Trichotillomania; Skin Disorder; 050315


This one says do you have an opinion about using NAC for skin picking disorder or excoriation?


There is somebody out there that knows that N-acetylcysteine is useful for something called “Trichotillomania,” which is a compulsive disorder of picking its skin and hair. Do I believe that it works? Yeah, it does. The problem, though, is that it takes a very high dosage of NAC for this purpose? It is usually around 1,000 milligrams 2, 3, or 4 times a day. Does it work? Yes. How does it work? Nobody really knows the exact mechanism of action, but N-acetylcysteine does work for that condition. Whoever asked that question is brilliant.
About David S Klein, MD 149 Articles
David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology. Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine. He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively. Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.