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Drug interactions

Methoxsalen + Promazine

Severity: Moderate

Methoxsalen and Promazine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Phenothiazines such as promazine can cause photosensitivity. Combined with methoxsalen and UVA, phototoxic reactions may be more frequent or severe.

What this interaction means in plain words

Methoxsalen and Promazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive photosensitizing effects (pharmacodynamic).

What to do

Advise rigorous photoprotection and adjust phototherapy exposure according to skin response. Consider an alternative antipsychotic if reactions occur.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Methoxsalen with Promazine?

MediHelp rates the interaction as moderate. Methoxsalen and Promazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Phenothiazines such as promazine can cause photosensitivity. Combined with methoxsalen and UVA, phototoxic reactions may be more frequent or severe.

How serious is the interaction between Methoxsalen and Promazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise rigorous photoprotection and adjust phototherapy exposure according to skin response. Consider an alternative antipsychotic if reactions occur.

What other medicines interact with Methoxsalen?

MediHelp also lists interactions of Methoxsalen with, for example, Fezolinetant, Demeclocycline, Fedratinib. The full list is on the Methoxsalen page.

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