Sunlight Skin and the - East Texas Family Medicine...Minocycline Minocin Antibiotic Minoxidol...
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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
Transcript of Sunlight Skin and the - East Texas Family Medicine...Minocycline Minocin Antibiotic Minoxidol...
Reported Photosensitizing MedicationsGeneric Name Brand Name Therapeutic Class
citeruid amocualgitnA,tnasluvnocitnAxomaiDe dimalozatecA
cimhtyhrraitnA)%51( enoradroCenoradoimA)cilcycirt( tnasserpeditnAlivalEenilytpirtimA)cilcycirt( tnasserpeditnApednEenilytpirtimA)cilcycirt( tnasserpeditnA)%1<( nidnesAenipaxomA
enimatsihitnAlanamsiHelozimetsA
dnuopmoc dloG,citirhtraitnAaruadiRnifonaruAenimatsihitnAenimitpOenidatazA
citeruid edizaihT,evisnetrepyhitnAni terutaNedizaihtemulfordneBciteruid edizaihT,evisnetrepyhitnAanxEedizaihtzneB
enimatsihitnAenatemiDenimarinehpmorBevisnetrepyhitnAnetopaClirpotpaC
tnasluvnocitnA,ciseglanAlotergeTenipezamabraC
eticruid edizaihT,evisnetrepyhitnAliruiDedizaihtorolhCenimatsihitnAenimarinehprolhCenimarinehprolhC
reziliuqnarT,citemeitnAenizarohTenizamorprolhCaerulynofluS,)laro( citebaiditnAesenibaiDedimaporprolhC
reziliuqnarT,citemeitnAnatcaraTenexihtorprolhCciteruid edizaihT,evisnetrepyhitnAnotorgyHenodilahtrolhCciteruid edizaihT,evisnetrepyhitnAenotilahTenodilahtrolhC
evitcefni-itnA)%1<( orpiCnicaxolforpiCenimatsihitnAtsivaTenitsamelC
tnega ysorpelitnA,lairetcabitnA)%1<( enerpmaLemizafolC
amezcE,citairospitnAleG ratsEraT laoCamezcE,citairospitnAratenlaBraT laoC
enomroh xes elameF,llip lortnoc htriBnegortsElaro,evitpecartnoC
citamhtsaitnArelahnI latnInylomorCsmsaps elcsuM,lateleks-itnAlirexelFenirpaznebolcyC
cigrenotoresitnA,enimatsihitnAnitcairePenidatpehorpyCetilobatemitnA,esaesid s’nikgdoH-itnAemoD-CITDenizabracaD
rotibihni niportodanoGenirconaDlozanaDcitoibitnAnicymolceDenilcycolcemeD
)cilcycirt( tnasserpeditnAnimarproNenimarpiseD)cilcycirt( tnasserpeditnAenarfotrePenimarpiseD
enimatsihitnAenimaraloPenimarinehprolhcxeDcitirhtraitnA *,DIASN)%1<( neratloVcanefolciDcitirhtraitnA *,DIASN)%1<( diboloDlasinulfiD
muiclaC,evisnetrepyhitnA,lanignaitnA)%1<( mezidraCmezaitliD channel blockerenimatsihitnAlyrdaneBenimardyhnehpiDenimatsihitnAelusnapS lirpsiHenilaryplynehpiD
)cilcycirt( tnasserpeditnAnauqeniSnipexoDcitoibitnAnicymarbiVenilcycyxoDcitoibitnAxyroDetalcyH enilcycyxoD
evisnetrepyhitnAcetosaVlirpalanE
enomroh xes elameFlaro,evitpecartnoCsnegortsEenomroh xes elameFsnegortsEsnegortsE
sisolucrebutitnA,evitcefni-itnACS-rotacerTedimanoihtEcitairospitnAnosigeTetanitertE
citsalpoenitnA,etilobatemitnA elbatcejnI RDUFenidiruxolFlagnufitnAnobocnAenisotyculF
citsalpoenitnAlicurdAlicaruoroulFcitsalpoenitnAxedufElicaruoroulFcitsalpoenitnA licaruoroulFlicaruoroulF
reziliuqnarT,citohcyspitnA nixilorPenizanehpulFreziliuqnarT,citohcyspitnAlitimrePenizanehpulF
citirhtraitnA *,DIASNdiasnAneforpibrulF)amonicrac citatsorp( citatsatemitnAnixeluEedimatulF
citeruiD,evisnetrepyhitnAxisaLedimesoruFcitoibitnAnicymaraGnicimatneG
aerulynofluS,)laro( citebaiditnA lortoculGedizipilGaerulynofluS,)laro( citebaiditnA atebaiDedirubylGaerulynofluS,)laro( citebaiditnAesanorciMedirubylG
lagnufitnA,citoibitnA F/U nicivluFnivlufoesirG
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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, DecongestantChlorpheniramin + Phenylpropanolamine Ru-Tuss II Antihistamine, Decongestant
Chlorthalidone + Reserpine Demi-Regroton Antihypertensive, Thiazide diureticChlorthalidone + 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.
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.
*Non-Steroidal Anti-Inflammatory Drug
Enalapril + Hydrochlorothiazid Vaseretic AntibioticErythromycin Ethylsuccinate + Sulfisoxazole Pediazole Antihypertensive, Thiazide diuretic
Gold Salts (compounds) Solganal Antiarthritic, Gold compoundGold Sodium Thiomalate Myochrysine Antiarthritic, Gold compound
Generic Name Brand Name Therapeutic ClassGriseofulvin Ultramicrosize Grisactin Ultra Antibiotic, AntifungalGuanethidine + Hydrochlorothiazide Esimil Antihypertensive, Thiazide diureticHaloperidol Haldol Antipsychotic, TranquilizerHexachlorophene Phisohex AntibacterialHydralazine + Hydrochlorothiazide Apresazide Antihypertensive, Thiazide diureticHydralazine Apresoline-Esidrix Antihypertensive, Thiazide diureticHydrochlorothiazide Esidrix Antihypertensive, Thiazide diureticHydrochlorothiazide Hydrodiuril Antihypertensive, Thiazide diureticHydrochlorothiazide Oretic Antihypertensive, Thiazide diureticHydrochlorothiazide Oreticyl Antihypertensive, Thiazide diureticHydrochlorothiazide + Triamterene Dyazide Antihypertensive, Thiazide diureticHydrochlorothiazide Maxzide Antihypertensive, Thiazide diureticHydroflumethiazide Diucardin Antihypertensive, Thiazide diureticHydroflumethiazide Saluron Antihypertensive, Thiazide diureticHydroflumethiazide + Reserpine Salutensin/
Salutensin-Demi Antihypertensive, Thiazide diureticIbuprofen Advil (<1%) NSAID,* AntiarthriticIbuprofen Motrin (<1%) NSAID,* AntiarthriticImipramine Tofranil Antidepressant (tricyclic)Indapamide Lozol Antihypertensive, DiureticInterferon ALFA-2B Intron A (<1%) Antiviral agentIsocarboxazid Marplan Antidepressant, MAO inhibitorIsotretinoin Accutane AntiacneKetoprofen Orudis (<1%) NSAID,* AntiarthriticLabetalol Normodyne Antihypertensive, Beta- and
alpha-adrenergic blockerLabetalol + Hydrochlorothiazide Normozide Beta- and alpha-adrenergic
blocker, Thiazide diuretic“ ” Trandate HCT Beta- and alpha-adrenergic blocker,
Thiazide diureticLisinopril + Hydrochlorothiazide Prinzide Antihypertensive, Thiazide diuretic“ ” Zestoretic Antihypertensive, Thiazide diureticLovastatin Mevacor AnticholesterolMaprotiline Ludiomil AntidepressantMeperidine + Promethiazine Mepergan Narcotic analgesicMesoridazine Serentil Antipsychotic, TranquilizerMethacycline Rondomycin AntibioticMethazolamide Neptazane AntiglaucomaMethdilazine Tacaryl Antihistamine, AntipruriticMethotrexate Folex Antimetabolite, Antipsoriatic“ ” Methotrexate Antimetabolite, Antipsoriatic“ ” Mexate & Mexate-AQ Antimetabolite, AntipsoriaticMethyclothiazide Aquatensen Antihypertensive, Thiazide diuretic“ ” Enduron Antihypertensive, Thiazide diureticMethyclothiazide + Deserpidine Enduronyl Antihypertensive, Thiazide diureticMethyclothiazide + Reserpine Diutensen-R Antihypertensive, Thiazide diureticMethyldopa + Hydrochlorothiazide Aldoril Antihypertensive, Thiazide diureticMethyldopa + Chlorothiazide Aldoclor Antihypertensive, Thiazide diureticMetolazone Diulo Antihypertensive, Thiazide diuretic“ ” Mykrox Antihypertensive, Thiazide diuretic“ ” Zaroxolyn Antihypertensive, Thiazide diureticMetoprolol +Hydrochlorothiazide Lopressor HCT Beta-adrenergic blocker, Thiazide
diureticMinocycline Minocin AntibioticMinoxidol Rogaine Hair growth stimulatorNabilone Cesamet Antiemetic, AntinauseaNadolol + Bendroflumethiazide Corzide Antihypertensive, Beta-adrenergic
blockerNalidixic Acid NegGram AntimicrobialNaprosyn Anaprox NSAID,* Antiarthritic“ ” Naproxen NSAID,* AntiarthriticNifedipine Adalat Antianginal, Antihypertensive,
Calcium channel blocker“ ” Procardia Antianginal, Antihypertensive, Calcium
channel blockerNorfloxacin Noroxin AntibacterialNortriptyline Pamelor Antidepressant (tricyclic)Oxytetracycline Terramycin AntibioticPerphenazine Trilafon Antipsychotic, TranquilizerPerphenazine + Amitriptyline Etrafon Antidepressant (tricyclic), Tranquilizer“ ” Triavil Antidepressant (tricyclic), TranquilizerPhenylbutazone Butazolidin NSAID,* AntiarthriticPhenylpropanolamine + Chlorpheniramine Ornade Spansule Antihistamine, Decongestant Phenylpropanolamine + Pheniramine + Pyrilamine Triaminic TR Decongestant, AntihistaminePhenytoin Dilantin AnticonvulsantPiroxicam Feldene NSAID,* AntiarthriticPolythiazide Renese Antihypertensive, Thiazide diureticPrazosin + Polythiazide Minizide Antihypertensive, Thiazide diureticProchlorperazine Compazine Antinausea, Anti-vomitingPromethazine Phenergan AntihistaminePropranolol + Hydrochlorothiazide Inderide Beta-adrenergic blocker, Thiazide
diureticProtriptyline Vivactil Antidepressant (tricyclic)Pyrazinamide Pyrazinamide Anti-infective, AntituberculosisQuinethazone Hydromox Antihypertensive, DiureticQuinidine Gluconate Quinaglute Dura-Tabs AntiarrhythmicQuinidine Sulfate Quindex Extentabs Antiarrhythmic“ ” Quinora AntiarrhythmicQuinine Quinamm AntiprotozoalRauwolfia + Serpentina +Bendroflumethiazide Rauzide Antihypertensive, Thiazide diuretic Reserpine + Chlorothiazide Diupres Antihypertensive, Thiazide diureticReserpine + Hydrochlorothiazide Hydropres Antihypertensive, Thiazide diuretic“ ” Serpasil-Esidrix Antihypertensive, Thiazide diureticReserpine + Hydralazine + Hydrochlorothiazide Ser-Ap-Es Antihypertensive, Thiazide diureticSelegiline Eldepryl Anti-Parkinsonism, MAO inhibitorSpironolactone + Hydrochlorothiazide Aldactazide Antihypertensive, Thiazide diureticSulfacytine Renoquid Antibiotic
Sulfadoxine + Pyrimethamine Fansidar Antimalarial, AntiprotozoalSulfamethizole + Phenazopyridine Thiosulfil-A Urinary analgesic, AntibioticSulfamethoxazole Gantanol AntibioticSulfamethoxazole + Phenazopyridine Azo Gantanol Antibiotic, Urinary analgesicSulfapyridine (Generic only) Dermatitis herpetiformis suppressantSulfasalazine Azulfidine Bowel anti-inflammatorySulfinpyrazone Anturane Antigout agent, AntihyperuricemicSulfasoxazole Gantrisin AntibioticSulfasoxazole + Phenazopyridine Azo Gantrisin Antibiotic, Urinary analgesicSulfone Dapsone Antileprosy, AntimalarialSunlindac Clinoril (<1%) NSAID,* AntiarthriticTerfenadine Seldane AntihistamineTetracycline Achromycin Antibiotic“ ” Sumycin AntibioticThioridazine Mellaril Antipsychotic, TranquilizerThiothixene Navane Antipsychotic, TranquilizerTimolol + Hydrochlorothiazide Timolide Beta-adrenergic blocker,
Thiazide diureticTolazamide Tolinase Antidiabetic (oral), SulfonylureaTolbutamide Orinase Antidiabetic (oral), SulfonylureaTretinoin Retin-A Antiacne (topical)Triamterene Dyrenium Antihypertensive DiureticTrifluoperazine Stelazine Antipsychotic, TranquilizerTriflupromazine Vesprin Antiemetic, AntipsychoticTrimeprazine Temaril Antipsychotic, TranquilizerTrimethoprim Trimpex AntibioticTrimethoprim + Sulfamethoxazole Bactrim Antibiotic“ ” Septra AntibioticTrimipramine Surmontil Antidepressant (tricyclic)Tripelennamine PBZ AntihistamineTriprolidine Actidil AntihistamineTriprolidine + Pseudoephedrine Actifed Antihistamine, DecongestantVisblastine Velban Antieoplastic
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
Antimicrobials, antiseptics Bithionol, Chlorhexidine, Hexachlorophene
Artificial sweeteners Calcium cyclamate, Cyclamates, Sodium cyclohexyl-sulfamate
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
Melanogenics (furocoumarins) Methoxyposoralens, Petroleum products, Psoralen
Perfumes and toilet articles Ethereal oils, Musk ambrette, Oil of bergamot,(essential oils) Oil of cedar, Oil of citron, Oil of lavender,
Oil of lemon, Oil of lime, Oil of rosemary,Oil of sandalwood
Perfumes, flavoring, spices Rutaceae (plant), Umbelliferae (plant)
Tattoos Cadmium sulfide
*Non-Steroidal Anti-Inflammatory Drug
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Health ConditionsIf your clients have any of the following conditions they should not tan without written consent from their physicians.
(It is very unlikely that any doctor will permit tanning under these circumstances.)
AlbinismAtinie PrurigoDermatomysitisLichen Rubber
Lung TuberculosisLupus ErythemotosumMelasmaPhotoallergic Eczema
Polymorphous Light EruptionPorphriaRelated Allergies
RosaceaSolar UrticariaSun Poisoning
VarixVitiligoXeroderma Pigmentosum
ANTIDEPRESSANTSclomipramine (Anafranil)isocarboxazid (Marplan)maprotiline (Ludiomil)mirtazapine (Remeron)sertaline (Zoloft)TRICYCLIC AGENTS, e.g.,Elavil, Asendin, Norpramin,Sinequan, Tofranil, Aventyl,Vivactil, Surmontil,venlafixine (Effexor)
ANTIHISTAMINESastemizole (Hismanal)cetirizine (Zytec)cyproheptadine (Periactin)dimenhydrinate (Dramamine)diphenhydramine (Benadryl)hydroxyzine (Atarax, Vistaril)loratadine (Claritin)terfenadine (Seldane)
ANTIMICROBIALSazithromycin (Zithromax)griseofulvin (Fulvicin, Grisactin)*nalidixic acid (NegGram) QUINOLONES, e.g.,Cipro, Penetrex, Levaquin, Floxin,*Maxaquin, Noroxin, *Zagamsulfasalazine (Azulfidine)*SULFONAMIDES, e.g.,Gantrisin, Bactrim, SeptraTETRACYCLINES, e.g.,*Declomycin, Vibramycin, Minocin,Terramycin
ANTIPARASITICS*bithionol (Bitin)chloroquine (Aralen)mefloquine (Lariam)pyrvinium parnoate (Povan, Vanquin) quinine
ANTIPSYCHOTICSchlorprothixene (Taractan, Tarasan)haloperidol (Haldol)*PHENOTHIAZINES, e.g.,Compazine, Mellaril, Stelazine, Phenergan,Thorazinerisperidone (Risperdal)thiothixene (Navane)CANCER CHEMOTHERAPY*dacarbazine (DTIC)fluororacil (5-FU)methotrexate (Mexate)procarbazine (Matulane, Natulan)vinblastine (Velban, Belbe)
CARDIOVASCULARS (see also Diuretics)ACE INHIBITORS, e.g.,Capoten, Vasotec, Monapril, Accupril, Altace,Univasc*amiodarone (Cordarone)diltiazem (Cardizem)disopyramide (Norpace)losartan (Hyzaar)lovastatin (Mevacor)nifedipine (Procardia)pravastin (Pravachol)quinidine (Quinaglute)simvastatin (Zocor)sotalol (Betapace)
DIURETICS (see also Cardiovasculars)acetazolamide (Diamox)amiloride (Midamor)furosemide (Lasix)metolazone (Diulo, Zaroxolyn)*THIAZIDES, e.g., HydroDiuril, Naturetin
*HYPOGLYCEMIC SULFONYLUREASacetohexamide (Dymelor)chlorpropamide (Diabinese)glimepiride (Amaryl)glipzide (Glucotrol)glyburide (DiaBeta, Micronase)tolazamide (Tolinase)tolbutamide (Orinase)
NSAIDsAll non-steroidal anti-inflammatory drugs, e.g.,ibuprofen (Motrin),naproxen (Anaprox, Naproxyn),Orudis, Feldene, Voltaren, etc.The new NSAID agents include:etodolac (Lodine), nabumetone (Relafen),oxaprozin (Daypro)
SUNSCREENS*benzophenones (Arimis, Clinique)cinnamates (Arimis, Estée Lauder)dioxbenzone (Solbar Plus)oxybenzone (Eclipse, PreSun, Shade)PABA (PreSun)*PABA esters (Block Out, Sea & Ski, Eclipse)
MISCELLANEOUSbenzocainebenzoyl peroxide (Oxy 10)carbamazepine (Tegretol)chlordiazepoxide (Librium)coal tar, e.g., Tegrin, Zetar)CONTRACEPTIVES, oralestazolam (ProSom)*etretinate (Tegison)felbamate (Felbatol)gabapentin (Neurontin)gold salts (Myochrysine, Ridaura, Solganal)hexachlorophene (pHisoHex)hypericum (St. John’s Wort)interferon beta-1b (Betaseron)*isetretinoln (Accutane)masoprocol (Actinex) olsalazine (Dipentum)*PERFUME OILS, e.g.,bergamot, citron, lavender, sandalwood,cedar, musk *PSORALENSselegiline (deprenyl, Eldepryl)*tretinoin (Retin-A, Vitamin A Acid)zolpidem (Ambien)
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)
ANTIHISTAMINESAstemizoleAzatadineBrompheniramineBuclizineCarbinoxamineCetirizineChlorpheniramineClemastine
CyclizineCyproheptadineDexchlorpheniramineDimenhydrinateDiphenhydramineDiphenylpyralineDoxylamineHydroxyzineLoratadineMeclizineMethapyrileneMethdilazineOrphenadrinePheniraminePromethazinePyrilamineTerfenadineTrimeprazineTripelennamineTriprolidine
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)
ESTROGENSChlorotrianiseneDiethylstilbestrolEstradiolEstrogens, conjugatedEstrogens, esterfiedEstropipate
PROGESTOGENSEthinyl estradiolMedroxyprogesteroneMegestrolNorethindroneNorgestrelQuinestrol
NSAIDs: NON-STEROIDAL ANTI-INFLAMMATORY DRUGS(antiarthritics)DiclofenacDiflunisalFenoprofenFlurbiprofenIbuprofenIndomethacinKetoprofenMeclofenamateNaproxenPhenylbutazonePiroxicamSulindacSuprofenTolmetin
PHENOTHIAZINES (major tranquilizers, anti-emetics)AcetophenazineButaperazineCarphenazineChlorpromazine
EthopropazineFluphenazineMesoridazineMethdilazineMethotrimeprazinePerphenazinePiperacetazineProchlororperazinePromazinePromethazinePropiomazineThiethylperazineThioridazineTrifluoperazineTriflupromazineTrimeprazine
PSORALENSMethoxsalenTrioxsalen
SULFONAMIDES (“sulfa” drugs, antimicrobials,anti-infectives)AcetazolamideSulfacytineSulfadiazineSulfadoxineSulfamethizoleSulfamethoxazoleSulfapyridineSulfasalazineSulfinpyrazoneSulfisoxazole
SULFONYLUREAS (oral anti-diabetics, hypoglycemics)AcetohexamideChlorpropamideGlipizideGlyburideTolazamideTolbutamide
THIAZIDE DIURETICS (“water pills”)BendroflumethiazideBenzthiazideChlorothiazideChlorthalidoneCyclothiazideHydrochlorothiazideHydroflumethiazideMethyclothiazidePolythiazideTrichlormethiazide
TETRACYCLINES (antibiotics, anti-infectives)ChlortetracyclineDemeclocyclineDoxycyclineMethacyclineOxytetracyclineTetracycline
TRICYCLIC ANTIDEPRESSANTSAmitriptylineAmoxapineClomipramineDesipramineDoxepinImipramineIsocarboxazidMaprotilineMirtazapineNortriptylinProtriptylineSertaline Trimipramine
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