Wainwright N J, Collins P, Ferguson J
Department of Dermatology, Ninewells Hospital and Medical School, Dundee, Scotland.
Drug Saf. 1993 Dec;9(6):437-40. doi: 10.2165/00002018-199309060-00006.
Skin reactions following the interaction of photoactive drugs and ultraviolet or visible radiation are usually rapidly reversible after drug cessation. Within the antibacterial group, photosensitivity to sulphonamides, nalidixic acid, fluoroquinolones and tetracycline members have all been reported. In general such reactions are mild, although rarely some individuals have a severe response. Precise subcellular mechanisms are drug specific, appear complex, and as yet are ill understood. Measures such as drug dosage reduction, the wearing of photoprotective clothing and use of broad spectrum sunscreens can alleviate the problem.
光活性药物与紫外线或可见光相互作用后出现的皮肤反应,通常在停药后可迅速逆转。在抗菌药物类别中,已报道过对磺胺类药物、萘啶酸、氟喹诺酮类药物和四环素类药物成员的光敏反应。一般来说,此类反应较为轻微,不过极少数个体可能会出现严重反应。确切的亚细胞机制因药物而异,似乎很复杂,目前仍未被充分理解。诸如减少药物剂量、穿着光防护衣物以及使用广谱防晒霜等措施可以缓解这一问题。