{
  "schema_version": 1,
  "kind": "condition",
  "id": "photoallergic-reaction",
  "name": "Photoallergic reaction to sunlight",
  "category": "acute",
  "sources": "DailyMed SetID 8274ca80-e7d3-4f4f-9901-cc5c589b4fef sections 1 and 2.2, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8274ca80-e7d3-4f4f-9901-cc5c589b4fef · Levocetirizine dihydrochloride tablets US prescribing information, sections 1 and 2 Dosage and Administration (DailyMed SetID 8274ca80-e7d3-4f4f-9901-cc5c589b4fef) · Sathe NC, Gillespie E. Photosensitivity and Photodermatoses. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Updated 2026 Jan 31. Bookshelf ID: NBK431072; PMID: 28613726.",
  "review_status": "reviewed",
  "verified_against": "DailyMed SetID 8274ca80-e7d3-4f4f-9901-cc5c589b4fef sections 1 and 2.2, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8274ca80-e7d3-4f4f-9901-cc5c589b4fef",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1408,
      "generic": "Levocetirizine",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 5.0,
      "adult_dose": "5 mg PO once daily in evening (2.5 mg once daily may suffice).",
      "adult_duration": "While symptoms persist; review at 4-6 weeks",
      "dose_source": "DailyMed SetID 8274ca80-e7d3-4f4f-9901-cc5c589b4fef sections 1 and 2.2, https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8274ca80-e7d3-4f4f-9901-cc5c589b4fef",
      "rationale": "Standard second-generation antihistamine dose for the itch of an allergic/photoallergic skin reaction; dosing does not change with the trigger for the itch.",
      "cautions": [
        "Widespread blistering or systemic symptoms suggesting a severe photosensitivity reaction, or an underlying photosensitising drug that must be stopped.",
        "Evening dosing suits itch that is often worse at night.",
        "Do not combine with cetirizine - levocetirizine is cetirizine's active component, so together they double the dose.",
        "Reduce to 2.5 mg in mild renal impairment.",
        "Does not replace photoprotection or stopping a photosensitising drug if one is implicated."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Age 6-11y: 2.5 mg (1/2 scored tablet) PO once daily in evening; age <6y: use oral solution.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "ZALKEVOR 5 MG 10 F.C.TABS.",
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          "normalized_ingredient": null,
          "manufacturer": "EL-OBOUR > REPHARMA",
          "price_egp": 5.5,
          "pack_count": 10,
          "unit_price": 0.55,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "RHIPGIC 5 MG 30 F.C. TABS.",
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          "normalized_ingredient": null,
          "manufacturer": "P & C LABS",
          "price_egp": 19.5,
          "pack_count": 30,
          "unit_price": 0.65,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LERGOPAN 5 MG 10 F.C.TABS.",
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          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 7.5,
          "pack_count": 10,
          "unit_price": 0.75,
          "strength_mg": 5.0,
          "exact_strength": true,
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          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LEVOCITRONE 5 MG 10 F.C.TABS.",
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          "manufacturer": "EGYPHAR",
          "price_egp": 21.0,
          "pack_count": 10,
          "unit_price": 2.1,
          "strength_mg": 5.0,
          "exact_strength": true,
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          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "RAMATRIZINE  5 MG 30 F.C.TABS.",
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          "normalized_ingredient": null,
          "manufacturer": "EGPI > RAMAPHARMA",
          "price_egp": 96.0,
          "pack_count": 30,
          "unit_price": 3.2,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LEVOHISTAM 5 MG 30 F.C.TABS.",
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          "normalized_ingredient": null,
          "manufacturer": "EGPI > UTOPIA",
          "price_egp": 117.0,
          "pack_count": 30,
          "unit_price": 3.9,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ARAXILEVE 5 MG 30 ORO-DISPERSIBLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JEDCO INT. CO. FOR PHARMACEUTICALS > ARAX PHARM. IND.",
          "price_egp": 51.0,
          "pack_count": null,
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          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LEVCET 5MG 20 ORODISSOLVABLE TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MARCYRL PHARMACEUTICAL INDUSTRIES (MPI)",
          "price_egp": 85.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 5.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MERVOZA 2.5MG/5ML SYRUP 120 ML",
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          "normalized_ingredient": null,
          "manufacturer": "GLOBAL NAPI PHARMACEUTICALS",
          "price_egp": 8.0,
          "pack_count": null,
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          "strength_mg": 2.5,
          "exact_strength": false,
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          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MODALLERGE 0.5MG/ML ORAL SOL.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > MODERN PHARMA",
          "price_egp": 8.0,
          "pack_count": null,
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          "strength_mg": 0.5,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
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        }
      ],
      "condition_id": "photoallergic-reaction"
    }
  ]
}