Levulan Kerastick (topical)
Generic name: aminolevulinic acid (topical) [ a-MEE-noe-LEV-ue-LIN-ik-AS-id ]
Brand names: Ameluz, Levulan Kerastick
Drug class: Topical photochemotherapeutics
What is Levulan Kerastick?
Levulan Kerastick (for the skin) is used in combination with light therapy to treat a skin condition called actinic keratosis (warty overgrowths of skin).
Levulan Kerastick may also be used for purposes not listed in this medication guide.
Levulan Kerastick side effects
Get emergency medical help if you have signs of an allergic reaction: hives, difficult breathing, swelling of your face, lips, tongue, or throat.
Levulan Kerastick may cause serious side effects. Call your doctor at once if you have:
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eye problems such as eyelid swelling;
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skin irritation; or
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problems with memory, confusion, or disorientation.
Common side effects of Levulan Kerastick may include:
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pain, stinging, burning, induration, redness, or swelling;
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itching, hives, blisters, dryness, tenderness;
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scaling, oozing, bleeding, crusting, or breakdown of the skin; or
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changes in skin color or your sense of touch.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Warnings
Stay out of direct sunlight and avoid strong or extended light exposure before and 48 hours after Levulan Kerastick is applied to the affected skin.
Before taking this medicine
You should not be treated with this medicine if you are allergic to Levulan Kerastick or its ingredients, including soybean and phosphatidylcholine, or if you have:
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an allergy to porphyrins;
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porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system); or
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if your skin is especially sensitive to light.
Tell your doctor if you have or have ever had:
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a blood clotting problem; or
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taking certain medications that make your skin more sensitive to light.
It is not known if Levulan Kerastick will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
Ask a doctor if it is safe to breastfeed while using this medicine.
How is Levulan Kerastick given?
Levulan Kerastick is applied to your skin lesions before you receive light treatment. A healthcare provider will apply Levulan Kerastick in a clinical setting.
Your treatment may require you to return to your healthcare provider for light therapy after Levulan Kerastick is applied.
Your may need to be treated in separate sessions if you have actinic keratosis in more than one area.
You will be provided eye protection before starting light therapy. Follow your doctor's instructions.
The light therapy has a low intensity and will not heat your skin. However, you may feel tingling, stinging, prickling, or burning where Levulan Kerastick was applied. This discomfort is usually temporary.
Call your doctor if you have severe skin discomfort, or if you have new or worsening skin problems.
If your actinic keratosis lesions do not clear up completely, you may need another treatment. Your doctor will determine if you need additional treatment with Levulan Kerastick.
What happens if I miss a dose?
In a medical setting you are not likely to miss a dose.
Call your doctor for instructions if you miss an appointment for your light treatment within the recommended period of time.
What happens if I overdose?
In a medical setting an overdose would be treated quickly.
What should I avoid after receiving Levulan Kerastick?
Levulan Kerastick could make you more sensitive to light. Stay out of direct sunlight and avoid strong or extended light exposure for before and 48 hours after Levulan Kerastick is applied to the affected skin. Sunscreens will not protect you against a reaction. Wear a hat and clothing that covers your skin.
Do not get this medicine in your eyes, nose, mouth, or ears. If contact does occur, rinse with water.
Avoid using other medications on the areas treated with Levulan Kerastick unless you doctor tells you to.
What other drugs will affect Levulan Kerastick?
Tell your doctor about all your other medicines. Some drugs can make you more sensitive to sunlight, especially:
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an antibiotic or sulfa drugs;
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a diuretic or "water pill";
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medicine to treat anxiety, mood disorders, or mental illness such as schizophrenia; or
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an oral diabetes medicine.
This list is not complete. Other drugs may affect Levulan Kerastick, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
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Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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