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Light Therapy Drug Interactions, Uses, Effectiveness, Safety & More

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Light Therapy Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Light Therapy drug interaction appears low for most people, and the entire profile comes down to one concern: medicines that increase sensitivity to light. None of the listed interactions are rated major, and although they are all graded moderate, every one rests on the same limited, largely theoretical evidence.

Interactions deserving the most attention

The one category that stands out is photosensitizing drugs, meaning medications that make the skin or eyes more sensitive to light. Combining these with light therapy may raise the chance of a phototoxic reaction, essentially a harmful skin response to light, and the data indicates this combination should be avoided. Keep in mind, though, that this concern is graded as possible, based on limited research rather than well-controlled human studies.

What the rest of the list means

Although a few hundred medications appear on this list, they are all there for the same single reason: each can heighten sensitivity to light. That does not mean every combination has caused harm in people. The risk is predicted from how these drugs behave rather than proven by strong clinical evidence, so a listing signals caution, not a guaranteed reaction.

Check your medications against Light Therapy

Based on HelloPharmacist’s Light Therapy interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Light Therapy

335 medications have a known interaction with Light Therapy, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcepromazineAtravet› Acetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu› Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound› Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief› Acetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex› Acetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief› Acetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength› Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG› Acetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid› Acetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR› Acetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus› Acetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more› Acetaminophen, Dexbrompheniramine, PseudoephedrineSinadrin Plus› Acetaminophen, DiphenhydramineTylenol PM, Tylenol PM Ex Strength› Acetaminophen, Diphenhydramine, PseudoephedrineChildren's Tylenol Allergy, Cold Control, Contac Night Allergy Relief› Acetaminophen, IbuprofenCombogesic› Acetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs› AcetazolamideAk-Zol, Diamox› AcetohexamideDymelor› AcitretinSoriatane› Alectinib HydrochlorideAlecensa› AlitretinoinPanretin› Amiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic› Aminolevulinic Acid HydrochlorideAmeluz, Gleolan› AmiodaroneCordarone, Pacerone› AmitriptylineElavil›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Light Therapy combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Light Therapy affects

Every type of medication (drug category) Light Therapy is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Light Therapy interacts with
Photosensitizing Drugs
Photosensitizing Drugs

Light therapy may increase the risk for photosensitization.
Concomitant use of photosensitizing drugs with light therapy may increase the risk for phototoxicity and should be avoided.

Likelihood Possible Evidence D
Monograph

Light Therapy: Uses, Safety & Side Effects

The bottom line

Light therapy uses controlled exposure to bright artificial light and is best supported for seasonal affective disorder, where it is a recognized treatment option. It is generally safe for most people when used as directed, but you should talk to a doctor or pharmacist first, especially if you have eye conditions, bipolar disorder, or take medicines that increase light sensitivity.

Part used
Not applicable (light exposure, not a plant)
Common forms
Light boxes, dawn-simulating alarm clocks, light visors, wearable light devices, blue/red light panels
People commonly use it for
  • Seasonal affective disorder (SAD)
  • Non-seasonal depression
  • Sleep and circadian rhythm problems
  • Jet lag and shift-work sleep issues
  • Certain skin conditions

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally well tolerated, but certain eye, skin, and mood conditions need medical guidance.

PregnancyPossibly Safe

When bright light therapy is used short-term. Other types of light therapies, especially PUVA, have not been extensively evaluated in pregnancy or lac...

Read the full pregnancy detail
BreastfeedingPossibly Safe

When bright light therapy is used short-term. Other types of light therapies, especially PUVA, have not been extensively evaluated in pregnancy or lac...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Light therapy (also called phototherapy or bright-light therapy) is a treatment that uses controlled exposure to artificial light. Unlike herbs or supplements, it is not something you swallow — it is a device you sit near or wear for a set amount of time.

The most common type uses a light box that gives off bright white light, usually around 10,000 lux, while filtering out most ultraviolet (UV) rays. People often use it in the morning. Other forms include dawn-simulating alarm clocks, light visors, and colored-light panels (such as blue or red light) used for skin or other purposes.

Light therapy is most widely known for treating seasonal affective disorder (SAD), a type of depression that comes back during the darker fall and winter months. It is also used for some sleep, mood, and skin conditions.

How it works

Light is the main signal that sets the body's internal clock, called the circadian rhythm. Special cells in the eye sense bright light and send signals to the brain that help control alertness, sleep, and mood.

Bright light in the morning is thought to help reset this clock and may influence brain chemicals such as serotonin and the sleep hormone melatonin. By doing this, light therapy may improve mood and help align sleep timing.

For skin-focused phototherapy, different wavelengths are believed to work in different ways — for example, by slowing overactive skin cells or targeting bacteria. Much of the detailed science behind these effects continues to be studied.

Effectiveness

Does Light Therapy work?

Evidence overview · 50 uses evaluated
3 Effective 2 Likely effective 6 Possibly effective 39 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Effective Neonatal jaundice
Rating & evidence shown verbatim from Natural Medicines

Light therapy reduces bilirubin levels in the treatment of neonatal jaundice.

Effective Psoriasis
Rating & evidence shown verbatim from Natural Medicines

Light therapy, including ultraviolet B (UVB) or psoralens with ultraviolet A (PUVA), is effective for the treatment of psoriasis.

Effective Seasonal affective disorder (SAD)
Rating & evidence shown verbatim from Natural Medicines

Light therapy is effective in the treatment of SAD.

Likely Effective Atopic dermatitis (eczema)
Rating & evidence shown verbatim from Natural Medicines

Ultraviolet A (UVA) and ultraviolet B (UVB) light therapy improves symptoms of eczema.

Likely Effective Mycosis fungoides
Rating & evidence shown verbatim from Natural Medicines

Light therapy is effective for the treatment of mycosis fungoides.

Possibly Effective Bipolar disorder
Rating & evidence shown verbatim from Natural Medicines

Light therapy seems to improve symptoms of bipolar depression.

Possibly Effective Circadian rhythm sleep disorders
Rating & evidence shown verbatim from Natural Medicines

Light therapy seems to be beneficial for sleep-wake cycle disturbances, including circadian rhythm sleep disorder.

Possibly Effective Herpes labialis (cold sores)
Rating & evidence shown verbatim from Natural Medicines

Narrow waveband light therapy reduces the time to healing of cold sores.

Possibly Effective Pruritus
Rating & evidence shown verbatim from Natural Medicines

Ultraviolet B (UVB) light therapy reduces uremic pruritus in patients with kidney failure.

Possibly Effective Scleroderma
Rating & evidence shown verbatim from Natural Medicines

Light therapy, including broadband ultraviolet A (UVA/UVA1) light therapy, improves symptoms in patients with localized scleroderma.

Possibly Effective Vitiligo
Rating & evidence shown verbatim from Natural Medicines

Light therapy seems to improve re-pigmentation in patients with vitiligo, when used alone or in combination with other treatments.

Also studied for 39 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acantholytic disorders
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for the treatment of Grover disease.

Insufficient Reliable Evidence To Rate Acne
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for the treatment of acne; the available clinical research has yielded mixed findings.

Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if endonasal light therapy is beneficial in patients with allergic rhinitis.

Insufficient Reliable Evidence To Rate Alopecia areata
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with alopecia areata.

Insufficient Reliable Evidence To Rate Alzheimer disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with Alzheimer disease.

Insufficient Reliable Evidence To Rate Androgenic alopecia
Rating & evidence shown verbatim from Natural Medicines

Low-level light therapy seems to improve hair density and thickness in patients with androgenic alopecia.

Insufficient Reliable Evidence To Rate Anorexia nervosa
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in people with anorexia nervosa.

Insufficient Reliable Evidence To Rate Bulimia nervosa
Rating & evidence shown verbatim from Natural Medicines

Bright light therapy might improve well-being and eating problems in patients with bulimia nervosa.

Insufficient Reliable Evidence To Rate Cancer-related fatigue
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for cancer-related fatigue.

Insufficient Reliable Evidence To Rate Cognitive impairment
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with cognitive impairments.

Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for COVID-19.

Insufficient Reliable Evidence To Rate Delirium
Rating & evidence shown verbatim from Natural Medicines

It is unclear if dynamic light therapy can reduce delirium in patients in the intensive care unit.

Insufficient Reliable Evidence To Rate Dementia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with dementia.

Insufficient Reliable Evidence To Rate Diabetic foot ulcers
Rating & evidence shown verbatim from Natural Medicines

Light therapy might improve the healing of diabetic foot ulcers.

Insufficient Reliable Evidence To Rate Dry eye
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for dry eye.

Insufficient Reliable Evidence To Rate Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research suggests that low-level light therapy might improve symptoms of dysmenorrhea.

Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Rating & evidence shown verbatim from Natural Medicines

Light therapy does not seem to improve exercise-induced muscle soreness.

Insufficient Reliable Evidence To Rate Fibromyalgia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if bright light therapy improves symptoms of fibromyalgia.

Insufficient Reliable Evidence To Rate Graft-versus-host disease (GVHD)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interested in using light therapy for GVHD, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Herpes zoster (shingles)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if broadband ultraviolet B (UVB) light therapy improves healing of herpes zoster rash.

Insufficient Reliable Evidence To Rate Human papillomavirus (HPV)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if red light therapy is beneficial in patients with subclinical or latent HPV infection when used in combination with high-dose interferon.

Insufficient Reliable Evidence To Rate Lichen planus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with lichen planus.

Insufficient Reliable Evidence To Rate Multiple sclerosis (MS)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using light therapy for MS, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Myopia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with myopia.

Insufficient Reliable Evidence To Rate Onychomycosis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for resolution of onychomycosis.

Insufficient Reliable Evidence To Rate Pain (chronic)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using light therapy for chronic pain, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Parkinson disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if bright light therapy is beneficial in patients with Parkinson disease; the available research is conflicting.

Insufficient Reliable Evidence To Rate Pemphigus
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using light therapy for pemphigus, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Peripheral neuropathy
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using light therapy for peripheral neuropathy, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Pityriasis lichenoides chronica (PLC)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with PLC.

Insufficient Reliable Evidence To Rate Postpartum depression
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with postpartum depression.

Insufficient Reliable Evidence To Rate Premenstrual dysphoric disorder (PMDD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with PMDD.

Insufficient Reliable Evidence To Rate Pressure ulcers
Rating & evidence shown verbatim from Natural Medicines

Ultraviolet (UV) light therapy might improve the healing of pressure ulcers.

Insufficient Reliable Evidence To Rate Sleep deprivation
Rating & evidence shown verbatim from Natural Medicines

Bright light therapy has only been evaluated in combination with caffeine; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Traumatic brain injury (TBI)
Rating & evidence shown verbatim from Natural Medicines

Light therapy does not seem beneficial in patients with TBI.

Insufficient Reliable Evidence To Rate Tuberculosis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using light therapy for tuberculosis, there is insufficient reliable information about the clinical effects of light therapy for this purpose.

Insufficient Reliable Evidence To Rate Urticaria
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial in patients with chronic urticaria.

Insufficient Reliable Evidence To Rate Warts
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for the resolution of warts.

Insufficient Reliable Evidence To Rate Wound healing
Rating & evidence shown verbatim from Natural Medicines

It is unclear if light therapy is beneficial for wound healing.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Light therapy is generally safe for most people when devices are used as directed and filter out UV light. Still, some people should be careful.

Talk to a doctor first if you: have an eye disease or are at risk for one (such as macular degeneration, glaucoma, or diabetic eye problems), have bipolar disorder (bright light can sometimes trigger mania or agitation), have a skin condition that worsens with light, or take any medicine or supplement that increases sensitivity to light.

Pregnancy and breastfeeding: Bright-light therapy is often viewed as a low-risk option and is sometimes considered for depression during these times, but specific safety data are limited. Use it only under the supervision of your doctor.

Choose a device designed for the purpose you have in mind, and follow the manufacturer's instructions for distance, timing, and duration.

Side effects

Side effects are usually mild and often improve by lowering the brightness, moving farther from the device, or shortening sessions. They can include:

  • Headache
  • Eye strain or eye irritation
  • Nausea
  • Feeling wired, jittery, or irritable
  • Trouble sleeping, especially if used too late in the day

Rarely, in people with bipolar disorder, bright light may trigger an episode of mania, agitation, or rapid mood changes. If you notice unusual mood swings, stop and contact your doctor. UV-filtered light boxes carry little skin or eye risk, but devices that emit UV require closer medical supervision.

Light Therapy: Reported Adverse Effects

Documented safety reports on Light Therapy from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Phototherapy seems to be well tolerated when used appropriately.

Most Common Adverse Effects:

Mild burning, nausea, phototoxicity, pruritus, and redness.

Serious Adverse Effects (Rare):

Hypomania or mania, skin cancers such as squamous cell carcinoma.

Reports by condition
Allergic rhinitis (hay fever) Immunologic

Exposure to light therapy for more than 24 hours as an infant is linked to higher odds of developing food allergies and other allergic disorders later in childhood.

  1. Hotta M, Ueda K, Ikehara S, et al. The Duration of Neonatal Phototherapy and Allergic Disorders: The Japan Environment and Children's Study. Int Arch Allergy Immunol 2023;184(3):211-219.
Anxiety Psychiatric
Cancer Oncologic

There is some concern that long-term use of psoralens and UVA (PUVA) may increase the risk of skin cancers such as squamous cell carcinoma. However, most research has found that long-term UVA and UVB phototherapy, without psoralens, is not associated with an increased risk of skin cancer and that UVB and PUVA phototherapy might not increase the risk of skin cancer in non-Caucasian patients. Also, in patients with vitiligo, a meta-analysis of observational research has found that UVB and/or PUVA light therapy are not associated with skin cancer risk, regardless of ethnicity or number of treatment sessions. However, only five studies were included in the analysis. Additionally, other research using a cancer registry database found no association between whole-body UVA1 phototherapy and risk of basal cell carcinoma, squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, or prostate cancer during follow-up of up to 20 years.

Some observational research suggests that exposure to light therapy as a neonate, most often for hyperbilirubinemia, is associated with greater odds of cancer. However, most of these studies did not adjust for confounding variables or determine whether the intensity or duration of light therapy alters risk.

  1. Morison, W. L., Baughman, R. D., Day, R. M., Forbes, P. D., Hoenigsmann, H., Krueger, G. G., Lebwohl, M., Lew, R., Naldi, L., Parrish, J. A., Piepkorn, M., Stern, R. S., Weinstein, G. D., and Whitmore, S. E. Consensus workshop on the toxic effects of long
  2. Stern, R. S. The risk of squamous cell and basal cell cancer associated with psoralen and ultraviolet A therapy: a 30-year prospective study. J Am Acad Dermatol 2012;66(4):553-562.
  3. Stern, R. S. and Lunder, E. J. Risk of squamous cell carcinoma and methoxsalen (psoralen) and UV-A radiation (PUVA). A meta-analysis. Arch Dermatol 1998;134(12):1582-1585.
  4. Swerdlow, A. J. and Weinstock, M. A. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 1998;38(1):89-98.
  5. Lee, E., Koo, J., and Berger, T. UVB phototherapy and skin cancer risk: a review of the literature. Int J Dermatol 2005;44(5):355-360.
  6. Murase, J. E., Lee, E. E., and Koo, J. Effect of ethnicity on the risk of developing nonmelanoma skin cancer following long-term PUVA therapy. Int J Dermatol 2005;44(12):1016-1021.
  7. Ju HJ, Han JH, Kim MS, et al. The long-term risk of lymphoma and skin cancer did not increase after topical calcineurin inhibitor use and phototherapy in a cohort of 25,694 patients with vitiligo. J Am Acad Dermatol 2021;84(6):1619-1627.
  8. Ko MJ, Huang JW, Wu HY, et al. Risk of Skin Cancer among Patients with Chronic Kidney Disease Treated with Ultraviolet B Phototherapy for Uraemic Pruritus: A Nationwide Cohort Study. Acta Derm Venereol 2021;101(2):adv00390.
  9. Ravindran S, Pai B S, Shetty VM. Risk of cutaneous carcinogenesis with phototherapy in Indian subpopulation: A 10-year analysis and a review of literature. Dermatol Ther 2022;35(7):e15536.
  10. Ahad T, Wang EY, Liu YA, et al. Incidence of skin cancers in patients with eczema treated with ultraviolet phototherapy. J Am Acad Dermatol 2022;87(2):387-389.
  11. Wu YH, Chou CL, Chang HC. Risk of skin cancer after ultraviolet phototherapy in patients with vitiligo: a systematic review and meta-analysis. Clin Exp Dermatol 2022;47(4):692-699.
  12. Bedair K, Elhadad A, Hamad S, Ferguson J, Donnan P, Dawe RS. No association between whole-body ultraviolet A1 phototherapy and skin cancers in humans: a cancer registry linkage study. Br J Dermatol. 2020;183(3):586-7.
  13. Bugaiski-Shaked A, Shany E, Mesner O, Sergienko R, Wainstock T. Association between neonatal phototherapy exposure and childhood neoplasm. J Pediatr 2022;245:111-116.
  14. Abdellatif M, Tawfik GM, Makram AM, et al. Association between neonatal phototherapy and future cancer: an updated systematic review and meta-analysis. Eur J Pediatr 2023;182(1):329-341.
Cancer Dermatologic

UV phototherapy may cause xerosis, pruritus, hyperpigmentation, photoaging, blisters, mild burning, redness, erosion, erythema, moderate heat sensation, skin dryness, thinning of skin (atrophy), sweating, flushing, and phototoxicity. Long-term exposure to ultraviolet radiation may cause actinic damage and premature skin aging. Folliculitis has occurred in patients undergoing psoralens with UVA therapy (PUVA).

There is some concern that long-term use of PUVA may increase the risk of skin cancers such as squamous cell carcinoma. However, most research has found that long-term UVA and UVB phototherapy, without psoralens, is not associated with an increased risk of skin cancer and that UVB and PUVA phototherapy might not increase the risk of skin cancer in non-Caucasian patients. Also, in patients with vitiligo, a meta-analysis of observational research has found that UVB and/or PUVA light therapy are not associated with skin cancer risk, regardless of ethnicity or number of treatment sessions. However, only five studies were included in the analysis. Additionally, other research using a cancer registry database found no association between whole-body UVA1 phototherapy and risk of basal cell carcinoma, squamous cell carcinoma, or melanoma during follow-up of up to 20 years.

  1. Meduri, N. B., Vandergriff, T., Rasmussen, H., and Jacobe, H. Phototherapy in the management of atopic dermatitis: a systematic review. Photodermatol Photoimmunol Photomed 2007;23(4):106-112.
  2. Pathirana, D., Ormerod, A. D., Saiag, P., Smith, C., Spuls, P. I., Nast, A., Barker, J., Bos, J. D., Burmester, G. R., Chimenti, S., Dubertret, L., Eberlein, B., Erdmann, R., Ferguson, J., Girolomoni, G., Gisondi, P., Giunta, A., Griffiths, C., Honigsmann
  3. Leon, A., Nguyen, A., Letsinger, J., and Koo, J. An attempt to formulate an evidence-based strategy in the management of moderate-to-severe psoriasis: a review of the efficacy and safety of biologics and prebiologic options. Expert Opin Pharmacother 2007;
  4. Kroft, E. B., Berkhof, N. J., van de Kerkhof, P. C., Gerritsen, R. M., and de Jong, E. M. Ultraviolet A phototherapy for sclerotic skin diseases: a systematic review. J Am Acad Dermatol 2008;59(6):1017-1030.
  5. Chesson, A. L., Jr., Littner, M., Davila, D., Anderson, W. M., Grigg-Damberger, M., Hartse, K., Johnson, S., and Wise, M. Practice parameters for the use of light therapy in the treatment of sleep disorders. Standards of Practice Committee, American Acade
  6. Morgan, M. and Khan, D. A. Therapeutic alternatives for chronic urticaria: an evidence-based review, Part 2. Ann Allergy Asthma Immunol 2008;100(6):517-526.
  7. Hoare, C., Li Wan, Po A., and Williams, H. Systematic review of treatments for atopic eczema. Health Technol Assess 2000;4(37):1-191.
  8. Whitton, M. E., Pinart, M., Batchelor, J., Lushey, C., Leonardi-Bee, J., and Gonzalez, U. Interventions for vitiligo. Cochrane Database Syst Rev 2010;(1):CD003263.
  9. Nussbaumer-Streit B, Thaler K, Chapman A, et al. Second-generation antidepressants for treatment of seasonal affective disorder. Cochrane Database Syst Rev 2021;3(3):CD008591.
  10. Zhu S, Ma X, Ding X, et al. Comparative evaluation of low-level light therapy and ethinyl estradiol and desogestrel combined oral contraceptive for clinical efficacy and regulation of serum biochemical parameters in primary dysmenorrhoea: a prospective ra
  11. Ravindran S, Pai B S, Shetty VM. Risk of cutaneous carcinogenesis with phototherapy in Indian subpopulation: A 10-year analysis and a review of literature. Dermatol Ther 2022;35(7):e15536.
  12. Agaoglu E, Erdogan HK, Acer E, Saracoglu ZN, Bilgin M. Narrowband ultraviolet B phototherapy for pityriasis lichenoides: A real-life experience. Photodermatol Photoimmunol Photomed 2023;39(5):520-526.
  13. Beani, J. C. and Jeanmougin, M. [Narrow-band UVB therapy in psoriasis vulgaris: good practice guideline and recommendations of the French Society of Photodermatology]. Ann Dermatol Venereol 2010;137(1):21-31.
  14. Morison, W. L., Baughman, R. D., Day, R. M., Forbes, P. D., Hoenigsmann, H., Krueger, G. G., Lebwohl, M., Lew, R., Naldi, L., Parrish, J. A., Piepkorn, M., Stern, R. S., Weinstein, G. D., and Whitmore, S. E. Consensus workshop on the toxic effects of long
  15. Stern, R. S. The risk of squamous cell and basal cell cancer associated with psoralen and ultraviolet A therapy: a 30-year prospective study. J Am Acad Dermatol 2012;66(4):553-562.
  16. Stern, R. S. and Lunder, E. J. Risk of squamous cell carcinoma and methoxsalen (psoralen) and UV-A radiation (PUVA). A meta-analysis. Arch Dermatol 1998;134(12):1582-1585.
  17. Swerdlow, A. J. and Weinstock, M. A. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 1998;38(1):89-98.
  18. Lee, E., Koo, J., and Berger, T. UVB phototherapy and skin cancer risk: a review of the literature. Int J Dermatol 2005;44(5):355-360.
  19. Murase, J. E., Lee, E. E., and Koo, J. Effect of ethnicity on the risk of developing nonmelanoma skin cancer following long-term PUVA therapy. Int J Dermatol 2005;44(12):1016-1021.
  20. Ju HJ, Han JH, Kim MS, et al. The long-term risk of lymphoma and skin cancer did not increase after topical calcineurin inhibitor use and phototherapy in a cohort of 25,694 patients with vitiligo. J Am Acad Dermatol 2021;84(6):1619-1627.
  21. Ko MJ, Huang JW, Wu HY, et al. Risk of Skin Cancer among Patients with Chronic Kidney Disease Treated with Ultraviolet B Phototherapy for Uraemic Pruritus: A Nationwide Cohort Study. Acta Derm Venereol 2021;101(2):adv00390.
  22. Ahad T, Wang EY, Liu YA, et al. Incidence of skin cancers in patients with eczema treated with ultraviolet phototherapy. J Am Acad Dermatol 2022;87(2):387-389.
  23. Wu YH, Chou CL, Chang HC. Risk of skin cancer after ultraviolet phototherapy in patients with vitiligo: a systematic review and meta-analysis. Clin Exp Dermatol 2022;47(4):692-699.
  24. Bedair K, Elhadad A, Hamad S, Ferguson J, Donnan P, Dawe RS. No association between whole-body ultraviolet A1 phototherapy and skin cancers in humans: a cancer registry linkage study. Br J Dermatol. 2020;183(3):586-7.
Cluster headache Neurologic/CNS

Headache, decreased sex drive, tremor, and trouble falling asleep have been reported in patients receiving light therapy. Exposure to light therapy for more than 24 hours as an infant is linked to higher odds of development delays in the domains of communication, gross motor, problem solving, and personal-social skills by 3 years of age.

  1. Tuunainen, A., Kripke, D. F., and Endo, T. Light therapy for non-seasonal depression. Cochrane Database Syst Rev 2004;(2):CD004050.
  2. Chesson, A. L., Jr., Littner, M., Davila, D., Anderson, W. M., Grigg-Damberger, M., Hartse, K., Johnson, S., and Wise, M. Practice parameters for the use of light therapy in the treatment of sleep disorders. Standards of Practice Committee, American Acade
  3. Terman, M. and Terman, J. S. Bright light therapy: side effects and benefits across the symptom spectrum. J Clin Psychiatry 1999;60(11):799-808.
  4. Nussbaumer-Streit B, Thaler K, Chapman A, et al. Second-generation antidepressants for treatment of seasonal affective disorder. Cochrane Database Syst Rev 2021;3(3):CD008591.
  5. Donmez M, Yorguner N, Kora K, Topcuoglu V. Efficacy of bright light therapy in perinatal depression: A randomized, double-blind, placebo-controlled study. J Psychiatr Res 2022;149:315-322.
  6. Sun W, Yan J, Wu J, Ma H. Efficacy and safety of light therapy as a home treatment for motor and non-motor symptoms of Parkinson disease: A meta-analysis. Med Sci Monit 2022;28:e935074.
  7. Hotta M, Ueda K, Ikehara S, et al. Phototherapy and risk of developmental delay: the Japan Environment and Children's Study. Eur J Pediatr 2023;182(5):2139-2149.
Constipation Gastrointestinal
Dry eye Ocular/Otic
Fatigue Musculoskeletal
Obesity Endocrine
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no single dose that fits everyone, and the right approach depends on the device and the reason you are using it. For seasonal affective disorder, a common general approach involves a 10,000-lux light box used for a set time in the morning, sitting a recommended distance from the light with eyes open but not staring at it.

Because brightness, distance, and timing all matter, follow the instructions that come with your specific device. The timing of light exposure is especially important for sleep-related uses — using it at the wrong time can backfire.

Check with your doctor or pharmacist before starting, especially if you have an eye, skin, or mood condition. They can help you pick the right device and schedule.

Pregnancy & Breastfeeding

Light Therapy & Pregnancy

Possibly Safe

When bright light therapy is used short-term. Other types of light therapies, especially PUVA, have not been extensively evaluated in pregnancy or lactation. One preliminary study suggests that PUVA use does not result in teratogenic effects. Until more information is available, avoid use in those who are pregnant and lactating.

  1. Stern, R. S. and Lange, R. Outcomes of pregnancies among women and partners of men with a history of exposure to methoxsalen photochemotherapy (PUVA) for the treatment of psoriasis. Arch Dermatol 1991;127(3):347-350.

Light Therapy & Breastfeeding

Possibly Safe

When bright light therapy is used short-term. Other types of light therapies, especially PUVA, have not been extensively evaluated in pregnancy or lactation. One preliminary study suggests that PUVA use does not result in teratogenic effects. Until more information is available, avoid use in those who are pregnant and lactating.

  1. Stern, R. S. and Lange, R. Outcomes of pregnancies among women and partners of men with a history of exposure to methoxsalen photochemotherapy (PUVA) for the treatment of psoriasis. Arch Dermatol 1991;127(3):347-350.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 35 references that drive our Light Therapy monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Meduri, N. B., Vandergriff, T., Rasmussen, H., and Jacobe, H. Phototherapy in the management of atopic dermatitis: a systematic review. Photodermatol Photoimmunol Photomed 2007;23(4):106-112. PubMed
  2. Kumar, P., Chawla, D., and Deorari, A. Light-emitting diode phototherapy for unconjugated hyperbilirubinaemia in neonates. Cochrane Database Syst Rev 2011;(12):CD007969. PubMed
  3. Pathirana, D., Ormerod, A. D., Saiag, P., Smith, C., Spuls, P. I., Nast, A., Barker, J., Bos, J. D., Burmester, G. R., Chimenti, S., Dubertret, L., Eberlein, B., Erdmann, R., Ferguson, J., Girolomoni, G., Gisondi, P., Giunta, A., Griffiths, C., Honigsmann
  4. Beani, J. C. and Jeanmougin, M. [Narrow-band UVB therapy in psoriasis vulgaris: good practice guideline and recommendations of the French Society of Photodermatology]. Ann Dermatol Venereol 2010;137(1):21-31.
  5. Leon, A., Nguyen, A., Letsinger, J., and Koo, J. An attempt to formulate an evidence-based strategy in the management of moderate-to-severe psoriasis: a review of the efficacy and safety of biologics and prebiologic options. Expert Opin Pharmacother 2007; PubMed
  6. Kroft, E. B., Berkhof, N. J., van de Kerkhof, P. C., Gerritsen, R. M., and de Jong, E. M. Ultraviolet A phototherapy for sclerotic skin diseases: a systematic review. J Am Acad Dermatol 2008;59(6):1017-1030. PubMed
  7. Tuunainen, A., Kripke, D. F., and Endo, T. Light therapy for non-seasonal depression. Cochrane Database Syst Rev 2004;(2):CD004050. DOI
  8. Chesson, A. L., Jr., Littner, M., Davila, D., Anderson, W. M., Grigg-Damberger, M., Hartse, K., Johnson, S., and Wise, M. Practice parameters for the use of light therapy in the treatment of sleep disorders. Standards of Practice Committee, American Acade DOI
  9. Morgan, M. and Khan, D. A. Therapeutic alternatives for chronic urticaria: an evidence-based review, Part 2. Ann Allergy Asthma Immunol 2008;100(6):517-526. PubMed
  10. Lee, E., Koo, J., and Berger, T. UVB phototherapy and skin cancer risk: a review of the literature. Int J Dermatol 2005;44(5):355-360. PubMed
  11. Murase, J. E., Lee, E. E., and Koo, J. Effect of ethnicity on the risk of developing nonmelanoma skin cancer following long-term PUVA therapy. Int J Dermatol 2005;44(12):1016-1021. PubMed
  12. Morison, W. L., Baughman, R. D., Day, R. M., Forbes, P. D., Hoenigsmann, H., Krueger, G. G., Lebwohl, M., Lew, R., Naldi, L., Parrish, J. A., Piepkorn, M., Stern, R. S., Weinstein, G. D., and Whitmore, S. E. Consensus workshop on the toxic effects of long
  13. Stern, R. S. The risk of squamous cell and basal cell cancer associated with psoralen and ultraviolet A therapy: a 30-year prospective study. J Am Acad Dermatol 2012;66(4):553-562. PubMed
  14. Stern, R. S. and Lunder, E. J. Risk of squamous cell carcinoma and methoxsalen (psoralen) and UV-A radiation (PUVA). A meta-analysis. Arch Dermatol 1998;134(12):1582-1585. PubMed
  15. Swerdlow, A. J. and Weinstock, M. A. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 1998;38(1):89-98. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Light Therapy: Common Questions

What is Light Therapy used for, and does it work?
People use Light Therapy for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Light Therapy for Neonatal jaundice, Psoriasis, Seasonal affective disorder (SAD) and Atopic dermatitis (eczema). For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Light Therapy interact with prescription medications?
Yes. We list 335 medications with a known interaction with Light Therapy. Use the checker above to see how Light Therapy interacts with a specific drug.
How are Light Therapy interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Light Therapy with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Light Therapy interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Light Therapy mainly used for?
It is most commonly and best supported for seasonal affective disorder (SAD), a type of depression linked to darker months. It is also used for some sleep and circadian rhythm problems, and certain skin conditions under a dermatologist's care.
Is Light Therapy safe?
For most people it is generally safe when a UV-filtered device is used as directed. People with eye disease, certain skin conditions, or bipolar disorder should check with a doctor first, since bright light can occasionally cause problems.
When is the best time to use a light box?
For mood and seasonal symptoms, morning use is most common. Timing is important for sleep-related uses, so follow your device's instructions and ask your doctor, since using light at the wrong time can worsen sleep.
Can I use Light Therapy while pregnant or breastfeeding?
Bright-Light Therapy is often considered a lower-risk option, but specific safety data are limited. Use it only under your doctor's supervision during pregnancy or breastfeeding.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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