M E D I C Feeling sun-sensitive? A T medications, topical solutions, and even some foods, can cause the skin to burn or break out in Many a rash when exposed to ultraviolet light. The consequences can range from itchiness to an I uncomfortable rash and burns. O If you tan at an indoor tanning salon, there should be a chart posted of photosensitive medications and agents. N If you are taking a medication that isn’t listed, you should consult your physician or a pharmacist before being exposed to ultraviolet light—indoors or outdoors. The most common photosensitizing materials are listed on the following pages. This is not a list of every L material that could have photosensitizing effects. Before using the list, you should be aware of the following: I • NOT all individuals who use or take these medications will experience a photosensitive reaction. Also, an indi- vidual who experiences a photosensitive reaction on one occasion will NOT necessarily experience it again or S every time. T • 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 Food and Drug Administration. The list was published under the title “Medications That Increase Sensitivity To Light: A 1990 Listing.” The FDA has con- firmed 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.
Reported Photosensitizing Medications Generic Name Brand Name Therapeutic Class Generic Name Brand Name Therapeutic Class Doxycycline Vibramycin Antibiotic Acetazolamide Diamox Anticonvulsant, Antiglaucoma diuretic Doxycycline Hyclate Doryx Antibiotic Amiloride + Hydrochlorothizide Moduretic Antihypertensive, Thiazide diuretic Enalapril Vasotec Antihypertensive Amiodarone Cordarone (15%) Antiarrhythmic Enalapril + Hydrochlorothiazide Vaseretic Antihypertensive, Thiazide diuretic Amitriptyline Elavil Antidepressant (tricyclic) Erythromycin Ethylsuccinate + Sulfisoxazole Pediazole Antibiotic Amitriptyline Endep Antidepressant (tricyclic) Estrogens Contraceptive, oral Female sex hormone Amoxapine Asendin (<1%) Antidepressant (tricyclic) Estrogens Estrogens Female sex hormone Astemizole Hismanal Antihistamine Ethionamide Trecator-SC Anti-infective, Antituberculosis Atenolol + Chlorthalidone Tenoretic Beta-adrenergic blocker Thiazide diuretic Etretinate Tegison Antipsoriatic Auranofin Ridaura Antiarthritic, Gold compound Floxuridine FUDR Injectable Antimetabolite, Antineoplastic Azatadine Optimine Antihistamine Flucytosine Ancobon Antifungal Azatidine + Pseudoephedrine Trinalin Repetabs Antihistamine, Decongestant Fluorouracil Adrucil Antineoplastic Bendroflumethiazide Naturetin Antihypertensive, Thiazide diuretic Fluorouracil Efudex Antineoplastic Benzthiazide Exna Antihypertensive, Thiazide diuretic Fluorouracil Fluorouracil Antineoplastic Bromodiphenhydramine Ambenyl Antihistamine Fluphenazine Prolixin Antipsychotic, Tranquilizer Brompheniramine Dimetane Antihistamine Fluphenazine Permitil Antipsychotic, Tranquilizer Captopril Capoten Antihypertensive Flurbiprofen Ansaid NSAID,* antiarthritic Captopril + Hydrochlorothiazide Capozide Antihypertensive, Thiazide diuretic Flutamide Eulexin Antimetastatic (prostatic carcinoma) Carbamazepine Tegretol Analgesic, Anticonvulsant Furosemide Lasix Antihypertensive, Diuretic Chlordiazepoxide + Amitriptyline Limbitrol Antidepressant (tricyclic) Tranquilizer Gentamicin Garamycin Antibiotic Chlorothiazide Diuril Antihypertensive, Thiazide diuretic Glipizide Glucotrol Antidiabetic (oral),Sulfonylurea Chlorpheniramine Chlorpheniramine Antihistamine Glyburide Diabeta Antidiabetic (oral),Sulfonylurea Chlorpheniramin + D-Pseudoephedrine Deconamine Antihistamine, Decongestant Glyburide Micronase Antidiabetic (oral), Sulfonylurea Chlorpheniramine + Phenylpropanolamine Ru-Tuss II Antihistamine, Decongestant Gold Salts (compounds) Solganal Antiarthritic, Gold compound Chlorpromazine Thorazine Antiemetic, Tranquilizer Gold Sodium Thiomalate Myochrysine Antiarthritic, Gold compound Chlorpropamide Diabinese Antidiabetic (oral), Sulfonylurea Griseofulvin Fulvicin U/F Antibiotic, Antifungal Chlorprothixene Taractan Antiemetic, Tranquilizer Griseofulvin Ultramicrosize Grisactin Ultra Antibiotic, Antifungal Chlorthalidone Hygroton Antihypertensive, Thiazide diuretic Guanethidine + Hydrochlorothiazide Esimil Antihypertensive, Thiazide diuretic Chlorthalidone Thalitone Antihypertensive, Thiazide diuretic Haloperidol Haldol Antipsychotic, Tranquilizer Chlorthalidone + Reserpine Demi-Regroton Antihypertensive, Thiazide diuretic Hexachlorophene Phisohex Antibacterial Chlorthalidone + Reserpine Regroton Antihypertensive, Thiazide diuretic Hydralazine + Hydrochlorothiazide Apresazide Antihypertensive, Thiazide diuretic Ciprofloxacin Cipro (<1%) Anti-infective Hydralazine Apresoline-Esidrix Antihypertensive, Thiazide diuretic Clemastine Tavist Antihistamine Hydrochlorothiazide Esidrix Antihypertensive, Thiazide diuretic Clofazime Lamprene (<1%) Antibacterial, Antileprosy agent Hydrochlorothiazide Hydrodiuril Antihypertensive, Thiazide diuretic Clonidine Chlorthalidone + Combipres Antihypertensive, Thiazide diuretic Hydrochlorothiazide Oretic Antihypertensive, Thiazide diuretic Coal Tar Estar Gel Antipsoriatic, Eczema Hydrochlorothiazide Oreticyl Antihypertensive, Thiazide diuretic Coal Tar Balnetar Antipsoriatic, Eczema Hydrochlorothiazide + Triamterene Dyazide Antihypertensive, Thiazide diuretic Contraceptive, oral Estrogen Birth control pill, Female sex hormone Hydrochlorothiazide Maxzide Antihypertensive, Thiazide diuretic Cromolyn Intal Inhaler Antiasthmatic Hydroflumethiazide Diucardin Antihypertensive, Thiazide diuretic Cyclobenzaprine Flexeril Anti-skeletal, Muscle spasms Hydroflumethiazide Saluron Antihypertensive, Thiazide diuretic Cyproheptadine Periactin Antihistamine, Antiserotonergic Hydroflumethiazide + Reserpine Salutensin/ Dacarbazine DTIC-Dome Anti-Hodgkin’s disease, Antimetabolite Salutensin-Demi Antihypertensive, Thiazide diuretic Danazol Danocrine Gonadotropin inhibitor Ibuprofen Advil (<1%) NSAID,* antiarthritic Demeclocycline Declomycin Antibiotic Ibuprofen Motrin (<1%) NSAID,* antiarthritic Desipramine Norpramin Antidepressant (tricyclic) Imipramine Tofranil Antidepressant (tricyclic) Desipramine Pertofrane Antidepressant (tricyclic) Indapamide Lozol Antihypertensive, Diuretic Dexchlorpheniramine Polaramine Antihistamine Interferon ALFA-2B Intron A (<1%) Antiviral agent Diclofenac Voltaren (<1%) NSAID,* antiarthritic Isocarboxazid Marplan Antidepressant, MAO inhibitor Diflunisal Dolobid (<1%) NSAID,* antiarthritic Isotretinoin Accutane Antiacne Diltiazem Cardizem (<1%) Antianginal, Antihypertensive, Calcium Ketoprofen Orudis (<1%) NSAID,* antiarthritic channel blocker Labetalol Normodyne Antihypertensive,Beta- and Diphenhydramine Benadryl Antihistamine alpha-adrenergic blocker Diphenylpyraline Hispril Spansule Antihistamine Labetalol + Hydrochlorothiazide Normozide Beta- and alpha-adrenergic Doxepin Sinequan Antidepressant (tricyclic) blocker, Thiazide diuretic Doxycycline Vibramycin Antibiotic Doxycycline Hyclate Doryx Antibiotic
36 SUNWELLNESS April/May 2000 Generic Name Brand Name Therapeutic Class Photosensitizing Foods And Medications “ ” Trandate HCT Beta- and alpha-adrenergic blocker, Researchers, including Dr. Richard Childers, a dermatologist at the University of Florida, and Dr. Edward Emmett, of Thiazide diuretic Johns Hopkins University, compiled this list of drugs, foods and other substances which could make your skin super Lisinopril + Hydrochlorothiazide Prinzide Antihypertensive, Thiazide diuretic sensitive to ultraviolet light. Should you be taking any of the following, a doctor’s release is necessary before you “ ” Zestoretic Antihypertensive, Thiazide diuretic begin tanning with an indoor tanning system. After the doctor’s release is complete and you have begun the tanning Lovastatin Mevacor Anticholesterol process, should there be any negative reactions experienced, PLEASE notify the receptionist immediately. Maprotiline Ludiomil Antidepressant Meperidine + Promethiazine Mepergan Narcotic analgesic Acridine Preparations (slight) Glyceryl P-Aminobenzoate Profriptyline Mesoridazine Serentil Antipsychotic, Tranquilizer Agave Lechuguilla (amarylis) Grass (meadow) Pyrathiazine Hydrochloride Methacycline Rondomycin Antibiotic Agrimony Hematoporphyrin Pyridine Methazolamide Neptazane Antiglaucoma 9-Aminoacridine Hexachlorophene (rare) Rose Bengal perfume Methdilazine Tacaryl Antihistamine, Antipruritic Aminobenzoic Acid Imipramine HCI (Tofranil) Rue Methotrexate Folex Antimetabolite, Antipsoriatic Anesthetica (procaine group) Isothipencyl (Theruhistin) Salicylanilides “ ” Methotrexate Antimetabolite, Antipsoriatic Angelica Isothipendyl Salicylates “ ” Mexate & Mexate-AQ Antimetabolite, Antipsoriatic Anthracene Lady’s Thumb (tea) Silver Salts Methyclothiazide Aquatensen Antihypertensive, Thiazide diuretic Antimalarials Lantinin Smartweed (tea) “ ” Enduron Antihypertensive, Thiazide diuretic Aresenicals Meclothiazide (Enduron) Stilbamindine Isethionate Methyclothiazide + Deserpidine Enduronyl Antihypertensive, Thiazide diuretic Barbiturates Mepazine (Pacatal) Sulfacetamide Methyclothiazide + Reserpine Diutensen-R Antihypertensive, Thiazide diuretic Bavachi (corylifolia) 9-Mercaptopurine Sulfadimethoxine Methyldopa + Hydrochlorothiazide Aldoril Antihypertensive, Thiazide diuretic Benzene Methotrimeprazine (Levoprome) Sulfaguanidine Methyldopa + Chlorothiazide Aldoclor Antihypertensive, Thiazide diuretic Benzopyrine Methoxsalen (Meloxine, Sulfanilamide (slight) Metolazone Diulo Antihypertensive, Thiazide diuretic Bergamot (perfume) Oxsoralen) Sulfamerazine “ ” Mykrox Antihypertensive, Thiazide diuretic Bithional (Actamer, Lorothidol) 5-Methoxypsoralen Sulfamethazine “ ” Zaroxolyn Antihypertensive, Thiazide diuretic Bulosemide (Jadit) 8-Methoxypsoralen Sulfapyridine Metoprolol +Hydrochlorothiazide Lopressor HCT Beta-adrenergic blocker, Thiazide diuretic Bromchlorsalicylanilide Monoglycerol para-aminobenzoate Sulfathiazole Minocycline Minocin Antibiotic 4-Butyl-4-Chlorosalicylanilide Mustards Sulfonamides Minoxidol Rogaine Hair growth stimulator Carbinoxamine D-Form Nalidixic Acid Sulfaisomidine (Elkosin) Nabilone Cesamet Antiemetic, Antinausea Nadolol + Bendroflumethiazide Corzide Antihypertensive, Beta-adrenergic (Twiston R-A) Naphthalene Sulfonylureas (Antidiabetics) blocker Carbutamide (Nadisan) Nortriptyline (Aventyl) Tetrachlorsalicylanilide Nalidixic Acid NegGram Antimicrobial Carrots, wild Para-Dimethylaminoazobenzene Thiazides (Diuril, Hydrodiuril) Naprosyn Anaprox NSAID,* antiarthritic Celery Paraphenylenediamine Thiopropazate “ ” Naproxen NSAID,* antiarthritic Chlorophyll Parsley Dihydrochloride Nifedipine Adalat Antianginal, Antihypertensive, Citrus fruits Parsnips Toluene Calcium channel blocker Clover Penicillin derivitives Tribromosalicylanilide (TBS) “ ” Procardia Antianginal, Antihypertensive, Calcium Demeclocycline Perioline Trichlormethiazide (Metahydrin) channel blocker Declomycin Perphenazine (Trilafon) Tridione Norfloxacin Noroxin Antibacterial Demethylchlortetracycline Phenanthrene Triethylene Melamine (TEM) Nortriptyline Pamelor Antidepressant (tricyclic) Dibenzopyran derivatives Phenazine Dyes Triflupromazine Hydrochloride Oxytetracycline Terramycin Antibiotic Dicyanine-A Phenolic compounds (Vesprin) Perphenazine Trilafon Antipsychotic, Tranquilizer Digalloyl trioleate sunscreen Phenothiazines Trimeprazine Tartrate (Temaril) Perphenazine + Amitriptyline Etrafon Antidepressant (tricyclic) Tranquilizer Dill (dyes, methylene blue) Trimethadione (Tridione) “ ” Triavil Antidepressant (tricyclic) Tranquilizer Diphenhydramine hydrochloride Phenoxazines Tripyrathiazine Phenylbutazone Butazolidin NSAID,*antiarthritic Eosin (slight) Phenylbutazone (Butazolidin) Vanilla Oils Phenylpropanolamine + Chlorpheniramine Ornade Spansule Antihistamine, Decongestant Estrone Pitch and Pitch fumes Water Ash Phenylpropanolamine + Pheniramine + Pyrilamine Triaminic TR Decongestant, Antihistamine Fennel Porphyrins Xylene Phenytoin Dilantin Anticonvulsant Fluorescein dyes Prochlorperazine Yarrow Piroxicam Feldene NSAID,* antiarthritic 5-Fluorouracil Promazine Hydrochloride Polythiazide Renese Antihypertensive, Thiazide diuretic Prazosin + Polythiazide Minizide Antihypertensive, Thiazide diuretic Prochlorperazine Compazine Antinausea, Anti-vomiting Other Photosensitizing Agents Promethazine Phenergan Antihistamine Classification Or Use Agent Propranolol + Hydrochlorothiazide Inderide Beta-adrenergic blocker, Thiazide diuretic Antifungals Fentichlor, Jadit, Multifungin Protriptyline Vivactil Antidepressant (tricyclic) Pyrazinamide Pyrazinamide Anti-infective, Antituberculosis Antimicrobials, antiseptics Bithionol, Chlorhexidine, Hexachlorophene Quinethazone Hydromox Antihypertensive, Diuretic Quinidine Gluconate Quinaglute Dura-Tabs Antiarrhythmic Artificial sweeteners Calcium cyclamate, Cyclamates, Sodium cyclohexyl-sulfamate Quinidine Sulfate Quindex Extentabs Antiarrhythmic Coal tar and coal tar derivatives for psoriasis Anthracene, Many phenolic agents, Naphthalene, “ ” Quinora Antiarrhythmic and chronic eczema and in hair shampoos Phenanthrene, Pitch, Thiophene Quinine Quinamm Antiprotozoal Rauwolfia + Serpentina + Cosmetics and Dyes Acridine, Eosine, Erythrocine, Fluorescein, Bendroflumethiazide Rauzide Antihypertensive, Thiazide diuretic Methylene blue, Methyl violet, Orange red, Reserpine + Chlorothiazide Diupres Antihypertensive, Thiazide diuretic Paraphenylenediamine, Rose bengal, Reserpine + Hydrochlorothiazide Hydropres Antihypertensive, Thiazide diuretic Toluidine blue, Trypaflavin, Trypan blue “ ” Serpasil-Esidrix Antihypertensive, Thiazide diuretic Deodorant and bacteriostatic agents in soaps Halogenated carbanilides, Halogenated phenols, Reserpine + Hydralazine + Halogenated salicylanilides Hydrochlorothiazide Ser-Ap-Es Antihypertensive, Thiazide diuretic Selegiline Eldepryl Anti-Parkinsonism, MAO inhibitor Fluorescent brightening agent Blankophor Spironolactone + Hydrochlorothiazide Aldactazide Antihypertensive, Thiazide diuretic for cellulose, nylon or wool fibers Sulfacytine Renoquid Antibiotic Melanogenics (furocoumarins) Methoxyposoralens, Petroleum products, Psoralen Sulfadoxine + Pyrimethamine Fansidar Antimalarial, Antiprotozoal Sulfamethizole + Phenazopyridine Thiosulfil-A Urinary analgesic, Antibiotic Perfumes and toilet articles Ethereal Oils, Musk Ambrette, Oil of Bergamot, Sulfamethoxazole Gantanol Antibiotic (essential oils) Oil of Cedar, Oil of Citron, Oil of Lavender, Sulfamethoxazole + Phenazopyridine Azo Gantanol Antibiotic, Urinary analgesic Oil of Lemon, Oil of Lime, Oil of Rosemary, Sulfapyridine (Generic only) Dermatitis herpetiformis suppressant Oil of Sandalwood Sulfasalazine Azulfidine Bowel anti-inflammatory Sulfinpyrazone Anturane Antigout agent, Antihyperuricemic Perfumes, flavoring, spices Rutaceae (plant), Umbelliferae (plant) Sulfasoxazole Gantrisin Antibiotic Tattoos Cadmium sulfide Sulfasoxazole + Phenazopyridine Azo Gantrisin Antibiotic, Urinary analgesic Sulfone Dapsone Antileprosy, Antimalarial Products Sunlindac Clinoril (<1%) NSAID,* antiarthritic Terfenadine Seldane Antihistamine A few products also are known to make the skin more sensitive to UV light, such as Halogenated Salicylanilides and Tetracycline Achromycin Antibiotic related compounds used as antibacterial agents in first-aid creams, acne preparations and deodorant soaps. “ ” Sumycin Antibiotic Perfumes and colognes containing furocoumarins, compounds from natural products such as plants and fruits, Thioridazine Mellaril Antipsychotic, Tranquilizer have natural oils that can sensitize the skin to sunlight. Musk Ambrette is used in some aftershaves and Thiothixene Navane Antipsychotic, Tranquilizer colognes and also has been found to cause skin reaction to UV light. Timolol + Hydrochlorothiazide Timolide Beta-adrenergic blocker, Thiazide diuretic Some make-up products contain the following dyes, which can cause a reaction under UV light, another Tolazamide Tolinase Antidiabetic (oral), Sulfonylurea reason to make sure skin is clean before tanning. Certain food products also contain the following dyes. Tolbutamide Orinase Antidiabetic (oral), Sulfonylurea Acridine Fluorescin Toluidine Blue Tretinoin Retin-A Antiacne (topical) Anthracene Methylene Blue, Violet, Orange Trypaflavin Triamterene Dyrenium Antihypertensive Diuretic Cadmium Sulfide and Red Trypan Blue Trifluoperazine Stelazine Antipsychotic, Tranquilizer Eosin (found in lipstick) Neutral Red Triflupromazine Vesprin Antiemetic, Antipsychotic Trimeprazine Temaril Antipsychotic, Tranquilizer Erythrosin Rose Bengal Trimethoprim Trimpex Antibiotic Trimethoprim + Sulfamethoxazole Bactrim Antibiotic Sunscreens With A Reported Photosensitizing Ingredient “ ” Septra Antibiotic 6-Acetoxy-2, 4-dimethyl-m-dioxane (preservative in sunscreen) Trimipramine Surmontil Antidepressant (tricyclic) Benzophenones (Aramis, Clinique and others) Tripelennamine PBZ Antihistamine Cinnamates (Aramis, Estee Lauder and others) Triprolidine Actidil Antihistamine Oxybenzone (Eclipse, PreSun and others) Triprolidine + Pseudoephedrine Actifed Antihistamine, Decongestant Paba esters (Eclipse, Block Out, Sea & Ski and others) Visblastine Velban Antieoplastic Para-aminobenzoic acid (PABA-Pabagel, Pabanol, PreSun and others) SUNWELLNESS April/May 2000 37 M Health Conditions Salon tanning cards or computer files should have a list or field of medical conditions that can make tanning extremely E hazardous. The following should be included on the list. Do not allow clients with these conditions to tan without written consent from the physician. (It is very unlikely that any doctor will permit tanning under these circumstances.) D Albinism Lung Tuberculosis Polymorphous Light Rosacea Atinie Prurigo Lupus Erythemotosum Eruption Solar Urticaria Vitiligo I Dermatomysitis Melasma Porphria Sun Poisoning Xeroderma Pigmentosum C Lichen Rubber Photoallergic Eczema Related Allergies Varix
A ANTIDEPRESSANTS *HYPOGLYCEMIC Cetirizine Mesoridazine clomipramine (Anafranil) SULFONYLUREAS Chlorpheniramine Methdilazine T isocarboxazid (Marplan) acetohexamide (Dymelor) Clemastine Methotrimeprazine maprotiline (Ludiomil) chlorpropamide (Diabinese) Cyclizine Perphenazine I mirtazapine (Remeron) glimepiride (Amaryl) Cyproheptadine Piperacetazine sertaline (Zoloft) glipzide (Glucotrol) Dexchlorpheniramine Prochlororperazine O TRICYCLIC AGENTS, eg., glyburide (DiaBeta, Micronase) Dimenhydrinate Promazine Elavil, Asendin, Norpramin, tolazamide (Tolinase) Diphenhydramine Promethazine N Sinequan, Tofranil, Aventyl, tolbutamide (Orinase) Diphenylpyraline Propiomazine Vivactil, Surmontil, Doxylamine Thiethylperazine venlafixine (Effexor) NSAIDs Hydroxyzine Thioridazine All nonsteroidal anti-inflammatory Loratadine Trifluoperazine L ANTIHISTAMINES drugs, eg., Meclizine Triflupromazine astemizole (Hismanal) ibuprofen (Motrin), Methapyrilene Trimeprazine I cetirizine (Zytec) naproxen (Anaprox, Naproxyn), Methdilazine cyproheptadine (Periactin) Orudis, Feldene, Voltaren, etc. Orphenadrine PSORALENS S dimenhydrinate (Dramamine) The new NSAID agents include: Pheniramine Methoxsalen diphenhydramine (Benadryl) etodolac (Lodine), nabumetone Promethazine Trioxsalen T hydroxyzine (Atarax, Vistaril) (Relafen), Pyrilamine loratadine (Claritin) oxaprozin (Daypro) Terfenadine SULFONAMIDES terfenadine (Seldane) Trimeprazine (“sulfa” drugs, antimicrobials, SUNSCREENS Tripelennamine anti-infectives) Triprolidine ANTIMICROBIALS *benzophenones (Arimis, Acetazolamide azithromycin (Zithromax) Clinique) Sulfacytine griseofulvin (Fulvicin, Grisactin) cinnamates (Arimis, Estee COAL TAR AND Sulfadiazine *nalidixic acid (NegGram) Lauder) DERIVATIVES Sulfadoxine QUINOLONES, eg., dioxbenzone (Solbar Plus) (examples by brand names) Sulfamethizole Cipro, Penetrex, Levaquin, Floxin, oxybenzone (Eclipse, PreSun, Alphosyl Sulfamethoxazole *Maxaquin, Noroxin, *Zagam Shade) Aquatar Sulfapyridine sulfasalazine (Azulfidine) PABA (PreSun) Denorex Medicated Shampoo Sulfasalazine *SULFONAMIDES, eg., *PABA esters DHS Tar Gel Shampoo Sulfinpyrazone Gantrisin, Bactrim, Septra (Block Out, Sea & Ski, Eclipse) DOAK Shampoo Sulfisoxazole TETRACYCLINES, eg., MISCELLANEOUS Estar *Declomycin, Vibramycin, benzocaine Ionil T Plus SULFONYLUREAS Minocin, Terramycin benzoyl peroxide (Oxy 10) LAVATAR (oral anti-diabetics, hypo- carbamazepine (Tegretol) Medotar glycemics) ANTIPARASITICS chlordiazepoxide (Librium) T\Derm Tar Emollient Acetohexamide *bithionol (Bitin) coal tar, eg., Tegrin, Zetar) Tegrin Shampoo Chlorpropamide chloroquine (Aralen) CONTRACEPTIVES, oral T\Gel Therapeutic Shampoo Glipizide mefloquine (Lariam) estazolam (ProSom) Zetar Shampoo Glyburide pyrvinium parnoate (Povan, *etretinate (Tegison) Tolazamide Vanquin) quinine felbamate (Felbatol) CONTRACEPTIVES, Tolbutamide gabapentin (Neurontin) ORAL & ESTROGENS ANTIPSYCHOTICS gold salts (Myochrysine, Ridaura, (birth control pills, THIAZIDE DIURETICS chlorprothixene (Taractan, Solganal) female sex hormones) (“water pills”) Tarasan) hexachlorophene (pHisoHex) Bendroflumethiazide haloperidol (Haldol) hypericum (St. John’s Wort) ESTROGENS Benzthiazide *PHENOTHIAZINES, eg., interferon beta-1b (Betaseron) Chlorotrianisene Chlorothiazide Compazine, Mellaril, Stelazine, *isetretinoln (Accutane) Diethylstilbestrol Chlorthalidone Phenergan, Thorazine masoprocol (Actinex) Estradiol Cyclothiazide risperidone (Risperdal) olsalazine (Dipentum) Estrogens, conjugated Hydrochlorothiazide thiothixene (Navane) *PERFUME OILS, eg., Estrogens, esterfied Hydroflumethiazide CANCER CHEMOTHERAPY bergamot, citron, lavender, san- Estropipate Methyclothiazide *dacarbazine (DTIC) dalwood, cedar, musk Polythiazide fluororacil (5-FU) *PSORALENS PROGESTOGENS Trichlormethiazide methotrexate (Mexate) selegiline (deprenyl, Eldepryl) Ethinyl estradiol procarbazine (Matulane, Natulan) *tretinoin (Retin-A, Vitamin A Medroxyprogesterone TETRACYCLINES vinblastine (Velban, Belbe) Acid) Megestrol (antibiotics, zolpidem (Ambien) Norethindrone anti-infectives) CARDIOVASCULARS Norgestrel Chlortetracycline Note: Items with an asterisk (*) are (see also Diuretics) Quinestrol Demeclocycline more likely to cause photosensitiv- ACE INHIBITORS, eg., Doxycycline ity reactions. Overall, the drugs Capoten, Vasotec, Monapril, NSAID: NON-STEROIDAL Methacycline listed above cause reactions in less Accupril, Altace, Univasc Oxytetracycline than 1% of patients. Tell clients ANTI-INFLAMMATORY *amiodarone (Cordarone) Tetracycline diltiazem (Cardizem that get an unusual “sunburn” or DRUGS disopyramide (Norpace) allergic or eczematous reaction in (antiarthritics) losartan (Hyzaar) skin areas exposed to light to let Diclofenac TRICYCLIC lovastatin (Mevacor) their physician or pharmacist Diflunisal ANTIDEPRESSANTS nifedipine (Procardia) know about the problem and to Fenoprofen Amitriptyline pravastin (Pravachol) discontinue exposure to UV radia- Flurbiprofen Amoxapine quinidine (Quinaglute) tion. Photosensitivity data from Ibuprofen Clomipramine simvastatin (Zocor) Pharmacist’s Letter. Indomethacin Desipramine sotalol (Betapace) Ketoprofen Doxepin Primary Class of Meclofenamate Imipramine DIURETICS Naproxen Isocarboxazid Medications Phenylbutazone Maprotiline (see also Cardiovasculars) Piroxicam Mirtazapine acetazolamide (Diamox) Responsible for Sulindac Nortriptylin amiloride (Midamor) Photosensitizing Suprofen Protriptyline furosemide (Lasix) Tolmetin Sertaline metolazone (Diulo, Zaroxolyn) Reactions Trimipramine *THIAZIDES, eg., HydroDiuril, (Examples By Generic Name) PHENOTHIAZINES Naturetin (major tranquilizers, anti-emetics) ANTIHISTAMINES Acetophenazine Astemizole Butaperazine Azatadine Carphenazine Brompheniramine Chlorpromazine Buclizine Ethopropazine Carbinoxamine Fluphenazine 38 SUNWELLNESS April/May 2000