The present invention provides a composition comprising 5-aminolevulinic acid or a salt or ester thereof, comprising: (a) an
active ingredient selected from 5-aminolevulinic acid or a salt or ester thereof; and (b) an aqueous carrier comprising an
analgesic. The 5-aminolevulinic acid or the salt or ester thereof can be used for
photodynamic therapy analgesia for more than 20 minutes, so that the
clinical treatment cycle can be covered, the pain feeling after
photodynamic therapy can be obviously relieved, the
photodynamic therapy receiving time of a patient is prolonged, and the medication compliance of the patient is improved. Moreover, the composition provided by the invention can also improve the condition of
tissue edema after photodynamic therapy, improve the
skin smoothness after photodynamic therapy and shorten the pigmentation time, and meanwhile, compared with a marketed preparation, the composition has a better effect in the aspect of photodynamic therapy of inflammatory diseases (such as
psoriasis or
contact dermatitis) or
acne and the like, and has a good application prospect. The acceptability of the patient to the photodynamic therapy is further improved; and the application scene of the photodynamic therapy is widened.