Photoreactions with a fluoroquinolone antimicrobial: evening versus morning dosing

Clin Pharmacol Ther. 1994 Nov;56(5):587-91. doi: 10.1038/clpt.1994.180.

Abstract

Quinolone antimicrobials absorb ultraviolet radiation and, with appropriate drug concentrations, may cause photoreactions. Photoreactions have been reported for several quinolones, including lomefloxacin, a difluorinated quinolone antimicrobial. This study was designed to determine whether the interval between administration of lomefloxacin and exposure to ultraviolet A (UVA) light would affect skin responses. The minimal erythema dose (MED) and severity of local reactions were the main parameters of evaluation. Exposure to UVA radiation 2 hours after morning dosing caused an increase in skin sensitivity as assessed by changes in MED (p < 0.05). No changes were observed with exposure 16 hours after evening dosing (p = 1.00). Edema and blisters at the radiation sites were observed in only the morning dosing group. A significant negative correlation was observed between lomefloxacin plasma concentrations and change MEDs (r = -0.72; p < 0.05). An evening dosing strategy may minimize the risk of phototoxic effects.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Infective Agents / administration & dosage*
  • Anti-Infective Agents / adverse effects
  • Cross-Over Studies
  • Double-Blind Method
  • Female
  • Fluoroquinolones*
  • Humans
  • Male
  • Middle Aged
  • Photosensitivity Disorders / chemically induced*
  • Quinolones / administration & dosage*
  • Quinolones / adverse effects*
  • Time Factors

Substances

  • Anti-Infective Agents
  • Fluoroquinolones
  • Quinolones
  • lomefloxacin