Can you use light therapy with antidepressants?
Written by
David Nelson
Reviewed by
Prof. Graham Pierce, Ph.D.Combining light therapy with antidepressants requires close coordination under medical supervision. The combination may enhance the mood benefits of light therapy for seasonal affective disorder, but the combination requires special safety considerations. Be sure to contact your physician before using both therapies, as there are potential drug interactions, as well as photosensitivity contraindications that must be taken into consideration.
Medication Interactions
- Tricyclic antidepressants increase photosensitivity risks significantly
- MAO inhibitors may cause adverse reactions with morning light exposure
- SSRIs generally have lower interaction risks but require monitoring
- Dosage adjustments often needed when adding light therapy
Safety Protocols
- Begin with shorter 10-15 minute sessions for initial combination
- Monitor for mania symptoms especially with bipolar disorder
- Schedule therapy earlier if experiencing sedation from medications
- Regular physician check-ins during the first month
Exercise extreme caution and medical supervision when beginning combination therapy. Light applicator sessions should last half the normal session time during the first week. The device should be placed at the maximum recommended distance initially. Increase exposure gradually if no adverse reactions occur.
Photosensitivity remains an important consideration for many antidepressants. These drugs render the skin and eyes more susceptible to light damage. Only use devices that filter out ultraviolet rays, and avoid exposing the skin to direct light. Wear protective eyewear if recommended by your doctor.
It is essential to document health symptoms accurately if you are using more than one treatment method. Particulars of a daily log should include special notes about changes in mood, energy, or side effects. Report any unusual symptoms, such as visual problems or skin sensations, immediately. Accurate documentation enables physicians to make informed adjustments.
Therapeutic sequencing greatly influences clinical outcomes. One common recommendation by clinicians is to attempt light therapy before manipulating medication dosing to isolate treatment effects and reduce the hazards of polypharmacy. It is also recommended that a wait period of approximately 2-3 weeks follow any new intervention.
Combination therapy requires ongoing professional management. Plan for monthly check-ins during the months when treatment is occurring (typically winter months). Blood work may be necessary to assess medication levels. Be prepared to reduce doses of the antidepressant medication as the light therapy benefits begin to develop.
Read the full article: Light Box Therapy Essentials Guide
