{"id":48978,"date":"2020-01-21T14:48:49","date_gmt":"2020-01-21T12:48:49","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=48978"},"modified":"2020-01-21T14:48:49","modified_gmt":"2020-01-21T12:48:49","slug":"medicaments-fotosensibilitzants-consells-davant-efectes","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/es\/2020\/01\/21\/medicaments-fotosensibilitzants-consells-davant-efectes\/","title":{"rendered":"Medicamentos fotosensibilizantes: Consejos ante sus efectos"},"content":{"rendered":"<p>La <strong>fotosensibilidad<\/strong> es una <strong>reacci\u00f3n cut\u00e1nea<\/strong> patol\u00f3gica en la <strong>luz<\/strong>, generalmente a la radiaci\u00f3n ultravioleta, y se manifiesta como una <strong>quemadura solar o erupci\u00f3n<\/strong>. El origen gen\u00e9tico, diversas enfermedades o los\u00a0<strong>medicamentos fotosensibilizantes<\/strong> son posibles\u00a0<strong>causas<\/strong>.<\/p>\n<figure id=\"attachment_49019\" aria-describedby=\"caption-attachment-49019\" style=\"width: 900px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/blog.cofb.cat\/wp-content\/uploads\/2020\/01\/APell-2019_-promocio-ICONA-SOL-1080x1080-CAT.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-49019 size-full\" title=\"Imagen de la segunda ola de la campa\u00f1a #Atenci\u00f3Pell365 centrada en los medicamentos fotosensibilizantes.\" src=\"https:\/\/blog.cofb.cat\/wp-content\/uploads\/2020\/01\/APell-2019_-promocio-ICONA-SOL-1080x1080-CAT.jpg\" alt=\"Imatge de la segona onada de la campanya #Atenci\u00f3Pell365 centrada en els medicaments fotosensibilitzants.\" width=\"900\" height=\"900\" \/><\/a><figcaption id=\"caption-attachment-49019\" class=\"wp-caption-text\">Imagen de la segunda ola de la campa\u00f1a #Atenci\u00f3Pell365 centrada en los medicamentos fotosensibilizantes.<\/figcaption><\/figure>\n<p><strong>La fotosensibilidad causada por medicamentos se produce cuando un f\u00e1rmaco es capaz de absorber la radiaci\u00f3n del sol<\/strong>.<b>\u00a0<\/b>Estos medicamentos hacen que, cuando nos expongamos a la luz, aparezcan <strong>lesiones en la piel que en otras circunstancias no deber\u00edan causarnos ning\u00fan problema <\/strong>porque este tipo de f\u00e1rmacos <strong>nos hacen m\u00e1s sensibles al sol<\/strong>. Esta fotosensibilidad puede variar en funci\u00f3n del metabolismo, la pigmentaci\u00f3n de la piel, la gen\u00e9tica y la dosis y tipos de medicamento.<\/p>\n<h1><strong>Los s\u00edntomas<\/strong><\/h1>\n<p>Hay dos tipos de <strong>reacciones posibles<\/strong>:<\/p>\n<p style=\"padding-left: 30px;\"><strong>1. Reacciones de fototoxicidad:<\/strong><\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Similares a una <strong>quemadura de sol<\/strong>, pero m\u00e1s exageradas. A veces con <strong>botellas<\/strong> y una <strong>cierta urticaria<\/strong>.<\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Aparecen en la cabeza de\u00a0<strong>pocos minutos y horas despu\u00e9s<\/strong> de la exposici\u00f3n y de la toma del medicamento.<\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Los s\u00edntomas <strong>desaparecen a los 2-7 d\u00edas<\/strong> despu\u00e9s de haber suspendido el tratamiento. A veces pueden dejar una <strong>mancha m\u00e1s oscura en la piel que<\/strong> puede durar meses.<\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Suelen estar asociadas a f\u00e1rmacos suministrados por <strong>v\u00eda oral<\/strong> (95% de los casos) y no requieren exposici\u00f3n previa al f\u00e1rmaco.<\/p>\n<p style=\"padding-left: 30px;\"><strong>2. Reacciones de fotoalergia:<\/strong><\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Son reacciones <strong>de hipersensibilidad tipo IV o al\u00e9rgica<\/strong>.<\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Tardan entre uno <strong>d\u00eda y dos semanas<\/strong> al manifestarse.<\/p>\n<p style=\"padding-left: 60px; margin: -2.5% 0;\">\u2013 Requieren <strong>exposici\u00f3n previa al f\u00e1rmaco<\/strong> e interviene el sistema inmunol\u00f3gico.<\/p>\n<p style=\"padding-left: 60px;\">&#8211;<strong> Poco frecuentes<\/strong> y normalmente relacionadas con <strong>medicamentos de uso t\u00f3pico<\/strong>.<\/p>\n<div class=\"box note\"><\/p>\n<h1><strong>\u00bfQu\u00e9 medicamentos pueden provocar fotosensibilidad?<\/strong><\/h1>\n<p>Es muy importante <strong>consultar siempre al farmac\u00e9utico o m\u00e9dico<\/strong>, porque numerosos f\u00e1rmacos pueden causar fotosensibilidad. Un profesional, por tanto, puede <strong>avisar al paciente de qu\u00e9 efectos adversos<\/strong> puede haber y qu\u00e9 hacer para evitarlos.<\/p>\n<p>Los medicamentos fotosensibilizantes son de uso com\u00fan, especialmente entre enfermos cr\u00f3nicos. De forma orientativa, los grupos de <strong>medicamentos que m\u00e1s a menudo<\/strong> dan estas reacciones son:<\/p>\n<ul>\n<li><strong>Antibi\u00f3ticos<\/strong><\/li>\n<li>El antiarr\u00edtmico <strong>amiodarona<\/strong><\/li>\n<li><strong>Antihipertensivos<\/strong><\/li>\n<li><strong>Antipsic\u00f3ticos<\/strong><\/li>\n<li><strong>Antiinflamatorios <\/strong>no esteroidales<\/li>\n<li><strong>Antidepresivos<\/strong><\/li>\n<li><strong>Contraceptivos<\/strong><\/li>\n<li><strong>Retinoides<\/strong><\/li>\n<\/ul>\n<p>Algunos f\u00e1rmacos aplicados por <strong>v\u00eda t\u00f3pica<\/strong> como los <strong>antihistam\u00ednicos<\/strong> pueden ser causa de fototoxicidad y fotoalergia. Tambi\u00e9n productos como los <strong>colorantes<\/strong>, <strong>perfumes<\/strong>, <strong>esencias<\/strong>, etc.<\/p>\n<p><\/div>\n<h1><strong>\u00bfC\u00f3mo evitar la reacci\u00f3n?<\/strong><\/h1>\n<p>Desde<strong>Atenci\u00f3n Primaria<\/strong>, se recomiendan dos <strong>medidas preventivas<\/strong>: tomar el medicamento <strong>tan s\u00f3lo si es necesario<\/strong> y, en caso de serlo, hacerlo <strong>preferentemente por la noche<\/strong> y <strong>evitar la exposici\u00f3n solar<\/strong>.<\/p>\n<p>Ante cualquiera <strong>s\u00edntoma o signo<\/strong>, se recomienda <strong>no dejar el tratamiento y consultar al m\u00e9dico<\/strong> por confirmar o descartar que se trata de una reacci\u00f3n asociada al medicamento.\u00a0 <strong>El farmac\u00e9utico puede resolver dudas<\/strong> y ofrecer consejos para prevenir la aparici\u00f3n de estas reacciones; tambi\u00e9n a encontrar un protector solar adecuado.<\/p>\n<h1><strong>\u00bfC\u00f3mo protegernos del sol?<\/strong><\/h1>\n<p>Por <strong>protegernos del sol<\/strong>, contamos con diversas estrategias:<\/p>\n<p>Los <strong>fotoprotectores<\/strong> son <strong>imprescindibles<\/strong> para evitar una reacci\u00f3n de fotosensibilidad. El fotoprotector debe aplicarse <strong>antes de salir de casa<\/strong>, en una <strong>cantidad adecuada<\/strong> en las zonas descubiertas y teniendo en cuenta el <strong>fototipo de la persona<\/strong>; si es necesario, <strong>debe volver a aplicarse cada 2 horas<\/strong>.<\/p>\n<p><a href=\"https:\/\/blog.cofb.cat\/wp-content\/uploads\/2020\/01\/Reacci\u00f3-als-fotosensibilitzants-4.png\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-49176\" src=\"https:\/\/blog.cofb.cat\/wp-content\/uploads\/2020\/01\/Reacci\u00f3-als-fotosensibilitzants-4.png\" alt=\"\" width=\"800\" height=\"800\" \/><\/a><\/p>\n<p>Tambi\u00e9n podemos <strong>protegernos con ropa, sombreros y gafas de sol<\/strong>. Debe tenerse en cuenta que no todos los tipos de espesor y tejidos protegen igual; los tejidos m\u00e1s porosos y menos gruesos, como algod\u00f3n, viscosa o lino, protegen menos que la lana, nylon, seda y poli\u00e9ster.<\/p>\n<p style=\"text-align: center;\"><strong>Puedes leer el art\u00edculo completo en nuestra web de salud <span style=\"color: #000000;\">(<a href=\"https:\/\/www.farmaceuticonline.com\/que-es-la-fotosensibilitat\/\" target=\"_blank\" rel=\"noopener\">www.farmaceuticonline.com<\/a>)<\/span><\/strong><\/p>\n<p><strong>Otras publicaciones de inter\u00e9s:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/blog.cofb.cat\/medicaments-fotosensibilitzants-centren-segona-onada-campanya-atencio-pell-365\/\" target=\"_blank\" rel=\"noopener\">Los medicamentos fotosensibilizantes centran la segunda ola de la campa\u00f1a \u201cAtenci\u00f3 Piel 365\u201d (Octubre 2019)<\/a><\/li>\n<li><a href=\"https:\/\/blog.cofb.cat\/interpretar-informacio-lenvas-protector-solar\/\" target=\"_blank\" rel=\"noopener\">\u00bfC\u00f3mo interpretar la informaci\u00f3n del envase del protector solar? (Julio 2019)<\/a><\/li>\n<li><a href=\"https:\/\/blog.cofb.cat\/mes-de-600-farmaceutics-de-la-provincia-de-barcelona-participen-en-la-campanya-atencio-pell-365-per-conscienciar-de-la-importancia-de-protegir-se-del-sol-durant-tot-lany\/\" target=\"_blank\" rel=\"noopener\">Arranca la campa\u00f1a \u201cAtenci\u00f3 Piel 365\u201d para concienciar de la importancia de protegerse del sol durante todo el a\u00f1o (Junio 2019)<\/a><a href=\"https:\/\/blog.cofb.cat\/abordatge-de-lalcoholisme-des-de-la-farmacia-comunitaria\/\" target=\"_blank\" rel=\"noopener\"><br \/>\n<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>La fotosensibilidad es una reacci\u00f3n cut\u00e1nea patol\u00f3gica a la luz, generalmente en la radiaci\u00f3n ultravioleta, y se manifiesta como una quemadura solar o erupci\u00f3n. El origen gen\u00e9tico, diversas enfermedades o los medicamentos fotosensibilizantes son posibles causas. La fotosensibilidad causada por medicamentos se produce cuando un f\u00e1rmaco es capaz de absorber la radiaci\u00f3n del [\u2026]<\/p>","protected":false},"author":1,"featured_media":49193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[23,47],"tags":[3522,3635,3699,3811,2481,52,3812,3813,45,3701,710,3588,3814,3815],"class_list":["post-48978","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-destacats","category-recomanacions-del-farmaceutic","tag-atenciopell365","tag-campanya-atencio-pell-365","tag-campanya-cancer-pell","tag-cremada-de-sol","tag-efectes-adversos","tag-farmaceutic","tag-fotoallergia","tag-fototoxicitat","tag-medicaments","tag-medicaments-fotosensibilitzants","tag-pell","tag-radiacio","tag-radiacio-solar","tag-sol"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medicaments fotosensibilitzants: Consells davant els seus efectes - Col\u00b7legi de Farmac\u00e8utics de Barcelona<\/title>\n<meta name=\"description\" content=\"La fotosensibilitat \u00e9s una reacci\u00f3 cut\u00e0nia patol\u00f2gica a la llum, generalment a la radiaci\u00f3 ultraviolada i es manifesta com una cremada solar o erupci\u00f3. 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