Sunscreen and photoprotection Flashcards

1
Q

Which sunscreens are “organic”

A

Chemical sunscreens use soluble organic filters (chemical compounds) that absorb UV radiation.

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2
Q

2 main classes of sunscreens?

A
  1. chemical sunscreens –> organic molecules which absorb UV light
  2. Insoluble metal oxide filters “physical” agents which absorb and scatter UV radiation
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3
Q

How is the sun protection factor (SPF) calculated?

A

Minimal erythema dose (protected / minimal erythema dose (MED) unprotected.

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4
Q

How is water resistance tested?

A

After application and before MED testing they do 20-min water immersions in whirlpool bath.

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5
Q

What is the word for the water resistance level of the sunscreen?

A

Substantivity 40 = 2 x 20min water immersions in whirlpool 80 = 4 x 20 min water immerisions

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6
Q

What type of UVR does the SPF mostly measure protection against?

A

UVB, no easily reproducible endpoint for UVA radiation. There are human-based skin assays though

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7
Q

At want point does the percentage of UV blockage level off by sunscreen?

A

AT about SPF 30 (even SPF 15 is 93%). However, this is with optimal applications

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8
Q

What are the 4 UVB chemical blockers?

A

Octinoxate (octyl methoxycinnamate) Octisalate (octyl salicylate) Octocrylene Ensulizole (phenylbenzimidazole sulfonic acid)

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9
Q

What are the 4 UVA chemical blockers?

A

Oxybenzone

  • Meradimate (methyl anthranilate) Avobenzone (Parsol 1789) Ecamsule (Mexoryl SX)*
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10
Q

What are the two physical blockers?

A

Titanium dioxide and Zinc oxide

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11
Q

At what age can infants start using sunscreen?

A

6 months of age

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12
Q

What daylight hours should be avoided?

A

10AM-4PM whenever possible

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13
Q

How long should sunscreen be applied before going out?

A

15 minutes before sun exposure

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14
Q

How often should you re-apply sunscreen with sweating or swimming?

A

Every 2 hrs

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15
Q

Which sunscreens should be used in patients w/ lupus, dermatomyositis, and other sun-sensitive conditions?

A

Physical blockers, these block UVB/A and visible light making them better for these patients.

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16
Q

What is the #1 cause of photo-allergic contact dermatitis?

A

Oxybenzone (cinnamates and PABA are also common)