We distinguish between three levels here. Because it makes a difference whether there are known reasons against use, whether consulting a doctor first makes sense because robust data are lacking or the individual situation is decisive, or whether a situation is generally unproblematic and only certain instructions need to be observed. This helps you judge better when to refrain from use, when to ask your doctor first, or when you can go ahead while observing the relevant instructions.
Please do not use
Here there are known reasons against unsupervised use, or an uncertainty that leads us to advise against use as a precaution.
With active cancer
Photobiomodulation influences cell metabolism and blood flow. It has not been conclusively established scientifically how this affects tumour tissue. As long as this question remains open, restraint is the right answer. Exception only after explicit consultation with your oncologist. This applies in particular to areas of the body that are currently being irradiated as part of radiotherapy.
With light-triggered epilepsy
Devices with flashing, pulsing or changing light modes can trigger seizures. Please never use without consulting a neurologist.
On fresh surgical wounds and open wounds
Wound care with light is a medical field of application under supervision — not a topic for self-use. This also applies to acute skin infections.
With photodermatosis or severe light sensitivity
Consult a doctor first
Here, use is not ruled out in principle, but robust data for a reliable general recommendation are often lacking.
Red light during pregnancy and breastfeeding
We advise against it — not because a risk is known, but because robust safety data are lacking. In this situation, restraint is the only responsible recommendation.
Photosensitising medication
A number of active substances increase sensitivity to light. These include: tetracycline and quinolone antibiotics (e.g. doxycycline, ciprofloxacin), retinoids (isotretinoin, including topical), amiodarone, certain diuretics (hydrochlorothiazide), sulphonamides, some neuroleptics and antidepressants, NSAIDs such as piroxicam, and St John’s wort.
This list is not exhaustive — if in doubt, check the package leaflet or ask at the pharmacy.
Pacemakers and implanted medical devices
This applies to pacemakers, defibrillators, insulin pumps and neurostimulators. The light itself is not the issue here; it is about the electronics of the implanted medical device and local warming over the implant. Please consult the practice responsible for your care before use and do not use directly over the implant.
Red light and thyroid conditions
With an overactive thyroid (hyperthyroidism), particular caution is advised. As red and near-infrared light can influence metabolic and circulatory processes, and only very limited data are available for direct use over the thyroid, the neck area should not be irradiated in this case without consulting a doctor.
With an underactive thyroid (hypothyroidism), for example in connection with Hashimoto’s, photobiomodulation has already been studied scientifically. Possible supportive effects on cellular processes have been described.
If in doubt, use in the neck area should be clarified beforehand with a qualified medical professional.
Existing eye conditions and recent eye surgery
This also applies to unexplained changes in vision. Details in the “Eyes” section above.
Impaired sensation of temperature or pain
Do not use contact devices such as FlexiPad and FaceMask. With other devices, use with impaired sensation of temperature or pain should be discussed with a doctor beforehand.
Red light for children and adolescents
Only under adult supervision and after consulting a doctor. No specific usage data are available for children. Regardless of this, the following applies to the Vision Mode of the Gen30: do not use on children and adolescents.
After Botox, fillers and aesthetic treatments
After Botox, fillers, microneedling, peels or laser treatments, please observe the waiting period specified by the practice that treated you.
Frequently asked, generally unproblematic
Here there is generally no fundamental reason against use.
Red light and tattoos
Dark pigments absorb more light and can warm up more. Fading caused by red and near-infrared light has not been described. In practice, this means: choose a greater distance or shorten the duration if a tattooed area feels noticeably warmer than the surrounding skin. Treat fresh tattoos like a wound and leave them out until they have fully healed. The same applies to permanent make-up.
Moles and birthmarks
Red and near-infrared light is non-ionising and is not suspected of causing skin cancer — unlike UV. Anyone with many or conspicuous moles or a history of melanoma should attend regular skin cancer screening regardless. If a mole changes: see a dermatologist first, then everything else.
Retinol, fruit acids and vitamin C
These active ingredients make the skin more sensitive, but mainly to UV. If you react sensitively, use the light and the active ingredient at different times — light in the morning, active ingredient in the evening.
Pets in the room
Animals, too, usually react quite naturally to bright light and look away when it dazzles them. Nevertheless, they should not look directly into the LEDs or lie in the direct beam for long periods. Some pet owners report positive experiences with red and near-infrared light, and photobiomodulation in animals is also being studied scientifically. However, the evidence is still limited and suitable application protocols have not been consistently established. Please therefore discuss any targeted use on an animal with your vet.
Sunburn or freshly tanned skin
If you have acute sunburn, pause red light use until the skin has fully recovered.