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Table 2 summary of the different papers which report the use of cimetidine in EPP in pediatric population

From: Erythropoietic protoporphyria: case reports for clinical and therapeutic hints

Author, Year

Daily dose/duration

Side effects reported

Sun tolerance

during treatment

erythrocytes PpIX level

No patient/age

How was evaluated the photosensitivity

Heerfordt10, 2022

1200 mg/4 months

None

increased

41% decrease after 2 months

19% decrease after 4 months

1/ N.A.

questionnaire about

(i) overall effect on photosensitivity

(ii) time spent outside

(iii) time to first photosensitivity symptoms

(iiii)edema

(iiiii) protective clothing

Kiberd,11 2018

30 mg/kg / Not available

None

Increased

N.A.

1/ 4-year-old

Subjective increased tolerance

Tu, 12

2016

30–40 mg/kg/ > 2 years

None

Increased

Data available for one patient in which 37% decrease after 1 year of treatment

3/ median age 9-year-old

Objective: improvement of actinic photodamage of the skin

Subjective:

- increased of number of hours of outdoor activities

- Reduced the use of analgesic drugs

  1. N.A. not available