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Technical details about Methoxsalen, learn more about the structure, uses, toxicity, action, side effects and more

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2D Structure
Also known as: 8-methoxypsoralen, 298-81-7, Xanthotoxin, Ammoidin, 8-mop, Meladinine
Molecular Formula
C12H8O4
Molecular Weight
216.19  g/mol
InChI Key
QXKHYNVANLEOEG-UHFFFAOYSA-N
FDA UNII
U4VJ29L7BQ

A naturally occurring furocoumarin compound found in several species of plants, including Psoralea corylifolia. It is a photoactive substance that forms DNA ADDUCTS in the presence of ultraviolet A irradiation.
Methoxsalen is a Photoactivated Radical Generator and Psoralen. The mechanism of action of methoxsalen is as a Photoabsorption. The physiologic effect of methoxsalen is by means of Photosensitizing Activity.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
9-methoxyfuro[3,2-g]chromen-7-one
2.1.2 InChI
InChI=1S/C12H8O4/c1-14-12-10-8(4-5-15-10)6-7-2-3-9(13)16-11(7)12/h2-6H,1H3
2.1.3 InChI Key
QXKHYNVANLEOEG-UHFFFAOYSA-N
2.1.4 Canonical SMILES
COC1=C2C(=CC3=C1OC=C3)C=CC(=O)O2
2.2 Other Identifiers
2.2.1 UNII
U4VJ29L7BQ
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 8 Methoxypsoralen

2. 8 Mop

3. 8-methoxypsoralen

4. 8-mop

5. 8mop

6. Ammoidin

7. Deltasoralen

8. Dermox

9. Geroxalen

10. Mladinine

11. Meladinina

12. Meladinine

13. Meloxine

14. Methoxa Dome

15. Methoxa-dome

16. Oxsoralen

17. Oxsoralen Ultra

18. Oxsoralen-ultra

19. Puvalen

20. Ultramop

21. Xanthotoxin

2.3.2 Depositor-Supplied Synonyms

1. 8-methoxypsoralen

2. 298-81-7

3. Xanthotoxin

4. Ammoidin

5. 8-mop

6. Meladinine

7. Oxsoralen

8. Oxypsoralen

9. Puvalen

10. 9-methoxy-7h-furo[3,2-g]chromen-7-one

11. Xanthotoxine

12. Meloxine

13. Meladinin

14. Uvadex

15. Meladoxen

16. Ammodin

17. Methoxa-dome

18. 8-methoxypsoralene

19. Oxsoralen-ultra

20. New-meladinin

21. Geroxalen

22. Methoxalen

23. Puvamet

24. Oxsoralen Lotion

25. 9-methoxypsoralen

26. Zanthotoxin

27. 9-methoxyfuro[3,2-g]chromen-7-one

28. Psoralon-mop

29. 8-mp

30. 8-methoxyfuranocoumarin

31. 9-methoxy-7h-furo[3,2-g][1]benzopyran-7-one

32. O-methylxanthotoxol

33. Vitpso

34. 8-methoxy-2',3',6,7-furocoumarin

35. Nci-c55903

36. Methoxy-8-psoralen

37. 7h-furo[3,2-g][1]benzopyran-7-one, 9-methoxy-

38. 8-methoxy-4',5',6,7-furocoumarin

39. Metoxalen

40. 8-methoxsalen

41. 6-hydroxy-7-methoxy-5-benzofuranacrylic Acid Delta-lactone

42. 8-methoxy-[furano-3'.2':6.7-coumarin]

43. Nsc45923

44. Nsc 45923

45. 8-methoxy-4',5':6,7-furocoumarin

46. 9-methoxy-7h-furo(3,2-g)(1)benzopyran-7-one

47. 7h-furo(3,2-g)(1)benzopyran-7-one, 9-methoxy-

48. 8-methoxy-(furano-3'.2':6.7-coumarin)

49. Methoxsalen (oxsoralen)

50. Nsc-45923

51. 9-methoxyfuro(3,2-g)chromen-7-one

52. Chembl416

53. Oxsoralen Ultra

54. U4vj29l7bq

55. 8-methoxy-6,7-furanocoumarin

56. Chebi:18358

57. 9-(methyloxy)-7h-furo[3,2-g]chromen-7-one

58. Proralone-mop

59. Methoxsalen-d3

60. 9-methoxy-2h-furo[3,2-g]chromen-2-one

61. Sm-88 Component Methoxsalen

62. Meladinin (van)

63. Ncgc00016418-07

64. Cas-298-81-7

65. Methoxaten

66. Oxoralen

67. Dsstox_cid_830

68. Ultra Mop

69. Dsstox_rid_75816

70. Dsstox_gsid_20830

71. Deltapsoralen

72. Dltasoralen

73. Methoxsalene

74. Metoxaleno

75. Methoxsalen, 8-

76. Smr000071170

77. Ccris 2083

78. 1246819-63-5

79. Hsdb 2505

80. 9-methoxyfuro[3,2-g][1]benzopyran-7-one

81. 8-methoxypsoralen With Ultraviolet A Therapy

82. Oxsoralen (tn)

83. Sr-01000629727

84. Einecs 206-066-9

85. Mfcd00005009

86. Methoxsalen Plus Ultraviolet Radiation

87. Unii-u4vj29l7bq

88. Brn 0196453

89. Methoxsalen [usp:ban:jan]

90. 9-methoxy-7h-furo(3,2-g)benzopyran-7-one

91. 5-benzofuranacrylic Acid, 6-hydroxy-7-methoxy-, Delta-lactone

92. 8-methoxy Psoralen

93. Prestwick_661

94. 9-methoxyfurano[3,2-g]chromen-2-one

95. Spectrum_001023

96. St041029

97. 5-demethoxyisoimpinellin

98. 8-methoxy(furano-3'.2':6.7-coumarin)

99. Methoxsalen [mi]

100. Prestwick0_000479

101. Prestwick1_000479

102. Prestwick2_000479

103. Prestwick3_000479

104. Spectrum2_001052

105. Spectrum3_000499

106. Spectrum4_000052

107. Spectrum5_001891

108. Methoxsalen [jan]

109. Uvadex (tn)

110. X0009

111. Methoxsalen [hsdb]

112. Methoxsalen [iarc]

113. Methoxsalen (jp17/usp)

114. Methoxsalen [vandf]

115. 8-mop;xanthotoxin;ammoidin

116. 7h-furo[3, 9-methoxy-

117. Methoxsalen [mart.]

118. Oprea1_166319

119. Schembl19168

120. Bspbio_000618

121. Bspbio_001997

122. Kbiogr_000543

123. Kbioss_001503

124. Methoxsalen [usp-rs]

125. Methoxsalen [who-dd]

126. 5-19-06-00015 (beilstein Handbook Reference)

127. 8mo

128. Mls000062633

129. Mls002303011

130. Divk1c_000763

131. Spectrum1500400

132. Spbio_001004

133. Spbio_002557

134. Bpbio1_000680

135. Megxp0_000095

136. Xanthotoxin, Analytical Standard

137. Dtxsid8020830

138. Methoxsalen (8-methoxypsoralen)

139. Acon1_000174

140. Hms502g05

141. Kbio1_000763

142. Kbio2_001503

143. Kbio2_004071

144. Kbio2_006639

145. Kbio3_001497

146. 8-methoxy Psoralen-[13c,d3]

147. Methoxsalen [orange Book]

148. 8-methoxy-2',6,7-furocoumarin

149. 8-methoxy-4',6,7-furocoumarin

150. Ninds_000763

151. Hms1569o20

152. Hms1920n05

153. Hms2091d20

154. Hms2096o20

155. Hms2269p03

156. Hms3259l13

157. Hms3655b05

158. Hms3884k16

159. Pharmakon1600-01500400

160. Methoxsalen [usp Monograph]

161. 5-benzofuranacrylic Acid, 6-hydroxy-7-methoxy-, .delta.-lactone

162. Bcp28212

163. Zinc2548959

164. Tox21_110432

165. Tox21_201767

166. Tox21_302816

167. 8-methoxypsoralen;xanthotoxin;8-mop

168. Bdbm50041234

169. Ccg-36366

170. Nsc757114

171. S1952

172. Stk735539

173. Wln: T C566 Do Lvoj Bo1

174. 8-methoxypsoralen, Analytical Standard

175. Akos000277012

176. Tox21_110432_1

177. 9-methoxy-furo[3,2-g]chromen-7-one

178. Ac-4259

179. Am84906

180. Cs-1983

181. Db00553

182. Ds-5159

183. Methoxsalen 100 Microg/ml In Methanol

184. Nc00652

185. Nsc-757114

186. Sdccgmls-0042377.p002

187. Idi1_000763

188. 8-methoxy-2'',3'',6,7-furocoumarin

189. 8-methoxy-4'',5'':6,7-furocoumarin

190. Ncgc00016418-01

191. Ncgc00016418-02

192. Ncgc00016418-03

193. Ncgc00016418-04

194. Ncgc00016418-05

195. Ncgc00016418-06

196. Ncgc00016418-08

197. Ncgc00016418-09

198. Ncgc00016418-10

199. Ncgc00016418-11

200. Ncgc00016418-12

201. Ncgc00016418-14

202. Ncgc00016418-15

203. Ncgc00060938-02

204. Ncgc00060938-03

205. Ncgc00060938-04

206. Ncgc00060938-05

207. Ncgc00060938-06

208. Ncgc00178871-01

209. Ncgc00178871-02

210. Ncgc00178871-03

211. Ncgc00256435-01

212. Ncgc00259316-01

213. Hy-30151

214. Nci60_004085

215. Sbi-0051443.p003

216. Ft-0602101

217. Ft-0671145

218. N1305

219. Sw167762-4

220. 8-methoxy-[furano-3''.2'':6.7-coumarin]

221. 9-methoxy-7h-furo[3,2-g]chromen-7-one #

222. En300-52504

223. C01864

224. D00139

225. Ab00052042-14

226. Ab00052042-15

227. Ab00052042_16

228. Ab00052042_17

229. 298m817

230. 9-methoxy-7h-furo[3,2- G][1]benzopyran-7-one

231. A820092

232. Q408570

233. Q-100381

234. Sr-01000629727-2

235. Sr-01000629727-4

236. Brd-k63430059-001-03-2

237. Brd-k63430059-001-06-5

238. Brd-k63430059-001-09-9

239. Z1258578369

240. Methoxsalen, United States Pharmacopeia (usp) Reference Standard

241. 12692-94-3

2.4 Create Date
2004-09-16
3 Chemical and Physical Properties
Molecular Weight 216.19 g/mol
Molecular Formula C12H8O4
XLogP31.9
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count4
Rotatable Bond Count1
Exact Mass216.04225873 g/mol
Monoisotopic Mass216.04225873 g/mol
Topological Polar Surface Area48.7 Ų
Heavy Atom Count16
Formal Charge0
Complexity325
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 10  
Drug Name8-mop
PubMed HealthMethoxsalen
Drug ClassesAntipsoriatic, Hypopigmentation Agent
Drug Label8-MOP (Methoxsalen, 8-Methoxypsoralen) Capsules, 10mg. Methoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant and in the roots of Heracleum Candicans. It belongs to a group of compounds kn...
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyValeant Pharm Intl

2 of 10  
Drug NameMethoxsalen
PubMed HealthMethoxsalen
Drug ClassesAntipsoriatic, Hypopigmentation Agent
Drug Label8-MOP (Methoxsalen, 8-Methoxypsoralen) Capsules, 10mg. Methoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant and in the roots of Heracleum Candicans. It belongs to a group of compounds kn...
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyStrides Pharma

3 of 10  
Drug NameOxsoralen
PubMed HealthMethoxsalen (By mouth)
Drug ClassesAntipsoriatic
Drug LabelOxsoralen-Ultra (methoxsalen capsules, USP) contains 10 mg. methoxsalen (8-methoxsalen). Methoxsalen occurs as white to pale yellow crystals and can be obtained naturally from seeds of Ammi majus and roots of Heracleum Candicans or through synthesis....
Active IngredientMethoxsalen
Dosage FormLotion
RouteTopical
Strength1%
Market StatusPrescription
CompanyValeant Pharm Intl

4 of 10  
Drug NameOxsoralen-ultra
PubMed HealthMethoxsalen (Injection)
Drug ClassesAntipsoriatic
Drug LabelOxsoralen-Ultra (methoxsalen capsules, USP) contains 10 mg. methoxsalen (8-methoxsalen). Methoxsalen occurs as white to pale yellow crystals and can be obtained naturally from seeds of Ammi majus and roots of Heracleum Candicans or through synthesis....
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyDow Pharm

5 of 10  
Drug NameUvadex
Drug LabelMethoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant. It belongs to a group of compounds known as psoralens or furocoumarins. The chemical name of methoxsalen is 9-methoxy-7H-furo[3,2-g]...
Active IngredientMethoxsalen
Dosage FormInjectable
RouteInjection
Strength0.02mg/ml
Market StatusPrescription
CompanyTherakos

6 of 10  
Drug Name8-mop
PubMed HealthMethoxsalen
Drug ClassesAntipsoriatic, Hypopigmentation Agent
Drug Label8-MOP (Methoxsalen, 8-Methoxypsoralen) Capsules, 10mg. Methoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant and in the roots of Heracleum Candicans. It belongs to a group of compounds kn...
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyValeant Pharm Intl

7 of 10  
Drug NameMethoxsalen
PubMed HealthMethoxsalen
Drug ClassesAntipsoriatic, Hypopigmentation Agent
Drug Label8-MOP (Methoxsalen, 8-Methoxypsoralen) Capsules, 10mg. Methoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant and in the roots of Heracleum Candicans. It belongs to a group of compounds kn...
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyStrides Pharma

8 of 10  
Drug NameOxsoralen
PubMed HealthMethoxsalen (By mouth)
Drug ClassesAntipsoriatic
Drug LabelOxsoralen-Ultra (methoxsalen capsules, USP) contains 10 mg. methoxsalen (8-methoxsalen). Methoxsalen occurs as white to pale yellow crystals and can be obtained naturally from seeds of Ammi majus and roots of Heracleum Candicans or through synthesis....
Active IngredientMethoxsalen
Dosage FormLotion
RouteTopical
Strength1%
Market StatusPrescription
CompanyValeant Pharm Intl

9 of 10  
Drug NameOxsoralen-ultra
PubMed HealthMethoxsalen (Injection)
Drug ClassesAntipsoriatic
Drug LabelOxsoralen-Ultra (methoxsalen capsules, USP) contains 10 mg. methoxsalen (8-methoxsalen). Methoxsalen occurs as white to pale yellow crystals and can be obtained naturally from seeds of Ammi majus and roots of Heracleum Candicans or through synthesis....
Active IngredientMethoxsalen
Dosage FormCapsule
RouteOral
Strength10mg
Market StatusPrescription
CompanyDow Pharm

10 of 10  
Drug NameUvadex
Drug LabelMethoxsalen is a naturally occurring photoactive substance found in the seeds of the Ammi majus (Umbelliferae) plant. It belongs to a group of compounds known as psoralens or furocoumarins. The chemical name of methoxsalen is 9-methoxy-7H-furo[3,2-g]...
Active IngredientMethoxsalen
Dosage FormInjectable
RouteInjection
Strength0.02mg/ml
Market StatusPrescription
CompanyTherakos

4.2 Therapeutic Uses

Cross-Linking Reagents; Photosensitizing Agents

National Library of Medicine's Medical Subject Headings online file (MeSH, 2019)


Photochemotherapy (methoxsalen with long wave UVA radiation) is indicated for the symptomatic control of severe, recalcitrant, disabling psoriasis not adequately responsive to other forms of therapy and when the diagnosis has been supported by biopsy. Photochemotherapy is intended to be administered only in conjunction with a schedule of controlled doses of long wave ultraviolet radiation. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for METHOXSALEN- methoxsalen capsule, liquid filled (May 2015).


Methoxsalen is used orally (as conventional capsules) or topically in conjunction with controlled exposure to long wavelength ultraviolet radiation (UVA) or sunlight to repigment vitiliginous skin in patients with idiopathic vitiligo. The liquid-filled capsules currently are not approved by the US Food and Drug Administration for this use. Clinical response to methoxsalen is erratic and unpredictable and is cosmetically acceptable in only a small percentage of patients with vitiligo. Complete cures following psoralen therapy are infrequent; only about one-third of patients with vitiligo have an appreciable amount of pigmentation restored. In one study of 20 patients treated with topical methoxsalen and blacklight, complete repigmentation occurred in only 3 patients. In one study using UVA light and oral methoxsalen or oral trioxsalen for 12-14 months, 73% of vitiligo patients had some pigmentation restored and, in 23% of patients, pigmentation improved by about 73%. Repigmentation varies among patients in completeness, time of onset, and duration. Methoxsalen-induced repigmentation occurs more rapidly on fleshy areas such as the face, abdomen, and buttocks than on bony areas such as the dorsa of the hands and feet. To retain new pigment, periodic treatment with the drug and some form of UVA light is often required; however, in one study, 90% or more of the new pigment established during oral methoxsalen and conventional UV light therapy remained in 85% of patients 8-14 years after methoxsalen treatment was discontinued.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


Oral methoxsalen is used in conjunction with photopheresis with the UVAR instrument for the palliative treatment of the skin manifestations of cutaneous T-cell lymphoma (CTCL; e.g., mycosis fungoides, Sezary syndrome). Limited evidence indicates that photopheresis therapy (e.g., administered once daily for 2 consecutive days per month) can produce reductions in the size and/or severity of skin lesions without serious toxicity; sustained responses (2 years or longer) have occurred in some patients. For detailed information on the use of oral methoxsalen in conjunction with photopheresis in patients with cutaneous T-cell lymphoma, clinicians should consult the manufacturer's labeling for methoxsalen and the UVAR instrument and other specialized references and published protocols.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


For more Therapeutic Uses (Complete) data for 8-Methoxypsoralen (6 total), please visit the HSDB record page.


4.3 Drug Warning

/BOXED WARNING/ Methoxsalen with UV radiation should be used only by physicians who have special competence in the diagnosis and treatment of psoriasis and who have special training and experience in photochemotherapy. The use of Psoralen and ultraviolent radiation therapy should be under constant supervision of such a physician. For the treatment of patients with psoriasis, photochemotherapy should be restricted to patients with severe, recalcitrant, disabling psoriasis which is not adequately responsive to other forms of therapy, and only when the diagnosis is certain. Because of the possibilities of ocular damage, aging of the skin, and skin cancer (including melanoma), the patient should be fully informed by the physician of the risks inherent in this therapy.

US Natl Inst Health; DailyMed. Current Medication Information for METHOXSALEN- methoxsalen capsule, liquid filled (May 2015). Available from, as of December 26, 2018: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=a4c61db9-b72d-4b67-b69b-a97257b614ad


/BOXED WARNING/ Methoxsalen Capsules, USP (Soft Gelatin Capsules) should not be used interchangeably with regular methoxsalen capsules or methoxsalen hard gelatin capsules. This new dosage form of methoxsalen exhibits significantly greater bioavailability and earlier photosensitization onset time than previous methoxsalen dosage forms. Patient should be treated in accordance with the dosimetry specifically recommended for this product. The minimum phototoxic dose (MPD) and phototoxic peak time after drug administration prior to onset of photochemotherapy with this dosage form should be determined.

US Natl Inst Health; DailyMed. Current Medication Information for METHOXSALEN- methoxsalen capsule, liquid filled (May 2015). Available from, as of December 26, 2018: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=a4c61db9-b72d-4b67-b69b-a97257b614ad


/Methoxsalen is contraindicated in:/ patients exhibiting idiosyncratic reactions to psoralen compounds; patients possessing a specific history of light sensitive disease states should not initiate methoxsalen therapy. Diseases associated with photosensitivity include lupus erythematosus, porphyria cutanea tarda, erythropoietic protoporphyria, variegate porphyria, xeroderma pigmentosum, and albinism; patients exhibiting melanoma or possessing a history of melanoma; patients exhibiting invasive squamous cell carcinomas; patients with aphakia, because of the significantly increased risk of retinal damage due to the absence of lenses.

US Natl Inst Health; DailyMed. Current Medication Information for METHOXSALEN- methoxsalen capsule, liquid filled (May 2015). Available from, as of December 26, 2018: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=a4c61db9-b72d-4b67-b69b-a97257b614ad


Phototoxic reactions including severe edema and erythema, and painful blistering, burning, and peeling of skin may occur with methoxsalen and conventional UV light. In addition, PUVA therapy has produced severe burns requiring hospitalization, and marked hyperpigmentation and aging of skin. When peeling or blistering occurs, the skin becomes more sensitive to UV light. Phototoxic reactions to methoxsalen occur most commonly when the skin is overexposed to UV light or when dosage is excessive. Severe burns may occur if treated skin is accidentally exposed to additional UV light. Some reports indicate that the incidence of psoralen-induced phototoxicity may be slightly reduced by concurrent application of benzophenone sunscreens.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


For more Drug Warnings (Complete) data for 8-Methoxypsoralen (27 total), please visit the HSDB record page.


4.4 Drug Indication

For the treatment of psoriasis and vitiligo


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

Methoxsalen selectively inhibits the synthesis of deoxyribonucleic acid (DNA). The guanine and cytosine content correlates with the degree of Methoxsalen-induced cross-linking. At high concentrations of the drug, cellular RNA and protein synthesis are also suppressed.


5.2 MeSH Pharmacological Classification

Photosensitizing Agents

Drugs that are pharmacologically inactive but when exposed to ultraviolet radiation or sunlight are converted to their active metabolite to produce a beneficial reaction affecting the diseased tissue. These compounds can be administered topically or systemically and have been used therapeutically to treat psoriasis and various types of neoplasms. (See all compounds classified as Photosensitizing Agents.)


Cross-Linking Reagents

Reagents with two reactive groups, usually at opposite ends of the molecule, that are capable of reacting with and thereby forming bridges between side chains of amino acids in proteins; the locations of naturally reactive areas within proteins can thereby be identified; may also be used for other macromolecules, like glycoproteins, nucleic acids, or other. (See all compounds classified as Cross-Linking Reagents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
METHOXSALEN
5.3.2 FDA UNII
U4VJ29L7BQ
5.3.3 Pharmacological Classes
Photoactivated Radical Generator [EPC]; Photosensitizing Activity [PE]; Psoralen [EPC]; Psoralens [CS]; Photoabsorption [MoA]
5.4 ATC Code

D - Dermatologicals

D05 - Antipsoriatics

D05A - Antipsoriatics for topical use

D05AD - Psoralens for topical use

D05AD02 - Methoxsalen


D - Dermatologicals

D05 - Antipsoriatics

D05B - Antipsoriatics for systemic use

D05BA - Psoralens for systemic use

D05BA02 - Methoxsalen


5.5 Absorption, Distribution and Excretion

Route of Elimination

In both mice and man, methoxsalen is rapidly metabolized. Approximately 95% of the drug is excreted as a series of metabolites in the urine within 24 hours (Pathak et al. 1977).


After oral admin of (3)H 8-methoxypsoralen to rats, it was absorbed rapidly and max blood level was observed at 10 min. Moderate radioactivity was found in liver and kidneys at 0.5-4 hr, and low levels in other tissues. ... 62.8% of radioactivity was excreted in urine and 20.4% in feces within 24 hr and 65.1% and 21.9% during 6 days, respectively. In bile, 30.0% was also recovered within 24 hr; this passed through enterohepatic circulation.

NOZU T ET AL; OYO YAKURI 18 (3): 489 (1979)


Improvement in effective bioavailability of methoxsalen was achieved when it was administered to rats and dogs in solution as compared to suspension. Much earlier and higher peak levels were observed for the solution in both animals.

PMID:438967 KREUTER J, HIGUCHI T; J PHARM SCI; 68 (4): 451 (1979)


Max serum concentration /in patients/ occurred between 0.5 and 2 hr after oral administration of 0.6 mg/kg methoxsalen. There was significant negative correlation between logarithm of serum concentration and minimum phototoxic dose. Hence degree of photosensitivity appears to be related to serum level of methoxsalen.

PMID:428192 SWANBECK G ET AL; CLIN PHARMACOL THER 25 (4): 478 (1979)


Single iv doses of 5 mg/kg body weight (14)C methoxsalen to dogs disappeared rapidly from plasma, although small levels of radioactivity persisted for 5 weeks after administration. Evidence suggested that the persistent plasma radioactivity was due to a metabolite bound to plasma protein. Elimination occurred in both urine and bile; 45% of the dose appeared in the urine and 40% in the feces within 72 hrs of administration.

IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work). Available at: https://monographs.iarc.fr/ENG/Classification/index.php, p. V24 109 (1980)


For more Absorption, Distribution and Excretion (Complete) data for 8-Methoxypsoralen (8 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

After oral administration of 8-methoxypsoralen to rats, metabolites in urine were; 8-hydroxypsoralen, 5-hydroxy-8-methoxypsoralen, 5,8-dioxopsoralen, 5,8-dihydroxypsoralen, 4,6,7-trihydroxy-5-coumaranoyl-beta-acrylic acid, 4,6-dihydroxy-7-methoxy-5-coumaranoyl-beta-acrylic acid.

NOZU T ET AL; OYO YAKURI 18 (3): 497 (1979)


Although the exact metabolic fate of methoxsalen has not been fully established, the drug is rapidly and apparently almost completely metabolized. Methoxsalen is demethylated to 8-hydroxypsoralen (8-HOP), and methoxsalen and 8-HOP are conjugated with glucuronic acid and sulfate; other unidentified metabolites have also been detected. Methoxsalen and 8-hydroxypsoralen and their conjugates are excreted in urine. Following oral administration of methoxsalen, 80-90% of the drug is excreted in urine within 8 hours as hydroxylated, glucuronide, and sulfate metabolites; less than 0.1% of a dose is excreted in urine as unchanged drug. About 95% of the drug is excreted in urine within 24 hours as metabolites.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


Methoxsalen is extensively metabolized, and less than 2% of the drug is excreted unchanged in the urine. Four urinary metabolites were isolated; 3 of them resulted from opening of the furan ring: these are 7-hydroxy-8-methoxy-2-oxo-2H-1-benzopyran-6-acetic acid, alpha,7-dihydroxy-8-methoxy-2-oxo-2H-1-benzopyran-6-acetic acid, and an unknown conjugate of the former at the 7-hydroxy position. The fourth metabolite, formed by opening of the pyrone ring, is an unknown conjugate of (Z)-3-(6-hydroxy-7-methoxybenzofuran-5-yl)-2-propenoic acid.

IARC. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans. Geneva: World Health Organization, International Agency for Research on Cancer, 1972-PRESENT. (Multivolume work). Available at: https://monographs.iarc.fr/ENG/Classification/index.php, p. V24 109 (1980)


Methoxsalen has known human metabolites that include 9-Methoxy-5,7,11-trioxatetracyclo[8.4.0.03,8.04,6]tetradeca-1,3(8),9,13-tetraen-12-one.

S73 | METXBIODB | Metabolite Reaction Database from BioTransformer | DOI:10.5281/zenodo.4056560


5.7 Biological Half-Life

Approximately 2 hours


The elimination half-life of methoxsalen is reportedly about 0.75-2.4 hours.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


5.8 Mechanism of Action

After activation it binds preferentially to the guanine and cytosine moieties of DNA, leading to cross-linking of DNA, thus inhibiting DNA synthesis and function.


Methoxsalen, when activated by long wavelength UV light in the range of 320-400 nm, is strongly erythemogenic, melanogenic, and cytotoxic in the epidermis; the maximal erythemogenic activity occurs in the range of 330-360 nm. The mechanisms of action of methoxsalen in inducing repigmentation of vitiliginous skin have not been established. Repigmentation depends on the presence of functioning melanocytes and UV light. Methoxsalen may activate the few functional and dihydroxyphenylalanine-positive melanocytes present in vitiliginous skin. An increase in the activity of tyrosinase, the enzyme that catalyzes the conversion of tyrosine to dihydroxyphenylalanine (a precursor of melanin), has been shown in melanin-producing cells exposed in vitro to trioxsalen and UVA light. In addition, binding of photoactivated psoralens (in triplet states) to pyrimidine bases of nucleic acids, with subsequent inhibitions of DNA synthesis, cell division, and epidermal turnover, has been demonstrated. Following photoactivation, methoxsalen forms covalent bonds with DNA to produce monofunctional (addition to a single strand of DNA) and bifunctional adducts (crosslinking to both strands of DNA). Reactions with other proteins also occur. Psoralens may also increase melanin formation by producing an inflammatory reaction in the skin. Other mechanisms of increased pigmentation may include an increase in the number of functional melanocytes (and possibly activation of dormant melanocytes); enhancement of melanin granule synthesis; stimulation of the movement of melanocytes up hair follicles resulting in melanocytic repopulation of the epidermis; and/or hypertrophy of melanocytes and increased arborization of their dendrites.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


Since psoriasis is a hyperproliferative disorder and other agents effective in the treatment of psoriasis are known to inhibit DNA synthesis, the therapeutic effect of methoxsalen in the treatment of psoriasis probably involves binding to DNA and inhibition of DNA synthesis resulting in decreased cell proliferation; other vascular, leukocyte, or cell regulatory mechanisms may also be involved.

American Society of Health-System Pharmacists; Drug Information 2018. Bethesda, MD. 2018


Methoxsalen readily absorbs ultraviolet light, particularly UVA wavelengths (320 to 400 nm). As a photosensitizing agent, it can produce phototoxic erythema (a reaction similar to sunburn) when skin to which it has been applied receives excess exposure to UVA. Chronic reactions may result in hyperpigmentation and skin thickening. UVA causes a photochemical reaction that results in formation of adducts between methoxsalen and the pyrimidine bases of DNA.

DHHS/National Toxicology Program; Report on Carcinogens, Fourteenth Edition: Methoxsalen with Ultraviolet A Therapy; Available from, as of December 27, 2018: https://ntp.niehs.nih.gov/go/roc


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