Clear Answers to Your Medication Questions So You Can Take Your Medicine Safely

Dyes That Work as Medicines

Dyes

One early September morning in 1977, I hustled up three flights of stairs to my first session in the Pharmaceutics Laboratory of College Hall at Washington State University. I draped a snowy white lab coat over one arm, brand new, and mandatory attire for this and my future lab sessions. In my other hand was a full box of tissues, ready for my runny nose and sneezing from a raging allergy to ragweed.

My assignment that day was to make a bottle of Gentian Violet 1% solution by precisely measuring and mixing gentian violet crystals with alcohol and purified water, a recipe with only 3 ingredients. It seemed pretty straightforward. What could go wrong?

First, I cautiously measured out then iridescent green crystals of gentian violet onto a pale green rectangle of waxed paper. After painstakingly weighing it to make sure it was precisely 100mg, I cradled the sparkling pile of powder and slowly headed to my lab station. I arrived without bumping into anything, but while setting the crystals down on the black countertop, disaster struck. I suddenly SNEEZED.

Quickly turning my head, I managed to avoid spraying powdered dye across my lab bench. In relief, I quickly added the colored powder to my alcohol and water mixture before another sneeze could strike. When the rest of the lab went smoothly without another sneeze, I thought I’d avoided further misfortune, but my luck didn’t last. As I pulled my lab coat out of the washing machine the following week, I stared in dismay at the bright purple speckles that decorated its front. Stubbornly, they refused to fade. I wasn’t the only one with colored speckles on my lab coat, but mine was the most spectacularly purple speckled lab coat for the entire rest of that year and the next.

Gentian violet is one of several compounds that are both a dye and a medicine. Discovered in 1861, Hans Gram would report thirteen years later that gentian violet could irreversibly color certain bacteria. This proved to be instrumental in classifying bacteria and became the basis for the Gram stain method of identifying bacteria still widely used today.

Here are 3 Dyes that are also Medicines:

  1. Gentian violet (AKA crystal violet).

Gentian violet is used in laboratories across the globe to help identify bacteria, but it’s also an effective antibacterial and antifungal agent. Gentian violet can treat infections caused by gram positive bacteria which live on the skin and yeast infections of the mouth, skin and vaginal tract. Although mostly replaced by newer antibiotics and antifungal agents, gentian violet is still used in veterinary medicine and developing countries. With resistance growing to our current antibiotics, gentian violet is getting a second look; not only is it effective, it’s inexpensive, simple to use and has very few side effects.

Thrush in infants is usually treated with a suspension of nystatin painted on the inside of each cheek 3-4 times daily for a week, while it takes only ONE application of Gentian Violet 1%, the exact same product I made over 40 years ago in pharmaceutics lab, to treat thrush.

The main disadvantage to using gentian violet is the one I had personal experience with: it stains clothing. Although gentian violet will stain clothing forever, treated skin or mucous membranes only stay bright purple for about 2 weeks before fading.

  1. Fluorescein.

Flourescein is a dye useful in diagnosing eye injuries and damage to your cornea. Small paper strips are soaked in a solution of fluorescein, then dried, sterilized and sealed into individual packets. When the sterile fluorescein strip touches your eyeball, it mixes with tear fluid to create a fluorescein solution that coats your eye. Healthy, intact corneal tissue won’t pick up any color, but worn spots or abrasions from contact lenses show up as bright green areas and foreign bodies are surrounded by a fluorescent green ring. The mild anti-infective action of fluorescein is also beneficial because injured eyes are very susceptible to infection.

  1. Phenazopyridine.

Phenazopyridine is a reddish-orange dye often used in bladder infections. Sold as a prescription medicine under the brand name of Pyridium® in 100mg and 200mg coated tablets, phenazopyridine is also now available without a prescription at a lower strength of 95mg in the products Azo®, Uristat®, and in generic “Urinary Pain Relief”.

Originally used to treat bladder infections, phenazopyridine isn’t a very effective anti-infective but has an amazing ability to relieve the urgency, pain and burning when urinating of a bladder infection, often within 15 minutes. Phenazopyridine is often prescribed along with an antibiotic to treat the urinary discomfort of bladder infections.

Wa

tch out: phenazopyridine will turn your urine deep reddish-orange and stains clothing!

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  • ABOUT DR. LOUISE

    Dr. Achey graduated from Washington State University’s school of pharmacy in 1979, and completed her Doctor of Pharmacy from Idaho State University in 1994.

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