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Drug reference

methoxsalen

Melanizing agent, Synthetic psoralen, Furocoumarin · Melanizing agent

Melanizing agent, Synthetic psoralen, FurocoumarinMelanizing agent
CDSCO approved
EXCRETION
not curated
INTERACTIONS
3 major
SEVERE in our sources
PREGNANCY
not curated
Top interactions
  • Aminolevulinic AcidSevereDatabaseDDInter
  • RasagilineSevereDatabaseDDInter
  • TizanidineSevereDatabaseDDInter

Mechanism

Sensitizes skin to sunlight, which then induces erythema, inflammation, and pigmentation. On photoactivation, it stimulates melanocytes and induces their proliferation.

Indications

VitiligoAcceleration of tanning (maximum 2 weeks treatment)Lichen planusUrticaria pigmentosaAtopic dermatitisCutaneous T cell lymphoma

Dosing

Adult
Oral: 0.3–0.6 mg/kg (usually 20 mg) on alternate days, 2 hours before UVA exposure; Topical: 1% solution

Pharmacokinetics

Onset
Sensitization of skin is maximal at 1–2 hours
Duration
Sensitization lasts for 8 hours or more
Half-life
~1 hr

Side effects

Common
MottlingErythemaBurnsBlisteringPremature ageing of skinGastric discomfortNervousnessInsomnia

Drug interactions

Aminolevulinic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Rasagiline
Severe
Database

Clinical effect not specified

Source: DDInter

Tizanidine
Severe
Database

Clinical effect not specified

Source: DDInter

9 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Melanizing agent, Synthetic psoralen, Furocoumarin drugs

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team