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	<title>Comments on: Irritable Bowel Syndrome: IBS Symptom and Symptom Journal</title>
	<link>http://www.irritablebowel-relief.com/2008/02/09/irritable-bowel-syndrome-ibs-symptom-and-symptom-journal/</link>
	<description>IBS Diagnosis, IBS Management, IBS diet, IBS Alternative therapy, Nutrition and IBS, Aloe vera, aloe vera gel, aloe vera weight management, chinese slim patch, acid reflux, aloe vera and ibs, ibs and aloe vera, aloe vera ibs reliefcorporate downsizing, redundant, credit card debt, pensions, retire, retirement, future retirement, secondary income, financial future, lifestyle, financial independence, low risk, low investment, financially rewarding, home-based business, home based business, business opportunity, proven work from home business, home based work in uk, easy home based business idea, part time jobs working at home, opportunity selling products, uk small business opportunity, business opportunity promotional products, profitable small business opportunity, business opportunity health products, part time jobs in uk, part time work uk, starting small business steps, starting small business uk”</description>
	<pubDate>Wed, 07 Jan 2009 00:28:58 +0000</pubDate>
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		<title>By: PripseOrece</title>
		<link>http://www.irritablebowel-relief.com/2008/02/09/irritable-bowel-syndrome-ibs-symptom-and-symptom-journal/#comment-87</link>
		<author>PripseOrece</author>
		<pubDate>Tue, 27 May 2008 05:11:48 +0000</pubDate>
		<guid>http://www.irritablebowel-relief.com/2008/02/09/irritable-bowel-syndrome-ibs-symptom-and-symptom-journal/#comment-87</guid>
		<description>Isotretinoin, when administered orally, is best absorbed when taken after a high fat meal, as it has a high level of lipophilicity. In a crossover study, it was found that the peak plasma concentration more than doubled when taken after a high fat meal versus a fasted condition. Isotretinoin is primarily (99.9%) bound to plasma proteins, mostly albumin. At least three metabolites have been detected in human plasma after oral administration of isotretinoin. These are 4-oxo-isotretinoin, retinoic acid and 4-oxo-retinoic acid. Isotretinoin also oxidises, irreversibly, to 4-oxo-isotretinoin. The metabolites of isotretinoin are excreted through both urine and feces. The mean elimination half-life is 21 hours, with a standard deviation from this mean of 8.2 hours.  
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Skin and Appendages: acne fulminans, alopecia (which in some cases persists), bruising, cheilitis (dry lips), dry mouth, dry nose, dry skin, epistaxis, eruptive xanthomas,7 flushing, fragility of skin, hair abnormalities, hirsutism, hyperpigmentation and hypopigmentation, infections (including disseminated herpes simplex), nail dystrophy, paronychia, peeling of palms and soles, photoallergic/photosensitizing reactions, pruritus, pyogenic granuloma, rash (including facial erythema, seborrhea, and eczema), sunburn susceptibility increased, sweating, urticaria, vasculitis (including Wegener's granulomatosis; see PRECAUTIONS: Hypersensitivity), abnormal wound healing (delayed healing or exuberant granulation tissue with crusting; see PRECAUTIONS: PATIENT INFORMATION)  
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From the time of its introduction the drug was known to have teratogenic potential, and pregnancies with the drug were strongly discouraged. When they occurred, they were found to have approximately 30% rates of congenital malformation, versus a 3-5% baseline risk.] Beginning in 1998, prescriptions of the drug came under scrutiny, as fewer than half of prescribers were testing for pregnancy, usually relying on less sensitive urine tests.] On the grounds that pregnancies by women taking the drug had been underreported by the manufacturer between 1982 and 2000, and that once generic manufacturers entered the market risk management was no longer centralized, the FDA instituted restrictions on prescribing and dispensing the drug, first with the "System to Manage Accutane Related Teratogenicity" (SMART) in 2000, and subsequently the iPLEDGE program in 2006. A retrospective cohort study recently found that pregnancy rates were quite high during the period (1 per 30 women per year), but 84% of pregnancies were ended by induced abortion.]</description>
		<content:encoded><![CDATA[<p>Isotretinoin, when administered orally, is best absorbed when taken after a high fat meal, as it has a high level of lipophilicity. In a crossover study, it was found that the peak plasma concentration more than doubled when taken after a high fat meal versus a fasted condition. Isotretinoin is primarily (99.9%) bound to plasma proteins, mostly albumin. At least three metabolites have been detected in human plasma after oral administration of isotretinoin. These are 4-oxo-isotretinoin, retinoic acid and 4-oxo-retinoic acid. Isotretinoin also oxidises, irreversibly, to 4-oxo-isotretinoin. The metabolites of isotretinoin are excreted through both urine and feces. The mean elimination half-life is 21 hours, with a standard deviation from this mean of 8.2 hours.<br />
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Skin and Appendages: acne fulminans, alopecia (which in some cases persists), bruising, cheilitis (dry lips), dry mouth, dry nose, dry skin, epistaxis, eruptive xanthomas,7 flushing, fragility of skin, hair abnormalities, hirsutism, hyperpigmentation and hypopigmentation, infections (including disseminated herpes simplex), nail dystrophy, paronychia, peeling of palms and soles, photoallergic/photosensitizing reactions, pruritus, pyogenic granuloma, rash (including facial erythema, seborrhea, and eczema), sunburn susceptibility increased, sweating, urticaria, vasculitis (including Wegener&#8217;s granulomatosis; see PRECAUTIONS: Hypersensitivity), abnormal wound healing (delayed healing or exuberant granulation tissue with crusting; see PRECAUTIONS: PATIENT INFORMATION)<br />
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From the time of its introduction the drug was known to have teratogenic potential, and pregnancies with the drug were strongly discouraged. When they occurred, they were found to have approximately 30% rates of congenital malformation, versus a 3-5% baseline risk.] Beginning in 1998, prescriptions of the drug came under scrutiny, as fewer than half of prescribers were testing for pregnancy, usually relying on less sensitive urine tests.] On the grounds that pregnancies by women taking the drug had been underreported by the manufacturer between 1982 and 2000, and that once generic manufacturers entered the market risk management was no longer centralized, the FDA instituted restrictions on prescribing and dispensing the drug, first with the &#8220;System to Manage Accutane Related Teratogenicity&#8221; (SMART) in 2000, and subsequently the iPLEDGE program in 2006. A retrospective cohort study recently found that pregnancy rates were quite high during the period (1 per 30 women per year), but 84% of pregnancies were ended by induced abortion.]</p>
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	<item>
		<title>By: Enzypeeagepay</title>
		<link>http://www.irritablebowel-relief.com/2008/02/09/irritable-bowel-syndrome-ibs-symptom-and-symptom-journal/#comment-75</link>
		<author>Enzypeeagepay</author>
		<pubDate>Wed, 14 May 2008 23:49:09 +0000</pubDate>
		<guid>http://www.irritablebowel-relief.com/2008/02/09/irritable-bowel-syndrome-ibs-symptom-and-symptom-journal/#comment-75</guid>
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