DAPSONE oral

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    Prescription under medical supervision

     

     

    Therapeutic action

    • Sulfone antibacterial, antileprotic

    Indications

    • Prophylaxis of toxoplasmosis and pneumocystosis, in combination with pyrimethamine and folinic acid
    • Treatment of pneumocystosis, in combination with trimethoprim
    • Paucibacillary and multibacillary leprosy, in combination with rifampicin and clofazimine

    Forms and strengths

    • 25 mg and 50 mg tablets and 100 mg scored tablets

    Dosage

    Prophylaxis of pneumocystosis only

    • Child: 2 mg/kg once daily (max. 100 mg daily)
    • Adult: 100 mg once daily

     

    Prophylaxis of toxoplasmosis and pneumocystosis

    • Child: 2 mg/kg once daily (max. 25 mg daily)
    • Adult: 200 mg once weekly or 50 mg once daily

     

    Treatment of pneumocystosis

    • Child: 2 mg/kg once daily (max. 100 mg daily)
    • Adult: 100 mg once daily

     

    Paucibacillary and multibacillary leprosy

    • Child under 10 years: 2 mg/kg once daily
    • Child from 10 to 14 years: 50 mg once daily
    • Child 15 years and over and adult: 100 mg once daily

    Duration

    • Prophylaxis of toxoplasmosis and pneumocystosis: as long as necessary
    • Treatment of pneumocystosis: 21 days 
    • Paucibacillary leprosy: 6 months 
    • Multibacillary leprosy: 12 months

    Contra-indications, adverse effects, precautions

    • Do not administer to patients with allergy to sulfones or severe anaemia (first treat anaemia).
    • Administer with caution to patients with renal or hepatic impairment.
    • May cause: haemolytic anaemia in patients with G6PD deficiency, dose-related haemolytic anaemia, neutropenia, methaemoglobinaemia, pruritus, rash, gastrointestinal disturbances, peripheral neuropathies, agranulocytosis; hypersensitivity reactions during the first month of treatment (fever, jaundice, hepatitis, adenopathy, exfoliative dermatitis, etc.) requiring permanent discontinuation of treatment.
    • Monitor blood count and transaminases if possible.
    • Monitor combination with zidovudine (increased haematological toxicity).
    • Pregnancy: no contra-indication
    • Breast-feeding: no contra-indication

    Storage

     
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    -Below 25 °C