藥物交互作用
Dapsone + Pyrimethamine
嚴重程度: 中度
Dapsone and Pyrimethamine: moderate interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Dapsone and pyrimethamine are used together for toxoplasmosis and malaria prophylaxis, but both can cause hematologic toxicity. Pyrimethamine is an antifolate that can cause bone marrow suppression, and dapsone can cause hemolysis and methemoglobinemia. The combination increases the risk of anemia, neutropenia and thrombocytopenia.
用白話說明這項交互作用的意義
Dapsone and Pyrimethamine 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; Pyrimethamine belongs to Anti Parasitic.
為什麼會發生
Additive hematologic toxicity: antifolate marrow suppression from pyrimethamine plus oxidative hemolysis from dapsone.
處置方式
Screen for G6PD deficiency and monitor complete blood counts regularly. Give folinic acid with pyrimethamine as recommended in treatment protocols.
可向藥師詢問的問題
- 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?
Dapsone 的其他交互作用
Pyrimethamine 的其他交互作用
常見問題
Can I take Dapsone with Pyrimethamine?
MediHelp rates the interaction as moderate. Dapsone and Pyrimethamine 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 and pyrimethamine are used together for toxoplasmosis and malaria prophylaxis, but both can cause hematologic toxicity. Pyrimethamine is an antifolate that can cause bone marrow suppression, and dapsone can cause hemolysis and methemoglobinemia. The combination increases the risk of anemia, neutropenia and thrombocytopenia.
How serious is the interaction between Dapsone and Pyrimethamine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Screen for G6PD deficiency and monitor complete blood counts regularly. Give folinic acid with pyrimethamine as recommended in treatment protocols.
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
