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Side Effects of Dupixent (Dupilumab)

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Welcome to our in-depth exploration of Dupixent (Dupilumab), a groundbreaking medication transforming the lives of those with certain inflammatory conditions. While Dupixent has been a beacon of hope for many, navigating its side effects is an essential aspect of the treatment journey. Understanding these side effects is not just about managing discomfort; it’s about empowering you to make informed decisions regarding your health and treatment plan.

Dupixent, renowned for its effectiveness in treating conditions like atopic dermatitis, asthma, and nasal polyps, comes with its own set of considerations. From common issues at the injection site to more serious, less frequent reactions, this guide aims to cover the spectrum of experiences reported by patients.

Our goal is to peel back the layers of Dupixent’s side effects, providing clarity on what you might expect, how to manage potential discomforts, and when to seek medical advice. Whether you’re considering starting Dupixent, are a current user, or a caregiver, this post is designed to equip you with the knowledge and insights needed to navigate the treatment effectively.

Join us as we delve into the world of Dupixent, examining its side effects with a lens of understanding and practicality. Your journey to managing your condition doesn’t have to be a solitary one – we’re here to guide you through it.

Common Side Effects of Dupixent

When embarking on treatment with Dupixent, it’s important to be aware of the common side effects that patients may experience. These effects are typically manageable but should be monitored closely.

Injection Site Reactions

  • One of the most frequent side effects is a reaction at the injection site. This can include redness, pain, swelling, or itching. These reactions are usually mild and tend to resolve within a few days.

Eye-Related Issues

  • Dupixent can affect the eyes, leading to conditions like conjunctivitis (pink eye), blepharitis (swollen eyelids), and keratitis (corneal inflammation). Patients may experience symptoms like itchy, dry, or red eyes. It’s crucial to monitor these symptoms as they can range from mild discomfort to more serious conditions.

Skin Reactions

  • Some patients report skin-related side effects such as eczema, rash, or itching. These can occur on various parts of the body, including the palms, hands, or feet.

Respiratory Symptoms

  • Upper respiratory tract infections, sore throat, and difficulty breathing are also common. These symptoms can resemble a common cold but should be monitored, especially in patients with asthma.

Gastrointestinal Discomfort

  • Issues like gastritis, toothache, or general stomach discomfort can occur. Although less common, these symptoms can impact a patient’s daily life and comfort.

Joint and Muscle Pain

  • Joint pain and muscle aches are side effects that can affect mobility and comfort. While these are typically mild, they can occasionally be bothersome.

In the next section, we will explore the more serious side effects of Dupixent and the importance of seeking medical attention if they occur.

Serious Side Effects of Dupixent

While Dupixent is an effective treatment for several inflammatory conditions, it’s crucial to be aware of the potential serious side effects that may require immediate medical attention.

Severe Allergic Reactions

  • Dupixent can cause severe allergic reactions in some patients. Symptoms may include hives, itching, swelling of the face, lips, tongue, or throat, and difficulty breathing. These reactions can be life-threatening and require urgent medical care.

Serum Sickness

  • A rare but serious reaction, serum sickness, can occur. This immune response can cause symptoms like rash, joint pain, fever, and swollen lymph nodes. If you suspect serum sickness, it’s vital to contact your healthcare provider immediately.

Eye Complications

  • Severe eye problems, including keratitis (inflammation of the cornea), can arise. This condition can be particularly serious, potentially leading to vision impairment if not treated promptly.

Vasculitis

  • Inflammation of the blood vessels, known as vasculitis, is a rare but serious side effect. Symptoms can include skin rash, fever, fatigue, and joint pain. Vasculitis can affect various organs and requires immediate medical attention.

The next section will discuss the implications of eye surface problems caused by Dupixent and how to manage them effectively.

Dupixent and Eye Surface Problems

One of the notable areas affected by Dupixent treatment is the surface of the eye. Understanding these issues and how to address them is crucial for maintaining comfort and eye health during treatment.

Impact on Eye Health

  • Dupixent’s mechanism, which involves blocking certain pathways in the immune system, can lead to a depletion of goblet cells on the eye surface. These cells are essential for secreting mucus to keep the eyes lubricated. Consequently, patients may experience a range of eye-related problems.

Common Eye-Related Side Effects

  • The side effects can vary from mild to severe, including dry eye, itchy eyes, conjunctivitis (inflammation of the whites of the eye), keratitis (inflammation of the cornea), and blepharitis (swelling of the eyelids). These conditions can lead to discomfort and, in severe cases, more serious eye health issues.

Management and Treatment

  • For mild eye problems, lubricating eye drops can often provide relief. In cases of conjunctivitis or keratitis, treatment might include topical corticosteroid eye drops. Patients need to recognize the early signs of these conditions and consult with a healthcare provider for appropriate treatment.
  • In severe cases, particularly with keratitis, which can potentially lead to blindness, early detection and treatment are critical. Sometimes, it may be necessary to discontinue Dupixent if eye problems do not resolve with treatment.

The next section will delve into the immunogenicity associated with Dupixent treatment and its implications for patients.

Dupixent and Anti-Drug Antibodies (Immunogenicity)

Immunogenicity is a critical aspect to consider when undergoing treatment with Dupixent. It refers to the body’s immune response to the medication, which can have various implications for its effectiveness and the patient’s safety.

Understanding Immunogenicity

  • Immunogenicity occurs when the body recognizes the monoclonal antibodies in Dupixent as foreign and produces anti-drug antibodies (ADAs) in response. While sometimes these ADAs have no significant effect, they can, in other cases, reduce the drug’s effectiveness or lead to hypersensitivity reactions.

Potential Effects of Anti-Drug Antibodies

  • Approximately 5% to 16% of people taking Dupixent in clinical trials developed ADAs. A smaller percentage developed neutralizing antibodies, which can bind to the drug and diminish its therapeutic effects. This highlights the importance of regular monitoring through blood tests to ensure the body isn’t developing immunity to the therapy.

Managing Risks Associated with Immunogenicity

  • In rare instances, a healthcare provider might decide to stop Dupixent treatment due to the development of ADAs, especially if they lead to serious hypersensitivity reactions like serum sickness or anaphylaxis. It’s important for patients to be aware of any unusual symptoms and report them to their healthcare provider.

The next section will focus on the duration and resolution of side effects associated with Dupixent, providing insights into what patients can typically expect during treatment.

Duration and Resolution of Dupixent Side Effects

Understanding the timeline and resolution of side effects associated with Dupixent can help patients better manage their treatment and set appropriate expectations.

Common Side Effects Duration

  • Injection Site Reactions: The most frequent side effect, reactions at the injection site, usually improve on their own within a day or two. These include symptoms like redness and pain.
  • Eye Problems: Eye-related issues, such as dryness, itchiness, or conjunctivitis, may take longer to resolve. While mild cases can often be managed with lubricating eye drops and show improvement within days, more serious problems may require treatment with topical steroids and could take a few weeks to clear up.

Serious Side Effects Duration

  • Severe Allergic Reactions and Eye Inflammation: Conditions like severe allergic reactions or corneal inflammation require prompt medical treatment and can take days or weeks to improve. In some cases, these severe reactions may have long-term or even lifelong complications. Severe keratitis, for example, can lead to corneal blindness if not treated effectively.

Long-Term Side Effects

  • For certain side effects, particularly those that are more serious or involve the immune system, the duration can vary widely. Patients should be prepared for the possibility of longer-term management and follow-up with healthcare providers.

The next section will highlight the contraindications and warnings associated with Dupixent, offering crucial information for those considering or currently undergoing treatment.

Dupixent Contraindications and Warnings

For a comprehensive understanding of Dupixent treatment, it is essential to be aware of its contraindications and warnings. These guidelines help ensure safe and effective use of the medication.

Understanding Contraindications

  • Dupixent should not be used in individuals with known allergies to dupilumab or any inactive ingredients in the injection.
  • It is also not recommended for use during an acute asthma attack or severe asthma exacerbation.

Potential for Abuse and Dependence

  • The FDA does not classify Dupixent as a drug with potential for abuse. It does not cause physical dependence, and there are no known withdrawal effects, making it a safer option in terms of dependency concerns.

Overdose Considerations

  • While an overdose of Dupixent is unlikely, it’s important to be vigilant about the dosing schedule. In case of an accidental overdose, immediate consultation with a healthcare professional is advised.

Special Considerations for Different Populations

  • Pregnancy and Breastfeeding: The effects of Dupixent during pregnancy and breastfeeding are not fully known. However, there have been no reported adverse effects on the fetus. Women who are pregnant or breastfeeding are advised to discuss the risks and benefits with their healthcare provider.
  • Children and Seniors: Dupixent is FDA approved for use in children as young as 6 years for certain conditions. In clinical trials, it was found to be effective and safe in patients older than 65 years, similar to its effects in younger adults.

In the final section, we will explore Dupixent interactions and provide advice on how to minimize and manage side effects effectively.

Dupixent Interactions and Managing Side Effects

A crucial aspect of Dupixent treatment is understanding its interactions with other medications and vaccines, as well as strategies to minimize and effectively manage side effects.

Drug and Vaccine Interactions

  • Live Vaccines: Due to Dupixent’s immune-modulating effects, there’s a risk that live vaccines could cause an active infection in patients taking Dupixent. Therefore, healthcare providers typically avoid administering live vaccines to these individuals. Non-live vaccines are considered safe, though their effectiveness may be slightly reduced.
  • Corticosteroids: Often used in conjunction with Dupixent for treating atopic dermatitis or asthma, corticosteroids can be safely combined with Dupixent. However, adjustments in oral corticosteroid doses may be necessary, especially for asthma patients with high levels of eosinophils.
  • Other Monoclonal Antibody Treatments: Dupixent should not be used alongside other monoclonal antibody treatments due to an increased risk of serious infections.

Steps to Avoid Side Effects

  • Complete Medical History: Inform your healthcare provider about all existing medical conditions, especially eye problems, parasitic worm infections, asthma, and plans for pregnancy or breastfeeding.
  • Medication Adherence: Follow the prescribed Dupixent dosage and schedule strictly. Avoid missing doses and consult your healthcare provider for guidance on missed doses.
  • Injection Technique: Adhere to the demonstrated technique for administering Dupixent injections. Ensure the medicine is at room temperature before injection and use different injection sites to reduce site reactions.
  • Monitoring for Symptoms: Stay vigilant for any signs of side effects, especially serious reactions like allergic responses or eye problems. Early detection and treatment are key to managing these effectively.

Conclusion

In conclusion, while Dupixent offers significant benefits for treating certain inflammatory conditions, it’s important to be well-informed about its potential side effects, interactions, and the measures to manage them. By closely collaborating with healthcare providers and staying vigilant about your health, you can maximize the benefits of Dupixent while minimizing its risks.

Call to Action

We encourage readers to share their experiences with Dupixent or ask questions in the comments section. Your insights can be invaluable to others navigating similar health journeys. Stay informed and engaged in your healthcare decisions, and don’t hesitate to seek professional advice when needed.

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Eczema and Sweating

1. Introduction

Eczema, a prevalent skin condition, is often a source of discomfort and distress. When coupled with sweating, managing eczema can become an even more challenging task. Sweating, a natural body process, can unfortunately exacerbate eczema symptoms, leading to increased irritation and discomfort. In this guide, we will explore the intricate relationship between eczema and sweating, delving into aspects such as night sweats, sweat-induced eczema, and the impact of hyperhidrosis on this skin condition.

2. Eczema Night Sweats: A Restless Battle

Night sweats can be a common occurrence for individuals battling eczema, turning restful nights into restless discomfort. The combination of the body’s natural nighttime temperature regulation and the irritation caused by sweat can lead to disrupted sleep and heightened discomfort.

  • Understanding the Link: Eczema flares can often lead to an increase in body temperature, and when combined with the body’s propensity to sweat more at night, this can result in a cycle of night sweats and irritation.
  • Managing Night Sweats: Ensuring a cool and comfortable sleeping environment, choosing breathable fabrics for bedding and nightwear, and maintaining a consistent bedtime routine can be beneficial in managing night sweats related to eczema.

3. Sweat Eczema: The Uncomfortable Reality

Sweat, while a natural body response, can be a trigger for eczema flares. Areas prone to sweating, such as the folds of the elbows, knees, and neck, can become hotspots for eczema irritation.

  • Recognizing Sweat-Induced Eczema: Identifying the correlation between sweating and increased eczema irritation is crucial. Awareness allows for the implementation of strategies to manage and mitigate symptoms effectively.
  • Practical Management Strategies: Regularly changing out of sweaty clothes, rinsing the skin gently after sweating, and ensuring the skin is dry but moisturized can help in managing sweat-induced eczema.

4. Hyperhidrosis: Excessive Sweating and Eczema

Hyperhidrosis, or excessive sweating, can be particularly challenging when dealing with eczema. The increased sweat production can lead to heightened skin irritation and exacerbate eczema symptoms.

  • Understanding Hyperhidrosis: Recognizing whether excessive sweating is a consistent issue is essential, as it allows for targeted strategies and treatments to be applied.
  • Navigating Eczema with Hyperhidrosis: Managing eczema with hyperhidrosis involves a careful balance of managing sweat production while ensuring that the skin is not overly dried or irritated.

5. Heat Rash: A Common Culprit

Heat rash, while distinct from eczema, can often co-occur, leading to increased skin irritation and discomfort. Understanding the differences, similarities, and management strategies for both conditions is essential for effective care.

  • Differentiating Between Eczema and Heat Rash: While both conditions can lead to irritated and inflamed skin, recognizing the distinct characteristics of each can guide effective management strategies.
  • Co-Management Strategies: When dealing with both conditions, strategies such as staying cool, wearing breathable fabrics, and avoiding irritants become crucial.

In each section, practical insights, expert guidance, and actionable strategies are provided to navigate the challenges of managing eczema in the presence of sweating and related conditions. For a deeper understanding and more specific guidance, you might find the following articles helpful:

6. Allergic to Sweat: Eczema’s Unfriendly Companion

Believe it or not, some people find that their sweat exacerbates their eczema symptoms. This condition, where one seems to be allergic to their sweat, adds another layer of complexity to managing eczema.

  • Understanding the Reaction: Knowing that sweat can be an irritant helps in formulating a strategy to manage eczema better. It’s essential to recognize the signs and understand how sweat might be affecting your skin.
  • Strategies for Management: Quick showers post-exercise, wearing breathable fabrics, and using gentle skincare products can be part of a strategy to minimize the impact of sweat on eczema.

7. Eczema in Sweaty Areas: Targeted Care

Certain areas of the body tend to sweat more, and when these areas are also affected by eczema, targeted care is necessary.

  • Identifying Problem Areas: Common areas include the folds of the elbows and knees, the neck, and the feet. Identifying these areas can help in applying targeted care.
  • Customized Care Strategies: Using absorbent powders, choosing appropriate clothing, and applying specialized skincare products can help manage eczema in these sweat-prone areas.

8. Sweat-Induced Dermatitis: A Close Relative

Sweat-induced dermatitis is closely related to eczema, where sweat irritates the skin, leading to a rash or irritation.

  • Recognizing the Signs: Understanding the signs of sweat-induced dermatitis, such as redness, itching, and inflammation, is crucial for effective management.
  • Management Techniques: Keeping the skin clean and dry, avoiding occlusive clothing, and using hypoallergenic skincare products are essential management techniques.

9. Practical Tips and Remedies

Managing eczema with the added challenge of sweating requires a toolbox of practical tips and remedies. Here are some strategies that might help:

  • Stay Cool: Try to keep your body temperature regulated to avoid excessive sweating.
  • Choose Fabrics Wisely: Opt for breathable, natural fabrics that wick away moisture.
  • Hygiene: Maintain a routine of gentle cleansing to avoid the accumulation of sweat and irritants on the skin.

10. Related Articles and Resources

For more in-depth information and strategies to manage eczema and sweating, consider exploring the following articles:

This guide aims to provide a comprehensive overview, practical strategies, and resources to manage eczema in the presence of sweating and related challenges. Remember, a personalized approach, often guided by a healthcare professional, is usually the most effective in managing eczema.

FAQs

  1. What is the connection between sweat and eczema flare-ups? Sweat contains salt and other irritants that can exacerbate eczema symptoms. When sweat dries on the skin, it can lead to irritation, itching, and flare-ups.
  2. How can I manage eczema in areas prone to sweating? Focus on keeping the areas clean and dry. Consider using absorbent powders and wearing breathable fabrics to reduce moisture accumulation.
  3. Can certain fabrics help in managing sweat-related eczema flare-ups? Yes, choosing natural, breathable fabrics like cotton can help in managing sweat and reducing the irritation caused by it.
  4. Is it possible to be allergic to one’s own sweat? While not technically an allergy, some people find that their sweat seems to exacerbate their eczema symptoms, acting as an irritant.
  5. What kind of hygiene practices are helpful in managing sweat-induced eczema flare-ups? Regular showers, using mild cleansers, and keeping the skin dry are essential hygiene practices to manage sweat-induced eczema.
  6. Are there specific treatments available for sweat-induced eczema? Treatments like topical steroids, emollients, and antifungal creams can be beneficial, but it’s best to consult a dermatologist for a personalized approach.
  7. How does heat and humidity affect eczema? Heat and humidity can increase sweating, which may act as an irritant, triggering eczema flare-ups in susceptible individuals.
  8. Can lifestyle modifications help in managing eczema aggravated by sweat? Lifestyle modifications such as staying in cool environments, wearing appropriate clothing, and managing stress can play a role in managing such eczema.
  9. What role do skincare products play in managing eczema related to sweating? Skincare products like moisturizers and barrier creams can help protect the skin, while the choice of cleansers can help prevent irritation.
  10. How can I prevent sweat from worsening my eczema during workouts? Try to workout in cool environments, wear breathable fabrics, and ensure that you shower immediately after exercising to remove sweat.

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eczema, sweating, dermatitis, skin care, eczema management, sweat-induced eczema, eczema flare-ups, eczema remedies, eczema treatment, skin irritation

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Foods to Avoid for Eczema: Insights from Dr. Alex Hui

Eczema, a relentless skin condition marked by inflammation, redness, and itchiness, often demands a multifaceted approach to management and care. Various elements, including environmental factors and dietary habits, profoundly influence the frequency and intensity of eczema flare-ups. Dr. Alex Hui, an expert in Traditional Chinese Medicine (TCM), offers a wealth of knowledge on managing eczema through dietary strategies in his enlightening video “AVOID These 4 Foods to Prevent ECZEMA Flare Up”. In this video, Dr. Hui meticulously unpacks the TCM perspective on foods that potentially escalate eczema symptoms, guiding viewers on what to avoid.

Traditional Chinese Medicine (TCM) and Eczema

TCM interprets eczema as a manifestation of internal imbalances, predominantly revolving around concepts of dampness and heat within the body. These imbalances are pivotal contributors to the inflammation and discomfort experienced in eczema. Understanding and addressing these aspects can be instrumental in managing eczema more effectively.

Foods: The Culprits and The Soothers

Dr. Hui emphasizes the significance of diet in managing eczema, outlining specific foods that tend to exacerbate the condition. Here’s a detailed exploration of his dietary recommendations:

  1. Shellfish: Shellfish, such as shrimp and crab, are seen as promoters of damp toxins within the body. Their consumption could potentially aggravate eczema symptoms, making them foods to approach with caution.
  2. Spices: Spices, especially potent ones like chili and black pepper, are identified as heat-inducing foods. They can intensify the internal heat, contributing to the worsening of eczema symptoms.
  3. Certain Fruits: Fruits like pineapple and mango are believed to foster dampness and heat in the body. Their consumption might not be suitable for individuals navigating eczema, as per TCM principles.
  4. Uncertain Ingredients: Foods with ambiguous ingredients, especially those containing various spices and preservatives, should be consumed judiciously to prevent unexpected flare-ups.

Caption: Dr. Alex Hui elucidates the TCM perspective on managing eczema through diet, providing detailed guidance on foods to avoid. Watch the full video here.

Credits: Video by Dr. Alex Hui


Further Reading for a Deeper Dive into Eczema Management

FAQs

  1. What is the Traditional Chinese Medicine (TCM) perspective on eczema? TCM views eczema as a condition often caused by internal imbalances, particularly involving aspects such as dampness and heat within the body. Addressing these imbalances through various approaches, including dietary adjustments, is essential in managing eczema symptoms effectively.
  2. Why does TCM advise against the consumption of shellfish for eczema sufferers? Shellfish like shrimp and crab are believed to promote damp toxins in the body, which could potentially worsen eczema symptoms. Avoiding these foods might help in managing the condition better.
  3. How do spices influence eczema according to TCM? Potent spices, such as chili and black pepper, are considered heat-inducing foods in TCM. Consuming these spices might intensify internal heat, contributing to the exacerbation of eczema symptoms.
  4. Are there specific fruits that individuals with eczema should avoid? Certain fruits like pineapple and mango are thought to foster dampness and heat in the body, which might not be suitable for individuals dealing with eczema, as per TCM principles.
  5. Why is it essential to be cautious with foods containing ambiguous ingredients? Foods with uncertain ingredients, especially those laden with various spices and preservatives, might trigger unexpected eczema flare-ups due to potential sensitivities or reactions.
  6. How does the video by Dr. Alex Hui contribute to understanding eczema management? Dr. Hui’s video offers a wealth of knowledge from a TCM perspective, guiding viewers on dietary strategies that could be instrumental in managing eczema more effectively.
  7. What are some key takeaways from Dr. Hui’s video on managing eczema? Dr. Hui emphasizes the significance of diet in managing eczema, outlining specific foods that may escalate the condition and providing guidance on what to avoid for better management.
  8. How does TCM interpret the role of diet in eczema management? TCM underscores diet as a pivotal element in managing eczema, focusing on the avoidance of foods that exacerbate internal imbalances, contributing to symptom flare-ups.
  9. Where can I find more resources on managing eczema from various perspectives? The further reading section in the blog post provides a curated list of resources offering diverse insights into holistic and effective eczema management strategies.
  10. How can the embedded video enhance my understanding of eczema management through diet? The embedded video serves as a visual and auditory guide, allowing viewers to engage with Dr. Hui’s expertise, gaining a more nuanced understanding of dietary strategies in eczema management.

Food and Eczema: Navigating the Dietary Landscape for Eczema Management

Navigating through the myriad of dietary advice available for managing eczema can be a daunting task. However, understanding the intrinsic relationship between the foods we consume and the manifestation of eczema symptoms is crucial. Here, we delve into a curated selection of insights and guidance from various perspectives, focusing on the impact of diet on eczema.

Foods to Avoid for Eczema: Insights from Gut Health Expert Dr. Chanu Dasari MD

Dr. Chanu Dasari shares his expertise on gut health and its relationship with eczema. This resource provides a comprehensive look at foods that may exacerbate eczema symptoms and offers practical advice on navigating dietary choices to manage the condition better.

Healing Eczema Naturally: A Comprehensive Guide

Explore a holistic approach to managing eczema, focusing on natural remedies and dietary adjustments. This guide offers a wealth of information on foods that may help soothe and manage eczema symptoms, promoting a path towards healing.

Biologics for Eczema: A New Era of Eczema Treatment

Dive into the world of biologics and their transformative potential in eczema treatment. This post also touches on dietary considerations, providing a well-rounded perspective on managing eczema through various approaches, including nutrition.

The Role of Sugar in Eczema: An In-depth Exploration

Uncover the intricate relationship between sugar consumption and eczema. This post delves into the impact of sugar on the body and its potential role in exacerbating eczema symptoms, guiding readers on making informed dietary choices.

Tea Tree Oil and Eczema: A Natural Remedy Explored

Discover the potential benefits of tea tree oil as a natural remedy for managing eczema. This post explores the versatile uses of tea tree oil, providing insights into its application in soothing and managing eczema symptoms.

Apple Cider Vinegar and Eczema: A Dive into Natural Healing

Explore the therapeutic potential of apple cider vinegar in managing eczema. This resource offers a detailed exploration of how apple cider vinegar can be integrated into one’s routine to help manage and alleviate eczema symptoms.

Navigating through these resources provides a multifaceted view of managing eczema through dietary and natural remedies. Each post offers unique insights, whether it’s uncovering the role of specific foods, exploring natural remedies, or delving into innovative treatments, providing readers with a comprehensive understanding of managing eczema holistically and effectively.

Blog Tags eczema, Traditional Chinese Medicine, diet, eczema management, Dr. Alex Hui, dietary strategies, foods to avoid, eczema flare-ups, internal imbalances