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Photosensitizing Drugs

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Photosensitizing Drugs LFFeb05 pgs78-118 12/29/04 4:57 PM Page 86 Sunlight and the Skin 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. The most common photosensitizing materials are listed on the ■ Brand names of products should be considered only as examples; following pages. This is not a list of every material that could have they do NOT represent all names under which the generic product photosensitizing effects. Before using the list, you should be aware of may be sold. the following: The following list was prepared by Jerome I. Levine, M.S., R.Ph., of the ■ NOT all individuals who use or take these medications will experience U.S. Food and Drug Administration. The list was published under the title a photosensitive reaction. Also, an individual who experiences a “Medications That Increase Sensitivity To Light: A 1990 Listing.” The FDA photosensitive reaction on one occasion will NOT necessarily has confirmed this list to be the most recent. The mention of commercial experience it again or every time. products, their sources or their use in connection with material reported ■ A medication will NOT cause the same degree of skin reaction in herein is not to be construed as either an actual or implied endorsement of all individuals. such products by the Department of Health and Human Services. Cromolyn Intal Inhaler Antiasthmatic Reported Photosensitizing Medications Cyclobenzaprine Flexeril Anti-skeletal, Muscle spasms Cyproheptadine Periactin Antihistamine, Antiserotonergic Generic Name Brand Name Therapeutic Class Dacarbazine DTIC-Dome Anti-Hodgkin’s disease, Antimetabolite Acetazolamide Diamox Anticonvulsant, Antiglaucoma diuretic Danazol Danocrine Gonadotropin inhibitor Amiloride + Hydrochlorothizide Moduretic Antihypertensive, Thiazide diuretic Demeclocycline Declomycin Antibiotic Amiodarone Cordarone (15%) Antiarrhythmic Desipramine Norpramin Antidepressant (tricyclic) Amitriptyline Elavil Antidepressant (tricyclic) Desipramine Pertofrane Antidepressant (tricyclic) Amitriptyline Endep Antidepressant (tricyclic) Dexchlorpheniramine Polaramine Antihistamine Amoxapine Asendin (<1%) Antidepressant (tricyclic) Diclofenac Voltaren (<1%) NSAID,* Antiarthritic Astemizole Hismanal Antihistamine Diflunisal Dolobid (<1%) NSAID,* Antiarthritic Atenolol + Chlorthalidone Tenoretic Beta-adrenergic blocker, Thiazide Diltiazem Cardizem (<1%) Antianginal, Antihypertensive, Calcium diuretic channel blocker Auranofin Ridaura Antiarthritic, Gold compound Diphenhydramine Benadryl Antihistamine Azatadine Optimine Antihistamine Diphenylpyraline Hispril Spansule Antihistamine Azatidine + Pseudoephedrine Trinalin Repetabs Antihistamine, Decongestant Doxepin Sinequan Antidepressant (tricyclic) Bendroflumethiazide Naturetin Antihypertensive, Thiazide diuretic Doxycycline Vibramycin Antibiotic Benzthiazide Exna Antihypertensive, Thiazide diuretic Doxycycline Hyclate Doryx Antibiotic Bromodiphenhydramine Ambenyl Antihistamine Enalapril Vasotec Antihypertensive Brompheniramine Dimetane Antihistamine Enalapril + Hydrochlorothiazide Vaseretic Antihypertensive, Thiazide diuretic Captopril Capoten Antihypertensive Erythromycin Ethylsuccinate + Sulfisoxazole Pediazole Antibiotic Captopril + Hydrochlorothiazide Capozide Antihypertensive, Thiazide diuretic Estrogens Contraceptive, oral Female sex hormone Carbamazepine Tegretol Analgesic, Anticonvulsant Estrogens Estrogens Female sex hormone Chlordiazepoxide + Amitriptyline Limbitrol Antidepressant (tricyclic), Tranquilizer Ethionamide Trecator-SC Anti-infective, Antituberculosis Chlorothiazide Diuril Antihypertensive, Thiazide diuretic Etretinate Tegison Antipsoriatic Chlorpheniramine Chlorpheniramine Antihistamine Floxuridine FUDR Injectable Antimetabolite, Antineoplastic Chlorpheniramin + D-Pseudoephedrine Deconamine Antihistamine, Decongestant Flucytosine Ancobon Antifungal Chlorpheniramine + Phenylpropanolamine Ru-Tuss II Antihistamine, Decongestant Fluorouracil Adrucil Antineoplastic Chlorpromazine Thorazine Antiemetic, Tranquilizer Fluorouracil Efudex Antineoplastic Chlorpropamide Diabinese Antidiabetic (oral), Sulfonylurea Fluorouracil Fluorouracil Antineoplastic Chlorprothixene Taractan Antiemetic, Tranquilizer Fluphenazine Prolixin Antipsychotic, Tranquilizer Chlorthalidone Hygroton Antihypertensive, Thiazide diuretic Fluphenazine Permitil Antipsychotic, Tranquilizer Chlorthalidone Thalitone Antihypertensive, Thiazide diuretic Flurbiprofen Ansaid NSAID,* Antiarthritic Chlorthalidone + Reserpine Demi-Regroton Antihypertensive, Thiazide diuretic Flutamide Eulexin Antimetastatic (prostatic carcinoma) Chlorthalidone + Reserpine Regroton Antihypertensive, Thiazide diuretic Furosemide Lasix Antihypertensive, Diuretic Ciprofloxacin Cipro (<1%) Anti-infective Gentamicin Garamycin Antibiotic Clemastine Tavist Antihistamine Glipizide Glucotrol Antidiabetic (oral),Sulfonylurea Clofazime Lamprene (<1%) Antibacterial, Antileprosy agent Glyburide Diabeta Antidiabetic (oral),Sulfonylurea Clonidine Chlorthalidone + Combipres Antihypertensive, Thiazide diuretic Glyburide Micronase Antidiabetic (oral), Sulfonylurea Coal Tar Estar Gel Antipsoriatic, Eczema Gold Salts (compounds) Solganal Antiarthritic, Gold compound Coal Tar Balnetar Antipsoriatic, Eczema Gold Sodium Thiomalate Myochrysine Antiarthritic, Gold compound Contraceptive, oral Estrogen Birth control pill, Female sex hormone Griseofulvin Fulvicin U/F Antibiotic, Antifungal *Non-Steroidal Anti-Inflammatory Drug 86 LOOKING FIT, February 2005 LFFeb05 pgs78-118 12/29/04 4:58 PM Page 88 Generic Name Brand Name Therapeutic Class Sulfadoxine + Pyrimethamine Fansidar Antimalarial, Antiprotozoal Griseofulvin Ultramicrosize Grisactin Ultra Antibiotic, Antifungal Sulfamethizole + Phenazopyridine Thiosulfil-A Urinary analgesic, Antibiotic Guanethidine + Hydrochlorothiazide Esimil Antihypertensive, Thiazide diuretic Sulfamethoxazole Gantanol Antibiotic Haloperidol Haldol Antipsychotic, Tranquilizer Sulfamethoxazole + Phenazopyridine Azo Gantanol Antibiotic, Urinary analgesic Hexachlorophene Phisohex Antibacterial Sulfapyridine (Generic only) Dermatitis herpetiformis suppressant Hydralazine + Hydrochlorothiazide Apresazide Antihypertensive, Thiazide diuretic Sulfasalazine Azulfidine Bowel anti-inflammatory Hydralazine Apresoline-Esidrix Antihypertensive, Thiazide diuretic Sulfinpyrazone Anturane Antigout agent, Antihyperuricemic Hydrochlorothiazide Esidrix Antihypertensive, Thiazide diuretic Sulfasoxazole Gantrisin Antibiotic Hydrochlorothiazide Hydrodiuril Antihypertensive, Thiazide diuretic Sulfasoxazole + Phenazopyridine Azo Gantrisin Antibiotic, Urinary analgesic Hydrochlorothiazide Oretic Antihypertensive, Thiazide diuretic Sulfone Dapsone Antileprosy, Antimalarial Hydrochlorothiazide Oreticyl Antihypertensive, Thiazide diuretic Sunlindac Clinoril (<1%) NSAID,* Antiarthritic Hydrochlorothiazide + Triamterene Dyazide Antihypertensive, Thiazide diuretic Terfenadine Seldane Antihistamine Hydrochlorothiazide Maxzide Antihypertensive, Thiazide diuretic Tetracycline Achromycin Antibiotic Hydroflumethiazide Diucardin Antihypertensive, Thiazide diuretic “ ” Sumycin Antibiotic Hydroflumethiazide Saluron Antihypertensive, Thiazide diuretic Thioridazine Mellaril Antipsychotic, Tranquilizer Hydroflumethiazide + Reserpine Salutensin/ Thiothixene Navane Antipsychotic, Tranquilizer Salutensin-Demi Antihypertensive, Thiazide diuretic Timolol + Hydrochlorothiazide Timolide Beta-adrenergic blocker, Ibuprofen Advil (<1%) NSAID,* Antiarthritic Thiazide diuretic Ibuprofen Motrin (<1%) NSAID,* Antiarthritic Tolazamide Tolinase Antidiabetic (oral), Sulfonylurea Imipramine Tofranil Antidepressant (tricyclic) Tolbutamide Orinase Antidiabetic (oral), Sulfonylurea Indapamide Lozol Antihypertensive, Diuretic Tretinoin Retin-A Antiacne (topical) Interferon ALFA-2B Intron A (<1%) Antiviral agent Triamterene Dyrenium Antihypertensive Diuretic Isocarboxazid Marplan Antidepressant, MAO inhibitor Trifluoperazine Stelazine Antipsychotic, Tranquilizer Isotretinoin Accutane Antiacne Triflupromazine Vesprin Antiemetic, Antipsychotic Ketoprofen Orudis (<1%) NSAID,* Antiarthritic Trimeprazine Temaril Antipsychotic, Tranquilizer Labetalol Normodyne Antihypertensive, Beta- and Trimethoprim Trimpex Antibiotic alpha-adrenergic blocker Trimethoprim + Sulfamethoxazole Bactrim Antibiotic Labetalol + Hydrochlorothiazide Normozide Beta- and alpha-adrenergic “ ” Septra Antibiotic blocker, Thiazide diuretic Trimipramine Surmontil Antidepressant (tricyclic) “ ” Trandate HCT Beta- and alpha-adrenergic blocker, Tripelennamine PBZ Antihistamine Thiazide diuretic Triprolidine Actidil Antihistamine Lisinopril + Hydrochlorothiazide Prinzide Antihypertensive, Thiazide diuretic Triprolidine + Pseudoephedrine Actifed Antihistamine, Decongestant “ ” Zestoretic Antihypertensive, Thiazide diuretic Visblastine Velban Antieoplastic Lovastatin Mevacor Anticholesterol *Non-Steroidal Anti-Inflammatory Drug Maprotiline Ludiomil Antidepressant Meperidine + Promethiazine Mepergan Narcotic analgesic Mesoridazine Serentil Antipsychotic, Tranquilizer Methacycline Rondomycin Antibiotic Methazolamide
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