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Zinc oxide has been used as a dermato-therapeutic
agent for over 300 years, first as a component
of calamine and then on its own in various preparations.
In the "Pharmacopea Londinensis" published
in 1618 for the London College of Physicians,
Lapis Calaminaris is mentioned as a component
in three of 42 therapeutic ointments. In the U.S.
Dispensary of 1883, calamine is mentioned and
recommended for use as "a mild astringent
and exsiccate in excoriations and ulcerations."
Calamine was originally a naturally occurring
mixture of zinc containing compounds which was
used as is or heated and pulverized into a powder
which was then applied to the skin. What we know
as calamine today is actually "neo-calamine",
a mixture of zinc oxide and iron oxides. This
mixture was standardized in 1947 with the publication
of the recipe in that year's National Formulary
in the United States.
Today, zinc oxide is still widely used as a topical
therapeutic medication. In fact, it may well be
the most commonly used topically applied drug
of all time. One of the more important uses for
zinc oxide is as a sunscreen. Why is zinc oxide
ideally suited for this purpose?
Since the late 1920s, sunscreens have been used
by people to protect themselves from the harmful
effects of the sun. The original sunscreens were
organic molecules that worked by absorbing the
sun's radiation. Para-Amino Benzoic Acid (PABA),
perhaps the best known sunscreen, was patented
in 1943 and enjoyed a long period of common usage.
It has since fallen out of favor but other organic
sunscreens still make up the vast majority of
the chemicals used for this purpose.
In addition to the organic sunscreens, there
are also several inorganic chemicals used to block
the sun. Some common ones are zinc oxide, titanium
dioxide and iron oxide. The inorganic chemicals
offer good protection and, unlike their organic
counterparts, are not absorbed into the skin.
Because of this, they do not cause any adverse
reactions such as allergies and are thought to
be generally safer. Among these, zinc oxide has
an unmatched history of safe and effective long-term
use.
Zinc oxide has been used for centuries to protect
and heal the skin. When it was first intentionally
used as a sunblock is not clear but, at least
during this century, it has been considered common
knowledge that zinc oxide is the most effective
sunblock available. Everyone can recall lifeguards
and tennis players with zinc oxide on their lips
and noses. The military even issued zinc oxide
paste to pilots during both World Wars to use
in case they were downed and excessively subjected
to the elements.
UVB causes sunburn and UVA causes skin aging
and skin darkening (tanning). Both UVA and UVB
are involved in skin cancer. Given this knowledge,
any consumer product claiming sun protection needs
to block both UVA and UVB. To do anything else
is doing a disservice to the public. Recall that
a sunscreen that blocks only UVB will still prevent
a sunburn.
Sunburn is the body's built in alarm system that
tells us when we have had too much UVR. When this
response is "bypassed" people stay out
longer than they normally would and, if using
only a UVB block, expose themselves to unnaturally
high doses of UVA radiation. This is one of several
proposed explanations for the rising incidence
of skin cancer. Fortunately, zinc oxide blocks
virtually the entire UVA and UVB spectrum. This
makes it the most complete block known.
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