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Methoxsalen

Uses of Methoxsalen

  • Methoxsalen is primarily used for managing severe cases of psoriasis and vitiligo. It belongs to a class of compounds known as psoralens or furocoumarins.

Side effects of Methoxsalen

  • Skin redness

  • Itching

  • Skin dryness and peeling

  • Nausea

  • Headache

How Methoxsalen works

  • Methoxsalen is a skin-colouring and light-sensitising agent.

  • It functions as a photosensitising agent. This means when this medicine is consumed orally or applied topically to the skin and then exposed to ultraviolet A (UVA) light, it becomes activated and attaches itself to the DNA in skin cells. This leads to the creation of links between DNA strands, which prohibits the synthesis of DNA and cell division. The combined effect of this medicine and UVA light causes damage at a cellular level and triggers an inflammatory response in the areas of skin being treated. Over time, this process results in increased melanisation, which refers to pigmentation in the skin, and thickening of the stratum corneum or the outermost layer of the skin.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Osama Ahmed
Dr. Osama Ahmed Dental/Medical Writer, Editor, Reviewer| 2 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Methoxsalen is available for administration via oral (tablets and capsules) and topical (lotion, ointment) routes.

Age and Dose Restrictions

  • Methoxsalen is indicated for use in adults and children over the age of 12 years.

Contraindications

  • Methoxsalen should not be used in patients with known sensitivities or allergies to psoralen compounds. This medication is contraindicated in individuals with conditions like lupus erythematosus (inflammatory connective tissue disorder that occurs when the body's immune system attacks its own tissues), xeroderma pigmentosum (genetic disorder in which the ability to repair damaged DNA is decreased), and other diseases that increase sensitivity to UV light.

Other Medications to Avoid

  • Methoxsalen may interact with anticoagulants (e.g., warfarin, jantoven), staining dyes (e.g., methylene blue, toluidine blue), coal tar (e.g., Neutrogena T/Gel, psoriasin) and certain antibiotics (e.g., tetracyclines, sulfonamides).

Overdose and Missed Dose

  • Overdosing on Methoxsalen can lead to severe skin burns, blistering, and peeling. In such cases, immediate medical attention is required.

  • If you miss a dose of this medicine, take it as soon as you remember, but avoid doubling up on the dose.

Management of Side Effects

  • Most side effects of Methoxsalen are temporary and resolve upon discontinuation of the medication. However, consult your doctor if symptoms persist or worsen.

  • To reduce itching and dryness, apply a moisturiser frequently.

Use in Driving and Operating Machinery

  • Methoxsalen can cause dizziness and blurred vision. Avoid driving or operating heavy machinery if you experience any of these side effects.

Use in Pregnancy and Lactation

  • Consult your doctor before using Methoxsalen if you are pregnant or breastfeeding, as its safety in these conditions is not fully established.

Caution in Other Conditions

  • Methoxsalen should be used with caution in patients with liver or kidney dysfunction, as it may affect the metabolism and excretion of the medicine. Patients with a history of skin cancer should use this medicine with caution due to the increased risk of skin damage from UV light.

Special Dietary and Lifestyle Recommendations

  • Limit your exposure to sunlight since Methoxsalen increases sensitivity to UV light. Wear protective clothing and use sunscreen when outdoors.

  • Keep your skin hydrated and moisturised to prevent dryness and peeling.

Frequently asked questions

Methoxsalen is primarily used for managing skin conditions like severe, recalcitrant psoriasis and vitiligo in combination with UVA light therapy. Its use for other conditions should only be determined by a doctor.

Yes, after taking Methoxsalen, you should avoid direct sunlight exposure, especially during peak hours (11 am to 3 pm), for at least 24 hours. UVA-blocking sunglasses should be worn during daylight hours for 24 hours after PUVA therapy to protect your eyes.

Yes, long-term use of Methoxsalen along with UVA therapy may increase the risk of developing non-melanoma skin cancers, particularly squamous cell carcinoma.

No, Methoxsalen is not a steroid. It is a naturally occurring substance found in certain plants and belongs to a class of compounds called psoralens.

There is no specific data suggesting that Methoxsalen has any direct impact on sleep. However, if you experience any unusual sleep patterns after starting this medication, it is recommended to consult your doctor.

Currently, there are no studies or data available that suggest Methoxsalen has an effect on fertility. If you have concerns about fertility and are taking this medication, it would be best to discuss this with your doctor.

The frequency and duration of Methoxsalen should be based on your doctor's prescription. It is crucial not to self-medicate or alter the dosage without consulting your doctor.

Terms & Conditions

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