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Drug interactions

Dapsone + Peginterferon alfa 2b

Severity: Moderate

Dapsone and Peginterferon alfa 2b: 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

Peginterferon alfa-2b can reduce CYP-mediated metabolism of some drugs, but dapsone is metabolised mainly by CYP3A4 and N-acetylation. Both can cause haematological toxicity, so additive anaemia is the more relevant concern.

What this interaction means in plain words

Dapsone and Peginterferon alfa 2b 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; Peginterferon alfa 2b belongs to Anti Virals.

Evidence level: Low

Why it happens

Additive haematologic toxicity; pharmacokinetic effect on dapsone is not established.

What to do

Monitor haemoglobin and blood counts regularly and reduce or stop dapsone if significant haemolytic anaemia develops.

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 Peginterferon alfa 2b?

MediHelp rates the interaction as moderate. Dapsone and Peginterferon alfa 2b 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. Peginterferon alfa-2b can reduce CYP-mediated metabolism of some drugs, but dapsone is metabolised mainly by CYP3A4 and N-acetylation. Both can cause haematological toxicity, so additive anaemia is the more relevant concern.

How serious is the interaction between Dapsone and Peginterferon alfa 2b?

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 haemoglobin and blood counts regularly and reduce or stop dapsone if significant haemolytic anaemia develops.

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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