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Methoxsalen

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Molecule Summary

Uses
Re-pigmentation of skin patches in vitiligo and psoriasis along with UV light therapy
Therapy
Drugs For Psoriasis, Anti-Vitiligo
Side Effects
Disturbed sleep, Nausea, Low mood, Abdominal discomfort
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Molecule Description

Methoxsalen is a naturally occurring compound, found in some plants. On activation by UV light, this medicine leads to repigmentation of skin in patients with vitiligo (white spots), psoriasis (dry, scaly and flaky skin patches) and very fair skin tone (albinism).

Uses

  • Re-pigmentation of skin patches in vitiligo and psoriasis along with UV light therapy.

Contraindications

When should one not use Methoxsalen

  • If you have a known allergy to methoxsalen or any other component of this medicine.
  • If you suffer from liver disease.
  • If you are sensitive to sunlight.
  • If you suffer from porphyria, lupus erythematosus, or white patches due to any infection.
  • If you are under 12 years of age.
  • If you are taking any medicine that can cause photosensitivity (allergic reaction to sunlight).

Side effects

Common side effects of this drug are:

  • Disturbed sleep
  • Nausea
  • Low mood
  • Abdominal discomfort

Precautions and Warnings

Pregnancy

Pregnancy

Limited information is available on the safe use of Methoxsalen in pregnant women. It should not be consumed in pregnancy.

Breast Feeding

Breast Feeding

Methoxsalen should not be taken by breastfeeding mothers as their safety has not been established in nursing mothers.

Driving

Driving

Do not drive if you feel low or uncomfortable.

Alcohol

Alcohol

Alcohol is not known to interact with this medicine. However, if you consume alcohol too often discuss it with your doctor.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You suffer from liver disease.
  • Your skin is sensitive to sunlight.
  • You notice a change in your liver enzyme levels.
  • You experience burning or blisters on the skin.
  • You are taking this medicine for cosmetic purpose only.

Mode of Action

How Does It Work?

Methoxsalen is a naturally occurring substance which is activated on UV light exposure. Methoxsalen acts on the level of your DNA and leads to repigmentation of skin patches in people with vitiligo or psoriasis. It is also beneficial in producing a tan for people with very light skin colour (albinism).

Interactions

Interactions with other medicines

  • Medicines causing photosensitivity should not be given along with Methoxsalen.
  • Concomitant administration of abacavir, aceclofenac, acemetacin, acenocoumarol, acetaminophen, acetylsalicylic acid, acyclovir should be done with caution as the effective dose of medicine can be affected.
  • Discuss with your doctor any other medicine, herbal preparation, and supplements you are taking currently to avoid any possible drug interactions.

Dosage

Overdose

Consumption of more than the prescribed dose may lead to a burning sensation and blistering of the skin. If you have taken too much of this medicine then contact your doctor or reach out to the nearest hospital immediately.

Missed a Dose

If you have missed taking any dose of this medicine then take it as soon as you remember. If it's already time for the next dose then skip the missed dose and follow the regular dosing schedule.

Frequently Asked Questions (FAQs)

It takes few weeks for the effect to show up after starting treatment with Methoxsalen, however, you may be advised to continue the therapy for 6-9 months to get effective results.

Follow the precautions listed below when taking Methoxsalen.

Wear protective sunglasses when stepping out in sunlight or during irradiation with a UV lamp.

Apply a good sunscreen when not taking UV radiation.

Take Methoxsalen on a full stomach to avoid nausea and abdominal discomfort.

Do not take any other medicine without consulting your doctor.

Get routine blood investigations as advised by your doctor.

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