Welcome to Home Phototherapy

Modified on Sat, 20 Sep at 3:08 PM

In this article, you will learn:

  1. What is phototherapy, and how does it work?
  2. Understanding your prescribed treatment
  3. Safety overview and important warnings
  4. What to expect during treatment


1. What is phototherapy, and how does it work?

Phototherapy is a safe, proven medical treatment that uses specific wavelengths of ultraviolet (UV) light to treat chronic skin conditions. Think of it as a carefully controlled form of therapeutic light therapy that your doctor has prescribed specifically for your condition.

How it works:

  • Your phototherapy device emits very specific wavelengths of ultraviolet light (usually Narrow Band UVB)
  • This therapeutic light penetrates your skin and reduces inflammation
  • It also slows down the rapid growth of skin cells, which causes many skin conditions
  • The treatment helps your skin return to a healthier, clearer state


What conditions does it treat? 

Phototherapy is most commonly prescribed for:

  • Psoriasis - reduces scaling and inflammation
  • Eczema (Atopic Dermatitis) - calms irritated, inflamed skin
  • Vitiligo - helps restore pigmentation to affected areas
  • CTCL (mycosis)
  • Other skin conditions as determined by your healthcare provider


Why is it effective? 

Clinical studies show that about 85% of psoriasis patients achieve significant clearing with Narrow Band UVB phototherapy. It's been used safely and effectively for decades, making it a trusted first-line treatment for many patients.


Types of phototherapy devices: Your device may use one of these light types:

  • Narrow Band UVB - Most common, very effective with minimal side effects
  • UVA - Sometimes used with special medications (PUVA therapy)
  • Broadband UVB - Less commonly used today



2. Understanding your prescribed treatment

Your phototherapy device is like a prescription medication - it must be used exactly as directed by your healthcare provider. Like any medication, it can be very helpful when used properly, but can also be harmful if not used correctly.


Why was phototherapy chosen for you? 

Your healthcare provider selected phototherapy because:

  • Safety profile: It's safe for pregnant women, children, elderly patients, and immunocompromised individuals
  • Effectiveness: Proven track record with high success rates
  • Convenience: You can treat yourself at home on your schedule
  • Cost-effective: Often covered by insurance and avoids frequent clinic visits


Your treatment consists of two phases:

1. Clearing Phase (First 6-12 weeks)

  • Treatments typically 3 times per week
  • Exposure times gradually increase as your skin tolerates more light
  • Goal is to achieve significant improvement in your skin condition
  • Treatment times start very short and gradually increase (follow your physician's treatment plan)

2. Maintenance Phase (Ongoing)

  • Less frequent treatments to maintain clear skin
  • Helps extend the benefits of the clearing phase
  • Prevents or delays flare-ups of your condition


Important treatment principles:

  • Never take more than one treatment per day
  • Wait at least 16 hours between treatments (follow your doctor's recommendations)
  • Consistency is key - stick to your prescribed schedule
  • Monitor your skin's response after each treatment


3. Safety overview and important warnings

CRITICAL SAFETY REQUIREMENTS - READ CAREFULLY

⚠️ EYE PROTECTION IS MANDATORY

  • ALWAYS wear the UV-blocking goggles provided with your device
  • These goggles block 100% of UVA and UVB light
  • NEVER remove goggles during treatment - even for a few seconds
  • Failure to wear eye protection can cause severe eye damage or injury
  • Only use Phothera-approved eyewear purchased through Phothera

⚠️ PROTECT UNTREATED SKIN

  • Apply SPF 30 or higher sunscreen to all exposed skin NOT being treated
  • Cover face, neck, ears, and genital areas unless specifically being treated
  • Pay special attention to areas that haven't been exposed to sunlight
  • Children and pets should not be in the treatment area during use

⚠️ MEDICATION INTERACTIONS

  • Inform your physician if you're taking ANY medications
  • Some medications can increase skin sensitivity to UV light or block it entirely.
  • If you're taking psoralens (for PUVA therapy), protect your eyes from ALL ultraviolet light (including sunlight) for 24 hours after taking the medication

⚠️ WHEN NOT TO TREAT

  • DO NOT treat over skin eruptions without your doctor's permission
  • DO NOT treat if you have active burning or severe redness
  • DO NOT treat if you have a history of skin cancer without doctor approval
  • DO NOT use if you're photosensitive or have lupus without medical guidance

⚠️ ELECTRICAL SAFETY

  • Only use grounded electrical outlets
  • Do not use extension cords
  • Keep device away from water and moisture
  • Unplug device when cleaning
  • Do not operate with damaged cords or plugs

⚠️ DEVICE SECURITY

  • Your device has a security lock-out feature
  • Only authorized users should operate the device
  • Keep unlock codes secure and away from children


4. What to expect during treatment

Your First Treatment Experience

Before you start:

  1. Read your device manual completely
  2. Contact your provider for your treatment plan and read it carefully before your first treatment
  3. Set up your treatment area in a private, safe space away from others
  4. Have your treatment log ready to record each session

During treatment:

  • Put on your protective goggles FIRST
  • Treatment times are very short initially - often just 15-30 seconds
  • You should not feel pain - only gentle warmth at most
  • You may smell a slight odor upon UV light exposure - this is normal
  • Stay in the correct position throughout the entire treatment time

What you might experience:

  • Immediate: Usually no sensation during short initial treatments
  • Within 4-24 hours: Possible mild pinkness (like a very light sunburn)
  • Goal response: Light pinkness or warmth lasting less than 24 hours
  • Over time: Gradual improvement in your skin condition

Normal responses to treatment:

  • Mild pinkness lasting 6-24 hours
  • Slight warmth or tingling sensation
  • Gradual clearing of skin lesions
  • Improved skin texture and appearance

Warning signs - Contact your doctor immediately:

  • Severe redness lasting more than 48 hours
  • Pain, blistering, or burning sensation
  • Allergic reactions or unusual skin irritation
  • Any new or unusual skin changes

Timeline expectations:

  • Week 1-2: Getting used to the routine, very short treatment times
  • Week 3-6: Treatment times gradually increase, you may start seeing improvement
  • Week 6-12: Significant improvement typically becomes visible
  • Ongoing: Maintenance treatments to sustain clear skin

Treatment frequency:

  • Standard schedule: 3 times per week (every other day)
  • Never daily: Your skin needs time to respond between treatments
  • Consistency matters: Try to treat on the same days each week
  • Never skip protection: Always use goggles and sunscreen on untreated areas

Recording your treatments: Keep a detailed log including:

  • Date and time of treatment
  • Treatment duration
  • Areas treated
  • Skin response observed
  • Any side effects or concerns
  • Notes about your skin's appearance


Remember: Phototherapy is a gradual process. While some patients see improvement within a few weeks, it typically takes 6-12 weeks to achieve optimal results. Be patient and consistent with your treatments, and always follow your healthcare provider's specific instructions.


Questions or concerns? Always contact your prescribing healthcare provider with questions about your treatment plan and reactions to treatment. 


For detailed information about the science, see [link to publication page]

Was this article helpful?

That’s Great!

Thank you for your feedback

Sorry! We couldn't be helpful

Thank you for your feedback

Let us know how can we improve this article!

Select at least one of the reasons
CAPTCHA verification is required.

Feedback sent

We appreciate your effort and will try to fix the article