Identifying Authenticity: Concerns About Your Dermatology Medication - Dermatology

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Hello, I purchased a medication called Ropivacaine from a dermatology clinic and checked it by dissolving it in water.
It indeed dissolved quickly within 15 to 20 seconds.
However, I am still concerned because I noticed that the packaging of the 28-count boxes of Ropivacaine I bought all have the same serial number.
In some boxes, the pills are arranged in the order of 1, 2, 3, 4, while in others, they are arranged as 1, 3, 4, 6.
Could this be a sign of counterfeit medication? Taking counterfeit drugs could not only delay treatment but also potentially harm the body.
What other identifying features can I look for on the packaging?

Bill, 20~29 year old female. Ask Date: 2003/06/30

Dr. Huang Ruiyun reply Dermatology


For inquiries regarding counterfeit drug identification, please contact Merck Sharp & Dohme (MSD) at (02) 2378-1818.

Reply Date: 2003/06/30

More Info


When it comes to dermatological medications, particularly topical treatments like Mometasone Furoate, it is essential to understand how they interact with other products, such as moisturizers. Your concern about the interaction between the steroid cream and the lotion is valid, especially given the changes in your environment from Taiwan to Europe, where the climate is colder and drier.
Topical corticosteroids like Mometasone Furoate are commonly prescribed to reduce inflammation and treat various skin conditions, including eczema, psoriasis, and dermatitis. They work by suppressing the immune response in the skin, which helps to alleviate symptoms such as redness, swelling, and itching. However, the effectiveness of these medications can be influenced by several factors, including the application technique, the timing of application, and the presence of other products like moisturizers.

In your case, using Mometasone Furoate followed by a moisturizer may not be yielding the desired results due to the timing and method of application. It is generally recommended to apply topical steroids first and allow them to absorb into the skin before applying any other products. This is because moisturizers can create a barrier that may prevent the steroid from penetrating the skin effectively. Therefore, if you are applying the lotion immediately after the steroid, it might be hindering the steroid's action.

Moreover, the dry and cold climate in Europe can exacerbate skin conditions, leading to increased dryness and irritation. It is crucial to maintain proper skin hydration, especially in such environments. Applying a moisturizer after the steroid has absorbed can help lock in moisture and prevent further irritation. However, if the symptoms persist, it may be worth considering whether the moisturizer itself is contributing to the problem. Some lotions can contain fragrances or other irritants that may not be suitable for sensitive skin.

As for your question about stopping the lotion, it might be beneficial to try applying the steroid alone for a few days to see if there is any improvement. If the symptoms improve, you can then gradually reintroduce the moisturizer, ensuring that you apply it after the steroid has had time to absorb. If the symptoms do not improve or worsen, it would be wise to consult a dermatologist for further evaluation and possibly a different treatment approach.

Regarding your concern about the authenticity of your dermatology medication, it is crucial to be vigilant about the medications you purchase. The fact that multiple boxes have the same serial number and inconsistent pill arrangements could raise red flags about their authenticity. Counterfeit medications can pose serious health risks, including ineffective treatment and harmful side effects.

To verify the authenticity of your medication, consider the following steps:
1. Check Packaging: Authentic medications typically have high-quality packaging. Look for any signs of tampering, such as broken seals or unusual labeling.

2. Consult a Pharmacist: If you have concerns about the medication, consult a pharmacist. They can help verify whether the medication appears legitimate based on their knowledge of the product.

3. Contact the Manufacturer: Reach out to the manufacturer directly. They may have resources to help you verify the authenticity of the product.

4. Report Concerns: If you suspect that you have purchased counterfeit medication, report it to the local health authorities. They can investigate and take appropriate action.

5. Use Trusted Sources: Always purchase medications from reputable pharmacies or healthcare providers to minimize the risk of counterfeit products.

In conclusion, while topical steroids like Mometasone Furoate can be effective for treating skin conditions, their efficacy can be influenced by how and when they are applied, especially in conjunction with moisturizers. If you have concerns about the authenticity of your medication, take proactive steps to verify it and consult healthcare professionals for guidance. Your health and safety should always be the top priority.

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