Puva cream therapy

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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UVA irradiation after local application of methoxsalene as photosensitizer in the form of a cream. Advantages are the lack of systemic NW in external application of Methoxsalen in contrast to peroral therapy (see also PUVA therapy, systemic).

Implementation
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Apply Methoxsalen cream ( R162, R164, R163 ) to the affected areas. One hour after applying the cream, irradiation with UVA takes place. Only the affected areas are irradiated. The first dose after MPD, as a rule 0.2-0.3 J/cm2 (depending on skin type) is started. Increase of the UVA dose after 72 hours at the earliest. (delayed phototoxicity); usually by 0.2-0.3 J/cm2 after every 3rd irradiation Frequency of irradiation 3-4 times/week.

Undesirable effects
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If the concentration of the methoxsalene is too high or the radiation dose is too high, there is a risk of dermatitis solaris.

Preparations
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Last updated on: 29.10.2020