Thursday, March 19, 2009
The $160 Cream
Dr. Justine Park at Children's Hospital prescribed a new cream for Bambino called Dovonex. We were surprised at how much it cost - a little more than $160! Insurance covered only $56 and we paid for the rest. The doctors said it's a prescription strength Vitamin D and only to be used every four days.
We're hoping that we would see results considering how expensive it is.
These are the the current topicals that I use on him: Derma-Smoothe on his scalp, Cutivate on affected areas, Bactroban on areas most susceptible to infection (diaper area & open sores), Nystatin or Ketoconazole when there's a possibility of fungal infection - especially while he is on oral antibiotics like now. I also use Refresh and Erythromycin ophthalmic ointment on his eyes to avoid keratitis. Epiceram is another costly cream we used for a day and had to stop because it seemed to sting.
During bad break-outs, I stop using steroids or any other harsh chemicals on him because of the danger of systemic absorption due to his compromised skin barrier.
These are what I use regularly, whether his skin is clear or otherwise:
Robathol Bath Oil added to his bath water, then I lather him up generously with Aquaphor while his skin is still damp from the bath.
Fortunately, Bambino gets a free supply of Aquaphor from this great company Beiersdorf. He goes through each jar so fast because he is practically coated with it all the time!
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