Haematological adverse effects in chronic dapsone use
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 10-60 years 2. Long-term dapsone therapy (>3 months) indicated [e.g. in leprosy, auto-immune blistering diseases (pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, linear IgA disease), vasculitis]
Exclusion criteria
Exclusion criteria: 1.Diagnosed liver disease and/or any degree of elevated AST/ALT at recruitment 2.Diagnosed renal disease and/or any degree of elevated serum creatinine at recruitment 3.Haemoglobin <10g/dl 4. Cytopaenias and/or other haematological diseases (lymphoproliferative/myeloproliferative) 5. Diabetes Mellitus 6. Epilepsy 7. Cardiac disease (NYHA grade 2 and above) 8. Diagnosed psychiatric illness 9. Prisoners and other institutionalized patients 10. Patients currently on any long term medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of haemolysis using • Haemoglobin • Reticulocyte count • Blood picture [At baseline, two weeks, one month and monthly for three months ] Methaemoglobin level [At the end of 3 months] | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse effects related to cimetidine therapy assessed using a symptom diary, patient history, examination and investigations. Common side effects 1. Diarrhea 2. Headache/Dizziness Rare side effects 3. Rash (EM.TEN) 4. Hepatitis/cholestatic jaundice 5. Bradycardia 6. Psychiatric reactions (depression, hallucinations) 7. Blood disorders (leucopenia, thrombocytopenia, pancytopenia) Very rare side effects 8. Pancreatitis 9. Vasculitis 10. Alopecia 11. Gynaecomastia/ impotence [At two weeks, one month and monthly for three months] | — |
Countries
Sri Lanka
Contacts
Senior Registrar in Dermatology