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ACNESONE GEL  DAPSONE 
 



Indication & Dosage
 
 
Oral
MULTIBACILLARY LEPROSY
Adult: 100 mg daily with clofazimine 50 mg daily, together with rifampicin 600 mg and clofazimine 300 mg once a mth for 12 mth. <35 kg: dapsone dose: 1-2 mg/kg/day.
 
Oral
PRIMARY AND SECONDARY PROPHYLAXIS OF PNEUMOCYSTIS PNEUMONIA
Child: 1 mth-18 yr: 2 mg/kg daily (max: 100 mg daily) or 4 mg/kg wkly (max: 200 mg wkly).
 
Oral
PRIMARY AND SECONDARY PROPHYLAXIS OF PNEUMOCYSTIS PNEUMONIA
Adult: 50 mg daily, with pyrimethamine 50 mg once wkly. Alternatively, 100 mg with pyrimethamine 50 mg twice wkly.
 
Oral
MULTIBACILLARY LEPROSY
Child: and child 10-14 yr old: daily doses of dapsone 50 mg, or 1 to 2 mg/kg if their body-weight is low
 
Oral
PAUCIBACILLARY LEPROSY
Adult: 100 mg daily with 600 mg rifampicin once a mth, both given for 6 mth.
 
Oral
PAUCIBACILLARY LEPROSY
Child: Reduce dose as for multibacillary leprosy.
 
Oral
DERMATITIS HERPETIFORMIS
Adult: Initially, 50 mg daily increased gradually to 300 mg daily if required.
   
Administration Should be taken with food.
   
Precautions G6PD deficiency, methaemoglobin or Hb M. Perform regular blood counts and monitor liver function regularly. Pregnancy and lactation.
   
Potentially Life-threatening 
Adverse Drug Reactions
Anaemia, peripheral neuropathy, haemolysis and methaemoglobinaemia (dose-related), nephrotic syndrome, psychological changes, hepatitis. Others: Nausea, vomiting, anorexia, headache, maculopapular rash, toxic epidermal necrolysis, Stevens-Johnson syndrome.
   
Adverse Drug Reactions Agranulocytosis, serious cutaneous hypersensitivity reactions, exfoliative dermatitis.
   
Interactions Decreased serum conc of dapsone when used with rifampicin. Increased plasma conc with probenecid, trimethoprim. Antagonize clofazimine.
   
   
 

 

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