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13.8 Sunscreens and camouflagers

13.8.1 Sunscreen preparations

Anthelios XL
Reflectant sunscreen creams (previously known as 'Dundee Creams')

Anthelios XL has a very high UVB-SPF (60+) which also offers high UVA protection. It is suitable for protection against UV radiation in abnormal cutaneous photosensitivity resulting from genetic disorders, photodermatoses e.g. vitiligo, and resulting from radiotherapy or phototoxic drug therapy. It is preservative- and perfume-free, and is water resistant.

'Dundee Cream' provides a physical total sunblock for photosensitive skin diseases, particularly when visible wavelength skin protection is required or when alternative prescription sunscreens have not been tolerated or effective. Usual dose: twice daily.

 

Photodamage

Ingenol Mebutate (Picato) gel 0.015% (face / scalp)
                                           0.05% (trunk / extremities) 
Diclofenac Sodium 3% (Solaraze gel)
Fluorouracil 5% (Efudix) cream
Fluorouracil / salicylic acid (Actikerall) solution (for single hyperketatotic lesions)
Methyl-5-aminolevulinate cream

 

Note:

1. Click here for Actinic Keratoses guideline
2. Fluorouracil cream is usually the first line treatment for Actinic Keratoses
3. Diclofenac Sodium is for patients with multiple lesions who are unable to tolerate flurouracil.
4. Ingenol Mebutate gel is a second line option. Duration of treatment – face/scalp: 3 days; trunk/extremities: 2 days

 

13.8.2 Camouflagers

Covermark creams
Dermacolor preparations
Keromask preparations
Veil cover cream
Depigmentation lotion (hydroquinone 5%, tretinoin 0.1%, and dexamethasone 0.1%; Nova Labs)

Note:

Sunscreens and camouflagers require prescription endorsement 'ACBS'. The list of conditions for which they may be prescribed is in the BNF Appendix 7.