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Drug interactions

Dapsone + Ivosidenib

Severity: Moderate

Dapsone and Ivosidenib: moderate 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

Ivosidenib induces CYP3A4 and may lower dapsone concentrations. Reduced exposure could weaken prophylactic or therapeutic effect. The magnitude is uncertain.

What this interaction means in plain words

Dapsone and Ivosidenib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Dapsone belongs to Anti Bacterial; Ivosidenib belongs to Oncology.

Evidence level: Low

Why it happens

Ivosidenib induces CYP3A4, increasing dapsone clearance.

What to do

Monitor for loss of dapsone efficacy, or use alternative prophylaxis such as atovaquone if appropriate.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Ivosidenib?

MediHelp rates the interaction as moderate. Dapsone and Ivosidenib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Ivosidenib induces CYP3A4 and may lower dapsone concentrations. Reduced exposure could weaken prophylactic or therapeutic effect. The magnitude is uncertain.

How serious is the interaction between Dapsone and Ivosidenib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for loss of dapsone efficacy, or use alternative prophylaxis such as atovaquone if appropriate.

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.

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