Dapsone

  • Dapsone will be prescribed for you by a specialist doctor.
  • Take the tablets every day for as long as your doctor tells you to. Your course of treatment may last several months or years.
  • If you get a rash or develop any bruises or bleeding, speak with your doctor straightaway.
Type of medicine Antibacterial medicine
Used for Treatment of leprosy
Dermatitis herpetiformis
Available as Tablets

Leprosy is an infectious disease which is rare in the UK. Dapsone works by stopping the growth of the bacteria that cause the infection. You will have been prescribed dapsone alongside one or more other medicines to treat leprosy.

Dermatitis herpetiformis is a skin condition which is associated with coeliac disease. It is caused by intolerance to a food ingredient called gluten. It can be effectively treated with medication plus a gluten-free diet. Dapsone is the usual medicine used to treat it.

Dapsone can also be used for some other conditions not covered by this medicine leaflet. If you have been prescribed dapsone for any other reason (such as to protect you from pneumonia if you have a weakened immune system), you should ask your doctor if you have any questions about your treatment.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking dapsone it is important that your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding. This is because you will need to take supplements of folic acid if you are expecting a baby.
  • If you have any problems with your heart or lungs.
  • If you have anaemia (a lack of iron in your blood). This will need treating before you take dapsone.
  • If you know you have glucose 6-phosphate dehydrogenase (G6PD) deficiency. This is a genetic disorder which causes problems after eating foods such as fava beans.
  • If you have porphyria (this is a rare inherited blood disorder).
  • If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • If you have ever had an allergic reaction to a medicine. It is particularly important that your doctor knows if you have ever had an allergic reaction to a sulphonamide medicine used to treat an infection.
  • Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about dapsone, and a full list of side-effects which you may experience from taking it.
  • Take dapsone exactly as your doctor has told you - your dose will also be on the label of the pack to remind you. Take the tablets once daily with a drink of water. There are two strengths of tablet (50 mg and 100 mg), so each time you collect a new prescription, check to make sure you get the same strength as before. If you are unsure, ask your pharmacist to check for you.
  • You may take dapsone at whatever time of day you find easiest to remember, but try to take your doses at the same time each day. This will help you to avoid missing any doses. You can take the tablets before, during or after your meals.
  • If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose. Do not take two doses together to make up for a forgotten dose.
  • Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. Your doctor will want to do some blood tests during this treatment.
  • Take this medicine regularly every day - do not stop taking it unless your doctor tells you to do so. Your treatment may last several months or years.
  • If you are taking dapsone for dermatitis herpetiformis, you will also have been given some advice about which foods to avoid as part of a gluten-free diet. It is important that you follow this dietary advice carefully.
  • Dapsone tablets may stop the oral typhoid vaccine from working. If you are having any vaccinations, make sure the person treating you knows that you are taking this medicine.
  • If you buy any medicines, check with a pharmacist that they are safe to take with dapsone.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Possible dapsone side-effects What can I do if I experience this?
Headache Ask your pharmacist to recommend a suitable painkiller
Feeling or being sick Stick to simple foods (avoid rich or spicy meals)
Increased sensitivity to sunlight Use a sun cream that has a sun protection factor (SPF) of at least 15. Do not use sunbeds

Rash, difficulties sleeping, skin tinglings,
feeling weak, feeling your heart is beating quickly, loss of appetite, disturbed thoughts

If any of these become troublesome, speak with your doctor

Important: your doctor will have discussed with you the possibility of unwanted side-effects that you must let your doctor know about. Contact your doctor straightaway if you experience any of the following:

  • a skin rash,
  • a high temperature,
  • a sore throat, or mouth ulcers,
  • any unexplained bruising or bleeding.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

  • If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking.
  • Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

Further reading & references

  • British National Formulary; 63rd Edition (Mar 2012) British Medical Association and Royal Pharmaceutical Society of Great Britain, London
  • Manufacturer's PIL, Dapsone tablets 50 mg, 100 mg; Actavis UK Ltd, The electronic Medicines Compendium. Dated July 2010.
Original Author: Helen Allen Current Version: Peer Reviewer: Dr Adrian Bonsall
Last Checked: 26/09/2012 Document ID: 3261  Version: 23 © EMIS

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.