iPulse smooth skin - Page 15

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MEDICINES FOR PAIN RELIEF AND
SWELLING, INCLUDING INFLAMMATORY
AND RHEUMATOID CONDITIONS
Celecoxib
Diclofenac
Etanercept
Felodipine
Gold
Ibuprofen
Indometacin (Indomethacin)
Mefenamic acid
Meloxicam
Naproxen
Piroxicam
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Tolfenamic acid
MEDICINES TO TREAT ALLERGY
Chlorphenamine (Chlorpheniramine)
Ciproheptadine
Diphenhydramine
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MEDICINES TO TREAT OR
PREVENT MALARIA
Chloroquine
Quinine
MEDICINES FOR EPILEPSY
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Phenytoin
MEDICINES FOR STOMACH PROBLEMS
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Mebeverine
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OTHER MEDICINES FOR VARIOUS
CONDITIONS
Alendroic Acid (Alendronate)
Betahistine
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Botulinium toxin (Botox)
Collagen Injections
Glucosamine
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Evra Contraceptive Patch
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Tacrolimus
Appendix A
What’s your Light blue, Blue, grey Dark blue, Dark Brownish
eye colour? grey or or green grey or green, brown black
green Light brown
   dg]VoZa
Natural hair colour in Sandy Red Blonde Dark blonde, Brown Black
area of treatment? chestnut, or
light brown
Your natural skin colour Reddish Pale Beige or Brown Dark
in unexposed areas? olive brown
How many freckles Many Several Few Hardly any None
do you have in
unexposed areas?
If you stay in the Painful Mild Sometimes Rarely Never
midday sun without redness, blistering burns with burns burns
suncream, what blisters, followed mild peeling
happens? peeling by peeling
Do you turn brown  CZkZg HZaYdb HdbZi^bZh D[iZc 6alVnh
after being in the sun?
How brown do you get? CdiWgdlc A^\]iIVc BZY^jbiVc 9Vg`iVc KZgnYVg`
at all tan
Is your face sensitive  KZgn HZch^i^kZ CdgbVa GZh^hiVci CZkZg]VkZ
to the sun? sensitive a problem
How often do you tan? CZkZg HZaYdb HdbZi^bZh D[iZc 6alVnh
When was your last tan? + 3 months 2 – 3 1 – 2 Weeks ago Within the
ago months ago months ago last few days
TOTAL FOR EACH COLUMN
0
Appendix B—Skin Tone Questionnaire
Total Score (adding together all the column totals)
JhZi]ZidiVahXdgZidYZiZgb^cZndjg;^ioeVig^X`H`^cIneZjh^c\i]ZiVWaZWZadl#
Ndjg;^ioeVig^X`H`^cIneZ^hjhZYidVhhZhhi]ZXdggZXihZii^c\ndjh]djaYjhZdci]ZHbddi]H`^chnhiZb9Vg`!BZY^jbdg;V^gdg
whether your skin tone is too dark to use the device.
The table below contains a simple list of questions, which are
designed to help you identify your skin tone more accurately.
6chlZg ZVX] fjZhi^dc ^c i]Z aZ[i"]VcY Xdajbc VcY eaVXZ dcZ
score in the box to the right that most accurately describes you.
For answers in column 0, score 0.
For answers in column 1, score 1.
For answers in column 2, score 3.
For answers in column 3, score 3.
For answers in column 4, score 4.
Add together the scores in each column and put the total in the
box at the bottom of the column.
Add together the total in each column and write the result in the
box under the table marked Total Score.
TOTAL SCORE FROM ABOVE FITZPATRICK SKIN TYPE BOOTS SMOOTH SKIN SETTING
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-"&+ IneZ>> BZY^jb
&,"'* IneZ>>> 9Vg`
'+"(% IneZ>K 9DCDIJH:
DkZg(% IneZK!K> 9DCDIJH:
01234