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At a glance

Dapsone is an anti-leprotic and anti-inflammatory medication used for the treatment of leprosy and acne vulgaris.

Indications
  • Leprosy
  • Acne vulgaris (patients 12 years and older)
  • Dermatitis herpetiformis
Pharmacology

Dapsone has both anti-inflammatory and antimicrobial properties. Anti-inflammatory effects include inhibition of neutrophil myeloperoxidase and eosinophil peroxidase activity, suppression of hypochlorous acid production, scavenging of reactive oxygen species, suppression of neutrophil activity, and inhibition of chemoattractant-induced signal transduction. Antimicrobial activity is by inhibition of bacterial dihydropteroate synthase in the folic acid metabolic pathway.

Dosage

Adult - Leprosy: 100 mg once daily (in combination with other antileprosy drugs).

Adult - Dermatitis Herpetiformis: 50 mg once daily, titrate up to 300 mg daily as needed.

Child: 2 mg/kg (max 100 mg/day) or 4 mg/kg (max 200 mg) once weekly.

Topical Gel (Acne): 7.5% gel once daily or 5% gel twice daily, apply a thin layer (pea-sized amount) to clean, dry skin.

Side effects

Common (Topical): Oiliness/peeling, dryness, and erythema at the application site.

Common (Oral): Rash, fever.

Serious: Methemoglobinemia, hemolysis (in G6PD deficient patients), agranulocytosis, hepatitis.

Use in pregnancy

Pregnancy Category C. There are no adequate and well-controlled studies in pregnant women. Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Discontinue if signs of methemoglobinemia occur; risk of hemolysis in G6PD deficient patients; monitor blood cell counts with long-term use; caution in patients with sulfa hypersensitivity.

Overdose effects

Overdose may lead to methemoglobinemia and hemolysis. Seek medical attention.

Storage conditions

Store at or below 30°C temperature. Keep away from light and moisture. Keep out of reach of children.

Dapsone — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.