MD? I have pretty persistent Seborreah around the nose and mask are of my face.
I have been to a dermatologist who tried steroid creams and then an
anti-fungal cream. Neither worked. What products do you offer that might
help?
Ask MD? will any of these products work with alopecia scalp conditions?
Ask MD? I'm going to buy ZNP Bar. How many ounces is your ZNP bar? I live in Los Angeles, CA. Can you tell me about shipping rates and tax?
Ask MD? The first spot of inflammation appeared on my shin and is now 3" x 4" in size. Since I thought it was ringworm at first, I medicated it with over-the-counter ringworm medication, which, of course, did no good at all. There is a small spot within this very red and flaky patch which bleeds from time-to-time. Is this normal, or could I have something else developing?
Ask MD? I Have a face problem. There are some reddish in my cheeks and it grow very
fast when i go out in the sun. Please suggest me some home treatment to
avoid this reddish.If you have some yoga exercises to keep my skin healthy
Plz suggest me. I have a very fair complexion
Ask MD? Is there any treatment for Furnunculosis and atopic dermatitis? Have you
heard about staphvax and if so, where can I purchase it. One of my friends
found it on the net and told me about it. How do I stop massive flareups?
Do you think smoking has a big affect on the skin disorder which I have?
Ask MD? iam 26 old male doing master of computer applications.iam suffering with
psoriasis since when iam 3 years old.i used lot of medicines of
allopathy,ayurveda,homeopathy but no result.what is the medicine i have to
use.i dont smoke and drink.it is on my both knees and below the knees
Ask MD? What exactly is Seborrhia? My husband has been diagnosed with it; unfortunately his Dr. isn't great about explaining things, nor is he good about asking things! He has been given several things to try and nothing seems to work. It looks terrible and he is ashamed of the look of it. Can you help us out? Thanks so much
Ask MD? For the last 6 years i suffered from red rushes/spots in the middle of my face , caused by seborrheic dermatitis.Tried lot of medicated shampoos and creams but never managed to clear up my rushes.Went through your site and found lots of products concerning my problem.I know that maybe u cannot give medical advices but i would be so pleased that you giude me with your products and maybe give me a correct treatment for my problem. With the correct treatment do i manage to clear up the rushes and then control seborrhea , or the rushes cannot never be cleared out?
Ask MD? i go for tanning 4 times a week for my psoriasis, will it help me ,,
Ask MD? Have you hear or seen psoriasis of the foot? It appears in the middle & heal of both feet.
Ask MD? How can you tell if you have eczema?
Ask MD? I am fourteen years old and I have eczema on my fingers, in the crook of my arm (the elbow area but on the other side) and around my eye. Recently the corner of my eye has been very dry, scaly, and when I put anything on it it stings like crazy. I want to use a natural way of treating my eczema, but I dont have any idea what to use. It would be nice to clear the stuff up around my eye, as I can't go a day without itching it. The stuff on my arm and finger is cleared up, it is just my eye. If you could help me, I would love it! Thank you!
Ask MD? I have had eczema for several years. It seems my skin isn't as bad during the spring and summer, but in the winter as it gets colder, my skin gets very bad. why is this? is there anything i can get for it?
Ask MD? I have been diagnosed with lichen planus. I have had it on my legs for 3 years now. When I first got it, it left brown spots on my legs. I only occasionally have itching from it, but the spots have not gone away. My doctor recently put me on Mometasone Furoate for the itching. My question is, will the brown spots ever go away? I haven't been able to wear a dress or shorts for 3 years now. I can't go on vacation to the beach or go to the pool or any of the things I've always done because of this condition. It really has changed my quality of life and I am desperate to get rid of the spots on my legs. Is there anything that will make them go away or at least fade them?
Ask MD? I have had eczema as long as I can remember. I am over my mid 20s. I was using 0.5% hydrocortisone cream over my entire body, after every shower/any other time my skin would get wet for over ten years, as permitted
by my old dermatologist. Is it possible for that cream to do some damage to me? For example, my internal organs, other skin issues?
Another doctor prescribed Elidel for me to use. He said that I should not use coritcosteroids anymore. I had a break out (a lot of small, red bumps everywhere) pretty quickly, I stopped using it right away. I find that ointments make me more itchy as well, as opposed to using the cream bases...i.e. elocom ointment made me really red and itchy, but the cream worked really well. I am having a really hard time finding a cream to replace my 0.5% Cortate cream.
Is it possible for that cortate cream to cause any major side effects after usage of ten or more years?
I am currently using Eucerin cream, but it feels like it may be too heavy...the original lotion seemed to dry me up in the winter, like my bad areas got worse...but is there a difference between the original lotion and the 10%USP lotion? I have a sample of the 10% USP that I've been using and it seems ok, but I don't know if it's just because it's been really hot and humid around here. Now, when I use Eucerin for more than two days without applying anything else, I get a little breakout and if I do not use any corticosteroid (elecom/cylcocort) on the areas, it just keeps getting worse. I have been covering my whole body because of this, but my face is yet to get off of the 0.5% cortate cr, any cream that I've been using on my face has been making little hives appear within days.
Ask MD? I have abrasions in my scalp.Doctors told me that it is not dandruff.It causes lot of itching.During nights , without my knowledge I continue to scratch my scalp.As result lot of hair loss occurs.Is there any cream which reduces my itching ? can I apply Burnol on my scalp ?Or after shave lotion on my hair ?
Ask MD? I currently am a very happy user of your spray. For those breathrough times, which product would you recommend from the over-the-counter line?
Ask MD? What do you reccomend for pityriasis ruba pilaris are your products safe for facial tx? Thank you.
Question: What is Psoriasis?
Answer... Psoriasis is a chronic (long-lasting) skin disease characterized by scaling
and inflammation. Scaling occurs when cells in the outer layer of the skin
reproduce faster than normal and pile up on the skin’s surface.
Psoriasis affects between 1 and 2 percent of the United States population, or
about 5.5 million people. Although the disease occurs in all age groups and
about equally in men and women, it primarily affects adults. People with
psoriasis may suffer discomfort, including pain and itching, restricted motion
in their joints, and emotional distress.
In its most typical form, psoriasis results in patches of thick, red skin
covered with silvery scales. These patches, which are sometimes referred to as
plaques, usually itch and may burn. The skin at the joints may crack. Psoriasis
most often occurs on the elbows, knees, scalp, lower back, face, palms, and
soles of the feet but it can affect any skin site. The disease may also affect
the fingernails, the toenails, and the soft tissues inside the mouth and
genitalia. About 15 percent of people with psoriasis have joint inflammation
that produces arthritis symptoms. This condition is called psoriatic arthritis.
Question: What Causes Psoriasis?
Answer... Recent research indicates that psoriasis is likely a disorder of the immune
system. This system includes a type of white blood cell, called a T cell, that
normally helps protect the body against infection and disease. Scientists now
think that, in psoriasis, an abnormal immune system causes activity by T cells
in the skin. These T cells trigger the inflammation and excessive skin cell
reproduction seen in people with psoriasis.
In about one-third of the cases, psoriasis is inherited. Researchers are
studying large families affected by psoriasis to identify a gene or genes that
cause the disease. (Genes govern every bodily function and determine the
inherited traits passed from parent to child.)
People with psoriasis may notice that there are times when their skin worsens,
then improves. Conditions that may cause flareups include changes in climate,
infections, stress, and dry skin. Also, certain medicines, most notably
beta-blockers, which are used to treat high blood pressure, and lithium or drugs
used to treat depression, may trigger an outbreak or worsen the disease.
Question: How Is Psoriasis Diagnosed?
Answer... Doctors usually diagnose psoriasis after a careful examination of the skin.
However, diagnosis may be difficult because psoriasis can look like other skin
diseases. A pathologist may assist with diagnosis by examining a small skin
sample (biopsy) under a microscope.
Question: Is There more than one kind of Psoriasis?
Answer... There are several forms of psoriasis. The most common form is plaque
psoriasis (its scientific name is psoriasis vulgaris). In plaque psoriasis,
lesions have a reddened base covered by silvery scales. Other forms of psoriasis
include
• Guttate psoriasis--Small, drop-like lesions appear on the trunk, limbs, and
scalp. Guttate psoriasis is most often triggered by bacterial infections (for
example, Streptococcus).
• Pustular psoriasis--Blisters of noninfectious pus appear on the skin. Attacks
of pustular psoriasis may be triggered by medications, infections, emotional
stress, or exposure to certain chemicals. Pustular psoriasis may affect either
small or large areas of the body.
• Inverse psoriasis--Large, dry, smooth, vividly red plaques occur in the folds
of the skin near the genitals, under the breasts, or in the armpits. Inverse
psoriasis is related to increased sensitivity to friction and sweating and may
be painful or itchy.
• Erythrodermic psoriasis--Widespread reddening and scaling of the skin is often
accompanied by itching or pain. Erythrodermic psoriasis may be precipitated by
severe sunburn, use of oral steroids (such as cortisone), or a drug-related
rash.
Question: What is Noble Formula? (OTC)
Answer... Noble Formula is a suspension of pyrithione zinc, sodium lauryl sulfate,
isopropyl myristate and alcohol. Prepared exclusively for Ontos, Inc. by a
contracted, fully accredited laboratory, it is a topical OTC product useful for
the relief of itching, flaking and inflammation.
50-60% of clients report that Noble Formula relieves itching, flaking, and redness within 4-6 weeks.
Question: What is Noble Formula Rx?
Answer... Noble Formula Rx is our OTC Noble Formula combined with clobetasol to 0.05%
by a pharmacist, when prescribed by your physician.
There is significant synergy between the ingredients of Noble Formula and
alcohol soluble corticosteroids. Compounded with 100% clobetasol to 0.05%
strength by individual physician prescription, the skin lesions of psoriasis or
severe eczema become symptom free within several days and are typically fully
suppressed by 2 – 4 weeks.
Noble Formula Rx has a reported success rate of 96% good to excellent clearing of
skin lesions, reported by the clients of Ontos, Inc. over the past 5 years.
Question: What is Clobetasol Propionate?
Answer... Clobetasol propionate is a potent topical corticosteroid and is used for the short-term relief of the inflammatory and pruritic manifestations of moderate to severe corticosteroid-responsive dermatoses, including dermatoses of the scalp.
Question: Why try NF-Rx when a previous Clobetasol Rx didn't work well for me?
Answer... There is significant synergy between the ingredients of Noble Formula and alcohol soluble corticosteroids. Although the essential ingredients of Noble Formula (pyrithione zinc, sodium lauryl sulfate and isopropyl myristate) do not have a large body of medical literature to recommend it for skin disorders, the clients of Ontos, Inc. report an increased effectiveness over many medications they have used. Noble Formula Rx has a reported 96% good to excellent clearing of skin lesions, over the past 9 years.
Question: Can Noble Formula be found in regular pharmacies?
Answer... Many pharmacies across the U.S. stock Noble Formula, or special order Noble Formula upon patient request, including some CVS, Walmart, Walgreens, Eckerd, Medco Health, Rite-Aid, Sav-0n,Osco,Caremarck Rx Services and numerous independent pharmacies. For a list of active pharmacies in your area, please call Ontos, Inc. toll free at 1.888.469.7546.
Question: How do I order by mail?
Answer... Print our Order Form from this site. Complete order information including products ordered, quantity, price, name, address, and telephone number. Send your order with check, money order or Visa, MC, AMX, or Discover credit card information to: Ontos, Inc. PO Box 89, Chehalis, WA 98532. Call toll free for current shipping charges or if you have any questions 1.888.469.7546, Monday through Thursday, 8 am to 5 pm, and Friday 8 am to 3 pm, Pacific Standard Time.
Question: Ask MD? I have lichen planus.I have tried everything.Can you tell me of a natural
remendy?Something in the holistic type medicine.
Answer... Lichen planus is a frustrating conditon. I know of no "natural or
holistic" product that is effective. Noble Formula Rx (compounded by
individual physician prescription with a potent corticosteroid – labetalol)
has proven highly effective in many Ontos, Inc. clients. Used with good
sense as directed this is a very reasonable, safe approach.
I can not help, but add that the whole concept of "natural" as opposed to
"unnatural" is not a scientifically valid concept as usually applied.
There are very few products in nature taken in an unmodified fashion either
interlay or externally that exert special influence on the body beyond
providing good (or bad) nutrition. Obviously, there are some very
"natural" poisonous plants, and venoms out there - but those are not the
effects one is hoping for. Alcohol in excess, tobacco, even the hemlock
that killed Socrates are all very "natural."
As soon as the "natural" is boiled, distilled, desiccated, extracted, etc.
it is no longer natural, but man-modified. Those modifications always seek
the "active" property in a more concentrated form. If that new,
man-modified product is to have ANY effect at all, it must be because of
the chemical properties of the substance, now isolated.
ALL of the body’s physiology is based on chemical properties. This
includes the digestion of our food, the production of cellular energy and
even the transport of oxygen within our blood. "Chemical" is NOT a bad
word. It is basic to our existence.
Many drugs of modern science were first isolated in nature (asprin from
willow bark, digitalis from foxglove, penicillin from a fungus, thyroid and
insulin from animal organs, etc.). Most have now been synthesized. That
does not mean "fake." That means "built."
Vitamin C, for instance, otherwise known as "ascorbic acid" - is the REAL
thing, whether extracted, ready made from a rose hip, or built up from its
elemental constituents in the laboratory. There is NO shade of difference.
That is not to say that other wonderfully good for you chemicals do not
come along WITH the Vitamin C if some rose hip residual remains in the
product, or better, if one sought it in the complex chemical mixture called
an “Orange” (or “Sweet Potato,” or “Red Pepper”).
The same is true with laboratory made "human insulin" or laboratory made
"Acetylsalicylic acid" (asprin). The source of ALL things, whether drugs,
clothing, building supplies, or space shuttles is "natural." Man has not
created anything "out of nothing." That was done for us. We only
rearrange things. Some things we find or we rearrange into something new
are good for us, many of them are bad.
Knowing which is good or bad is not helped by an artificial division
between "natural" and "unnatural" - but by experience. The scientific
method is nothing more than an organized way of gathering and understanding
that experience.
As with most things in life, drugs whether pretty much straight from nature
(evening primrose oil, green tea, St John’s wort, or cascara bark, etc) or
made up in the laboratory as brand new compounds or as copies of nature ALL
have both risks and benefits. A prudent person or careful physician seeks
to understand the balance between expected risks and benefits to determine
a reasonable course of action. It is usually worth a minor risk to control
a major disease. The reverse is not true.
In your situation, if the lichen planus is sufficiently distressing it
warrants effective intervention even if at some known and manageable risk.
That intervention, of necessity, will involve some chemical interaction
with your skin--whether a “natural” or a “modified” product.
Question: Ask MD? Is Noble Formula with Clobetasol effective with Eczema?
Answer... Yes, NF compounded by physician order with clobetasol or one of several
other suitable corticosteroids is highly effective for eczema. As the
severity of eczema varies from a very mild irritating rash to severe
debilitation, the intensity of treatment (and its risks and expense)should
be proportionate to the severity of the disease. Many people with mild to
moderate eczema will find our own NF-HC with 1% Hydrocortisone quite
adequate and it does not require a prescription. If more intense RX is
required your doctor can prescribe NF compounded with triamcinalone, or for
the most potent treatment, with clobetasol. The staff at Ontos would be
happy to talk with your or your doctor about your options and see to it
that any prescriptions are filled promptly by a compounding pharmacist.
Question: Ask MD? i have dark sopt under my arm and my nick and it's very darker than my skin color , please i need any help
Answer... I am sorry, not only are we unable to honestly assess the nature of such
"dark spots" without seeing them, but it is unlikely that any products of
Ontos, Inc. would be likely help them. You should seek the evaluation of
your own physician. Good luck.
Question: Ask MD? Is Eczema contagious?
Answer... No. Eczema is not contagious. Nor is it a whole body disease or
dangerous. It is a nuisance, sometimes a severe one. If mild, it will
respond nicely to Noble Formula-HC which will also promptly reduce the
itching that usually accompanies eczema.
Question: Ask MD? what can u use to remove sports from ur body.i some times itch my body and brings wounds on my body ,so can i stop itching my body.
Answer... Itching that severe, if WITHOUT an obvious rash or spots on your skin
should be evaluated, in person, by your family physician or internist.
There are many medical and emotional problems which can cause itching and
should not be overlooked. If it is itching, ONLY associated with a
definite rash you still need to see a doctor, perhaps a dermatologist, in
person. IF there is no general medical or emotional problem to explain the
itching and IF there is no skin disease that requires specific treatment,
Noble Formula does a good remarkably good job of reducing itching. There
are numerous other products sold for itching that might also work.
Question: Ask MD? if scales are lose from the skin is it ok and safe to peel them off
Answer... Not knowing what the "scales" are from or any diseases associated with
them, it would be hazardous to give specific advice. You should ask a
doctor at a personal visit. In general, I would suggest that if a skin
scale or other feature can be lifted away WITHOUT causing pain or bleeding
it is probably safe to do so.
Question: Ask MD? i have a combination skin that is nose,cheecks and chin has oily n other
parts are very dry so plz tell me what type of soap should i use so that it
wont dry my skin n i have a post pimple marks on my cheeks so plz tell me
what type of diet
Answer... These are specific questions that really can not be addressed without a
personal visit to a physician. Generaly, physicains do not consider that
"diet" is a major issue with skin disease, as long as it is healthy and
well balanced. I do not believe any of the Ontos, Inc. products has a
great likly hood of being helpful to you, but you could certaintly try the
bar soap at no risk, as a full satisfaction guarantee is offered
Question: Ask MD? Is this a FDA approved product?
Answer... The ingredients in Noble Formula have been approved by the FDA for use in
non-prescription and cosmetic products. They are not required to evaluate
the product itself and have not done so. Using Noble Formula as a vehicle
to which a corticosteriod is added by physiscian prescription is called
"compounding." That is a professional perogative of a physcian and
pharmacist. Such combinations are also not evaulated by the FDA. You might
also be interested to know that with rare exception the FDA does not
evaluate or regulate nutritional suplements, vitamins, or herbal products,
either. Thus, it is important that you trust the company you are
purchasing such products (including ours) from.
Question: Ask MD? My wife has DSAP - Disseminated Superficial Actinic Porokeratosis. What
treatment would you suggest. Do you think noble formula would help?
Answer... First, I am sorry that your wife has such an unusual and poorly understood
disease. We have NO information that any of our products would help. To
the extent that your wife's skin is lichenified or hyperkeratotic
(essentialy, dry, cracky, flaky) our Noble Formula-S Rx by prescription of
your doctor MIGHT be helpful. The basic formula, plus the salicylic acid
and the super potent corticosteriod clobetasol MIGHT prove a helpful
"cocktail" for symptom reduction. If nothing else is working it is
probably worth a try - mostly becasue she can do so at the risk of Ontos,
Inc. If she is not satisfied, for any reason (even if using for a purpose
never anticipated) she can get her money back. If she does try it, please be sure to let us know the results!
The basic, non prescription product, alone might also be useful just for itch control.
Question: Ask MD? I have pretty persistent Seborreah around the nose and mask are of my face.
I have been to a dermatologist who tried steroid creams and then an
anti-fungal cream. Neither worked. What products do you offer that might
help?
Answer... This is a very difficult area to treat. Our Noble Formula, compounded with
.05% clobetasol (the most common formulation) would almost certainly clear
the problem, but I would not recommend that. It is too potent to be used
regularly on the face. Maybe for 2 weeks or so, just to get ahead of it,
but then switch to a less potent formulation. This would require a
prescription from your doctor- and again is a very potent combination to be
used only with caution.
Noble Formula-HC, our new OTC product with hydrocortisone (a mild
corticosteroid) might do the job. As it is a spray, you would want to
spray it onto your fingers, and dab around your face. Keep it out of your
eyes. This is what I would recommend, as you can purchase it at no risk
(full money back guarantee, including your postage) and it does not require
a prescription.
If NF-HC were not up to the task, asking your doctor to prescribe NF,
compounded with 1% triamcinolone, might be a reasonable "medium" strength
combination that could be used with reasonable safety around the face. The
compounding pharmacist we work with would be happy to process this for you.
The charges would be the same as NF-Rx with clobetasol.
Our staff would be happy to work with you on this. Call them at 888 4MY
SKIN (888.469.7546). Good Luck.
Question: Ask MD? will any of these products work with alopecia scalp conditions?
Answer... We have no reason to believe any product of Ontos,Inc would be helpful for
alopecia. Most patients do recover from typical alopecia, over several
months without medications. As with most self-limited conditons, however,
many things "seem" to work, because they were used just before natural
recovery took place. Unfortunately, some forms of alopecia are permanent.
Only your own doctor can really help you here. Good luck.
Question: Ask MD? I'm going to buy ZNP Bar. How many ounces is your ZNP bar? I live in Los Angeles, CA. Can you tell me about shipping rates and tax?
Answer... Our shipping rates are as follows:
1st cl Priority UPSP
up to 1 lb $5
up to 2 lbs $7
up to 3 lbs $9.8
UPS ground rates:
up to 1 lb $5.50
up to 2 lb $6.20
up to 3 lb $6.75
Znp Bar soap minimum weight 3.5 oz
1ea bar $5.50
2-3ea bar $5.25
4-9ea bar $5.00
10+ bars $4.75
Our bar soap is hand made. Sizes may vary, but will always be at least 3.5 oz. in weight.
Question: Ask MD? The first spot of inflammation appeared on my shin and is now 3" x 4" in size. Since I thought it was ringworm at first, I medicated it with over-the-counter ringworm medication, which, of course, did no good at all. There is a small spot within this very red and flaky patch which bleeds from time-to-time. Is this normal, or could I have something else developing?
Answer... I would love to take a guess at what is going on with your skin, but it
would be highly presumptuous of me and dangerous to you. You need to have
a careful diagnosis by your family physicain or dermatologist. THEN, we
can talk about whether any of the products of Ontos, Inc. might be of help.
I am espcialy conerned about a relatively new and otherwise not very
severe sounding lesion that is bleeding. You should have this checked out.
Question: Ask MD? I Have a face problem. There are some reddish in my cheeks and it grow very
fast when i go out in the sun. Please suggest me some home treatment to
avoid this reddish.If you have some yoga exercises to keep my skin healthy
Plz suggest me. I have a very fair complexion
Answer... Your description does not suggest that any of the products of Ontos, Inc,
are likely to be useful to you. You need a proper diagnostic evaluation by
your own doctor with treatment or other intervention chosen specifically for
you.
Question: Ask MD? Is there any treatment for Furnunculosis and atopic dermatitis? Have you
heard about staphvax and if so, where can I purchase it. One of my friends
found it on the net and told me about it. How do I stop massive flareups?
Do you think smoking has a big affect on the skin disorder which I have?
Answer... The furunculosis you refer to is, I presume, recurrent - that is a
continuing, ongoing, condition of skin infections and abscesses. Many
physicians are convinced that the reservoir for repeated self-infection
with the usually "Staph" organisms is from the nose. I have had personal
success treating patients with about 2 weeks of oral antibiotics along with
"Bactoban" (a brand name prescription ointment) to the nostrils (just put
it on your little finger and rub it about inside) twice each day for about
a month. Some go further and continue that process for one week of each
calendar month for a year. A Scandinavian study a few years ago reported
about 80% resolution of the problem by that method. The atopic dermatitis
may predispose you to such infections and is usually addressed, if not too
serious, by topical corticosteroid preparations, but it would be wise to
have the infections under control while (or before) using a corticosteroid.
Our new formulation of Noble Formula-HC with the strongest corticosteroid
available without a prescription might be helpful for your atopic
dermatitis - and you can try it with the usual full money back guarantee.
Noble Formula-HC will be available in January 2004.
Moisturizing products such as LacHydrin might also be helful.
Yes, of course, smoking contributes to your problem. It compromises the
ability of your nose to resist colonization with harmful bacteria and it
reduces the blood flow to your skin and its ability to defend and heal
itself. Stop the use of expensive poison.
The StaphVax will not be available in the US for about 2-3 years, at least.
It maybe in Europe by next year. You might be a good candidate if the
above suggestions have not resoled your problem by then.
Question: Ask MD? iam 26 old male doing master of computer applications.iam suffering with
psoriasis since when iam 3 years old.i used lot of medicines of
allopathy,ayurveda,homeopathy but no result.what is the medicine i have to
use.i dont smoke and drink.it is on my both knees and below the knees
Answer... It is so unfortunate that so many people suffer from psoriasis. The
disease is not yet fully understood, but it is unlikely that it results
from any behavior or habit that you have (or do not have) -- it is NOT your
fault. Severe flaking, inflamation, and itching might well respond to
Noble Formula to which a pharmacist has added the potent corticosteroid,
clobetasol. If your plagues are particulary thick, perhaps Noble Formula-S
might best be the vehicle used. It adds Salicylic Acid to help reduce
plaques. The additon of a potent corticosteroid, however, is a serious
medical undertaking that must be done under the supervision and by the
prescription of a physician. The staff at Ontos, Inc. would be happy to
talk to you by phone and help you find a physicain in your area to help you if
you do not have one. The new Noble Formula-HC might be of help to you, but
honestly, may not be sufficiently potent for serious disease. You could
TRY that if you wish, at the risk of Ontos, Inc., under the money back
guarantee. Just return it if not effective for a full refund.
Question: Ask MD? What exactly is Seborrhia? My husband has been diagnosed with it; unfortunately his Dr. isn't great about explaining things, nor is he good about asking things! He has been given several things to try and nothing seems to work. It looks terrible and he is ashamed of the look of it. Can you help us out? Thanks so much
Answer... Seborrhea is simply a descriptive word built from "sebum" - the oil of the
skin and "rhea" - meaning to "weep" or "flow" - thus, it is doctor talk
from the Latin for "oily skin." It comes in all degrees, of course. In
the typical case in the scalp, the oil combines with dead skin cells and
dust to make scales. These can become secondarily infected with both
bacteria or fungal elements. They can become quite bumpy and inflamed. I
know of no solution to the underlying problem, but there are many ways to
attack the symptoms. Most basic is good hygiene, just mechanically ensuring
that there are not residual crusts of oil and debris permitted to remain
on the scalp. Beyond that are various anti-fungal, and anti-inflammation
products.
Tretinoin (Retin-A) may over time reduce the number or
effectiveness of the sebocytes (cells that produce oil). Ketoconazole
shampoo is sometimes helpful. For this condition, however, I am quite
hopeful that a product of Ontos, Inc, may well be the right answer for you.
Depending on severity, I would expect Noble Formula-HC to be an excellent
product to try for this condition - with a money back guarantee. The basic
Noble Formula contains Zinc Pyrithione, which is both anti-fungal and
antiseptic. Its other ingredients tend to soften the plaques and enhance
absorption effects. It fights itching. The addition of hydrocortisone in
the HC formulation will work to reduce inflammation. In severe cases, a
more potent steroid might be recommended by your doctor, for instance
triamcinolone (or clobetasol for the truly severe case)- which can be formulated
with the basic Noble Formula by prescription, and used under doctor
supervision.
Question: Ask MD? For the last 6 years i suffered from red rushes/spots in the middle of my face , caused by seborrheic dermatitis.Tried lot of medicated shampoos and creams but never managed to clear up my rushes.Went through your site and found lots of products concerning my problem.I know that maybe u cannot give medical advices but i would be so pleased that you giude me with your products and maybe give me a correct treatment for my problem. With the correct treatment do i manage to clear up the rushes and then control seborrhea , or the rushes cannot never be cleared out?
Answer... Seborrheic dermatitis may last for years or never be fully resolved. Like
psoriasis and other chronic skin conditions it is CONTROLLED, not cured.
Many products help to control this frustrating condition. Not knowing what
you have tried makes it difficult to select, even among our own products
what will be best for you. Without a prescription I would suggest Noble
Formula HC. That is also not so potent as to be dangerous on your face.
Like any product, cotaining a corticostroid it should not be used
continuosly. Perhaps 3- 4 weeks would clear the problem, and then use
promptly on recurrances or continue to use in the area on weekends only to
retain supression. If this is not adaquate then asking your doctor to
write a prescription for Noble Formula compounded with triamcianlone 0.1%
might be a good idea. I would not recommend compounding with clobetasol for
the face, unless you were under careful supervsion and only for a short
time. If there is a lot of scaling and crusting, compounding with Noble
Formula-S might be the best bet. Good Luck.
Question: Ask MD? i go for tanning 4 times a week for my psoriasis, will it help me ,,
Answer... Many people find sunlight or tanning booths suppress their psoriasis.
Doctors sometimes prescribe a special light box with bulbs in the UV-A
spectrum that enhance this effect. BUT, all radiant energy comes at a
price. Excess sun, tanning booth or UV-A light can, we believe, predispose
the skin to cancers, and also to premature breakdown of structures leading
to earlier wrinkles. Thus while suppressing your psoriasis you may be
harming your skin. Everything in medicine, as in life, must be considered
in balance: risk vs. benefit. Corticosteroids work well on many cases of
psoriasis (especially when combined with Noble Formula, a product
available on this site)- but too much, too long can thin the skin or cause stretch
marks. Methotrexate works for some people, but can damage the liver.
Very few things whether prescribed by a doctor or "natural" as recommended by
friends are without risks if carried to excess.
For some people, alternating methods or combining them, successfully
avoids the toxicities of either. Thus, you might find that tanning only twice a
week, while also using a product like Noble Formula-HC or a stronger
prescription compounded Noble Formula with triamcinalone or clobetasol -
also at a reduced frequency- might work for you.
Question: Ask MD? Have you hear or seen psoriasis of the foot? It appears in the middle & heal of both feet.
Answer... Yes, the foot and anywhere a person has regular (epidermal, not mucous
membrane) skin. Inside the ear canals is especially frustrating. If your disease is mild you might do well with the non-prescription Noble Formula-HC. Good luck.
Question: Ask MD? How can you tell if you have eczema?
Answer... Dermatologic (skin) disease can only be diagnosed by examination. Eczema is the most common of the itching skin conditions and is usually at least a little red, and with a bit of scaling or sometimes small blisters. There are several forms and several variations on naming-- and multiple casues. Virtualy all forms of eczema are treated the same, however. Avoid the drying effect of excess exposure to water. Use moisturizers (Ontos sells an excellent one) and where necessary use a cortisone medicated product (again Ontos sells an excellent one, Nobel Formula-HC). For more serious cases your own physician may have other suggestions.
Dermatologic (skin) disease can only be diagnosed by examination.
Eczema is the most common of the itching skin conditions and is usually at least a little red, and with a bit of scaling or sometimes small blisters.
There are several forms and several variations on naming-- and multiple
causes.
Virtually all forms of eczema are treated the same, however. Avoid the drying effect of excess exposure to water. Use moisturizers (Ontos sells an excellent one) and where necessary use a cortisone medicated product (again Ontos sells an excellent one, Nobel Formula-HC). For more serious cases your own physician may have other suggestions.
Question: Ask MD? I am fourteen years old and I have eczema on my fingers, in the crook of my arm (the elbow area but on the other side) and around my eye. Recently the corner of my eye has been very dry, scaly, and when I put anything on it it stings like crazy. I want to use a natural way of treating my eczema, but I dont have any idea what to use. It would be nice to clear the stuff up around my eye, as I can't go a day without itching it. The stuff on my arm and finger is cleared up, it is just my eye. If you could help me, I would love it! Thank you!
Answer... I am sympathetic to your frustration with your chronic eczema. There are many successful ways to address fairly mild eczema. Noble Formula-HC may well be the perfect product for you (do not spray directly around the eye, but apply to your fingertips and use sparingly in that area). Frankly, a moderate strength corticosteroid like mometasone furoate (a brand name is Elocon) might be sufficient and your own family doctor could prescribe this at your local pharmacy.
But, you raised a much more interesting question when you tell us you wish to use a “natural way of treating my eczema.” THAT deserves some discussion.
The idea that some substances are “natural” and others are “unnatural” is a false and ultimately not helpful division. Man has ultimately, created NO substance on earth. It was all here, every atom of it (but for a bit of space dust that collects on our planet), provided for us in the beginning. I believe I know by whom, but that is a whole other discussion! Both nature and man can and do rearrange things – even down to the atomic level – but neither nature nor man create anything from nothing. Some of the things man or nature produces by this rearrangement are good for some things and bad for others.
For instance, the resin produced by the plant Poison Ivy is good for its protection but bad for your skin. The digitalis produced by the foxglove plant is good for its own needs and taken in the correct amounts may be good for some heart conditions; too much can kill a person. The hormone, insulin, produced by the human pancreases is important to regulate the blood sugar, but if made in too great an amount (as by tumor) it can put the person into a coma.
All of the processes of life are ultimately based on chemical reactions within the tissues of the plant, animal or person. All substances on earth, whether found or re-arranged by man or nature are chemical in their nature. Water can be described as “dihydrogen oxide” – a very important chemical. It can dissolve dirt from your body, hydrate your tissues – or drown you. It all depends on how it is used.
Science is the process of collecting and organizing the observations of many people as to how things work. Thus, we learn about chemicals and chemical processes that go on all the time in our bodies. We further, learn of chemicals (like water and food and the air we breathe) that are essential to life. Through observation we have learned that some things we eat or drink or breathe are usually good for us, and some are bad. Socrates, the ancient philosopher, knew that the hemlock – from a plant – he was given to drink would kill him. Many people have learned that the chemical produced as a product of rotting vegetable matter – alcohol, will make them feel happy in small amounts, sad in larger amounts, and dead if in true excess.
Some people have observed that rubbing wounds with the moist edges of a succulent plant, aloe vera, seems to speed their healing. That plant is now grown and crushed and the fluids extracted and bottled for that purpose - a pretty simple process.
Others are convinced that the hormone progesterone, produced inside a woman’s body, when applied to her skin, can help her in various ways – but making progesterone in the laboratory is not easy and would be regulated tightly by the federal government. So they start with the Soya bean that has a chemical compound in it that is similar. Then through about 14 chemicals steps it is made to be identical to that made in a woman’s body. This is more complex than the aloe vera example, but it started from nature and ended up identical to a normal human hormone. Is that still “natural?” I want you to say: “that is a meaningless question.”
The action of ALL of the examples above – whether for good or for bad remains a chemical process. The only real question then is not whether
something is “natural” but “is it good for me?” It is important to learn whether ANY chemical put onto our bodies or taken into us is going to help or hurt – or more usually what is the balance between helping and hurting.
Asprin, originally extracted from the bark of the willow tree, now made in the laboratory, can relieve a headache and reduce the risk of heart attacks – but it can also cause allergies, asthma, and ulcers. Knowing how and when to use a chemical so that we gain its benefits and minimize its harms is at the heart of the modern sciences of medicine and pharmacology.
Relevant to your particular skin condition are a class of chemicals made in your own adrenal glands, called "corticosteroids"-there are several of them.
These are very important to your health. Medical scientists have known for many years that these compounds fight inflammation, and that when applied to the skin reduces itching, redness, swelling, flaking, etc. Over the years, we have learned what chemical properties are necessary to make this happen. By adjusting these chemicals a bit we have re-arranged them so that we have some very mild ones and some very potent ones.
Very mild ones seldom pose much risk of harm, but of course, may not work as well. Very potent corticosteroids can actually, over time injure your skin, and rarely if absorbed into your body in sufficient quantity injure your health as well. That is why all but the mildest corticosteroids require a prescription from a doctor.
Noble Formula – HC contains the mild corticosteroid called “Hydrocortisone.” It does not require a prescription. Noble Formula Rx contains the super potent corticosteroid “Clobetasol” and cannot be sold without a prescription. Knowing how to choose safely between these and thousands of other products is WHY you should see and trust your doctors.
Also, sometimes combining one or more chemical can enhance its beneficial effects without increasing the risk of bad results. That is why in Noble Formula products, the corticosteroid is combined with other carefully selected ingredients (including a thin oil and a mild detergent).
Now, having said, that “natural” vs. “un-natural” is not the proper question (“safe” vs. “unsafe” and “effective” vs. “ineffective” are the right questions) I will share with you some of the other ideas some people have had for treating eczema.
Eczema gets worse in winter, because we heat our homes and thus dry out our skin. Thus, a simple humidifier in your room may help. Emollient skin creams and oils may help preserve your natural moisture (there are many). These are best put on after a bath, when your skin is well hydrated. Alpha hydroxy acid preparations actually add moisture to the skin (careful around the eyes). Ontos, Inc. sells an excellent product combining both effects, called Emu-lac.
Internally, some have found that modifying the types of oils they eat seems to help their eczema. Thus, Evening Primrose Oil (rich in gamma-linolenic
acid-GLA) in large amounts (12, 500 mg capsules per day) has been shown effective in some small research studies (and ineffective in others). Borage oil also has GLA, but is even less well supported by scientific observation. Similarly, fish oil (rich in eicosapentaenoic acid - EPA) in large amounts (in most forms about 10 capsules daily, providing 1.8 grams of EPA) has helped some people.
Vitamin E is pretty much shown not to help. Vitamin C (about 50 mg per day) might help (with very little evidence). Various herbs (chamomile, burdock,
clover) have been traditionally applied to various skin ailments. There is no serious evidence of effectiveness. And remember if an herbal product works, then it is because of its chemical effect – and just like a doctor prescribed medicine, must be carefully judged as to whether that effect is good or bad for you.
It is always worth carefully studying your own habits to determine if there is a particular trigger to your eczema. Sometimes that is external (like a soap or fabric softener), too much washing (water is actually drying to the skin, as it strips off protective oils) or internal (like a food intolerance or even your emotions). Some of the reported food intolerances include: cows' milk, egg, wheat, soy, nuts, food additives, benzoates, and spices. If you must be in water a lot or around skin irritants (dishwashers, gasoline pump attendants, insecticide sprayers, etc.) you should wear gloves or a surface shield like Gloves-in-a-bottle (found in hardware stores or from this web site). Most of the time, a specific trigger is not identified.
This has been a much longer answer than usual. In part, because, lots of people have asked the same kind of question, but mostly because I like 14-year-old kids, and I think you are bright enough read and understand a more complete answer. In fact, a kid bright enough to do their own Internet search, and with confidence enough to write out their own question would make a fine doctor. Why don’t you plan on that? About the time you finish I will be ready to retire and you can come take over my practice in Olympia, WA.
Question: Ask MD? I have had eczema for several years. It seems my skin isn't as bad during the spring and summer, but in the winter as it gets colder, my skin gets very bad. why is this? is there anything i can get for it?
Answer... Yes. Virtually all of the products sold on this web site are designed to reduce symptoms of eczema. I would suggest you try Noble Formula-HC, with the Noble Formula Cleansing Bar and the Emu-Lac moisturizing cream. See also a much more comprehensive answer regarding eczema addressed to a young inquirer, above.
Eczema gets worse in winter, because we heat our homes and thus dry out our skin. Thus, a simple humidifier in your room may help. Emollient skin creams and oils may help preserve your natural moisture (there are many). These are best put on after a bath, when your skin is well hydrated. Alpha hydroxy acid preparations actually add moisture to the skin (careful around the eyes). Ontos, Inc. sells an excellent product combining both effects, called Emu-lac.
Internally, some have found that modifying the types of oils they eat seems to help their eczema. Thus, Evening Primrose Oil (rich in gamma-linolenic
acid-GLA) in large amounts (12, 500 mg capsules per day) has been shown effective in some small research studies (and ineffective in others). Borage oil also has GLA, but is even less well supported by scientific observation. Similarly, fish oil (rich in eicosapentaenoic acid - EPA) in large amounts (in most forms about 10 capsules daily, providing 1.8 grams of EPA) has helped some people. Vitamin E is pretty much shown not to help. Vitamin C (about 50 mg per day) might help (with very little evidence). Various herbs (chamomile, burdock, clover) have been traditionally applied to various skin ailments. There is no serious evidence of effectiveness. And remember if an herbal product works, then it is because of its chemical effect – and just like a doctor prescribed medicine, must be carefully judged as to whether that effect is good or bad for you.
Question: Ask MD? I have been diagnosed with lichen planus. I have had it on my legs for 3 years now. When I first got it, it left brown spots on my legs. I only occasionally have itching from it, but the spots have not gone away. My doctor recently put me on Mometasone Furoate for the itching. My question is, will the brown spots ever go away? I haven't been able to wear a dress or shorts for 3 years now. I can't go on vacation to the beach or go to the pool or any of the things I've always done because of this condition. It really has changed my quality of life and I am desperate to get rid of the spots on my legs. Is there anything that will make them go away or at least fade them?
Answer... The cause of Lichen planus is unknown. It is fairly rare, so good information is somewhat limited. Both genetics and compromise to the immune system may play a role. In most cases the purplish, sometimes white streaked or rough raised lesions will resolve on their own in about 6 – 18 months. Larger lesions, especially on the legs, may leave permanent discoloration and scaring. Unfortunately, you seem to be in this group.
For the acute phase of Lichen Planus, especially for the heaped up, hypertrophic variety, Noble Formula Rx (with the potent steroid clobetasol, added on the prescription of your physician) has been very effective for some clients. The non-prescription Noble Formula-HC may be sufficient for mild cases, or for residual itching, such as you now suffer from. But, it sounds like you are past this acute phase and are most concerned with the cosmetic aftermath.
There are many approaches to reducing the intensity of abnormal areas of pigmentation. These include freezing, abrasion (sanding), light electric burning, various acids and bleaches and laser (with or without dye) – which may be the best approach. Most involve in some manner destroying the upper layer of the skin, and hoping new skin returns without excess pigment. Especially in your situation, I would strongly urge that only an experienced dermatologist undertake such efforts.
Question: Ask MD? I have had eczema as long as I can remember. I am over my mid 20s. I was using 0.5% hydrocortisone cream over my entire body, after every shower/any other time my skin would get wet for over ten years, as permitted
by my old dermatologist. Is it possible for that cream to do some damage to me? For example, my internal organs, other skin issues?
Another doctor prescribed Elidel for me to use. He said that I should not use coritcosteroids anymore. I had a break out (a lot of small, red bumps everywhere) pretty quickly, I stopped using it right away. I find that ointments make me more itchy as well, as opposed to using the cream bases...i.e. elocom ointment made me really red and itchy, but the cream worked really well. I am having a really hard time finding a cream to replace my 0.5% Cortate cream.
Is it possible for that cortate cream to cause any major side effects after usage of ten or more years?
I am currently using Eucerin cream, but it feels like it may be too heavy...the original lotion seemed to dry me up in the winter, like my bad areas got worse...but is there a difference between the original lotion and the 10%USP lotion? I have a sample of the 10% USP that I've been using and it seems ok, but I don't know if it's just because it's been really hot and humid around here. Now, when I use Eucerin for more than two days without applying anything else, I get a little breakout and if I do not use any corticosteroid (elecom/cylcocort) on the areas, it just keeps getting worse. I have been covering my whole body because of this, but my face is yet to get off of the 0.5% cortate cr, any cream that I've been using on my face has been making little hives appear within days.
Answer... First, it is highly unlikely that .5% hydrocortisone cream (or ointment) will put you at significant risk to either your skin or to your internal
organs. Elocon has been used safely on babies for up to a year, daily, without apparant harm, but it is more potent than the .5% hydrocortisone.
Eucerin is an emoilent that coats your skin to avoid moisture loss. Some products can actually add moisture to your skin. Ontos, Inc has formulated an
excellent moisturizing AND emoilient cream called Emu-lac. You may wish to try that.
As to specific advice for YOU, that really is not possible without seeing your skin. You should seek the advice of a local physician. Good luck.
Question: Ask MD? I have abrasions in my scalp.Doctors told me that it is not dandruff.It causes lot of itching.During nights , without my knowledge I continue to scratch my scalp.As result lot of hair loss occurs.Is there any cream which reduces my itching ? can I apply Burnol on my scalp ?Or after shave lotion on my hair ?
Answer... It is impossible to know what is happening to your scalp without examining you, but it sounds like you may be triggering a scalp eczema by your scratching, which makes you itch, which makes you scratch, which causes more eczema, which makes you itch, which .... you get the picture. The Noble Formula HC might be an excellent product for you. If not, ask for your money back from Ontos, Inc. As to other lotions, they may or may not hurt, and, only if you have open sores are they likely to sting a bit because many, including Noble Formula, contain some alcohol.
Question: Ask MD? I currently am a very happy user of your spray. For those breathrough times, which product would you recommend from the over-the-counter line?
Answer... I am pleased our products are helping you. It is a bit unclear what you are actually using. If you are currently controlling your symptoms with Noble Formula, but occasionaly suffer a flare up that it does not seem adaquate to address, then the answer is clear. Use the Noble Formula HC.
If, per chance, that is already what you are using, then you would need to move to a prescription strength product to regain control, Noble Formula-Rx as prescribed by your doctor. The goal should always be to control your symptoms adaquately (not necesarily 100%) by the use of as little product as possible at the least potency. That is true for the treatment of ANY condition by ANY product - that is just good sense. Thus, when necessary, you also move "up" one step at a time unless in a critical situation. Good luck. Thank you for looking to Ontos to assist you.
Question: Ask MD? What do you reccomend for pityriasis ruba pilaris are your products safe for facial tx? Thank you.
Answer... As you may be aware no treatment has consistently been found helpful over the long term for the plaques of PRP. Corticosteroids have been used as has Calcipotriol (Dovonex) - in other words, because they look sort of similar, most doctors try the things that have some benefit for psoriasis, though they are not the same disease. Certainly a prescription from your doctor for Noble Formula Rx (compounded on his or her order with 0.05% clobetasol - a potent corticosteroid) would be our best bet. In fact the Noble Formula - S -Rx which adds also salicylic acid might be the most effective topical product available. As this would contain a potent corticosteroid you will need to follow the precautions carefully, but there are rarely problems with reasonable use.
Ontos, Inc. has limited experience in the use of our products for PRP, but it is worth a try - at the company's risk. If not satisfied, return for full refund. Do NOT use a potent, compounded, product on your face. If there were lesions there, you could probably use the over the counter strength Noble Formula-HC with reasonable safety in that location.
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