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    First, Do No Harm: Sunscreen Updates

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    First, Do No Harm: Sunscreen Updates
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    First, Do No Harm: Sunscreen Updates

    How would you like to be on the Personal Care Products Council and the Consumer Healthcare Products Association Sunscreen Task Force?  This body of people have been assigned the task of figuring out the requirement for human absorption of sunscreen agents according to actual use. This new task has been added to the list provided by the FDA in 2016 issuing guidance for manufacturers to outline safety data for OTC sunscreen active ingredients as GRASE (generally recognized as safe and effective).  The existing list included clinical and nonclinical safety testing, data about human irritation, sensitization, and photosafety studies.  Systemic carcinogenicity, animal developmental and reproductive toxicity studies and studies regarding safety in children were on the list.

    What is the bottom line for the consumer?  Most likely this process will lead to fewer sunscreen products for consumers to choose from and almost certainly at a higher cost. It could take up to 5 years before the FDA gives its imprimatur to sunscreens according April 2019 Cutis.

    So, we’ve copied and pasted the recent proposed rule outlining several proposals:

    • Of the 16 currently marketed active sunscreen ingredients, only 2—zinc oxide and titanium dioxide—are considered GRASE. Two ingredients—trolamine salicylate and para-aminobenzoic acid—are considered non-GRASE, but there is not enough information at this time to determine if the remaining 12 ingredients are GRASE. The FDA is working with manufacturers to obtain sufficient information to make this determination.
    • Approved dosage formulations include sprays, oils, lotions, creams, gels, butters, pastes, ointments, and sticks. Further information is needed regarding powders before they can be considered.
    • The maximum SPF will be increased from 50+ to 60+.
    • Sunscreens with an SPF of 15 or higher are required to provide broad-spectrum protection commensurate with the SPF, expanding on critical wavelength testing.
    • There are new labeling changes, including a requirement that active ingredients be listed on the front of the packaging.
    • Sunscreen products that contain insect repellents are considered non-GRASE.

    Reference:

    DeLeo, VA.  Sunscreen regulations and advice for your patients.  Cutis website. https://www.mdedge.com/dermatology/article/199055/melanoma/sunscreen-regulations-and-advice-your-patients/page/0/2 . Published April 18, 2019. Accessed April 28, 2019.

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    About the author

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    Emily Jorge, DCNP

    Emily Jorge is a Certified Dermatology Nurse Practitioner (DCNP) who holds certifications from the Board-Certified American Nurses Credentialing Center (ANCC) and the Dermatology Nursing Certification Board (DNCB). She also belongs to the National Academy of Dermatology Nurse Practitioners (NADNP) and the Dermatology Nurses’ Association (DNA).

    She received her Master’s Degree Nurse Practitioner from Southern Adventist University. She has specialized in dermatology since joining the Skin Cancer & Cosmetic Dermatology Center as the medical aesthetics director from 2005-2011. Since 2012, as a dermatology certified nurse practitioner, she has focused on diagnosis and treatment of skin, hair, and nail diseases as well as the surgical aspects of dermatology.

    She has been published in a number of dermatology journals, has lectured for community programs sponsored by Kiwanis and CHI Memorial, and has been a contributing author for the Dermatology Nursing Certification Review Course. She is a preceptor for students interested in dermatology from area universities/colleges.

    Emily is involved in prayer, homeless, and music ministries and has volunteered for the AMEN free clinics in Chattanooga, which offer free dental care, general medical care, and health education services to the uninsured and underinsured. She enjoys volunteering her time as a blog writer for the SCCDC website.

    Emily Jorge, DCNP is now accepting patients in Dalton, Calhoun and Rome GA.

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