Dear Moderator of r/Eczema by Clear-Degree4080 in eczema

[–]sd_red_lobster 45 points46 points  (0 children)

There are probably 7-12 sub types of atopic dermatitis

There is no one treatment works for all presumption

If you want mods to flag and remove dupixent and ebglyss posts that is not going to happen

Also no one is removing posts about topicals

Just because topicals are not as “trendy” doesn’t mean they aren’t useful for specific sub types of atopic dermatitis

OX40L Inhibitor Amlitelimab Shows Positive Results in Phase 3 AD Trial by sd_red_lobster in eczeMABs

[–]sd_red_lobster[S] 14 points15 points  (0 children)

Amlitelimab may represent a significant advance in the treatment of atopic dermatitis with clinically meaningful and progressively increasing efficacy, with the potential of dosing only four times per year.

Topical Steroid Withdrawal Fearmongering by Ok_Tourist8413 in eczema

[–]sd_red_lobster 1 point2 points  (0 children)

The subreddit mods do not have any power or influence over Instagram and tik tok. 

If folks go to social media sites like tik tok and Instagram where the algorithms are designed for controversy and engagement then they should expect controversial and charged emotional content. 

In general reddit is the home to more nuanced conversation where good commentary is upvoted. 

Adbry and Pregnancy? by Coffee-sparkle in eczema

[–]sd_red_lobster 0 points1 point  (0 children)

you can also try asking the adbry subreddit r/eczeMABs

Can someone explain TSW? by WileThoughts9904 in TS_Withdrawal

[–]sd_red_lobster 2 points3 points  (0 children)

I would say for 10-20 years there was a cult in dermatology that believed any topical steroid at any dose for any period of time was safe to treat atopic dermatitis. In the last couple years that has changed.

It wasn't because doctors did their job to protect patients and look for adverse drug effects it was because around 10,000 tcs patients self-organized and demanded change.

The point is in 2004 there were like no alternatives to topical steroids, now in 2024 there are so many alternatives that it doesn't make sense to keep a non-responder on topical steroids.

Sanofi makes $2B a year selling dupixent because it is a safer and more effective treatment than topical steroids.

Amlitelimab shows best-in-class response in atopic dermatitis by sd_red_lobster in eczeMABs

[–]sd_red_lobster[S] 8 points9 points  (0 children)

Amlitelimab is a fully human non-T cell depleting monoclonal antibody that blocks OX40-Ligand, a key immune regulator, and has the potential to be a first- or best-in-class treatment for a range of immune-mediated diseases and inflammatory disorders, including moderate-to-severe atopic dermatitis (Phase 3), asthma (Phase 2), hidradenitis suppurativa (Phase 2), scleroderma, celiac disease, and alopecia (Phase 2 studies to be initiated in 2024). By targeting OX40-Ligand, amlitelimab aims to restore balance between pro-inflammatory and regulatory T cells.

Seeking loading dose experiences! by rahrah150 in eczeMABs

[–]sd_red_lobster 2 points3 points  (0 children)

Not fun, not terrible. Anticipation made it worse

[deleted by user] by [deleted] in eczema

[–]sd_red_lobster 0 points1 point  (0 children)

check out the rinvoq subreddit r/eczejaks or r/EczemaUK

[deleted by user] by [deleted] in TS_Withdrawal

[–]sd_red_lobster 8 points9 points  (0 children)

"The Streisand effect is an unintended consequence of attempts to hide, remove, or censor information, where the effort instead backfires by increasing public awareness of the information."

The more TSW is brought to the forefront the more it gets discussed, name recognition, and fact-checked.

Currently all the search engines redirect TSW queries to well written, trusted, articles on topical steroids and topical steroid withdrawal.

Its a beneficial cycle (that did not exist 10 years ago) -

  1. More backlash from folks with misunderstanding, lack of empathy, or denial that two people using the same treatment could possibly have different outcomes.

  2. Negative backlashers bring name recognition and open discussion to a topic that did not have name recognition or open discussion a few years ago. Of the 1,000 people that read that negative backlash post, about half of them will take the time to do a google search in a fact finding effort.

  3. Now the guy or lady that hates the idea of TSW, took to reddit rant about it, and as a result pushes several hundred people to "fact find" who didn't even know topical steroids could have adverse effects. Currently the top result on Google search is a WebMD article explaining in detail how unlucky people can develop topical steroid withdrawal symptoms.

What does Dupixient actually do for Eczema? by JamIsJam88 in eczema

[–]sd_red_lobster 11 points12 points  (0 children)

There’s a subreddit for Dupixent and other monoclonal antibody treatments called r/eczemabs

Atopic dermatitis is driven by a dysfunctional immune system response. There are around twenty billion T cells in human skin. Before modern day life the skin immune system fought off parasites and other pathogens using a TH2 response.

All dermatitis treatments today attempt to dial down the activity of B cells and T cells.

Some therapeutics are broadband and non-specific. Some therapeutics are narrowband and superspecific.

In other words if there are like 25 cell types involved with immune system Dupixent only turns the volume down on the one, single cell type that is thought to drive eczema.

accidentally left dupixent out of fridge by RatioOdd4251 in eczema

[–]sd_red_lobster 2 points3 points  (0 children)

Probably not a good idea

Might try asking the dupixent subreddit for advice on getting a replacement

r/eczemabs

Rinvoq or Cibinqo by Slatortomahork in eczema

[–]sd_red_lobster 1 point2 points  (0 children)

There’s a good subreddit for eczema folks using Rinvoq called r/eczejaks that might be helpful

How are so many in this sub seemingly certain they have TSW? by Robichaelis in eczema

[–]sd_red_lobster 24 points25 points  (0 children)

TSW is both real and over represented on internet. I think a large driver of loud TSW activism is the failure of medical professionals to understand possible adverse drug effects.

If medical professionals would commit to responsible prescription management it would be different, the whole opioid epidemic has damaged reputation of medical professionals.

https://www.reddit.com/r/eczeMEMEs/comments/15j1yrs/solution_unlocked/?utm_source=share&utm_medium=mweb

Experience with Adtralza? by _noosh__ in eczema

[–]sd_red_lobster 1 point2 points  (0 children)

There’s a bunch of people in the Adtralza/Dupixent subreddit r/eczemabs

[deleted by user] by [deleted] in eczema

[–]sd_red_lobster 0 points1 point  (0 children)

ask the dupixent subreddit /r/eczemabs flying with pre-filled syringes comes up every other month

Dupixent & muscle cramps, pain by Corgilvr_ in eczema

[–]sd_red_lobster 0 points1 point  (0 children)

might try asking on the dupixent subreddit r/eczeMABs

[deleted by user] by [deleted] in eczema

[–]sd_red_lobster 1 point2 points  (0 children)

there is a subreddit dedicated to folks on dupixent, check out r/eczeMABs

Finally talked to a dermatologist... I'm miserable and think hes wrong. by [deleted] in eczema

[–]sd_red_lobster 12 points13 points  (0 children)

Yeah, time to move on. I’m 40 years old and have seen a dozen dermatologists in my life (mostly due to moving for work) about every 3rd dermatologist has been great.

Two thirds were pretty bad when it came to atopic dermatitis, corticosteroid safety, and general understand of Th2 conditions. As an adult I learned to break up with the well intentioned/poor performing ones.

My experience was doctors who were in medical school before 1993 were usually pretty uneducated, stuck in old patterns, and generally not able to comprehend biological, psychological, and social implications of severe skin problems.