29
28
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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AVchdegVodaZ
Mebeverine
DbZegVodaZ
EVcidegVodaZ
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
DmnWjinc^c
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?
CdiWgdlc
A^\]iIVc
BZY^jbiVc
9Vg`iVc
KZgnYVg`
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)
JhZi]ZidiVahXdgZidYZiZgb^cZndjg;^ioeVig^X`H`^cIneZjh^c\i]ZiVWaZWZadl#
Ndjg;^ioeVig^X`H`^cIneZ^hjhZYidVhhZhhi]ZXdggZXihZii^c\ndjh]djaYjhZdci]ZHbddi]H`^chnhiZb9Vg`!BZY^jbdg;V^gdg
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
%",
IneZ>
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-"&+
IneZ>>
BZY^jb
&,"'*
IneZ>>>
9Vg`
'+"(%
IneZ>K
9DCDIJH:
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IneZK!K>
9DCDIJH:
0
1
2
3
4