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mometasone fumorate 0.1% may be used in milder cases or when symptoms are under control Typically once daily at night A thin smear applied to the affected areas Typically required for 1-3 months daily and then dose can be reduced to once or twice weekly when symptoms are under control Works well to control the itch Skin appearance may improve or even return to normal, but not always A 30g tube should typically last 3-6 months Be aware of over-use of cream Red irritated skin increased risk of thrush Burning pain Follow-up after one month to assess the effectiveness of treatment Extra-genital lesions typically respond well to topical steroids Topical oestrogen May be tried May be of some benefit in some patients Of most benefit when there is also co-existing atrophic vulvovaginitis Oral therapies Reserved for resistant cases Typically used under the supervision of a specialist Options include: Oral steroids Oral retinoids e.g

Today, the existence of non-combustible nicotine products has created a totally different nicotine landscape

This includes both economic damages (wage loss, loss of future wages, past medical expenses, future medical expenses, loss of a spouses services) and non-economic damages (pain & suffering, mental anguish, loss of enjoyment of life, loss of a loved ones companionship and protection)

While the idea of withdrawals and quitting can be intimidating, the sooner you end this habit, the sooner your body can achieve long-lasting health benefits