PHOTOSENSITIVITY:

PHOTOSENSITIVITY:
A Salon Owner's Handbook

As a tanning salon professional, your clients look to you for advice about the entire tanning process. This means that you and your staff need to be armed with the latest facts and figures to answer those questions intelligently and, most of all, accurately.

Although we offer a service in a controlled environment, we know there are variables that can influence the tanning equation. For example, a person's skin type and skincare practices can affect the tanning process significantly.

As stated in the article on page 86, a client's medication is another factor to consider in the tanning equation. It is important to remind your customers that, when mixed with ultraviolet light, certain medications can cause a physical reaction which is known as photosensitivity. The consequences can range from itchiness to an uncomfortable rash, UV burns, or in extreme cases, death.

It is critical that every salon owner post a chart of photosensitivity agents in a conspicuous location. Should a client be on medication that isn't listed, he or she should consult with his or her physician or a pharmacist before being exposed to ultraviolet light.

The most common photosensitizing materials are listed on the following pages. This is not a list of every material that could have photosensitizing effects. Again, if there is any question about a drug or product that a client uses, have that person consult a physician. Remember, it is better to be safe than sensitive.

Before using the list, you should be aware of the following:

1. NOT all individuals who use or take these medications will experience a photosensitive reaction. Also, an individual who experiences a photosensitive reaction on one occasion will NOT necessarily experience it again or every time.

2. A medication will NOT cause the same degree of skin reaction in all individuals.

3. Brand names of products should be considered only as examples; they do NOT represent all names under which the generic product may be sold.

Jerome I. Levine, M.S., R.Ph., prepared the following list for the Federal Drug Administration. The list was published under the title "Medications That Increase Sensitivity To Light: A 1990 Listing." The FDA has confirmed 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.

ANTIHISTAMINES

Astemizole
Azatadine
Brompheniramine
Buclizine
Carbinoxamine
Chlorpheniramine
Clemastine
Cyclizine
Cyproheptadine
Dexchlorpheniramine
Dimenhydrinate
Diphenhydramine
Diphenylpyraline
Doxylamine
Hydroxyzine
Meclizine
Methapyrilene
Methdilazine
Orphenadrine
Pheniramine
Promethazine
Pyrilamine
Terfenadine
Trimeprazine
Tripelennamine
Triprolidine

COAL TAR AND DERIVATIVES (examples by brand names)

Alphosyl
Aquatar
Denorex Medicated Shampoo
DHS Tar Gel Shampoo
DOAK Shampoo
Estar
Ionil T Plus
LAVATAR
Medotar
T\Derm Tar Emollient
Tegrin Shampoo
T\Gel Therapeutic Shampoo
Zetar Shampoo

CONTRACEPTIVES, ORAL & ESTROGENS (birth control pills, female sex hormones)

ESTROGENS
Chlorotrianisene
Diethylstilbestrol
Estradiol
Estrogens, conjugated
Estrogens, esterfied
Estropipate

PROGESTOGENS
Ethinyl estradiol
Medroxyprogesterone
Megestrol
Norethindrone
Norgestrel
Quinestrol

NSAID: NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (antiarthritics)

Diclofenac
Diflunisal
Fenoprofen
Flurbiprofen
Ibuprofen
Indomethacin
Ketoprofen
Meclofenamate
Naproxen
Phenylbutazone
Piroxicam
Sulindac
Suprofen
Tolmetin

PHENOTHIAZINES (major tranquilizers, anti-emetics)

Acetophenazine
Butaperazine
Carphenazine
Chlorpromazine
Ethopropazine
Fluphenazine
Mesoridazine
Methdilazine
Methotrimeprazine
Perphenazine
Piperacetazine
Prochlororperazine
Promazine
Promethazine
Propiomazine
Thiethylperazine
Thioridazine
Trifluoperazine
Triflupromazine
Trimeprazine

PSORALENS

Methoxsalen
Trioxsalen

SULFONAMIDES ("sulfa" drugs, antimicrobials, anti-infectives)

Acetazolamide
Sulfacytine
Sulfadiazine
Sulfadoxine
Sulfamethizole
Sulfamethoxazole
Sulfapyridine
Sulfasalazine
Sulfinpyrazone
Sulfisoxazole

SULFONYLUREAS (oral anti-diabetics, hypoglycemics)

Acetohexamide
Chlorpropamide
Glipizide
Glyburide
Tolazamide
Tolbutamide

THIAZIDE DIURETICS ("water pills")

Bendroflumethiazide
Benzthiazide
Chlorothiazide
Chlorthalidone
Cyclothiazide
Hydrochlorothiazide
Hydroflumethiazide
Methyclothiazide
Polythiazide
Trichlormethiazide

TETRACYCLINES (antibiotics, anti-infectives)

Chlortetracycline
Demeclocycline
Doxycycline
Methacycline
Oxytetracycline
Tetracycline

TRICYCLIC ANTIDEPRESSANTS

Amitriptyline
Amoxapine
Desipramine
Doxepin
Imipramine
Nortriptylin
Protriptyline
Trimipramine

Reported Photosenitizing Medications

PHOTOSENSITIZING FOODS AND MEDICATIONS

Researchers, including Dr. Richard Childers, a dermatologist at the University of Florida, and Dr. Edward Emmett, of Johns Hopkins University, compiled this list of drugs, foods and other substances which could make your skin super sensitive to ultraviolet light. Should you be taking any of the following, a doctor's release is necessary before you begin tanning with an indoor tanning system. After the doctor's release is complete and you have begun the tanning process, should there be any negative reactions experienced, PLEASE notify the receptionist immediately.

Acridine Preparations (slight)
Agave Lechuguilla (amarylis)
Agrimony
9-Aminoacridine
Aminobenzoic Acid
Anesthetica (procaine group)
Angelica
Anthracene
Antimalarials
Aresenicals
Barbiturates
Bavachi (corylifolia)
Benzene
Benzopyrine
Bergamot (perfume)
Bithional (Actamer, Lorothidol)
Bulosemide (Jadit)
Bromchlorsalicylanilide)
4-Butyl-4-Chlorosalicylanilide
Carbinoxamine D-Form (Twiston R-A)
Carbutamide (Nadisan)
Carrots, wild
Celery
Chlorophyll
Citrus fruits
Clover
Demeclocycline
Declomycin
Demethylchlortetracycline
Dibenzopyran derivatives
Dicyanine-A
Digalloyl trioleate sunscreen
Dill
Diphenhydramine hydrochloride
Eosin (slight)
Estrone
Fennel
Fluorescein dyes
5-Fluorouracil
Glyceryl P-Aminobenzoate
Grass (meadow)
Hematoporphyrin
Hexachlorophene (rare)
Imipramine HCI (Tofranil)
Isothipencyl (Theruhistin)
Isothipendyl
Lady's Thumb (tea)
Lantinin
Meclothiazide (Enduron)
Mepazine (Pacatal)
9-Mercaptopurine
Methotrimeprazine (Levoprome)
Methoxsalen (Meloxine, Oxsoralen)
5-Methoxypsoralen
8-Methoxypsoralen
Monoglycerol para-aminobenzoate
Mustards
Nalidixic Acid
Naphthalene
Nortriptyline (Aventyl)
Para-Dimethylaminoazobenzene
Paraphenylenediamine
Parsely
Parsnips
Penicillin derivitives
Perioline
Perphenazine (Trilafon)
Phenanthrene
Phenazine Dyes
Phenolic compounds
Phenothiazines (dyes, methylene blue)
Phenoxazines
Phenylbutazone (Butazolidin)
Pitch and Pitch fumes
Porphyrins
Prochlorperazine
Promazine Hydrochloride
Profriptyline
Pyrathiazine Hydrochloride
Pyridine
Rose Bengal perfume
Rue
Salicylanilides
Salicylates
Silver Salts
Smartweed (tea)
Stilbamindine Isethionate
Sulfacetamide
Sulfadimethoxine
Sulfaguanidine
Sulfanilamide (slight)
Sulfamerazine
Sulfamethazine
Sulfapyridine
Sulfathiazole
Sulfonamides
Sulfaisomidine (Elkosin)
Sulfonylureas (Antidiabetics)
Tetrachlorsalicylanilide
Thiazides (Diuril, Hydrodiuril)
Thiopropazate
Dihydrochloride
Toluene
Tribromosalicylanilide (TBS)
Trichlormethiazide (Metahydrin)
Tridione
Triethylene Melamine (TEM)
Triflupromazine Hydrochloride (Vesprin)
Trimeprazine Tartrate (Temaril)
Trimethadione (Tridione)
Tripyrathiazine
Vanilla Oils
Water Ash
Xylene
Yarrow
Albinism
Atinie Prurigo
Dermatomysitis
Lichen Rubber
Lung Tuberculosis
Lupus Erythemotosum
Melasma
Photoallergic Eczema
Polymorphous Light Eruption
Porphria
Related Allergies
Rosacea
Solar Urticaria
Sun Poisoning
Varix
Vitiligo
Xeroderma Pigmentosum

HEALTH CONDITIONS

Salon tanning cards or electronic files should have a list of medical conditions that can make tanning extremely 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.)

Acridine
Anthracene
Cadmium Sulfide
Eosin (found in lipstick)
Erythrosin
Fluorescin
Methylene Blue, Violet, Orange and Red
Neutral Red
Rose Bengal
Toluidine Blue
Trypaflavin
Trypan Blue

PRODUCTS

A few products also are known to make the skin more sensitive to UV light, such as Halogenated Salicylanilides and related compounds used as antibacterial agents in first-aid creams, acne preparations and deodorant soaps.

Perfumes and colognes containing furocoumarins, compounds from natural products such as plants and fruits, have natural oils that can sensitize the skin to sunlight. Musk Ambrette is used in some aftershaves and colognes and also has been found to cause skin reaction to UV light.

Some make-up products contain the following dyes, which can cause a reaction under UV light, another reason to make sure skin is clean before tanning. Certain food products also contain the following dyes.

SUNSCREENS WITH A REPORTED
PHOTOSENSITIZING INGREDIENT

OTHER PHOTOSENSITIZING AGENTS