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Potentially Photosensitizing Medications

Photosensitizing medications can cause adverse reactions when treating the skin with medical grade chemical peels or with laser light energies.  Such adverse results include hyper-pigmentation, IGE mediated responses, and possibly hypo-pigmentation (loss of pigmentation).  This list of potentially photosensitizing medications is a comprehensive listing of medications but may not be all encumbering.  New medications are continually being introduced or current medications are being revised, please use this reference as a quick reference guide for patients taking such types of medications.
Please note that many of these medications may be relative contraindications, refer to the half life of these medications and make an educated judgment as to the type of treatment and whether a short-term elimination of these medications will allow for these aesthetic procedures.  Never allow for an aesthetic procedure for a patient with a medical “at risk” condition that is either uncontrolled or needs monitoring.
 Acne Medications
Isotretinoin (Accutane)               Tretinoin (Retin-A)
Anticancer Medications
Chlorambucil                            Cyclophosphamide
Dacarbazine                              Fluorouacil
Flutamide                                  Mercaptopurine
Methotrexate                            Procarbazine
Thioguanine                             Vinblastine
Antidepressants
Amitriptyline                            Amoxapine
Clomipramine                            Doxepin
Imipramine                                Isocarboxazid
Maprotiline                               Phenelzine
Protriptyline                             Trazadone
Trimipramine
Antiepileptics, Sedative, Muscle Relaxants
Carbamazepine                        Cyclobenzaprine
Diazepam                                 Meprobamate
Phenobarbitol                         Phenytoin
Antihistamines
Azatadine                                 Clemastine
Diphenhydramine                   Terfenadine
Tripelennamine
Antihypertensives
Captopril                                   Dilitiazem
Methyldopa                             Minoxidil
Nifedipine
Antimicrobials
Ciprofloxacin                           Clofazimine
Dapsone                                  Demeclocycline
Doxycycline                            Enoxacine
Flucytosine                             Griseafulvin
Ketoconazole                          Lomefloxacine
Methacycline                          Minocycline
Nalidixic acid                           Narfloxacin
Ofloxacin                                 Oxytetracycline
Pyrazinamide
Sulfa drugs
(Bactrim, Septra,Tetracycline)
Antiparasitics
Bithionol                                    Chloroquine
Pyruvinium pamoate                Quinine
Thiabendazole
Antipsychotics
Chlorpromazine                         Chlorprothixene
Fluphenazine                            Haloperidol
Perphenazine                            Prochlorperazine
Promethazine                            Thioridazine
Thiothixane                               Trifluoperazine
Thioflupromazine                     Trimeprazine
Cardiovascular
Amiodarone                              Atenolol
Captopril                                   Diltiazem
Disopyramide                           Nifedipine
Propranolol                               Quinidine gluconate
Quinidine sulfate                     Verapamil
Diuretics
Acetazolaminde                         Amiloride
Bendroflumethiazide                Benzthiazide
Chlorothiazide                           Furosemide
Hydrochlorothiazide                Hydro flumethiazide
Methyclothiazide                     Metalazone
Polythiazide                              Quinethazone
Trichlormethia-zide
Hypoglycemics
Acetohexamide                        Chlorpropamide
Glipizide                                    Tolazamide
Tolbutamide
NSAIDS
Diclofenac                                 Fenoprofen
Flurbiprofen                              Indomethacin
Ketoprofen                                Meclofenamate
Naproxen                                  Phenylbutazone
Piroxicam                                  Sulindac
Others
Bergamot oil                             Oils of citron, lavender, lime, sandalwood
Benzocaine                               Clofibrate Oral contraceptive
Etretinate                                  Gold salts
Hexachlorophene                    Lovastatin
St John’s Wort                        Gmethylcoumarin (used in perfumes, lotions, etc)

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