Reported Photosensitizing Medications Generic Name Brand Name Therapeutic Class c i t e r u i d a m o c u a l g i t n A , t n a s l u v n o c i t n A x o m a i D e d i m a l o z a t e c A c i m h t y h r r a i t n A ) % 5 1 ( e n o r a d r o C e n o r a d o i m A ) c i l c y c i r t ( t n a s s e r p e d i t n A l i v a l E e n i l y t p i r t i m A ) c i l c y c i r t ( t n a s s e r p e d i t n A p e d n E e n i l y t p i r t i m A ) c i l c y c i r t ( t n a s s e r p e d i t n A ) % 1 < ( n i d n e s A e n i p a x o m A e n i m a t s i h i t n A l a n a m s i H e l o z i m e t s A d n u o p m o c d l o G , c i t i r h t r a i t n A a r u a d i R n i f o n a r u A e n i m a t s i h i t n A e n i m i t p O e n i d a t a z A c i t e r u i d e d i z a i h T , e v i s n e t r e p y h i t n A n i t e r u t a N e d i z a i h t e m u l f o r d n e B c i t e r u i d e d i z a i h T , e v i s n e t r e p y h i t n A a n x E e d i z a i h t z n e B e n i m a t s i h i t n A e n a t e m i D e n i m a r i n e h p m o r B e v i s n e t r e p y h i t n A n e t o p a C l i r p o t p a C t n a s l u v n o c i t n A , c i s e g l a n A l o t e r g e T e n i p e z a m a b r a C etic r u i d e d i z a i h T , e v i s n e t r e p y h i t n A l i r u i D e d i z a i h t o r o l h C e n i m a t s i h i t n A e n i m a r i n e h p r o l h C e n i m a r i n e h p r o l h C r e z i l i u q n a r T , c i t e m e i t n A e n i z a r o h T e n i z a m o r p r o l h C a e r u l y n o f l u S , ) l a r o ( c i t e b a i d i t n A e s e n i b a i D e d i m a p o r p r o l h C r e z i l i u q n a r T , c i t e m e i t n A n a t c a r a T e n e x i h t o r p r o l h C c i t e r u i d e d i z a i h T , e v i s n e t r e p y h i t n A n o t o r g y H e n o d i l a h t r o l h C c i t e r u i d e d i z a i h T , e v i s n e t r e p y h i t n A e n o t i l a h T e n o d i l a h t r o l h C e v i t c e f n i - i t n A ) % 1 < ( o r p i C n i c a x o l f o r p i C e n i m a t s i h i t n A t s i v a T e n i t s a m e l C t n e g a y s o r p e l i t n A , l a i r e t c a b i t n A ) % 1 < ( e n e r p m a L e m i z a f o l C a m e z c E , c i t a i r o s p i t n A l e G r a t s E r a T l a o C a m e z c E , c i t a i r o s p i t n A r a t e n l a B r a T l a o C e n o m r o h x e s e l a m e F , l l i p l o r t n o c h t r i B n e g o r t s E l a r o , e v i t p e c a r t n o C c i t a m h t s a i t n A r e l a h n I l a t n I n y l o m o r C s m s a p s e l c s u M , l a t e l e k s - i t n A l i r e x e l F e n i r p a z n e b o l c y C c i g r e n o t o r e s i t n A , e n i m a t s i h i t n A n i t c a i r e P e n i d a t p e h o r p y C e t i l o b a t e m i t n A , e s a e s i d s ’ n i k g d o H - i t n A e m o D - C I T D e n i z a b r a c a D r o t i b i h n i n i p o r t o d a n o G e n i r c o n a D l o z a n a D c i t o i b i t n A n i c y m o l c e D e n i l c y c o l c e m e D ) c i l c y c i r t ( t n a s s e r p e d i t n A n i m a r p r o N e n i m a r p i s e D ) c i l c y c i r t ( t n a s s e r p e d i t n A e n a r f o t r e P e n i m a r p i s e D e n i m a t s i h i t n A e n i m a r a l o P e n i m a r i n e h p r o l h c x e D c i t i r h t r a i t n A * , D I A S N ) % 1 < ( n e r a t l o V c a n e f o l c i D c i t i r h t r a i t n A * , D I A S N ) % 1 < ( d i b o l o D l a s i n u l f i D m u i c l a C , e v i s n e t r e p y h i t n A , l a n i g n a i t n A ) % 1 < ( m e z i d r a C m e z a i t l i D channel blocker e n i m a t s i h i t n A l y r d a n e B e n i m a r d y h n e h p i D e n i m a t s i h i t n A e l u s n a p S l i r p s i H e n i l a r y p l y n e h p i D ) c i l c y c i r t ( t n a s s e r p e d i t n A n a u q e n i S n i p e x o D c i t o i b i t n A n i c y m a r b i V e n i l c y c y x o D c i t o i b i t n A x y r o D e t a l c y H e n i l c y c y x o D e v i s n e t r e p y h i t n A c e t o s a V l i r p a l a n E e n o m r o h x e s e l a m e F l a r o , e v i t p e c a r t n o C s n e g o r t s E e n o m r o h x e s e l a m e F s n e g o r t s E s n e g o r t s E s i s o l u c r e b u t i t n A , e v i t c e f n i - i t n A C S - r o t a c e r T e d i m a n o i h t E c i t a i r o s p i t n A n o s i g e T e t a n i t e r t E c i t s a l p o e n i t n A , e t i l o b a t e m i t n A e l b a t c e j n I R D U F e n i d i r u x o l F l a g n u f i t n A n o b o c n A e n i s o t y c u l F c i t s a l p o e n i t n A l i c u r d A l i c a r u o r o u l F c i t s a l p o e n i t n A x e d u f E l i c a r u o r o u l F c i t s a l p o e n i t n A l i c a r u o r o u l F l i c a r u o r o u l F r e z i l i u q n a r T , c i t o h c y s p i t n A n i x i l o r P e n i z a n e h p u l F r e z i l i u q n a r T , c i t o h c y s p i t n A l i t i m r e P e n i z a n e h p u l F c i t i r h t r a i t n A * , D I A S N d i a s n A n e f o r p i b r u l F ) a m o n i c r a c c i t a t s o r p ( c i t a t s a t e m i t n A n i x e l u E e d i m a t u l F c i t e r u i D , e v i s n e t r e p y h i t n A x i s a L e d i m e s o r u F c i t o i b i t n A n i c y m a r a G n i c i m a t n e G a e r u l y n o f l u S , ) l a r o ( c i t e b a i d i t n A l o r t o c u l G e d i z i p i l G a e r u l y n o f l u S , ) l a r o ( c i t e b a i d i t n A a t e b a i D e d i r u b y l G a e r u l y n o f l u S , ) l a r o ( c i t e b a i d i t n A e s a n o r c i M e d i r u b y l G l a g n u f i t n A , c i t o i b i t n A F / U n i c i v l u F n i v l u f o e s i r G 1 Amiloride + Hydrochlorothizid Moduretic Antihypertensive, Thiazide diuretic Atenolol + Chlorthalidone Tenoretic Beta-adrenergic blocker, Thiazide diuretic Azatidine + Pseudoephedrine Trinalin Repetabs Antihistamine, Decongestant Bromodiphenhydramine Ambenyl Antihistamine Captopril + Hydrochlorothizid Capozide Antihypertensive, Thiazide diuretic Chlordiazepoxide + Amitriptyline Limbitrol Antidepressant (tricyclic), Tranquilizer Chlorpheniramin + D-Pseudoephedrine Deconamine Antihistamine, Decongestant Chlorpheniramin + Phenylpropanolamine Ru-Tuss II Antihistamine, Decongestant Chlorthalidone + Reserpine Demi-Regroton Antihypertensive, Thiazide diuretic Chlorthalidone + Reserpine Regroton Antihypertensive, Thiazide diuretic Clonidine + Chlorthalidone Combipres Antihypertensive, Thiazide diuretic MANY MEDICATIONS, TOPICAL SOLUTIONS AND EVEN SOME FOODS CAN CAUSE THE SKIN TO BURN OR BREAK OUT IN A RASH WHEN EXPOSED TO ULTRAVIOLET LIGHT. THE CONSEQUENCES CAN RANGE FROM ITCHINESS TO AN UNCOMFORTABLE RASH AND BURNS. IT IS CRITICAL THAT EVERY SALON OWNER POST A CHART OF PHOTOSENSITIVE MEDICATIONS AND AGENTS IN A CONSPICUOUS LOCATION. IF A CLIENT IS TAKING A MEDICATION THAT ISN’T LISTED, HE OR SHE SHOULD CONSULT WITH A PHYSICIAN OR PHARMACIST BEFORE BEING EXPOSED TO ULTRAVIOLET LIGHT— INDOORS OR OUTDOORS. Sunlight and the Skin The most common photosensitizing materials are listed on the following pages. This is not a list of every material that could have photosensitizing effects. Before using the list, you should be aware of the following: NOT all individuals who use or take these medications will experience a photosensitive reaction. Also, an individual who experiences a photosensitive reaction on one occasion will NOT necessarily experience it again or every time. A medication will NOT cause the same degree of skin reaction in all individuals. Brand names of products should be considered only as examples; they do NOT represent all names under which the generic product may be sold. The following list was prepared by Jerome I. Levine, M.S., R.Ph., of the U.S. Food and Drug Administration. The list was published under the title “Medications That Increase Sensitivity To Light: A 1990 Listing.” The FDA has confirmed this list to be the most recent. The mention of commercial products, their sources or their use in connection with material reported herein is not to be construed as either an actual or implied endorsement of such products by the Department of Health and Human Services. *Non-Steroidal Anti-Inflammatory Drug Enalapril + Hydrochlorothiazid Vaseretic Antibiotic Erythromycin Ethylsuccinate + Sulfisoxazole Pediazole Antihypertensive, Thiazide diuretic Gold Salts (compounds) Solganal Antiarthritic, Gold compound Gold Sodium Thiomalate Myochrysine Antiarthritic, Gold compound
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Sunlight Skin and the - East Texas Family Medicine...Minocycline Minocin Antibiotic Minoxidol Rogaine Hair growth stimulator Nabilone Cesamet Antiemetic, Antinausea Nadolol + Bendroflumethiazide
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Reported Photosensitizing MedicationsGeneric Name Brand Name Therapeutic Class
MANY MEDICATIONS, TOPICAL SOLUTIONS AND EVEN SOME FOODS CAN CAUSE THE SKIN TO BURN OR
BREAK OUT IN A RASH WHEN EXPOSED TO ULTRAVIOLET LIGHT. THE CONSEQUENCES CAN RANGE FROM
ITCHINESS TO AN UNCOMFORTABLE RASH AND BURNS.
IT IS CRITICAL THAT EVERY SALON OWNER POST A CHART OF PHOTOSENSITIVE MEDICATIONS AND
AGENTS IN A CONSPICUOUS LOCATION. IF A CLIENT IS TAKING A MEDICATION THAT ISN ’T LISTED , HE OR
SHE SHOULD CONSULT WITH A PHYSICIAN OR PHARMACIST BEFORE BEING EXPOSED TO ULTRAVIOLET
LIGHT— INDOORS OR OUTDOORS.
Sunlightand the Skin
The most common photosensitizing materials are listed on thefollowing pages. This is not a list of every material that could havephotosensitizing effects. Before using the list, you should be aware ofthe following:
NOT all individuals who use or take these medications will experiencea photosensitive reaction. Also, an individual who experiences aphotosensitive reaction on one occasion will NOT necessarilyexperience it again or every time.A medication will NOT cause the same degree of skin reaction inall individuals.
Brand names of products should be considered only as examples;they do NOT represent all names under which the generic productmay be sold.
The following list was prepared by Jerome I. Levine, M.S., R.Ph., of theU.S. Food and Drug Administration. The list was published under the title“Medications That Increase Sensitivity To Light: A 1990 Listing.” The FDAhas confirmed this list to be the most recent. The mention of commercialproducts, their sources or their use in connection with material reportedherein is not to be construed as either an actual or implied endorsement ofsuch products by the Department of Health and Human Services.
A few products also are known to make the skin more sensitive to UV light, such as halogenated salicylanilidesand related compounds used as antibacterial agents in first-aid creams, acne preparations and deodorant soaps.Perfumes and colognes containing furocoumarins, compounds from natural products such as plants and fruits,have natural oils that can sensitize the skin to sunlight. Musk ambrette is used in some aftershaves andcolognes and also has been found to cause skin reaction to UV light.
Some makeup products contain the following dyes, which can cause a reaction under UV light, another reason to make sure skin is clean before tanning. Certain food products also contain the following dyes.
AcridineAnthraceneCadmium SulfideEosin (found in lipstick)Erythrosin
FluorescinMethylene Blue, Violet, Orange
and RedNeutral RedRose Bengal
Toluidine BlueTrypaflavinTrypan Blue
6-Acetoxy-2, 4-dimethyl-m-dioxane (Preservative in sunscreen)Benzophenones (Aramis, Clinique and others)Cinnamates (Aramis, Estée Lauder and others)Oxybenzone (Eclipse, PreSun and others)PABA esters (Eclipse, Block Out, Sea & Ski and others)Para-aminobenzoic acid (PABA-Pabagel, Pabanol, PreSun and others)
Other Photosensitizing Agents
Products
Sunscreens With A ReportedPhotosensitizing Ingredient
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Classification Or Use AgentAntifungals Fentichlor, Jadit, Multifungin
Coal tar and coal tar derivatives for psoriasis Anthracene, Many phenolic agents, Naphthalene,and chronic eczema and in hair shampoos Phenanthrene, Pitch, Thiophene
Cosmetics and dyes Acridine, Eosine, Erythrocine, Fluorescein,Methylene blue, Methyl violet, Orange red,Paraphenylenediamine, Rose bengal,Toluidine blue, Trypaflavin, Trypan blue
Deodorant and bacteriostatic agents in soaps Halogenated carbanilides, Halogenated phenols,Halogenated salicylanilides
Fluorescent brightening agent Blankophor for cellulose, nylon or wool fibers
Note: Items with an asterisk (*) are more likelyto cause photosensitivity reactions. Overall, thedrugs listed above cause reactions in less than1% of patients. Tell clients who get an unusual“sunburn” or allergic or eczematous reaction inskin areas exposed to light to let their physicianor pharmacist know about the problem and to discontinue exposure to UV radiation.Photosensitivity data from Pharmacist’s Letter.
Primary ClassOf Medications Responsible For PhotosensitizingReactions (examples by generic name)
COAL TAR AND DERIVATIVES (examples by brand names)AlphosylAquatarDenorex Medicated ShampooDHS Tar Gel ShampooDOAK ShampooEstarIonil T PlusLAVATARMedotarT\Derm Tar EmollientTegrin ShampooT\Gel Therapeutic ShampooZetar Shampoo
CONTRACEPTIVES,ORAL & ESTROGENS (birth control pills,female sex hormones)