All forms of health treatment, including LED, carry some risks and limitations. Complications that may occur in professional LED are very infrequent and are usually minor in nature.
There are some instances in which the LED Light Therapy may prove unsuitable for an individual when taking certain drugs or medical conditions, this may mean that an individual is unsuitable for the treatment.
Precautions due to drug induced photosensitivity. Please indicate if you are or have taken any of the following medication
Antibiotics
Tetracyline group: Doxyclyline, Oxytetracycline etc
Quinolone group: Ciprofloxacin, Ofloxacin, Levofloxacin
Sulfonamides: sulfamethoxazole/trimethoprim
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Naproxen, Celecoxib
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days
Diuretics
Furosemide, Bumetanide, Hydro-chlorothiazide
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days
Retinoids
Roaccutane/accutane
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days
HMG-CoA reductase inhibitors
Statins (atorvastatin, fluvastatin, lovastatin, pravastatin, simvastatin)
If yes, the treatment can still be administered at the discretion of the patient as long as they report no increased sensitivity to sun since commencing statins
Epidermal growth factor receptor inhibitors (treatment for lung cancer)
Cetuximab, panitumumab, erlotinib, gefitinib, lapatinib, vandetanib
If yes, please consult your physician before commencing a course
Antifungals
Terbinafine, Itraconazole, Voriconazole, Griseofulvin (Grisovin)
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days
Anti-Arrhythmic drugs
Codarone, Aratac, chlorpromazine
If yes, it is at your discretion whether you commence a treatment.
Anti-arthritic
Ridaura, Gold 50
If yes, the treatment cannot be administered.
Anti-arthritic
Azathioprine
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days.
Anti-Cancer drugs
Ledertrexate/Methotrexate
If yes, the treatment can be administered as long as the medication has not been taken in the last 5 days.
(A photosensitive disorder describes a condition which means that you are sensitive or react to normal amounts of light. Photosensitive disorders include Porphyria, Lupus erythematosus, photosensitive eczema and Albinism).
*Although uncommon the light may induce a migraine attack.
*St John’s Wort taken in very large amounts (more than the RDA) may cause some people to be slightly more sensitive to light.
I understand that the final result of my LED treatment cannot be guaranteed.
I understand that after the treatment, I will be required to refrain from un-protected sun exposure.
I have read all of the above and had all my questions satisfactorily answered. In signing this informed consent, I am stating I have read the informed consent information and I fully understand the possible risks, complications and benefits that can result from the LED system.
Do not sign this form until you have read and understood all of the above.
