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Drug interactions

Dapsone + Disulfiram

Severity: Minor

Dapsone and Disulfiram: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Disulfiram inhibits CYP2E1, which has at most a minor role in dapsone metabolism. Any rise in dapsone levels is expected to be small and the significance is unknown.

What this interaction means in plain words

Dapsone and Disulfiram have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Disulfiram inhibits CYP2E1, potentially reducing a minor dapsone clearance pathway.

What to do

No routine adjustment is needed. Be aware that both drugs can cause neurotoxicity, and monitor for neuropathy symptoms.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Dapsone with Disulfiram?

MediHelp rates the interaction as minor. Dapsone and Disulfiram have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Disulfiram inhibits CYP2E1, which has at most a minor role in dapsone metabolism. Any rise in dapsone levels is expected to be small and the significance is unknown.

How serious is the interaction between Dapsone and Disulfiram?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Be aware that both drugs can cause neurotoxicity, and monitor for neuropathy symptoms.

What other medicines interact with Dapsone?

MediHelp also lists interactions of Dapsone with, for example, Bcg vaccine live, Primaquine, Apalutamide. The full list is on the Dapsone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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