Skip to content

Drug interactions

Dapsone + Erythromycin base

Severity: Minor

Dapsone and Erythromycin base: 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

Erythromycin inhibits CYP3A4, which contributes to dapsone metabolism, so dapsone exposure may rise modestly. This could increase dose-related hematologic toxicity such as hemolysis and methemoglobinemia.

What this interaction means in plain words

Dapsone and Erythromycin base 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

Erythromycin inhibits CYP3A4-mediated metabolism of dapsone.

What to do

No routine dose change is needed; monitor blood counts and watch for cyanosis or anemia, especially in G6PD deficiency.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Dapsone and Erythromycin base, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Dapsone with Erythromycin base?

MediHelp rates the interaction as minor. Dapsone and Erythromycin base have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Erythromycin inhibits CYP3A4, which contributes to dapsone metabolism, so dapsone exposure may rise modestly. This could increase dose-related hematologic toxicity such as hemolysis and methemoglobinemia.

How serious is the interaction between Dapsone and Erythromycin base?

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 dose change is needed; monitor blood counts and watch for cyanosis or anemia, especially in G6PD deficiency.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in