Rapid Responses to:

MINERVA:
Minerva
BMJ 2005; 330: 1456 [Full text]
*Rapid Responses: Submit a response to this article

Rapid Responses published:

[Read Rapid Response] Underreporting of ciprofloxacin and photosensitivity
Mair Parry   (23 June 2005)
[Read Rapid Response] Re: Underreporting of ciprofloxacin and photosensitivity
Stevie M Gamble   (25 June 2005)

Underreporting of ciprofloxacin and photosensitivity 23 June 2005
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Mair Parry,
Consultant paediatrician
Ysbyty Gwynedd, Bangor.LL57.2PW

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Re: Underreporting of ciprofloxacin and photosensitivity

I was surprised and interested at the fact that ciprofloxacin induced photosensitivity is not widely reported.

In children with Cystic Fibrosis, oral ciprofloxacillin is often prescribed for acute exacerbations associated with Pseudomonas colonisation of the lungs. The associated photosensitivity is seen frequently enough for us to routinely warn all patients about using sunblock, and during the summer months, prescribe total block together with ciprofloxacin to aid compliance in certain individuals.

I wonder if this effect is seen more often in children than adults, or merely underreported, or both.

Mair Parry, Consultant Paediatrician, Ysbyty Gwynedd, Bangor

Competing interests: None declared

Re: Underreporting of ciprofloxacin and photosensitivity 25 June 2005
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Stevie M Gamble,
retired HMIT
EC2Y 8BL

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Re: Re: Underreporting of ciprofloxacin and photosensitivity

Mair Parry, Consultant Paediatrician, in her Rapid Response of 23 June, enquires about the incidence of ciprofloxacin (cipro) induced photosensitivity.

I can only offer personal experience, but as an adult with non-cystic fibrosis severe bronchiectasis I have had repeated courses of cipro and it does induce photosensitivity. Applying total sun block to stave off the photosensitivity is time consuming, and the sun block seems to increase the incidence of prickly heat symptoms.

On the other hand, cipro-induced insomnia usually ensures that I am in no fit state to venture into the sunshine, so this may be viewed as a self-correcting mechanism…

Stevie Gamble

Competing interests: None declared