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