相互作用
Dapsone + Primaquine
重症度: 重大
Dapsone and Primaquine: major interaction.
最終更新日
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概要
Both dapsone and primaquine are oxidant drugs that can cause hemolytic anemia in G6PD deficiency and methemoglobinemia in other patients. Together the oxidative stress is additive, and the risk of hemolysis is higher.
この相互作用をわかりやすく説明すると
Dapsone and Primaquine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Dapsone belongs to Anti Bacterial; Primaquine belongs to Anti Parasitic.
なぜ起こるのか
Additive oxidative stress on red blood cells from the hydroxylamine metabolites of dapsone and primaquine.
対処法
Test G6PD status before using either drug and avoid the combination in G6PD-deficient patients. If both are needed, monitor hemoglobin, methemoglobin and signs of hemolysis closely.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、DapsoneとPrimaquineの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
WebでPro+を7日間無料でお試し。カード登録不要。
Dapsoneのその他の相互作用
Primaquineのその他の相互作用
よくある質問
Can I take Dapsone with Primaquine?
MediHelp rates the interaction as major. Dapsone and Primaquine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both dapsone and primaquine are oxidant drugs that can cause hemolytic anemia in G6PD deficiency and methemoglobinemia in other patients. Together the oxidative stress is additive, and the risk of hemolysis is higher.
How serious is the interaction between Dapsone and Primaquine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Test G6PD status before using either drug and avoid the combination in G6PD-deficient patients. If both are needed, monitor hemoglobin, methemoglobin and signs of hemolysis closely.
What other medicines interact with Dapsone?
MediHelp also lists interactions of Dapsone with, for example, Bcg vaccine live, Apalutamide, Belzutifan. The full list is on the Dapsone page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
