Drugs That May Cause Photosensitivity

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The Sun and Skin Cancer

Causes of Photosensitivity

Photosensitivity may be defined as sensitivity of the skin to a light source. And people with particular skin types tend to be more sensitive to this occurring. Photosensitivity can occur due to a number of reasons:

  • Medications. Certain ones may make the skin more sensitive to sunlight. These include most of the tetracycline antibiotics, birth control pills, antihistamines, antidepressants and many retinoids (such as Vitamin A derivatives) – see a more exhaustive list below.
  • Medical Conditions. Some medicals conditions lead to increased light sensitivity. Individuals with systemic lupus erythematosus experience skin symptoms after sunlight exposure and some types of porphyria are aggravated by sunlight.
  • Skin Cancer. The development of skin cancer is linked to excessive sunlight exposure, and the rare hereditary condition xeroderma pigmentosum (a defect in DNA repair) can accelerate this risk.

Photosensitivity may be referred to as “photoallergy” or “sunlight allergy”, even though an actual allergy is not associated with the condition.

Four-hundred drugs are known to cause lightsensitive and photo-allergic reactions. If you’re not sure whether any of your medications are likely to cause photosensitivity, you can check with your doctor or pharmacist.

Minimizing Photosensitivity

The use of a well formulated broad spectrum sunscreen that blocks both UVA and UVB rays is important in managing photosensitivity. Whether you opt for a chemical blocking formulation as with Anthelios sunscreens or a physical blocking one that contains zinc oxide, like Apothekari Shade SPF 30,  daily sunscreen use is a must if you are taking any photosensitizing medications.

Common Photosensitizing Medications

Here is a list of the more common photosensitizing medications, listed by generic name.

ACAMPROSATE ACETAMINOPHEN
ACETAZOLAMIDE ACETOHEXAMIDE
ACYCLOVIR ALDESLEUKIN
ALITRETINOIN ALLOPURINOL
ALMOTRIPTAN ALPRAZOLAM
AMANTADINE AMILORIDE
AMINOLEVULINIC ACID AMINOSALICYLATE SODIUM
AMIODARONE AMITRIPTYLINE
AMOBARBITAL AMOXAPINE
ANAGRELIDE ANTHRAX VACCINE
ARSENIC ATAZANAVIR
ATENOLOL ATORVASTATIN
ATROPINE SULFATE AZATADINE
AZATHIOPRINE AZITHROMYCIN
BENAZEPRIL BENDROFLUMETHIAZIDE
BENZTHIAZIDE BENZTROPINE
BERGAMOT BETAXOLOL
BEXAROTENE BIMATOPROST
BISOPROLOL BROMPHENIRAMINE
BUMETANIDE BUPROPION
BUTABARBITAL BUTALBITAL
CAPECITABINE CAPTOPRIL
CARBAMAZEPINE CARISOPRODOL
CARTEOLOL CARVEDILOL
CEFAZOLIN CEFTAZIDIME
CELECOXIB CETIRIZINE
CEVIMELINE CHLORAMBUCIL
CHLORDIAZEPOXIDE CHLORHEXIDINE
CHLOROQUINE CHLOROTHIAZIDE
CHLOROTRIANISENE CHLORPHENIRAMINE
CHLORPROMAZINE CHLORPROPAMIDE
CHLORTETRACYCLINE CHLORTHALIDONE
CINOXACIN CIPROFLOXACIN
CITALOPRAM CLEMASTINE
CLOFAZIMINE CLOFIBRATE
CLOMIPRAMINE CLOPIDOGREL
CLORAZEPATE CLOZAPINE
CO-TRIMOXAZOLE COLCHICINE
CORTICOSTEROIDS CROMOLYN
CYCLAMATE CYCLOBENZAPRINE
CYCLOTHIAZIDE CYPROHEPTADINE
DACARBAZINE DANAZOL
DANTROLENE DAPSONE
DEMECLOCYCLINE DESIPRAMINE
DEXCHLORPHENIRAMINE DIAZOXIDE
DICLOFENAC DIFLUNISAL
DILTIAZEM DIMENHYDRINATE
DIPHENHYDRAMINE DISOPYRAMIDE
DOCETAXEL DONG QUAI
DOXEPIN DOXYCYCLINE
DULOXETINE EFAVIRENZ
ENALAPRIL ENOXACIN
EPIRUBICIN EPOETIN ALFA
ESOMEPRAZOLE ESTAZOLAM
ESTROGENS ETHACRYNIC ACID
ETHAMBUTOL ETHIONAMIDE
ETODOLAC FELBAMATE
FENOFIBRATE FLOXURIDINE
FLUCYTOSINE FLUOROURACIL
FLUOXETINE FLUPHENAZINE
FLURBIPROFEN FLUTAMIDE
FLUVASTATIN FLUVOXAMINE
FOSINOPRIL FURAZOLIDONE
FUROSEMIDE GANCICLOVIR
GATIFLOXACIN GEMIFLOXACIN
GENTAMICIN GLATIRAMER
GLIMEPIRIDE GLIPIZIDE
GLYBURIDE GLYCOPYRROLATE
GOLD And GOLD COMPOUNDS GOLDENSEAL
GREPAFLOXACIN GRISEOFULVIN
HALOPERIDOL HENNA
HEROIN HYDRALAZINE
HYDROCHLOROTHIAZIDE HYDROFLUMETHIAZIDE
HYDROXYCHLOROQUINE HYDROXYUREA
HYDROXYZINE HYOSCYAMINE
IBUPROFEN IMATINIB
IMIPRAMINE INDAPAMIDE
INDOMETHACIN INFLIXIMAB
INTERFERON BETA 1-A INTERFERON BETA-1B
INTERFERONS, ALFA-2 IRINOTECAN
ISOCARBOXAZID ISONIAZID
ISOTRETINOIN ITRACONAZOLE
KANAMYCIN KAVA
KETOCONAZOLE KETOPROFEN
KETOTIFEN LAMOTRIGINE
LEUPROLIDE LEVOFLOXACIN
LINCOMYCIN LISINOPRIL
LOMEFLOXACIN LORATADINE
LOSARTAN LOXAPINE
MAPROTILINE MECLIZINE
MECLOFENAMATE MEDROXYPROGESTERONE
MEFENAMIC ACID MELATONIN
MELOXICAM MEPROBAMATE
MERCAPTOPURINE MESALAMINE
MESORIDAZINE METFORMIN
METHAZOLAMIDE METHENAMINE
METHOTREXATE METHOXSALEN
METHYCLOTHIAZIDE METHYLDOPA
METHYLPHENIDATE METOLAZONE
MINOCYCLINE MIRTAZAPINE
MITOMYCIN MOEXIPRIL
MOLINDONE MOXIFLOXACIN
NABUMETONE NALIDIXIC ACID
NAPROXEN NAPROXEN
NARATRIPTAN NEFAZODONE
NIFEDIPINE NISOLDIPINE
NITROFURANTOIN NORFLOXACIN
NORTRIPTYLINE OFLOXACIN
OLANZAPINE ORAL CONTRACEPTIVES
OXAPROZIN OXCARBAZEPINE
OXYTETRACYCLINE PACLITAXEL
PANTOPRAZOLE PAROXETINE
PENTOBARBITAL PENTOSAN
PENTOSTATIN PERPHENAZINE
PHENELZINE PHENINDAMINE
PHENOBARBITAL PILOCARPINE
PIMOZIDE PIROXICAM
POLYTHIAZIDE PRAVASTATIN
PROCARBAZINE PROCHLORPERAZINE
PROCYCLIDINE PROMAZINE
PROMETHAZINE PROPRANOLOL
PROPYLTHIOURACIL PROTRIPTYLINE
PSORALENS PYRAZINAMIDE
PYRIDOXINE PYRILAMINE
PYRIMETHAMINE QUETIAPINE
QUINACRINE QUINAPRIL
QUINESTROL QUINETHAZONE
QUINIDINE QUININE
RABEPRAZOLE RAMIPRIL
RANITIDINE RIBAVIRIN
RILUZOLE RISPERIDONE
RITONAVIR ROFECOXIB
ROPINIROLE RUE
SACCHARIN SAQUINAVIR
SCOPOLAMINE SELEGILINE
SELENIUM SERTRALINE
SILDENAFIL SIMVASTATIN
SMALLPOX VACCINE SOTALOL
SPARFLOXACIN SPIRONOLACTONE
ST JOHN’S WORT STREPTOMYCIN
SULFACETAMIDE SULFADIAZINE
SULFADOXINE SULFAMETHOXAZOLE
SULFASALAZINE SULFISOXAZOLE
SULINDAC SUMATRIPTAN
TACROLIMUS TARTRAZINE
TERBINAFINE TETRACYCLINE
THIMEROSAL THIOGUANINE
THIORIDAZINE THIOTHIXENE
TIAGABINE TIMOLOL
TIOPRONIN TOLAZAMIDE
TOLBUTAMIDE TOLMETIN
TOPIRAMATE TORSEMIDE
TRANYLCYPROMINE TRAZODONE
TRETINOIN TRIAMTERENE
TRIAZOLAM TRICHLORMETHIAZIDE
TRIFLUOPERAZINE TRIHEXYPHENIDYL
TRIMEPRAZINE TRIMETHADIONE
TRIMETHOPRIM TRIMETREXATE
TRIMIPRAMINE TRIOXSALEN
TRIPELENNAMINE TRIPROLIDINE
TROVAFLOXACIN VALDECOXIB
VALPROIC ACID VALSARTAN
VANCOMYCIN VARDENAFIL
VENLAFAXINE VERAPAMIL
VERTEPORFIN VINBLASTINE
VITAMIN A VORICONAZOLE
YARROW ZALCITABINE
ZALEPLON ZIPRASIDONE
ZOLMITRIPTAN ZOLPIDEM

This Post Has 10 Comments

  1. C. Forney

    Does Plavix make you sunlight sensitive

  2. Sharmani

    Plavix’s monograph does not list photosensitivity as a side effect, however how any individual will react to a given medication will differ. If you feel that you are more sensitive to sunlight since starting on Plavix, then it is possible that the drug may be responsible.

    I would check with your physician.

  3. ginger cantwell

    I did not see lovastatin or metopopol on the list of drugs causing photosensitivity. What is your opinion? What is the best treatment?

    1. Sharmani

      For Ginger, any ingredient could potentially cause problems for someone with skin sensitivities. The list given in the article you refer to is not intended to be exhaustive, and as with any skin care product, we highly recommend doing a test patch first to see if it is right for you. Dermatologists often recommend physical sunscreens to people who experience photosensitivities. Keys Solar Rx is one such physical sunscreen. Another line often recommended is Anthelios, usually for those with PMLE and similar afflictions.

  4. Marie

    Hi, How long does Acetazolamide stay in your system?

    When will it be safe to go to a sun bed and in the sun?

    Your response will be greatly appreciated. Thank you

    Marie

    1. Sharmani

      For Marie:
      As Acetazolamide is prescribed for different reasons, from glaucoma to altitude sickness, it is best to consult your physician about the affects of this drug and your system. Regardless of acetazolamide use, sunscreen is a must when going out in the sun to protect from damaging UVA and UVB rays. Latest research shows that tanning beds also carry the same risk as unprotected exposure to the sun. You may want to consider a self-tanning lotion as an alternative if you are looking for that summertime glow.
      Best, Sharmani

  5. Sandra Klark

    Butalbital/Caffeine Aspirin is a pain reliever, as well as an anti-inflammatory and a fever reducer. Butalbital is a barbiturate. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow. The combination of aspirin, butalbital, and caffeine is used to treat tension headaches. This medicine is not for treating headaches that come and go.

  6. Laurie

    I am taking Verapamil HCl 120mg for migranes. I am wondering if taking this medication is why I am burning so easy when out in the sun even with sunscreen on… I was recently outside and recieved 2nd degree burns with thickness burns in some areas. Could this be a cause? The only other medications that I take are Zyrtec and vitamin D(I have a deficency)

    1. Sharmani

      For Laurie:
      Thank you for your questions. Many oral medications can increase sun sensitivity, including Zyrtec. Even with sunscreen, you may be more at risk for sunburn. Consulting your doctor would be the best course of action as well as avoiding sun exposure as much as possible, including seeking shade, wearing protective clothing and reapplying broad spectrum sunscreen at least every two hours.
      Best, Sharmani

  7. Miguel Hernandez

    Hello I’m currently taking a cocktailof medication and have experience itchy dry skin when exposure to sunlight on my four arms, below the knee to ankle and back of neck.
    I take Lisinopril, Chorthalidone and Sertraline.

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