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Dapson
1. CENTRE FOR TRANSATIONALAND CLINICAL RESEARCH
STUDY OF DAPSONE
SUBMITTED BY : SHAISTAAHMED
M.Sc. CLINICAL
RESEARCH
SEMESTER - I
2. DAPSONE
Drug Class : SULFONE
Molecular Formula : C12H12N2O2S
Synonym : Diaminophenylsulfone
First Synthesis : 1908
3. INTRODUCTION
On 15 June 1908 Eric and J. Wittmann chemist at the
university of Freiburg published a paper announcing
the synthesis of dapsone.
In 1937 G.A.H Buttle one of the leading British
researchers conduct the first trial of DDS in guinea
pigs.
In 1873 the Norwegian scientist Hansen identified the
pathogen mycobacterium leprae as the causative agent of
leprosy or Hansen disease.
4. The use of dapsone in leprosy began in 1945 it is on the list of who
essential medicines the safest and most effective medicine needed
in health system.
At time of Vietnam conflict Dapsone had been used for many
years in treatment of Leprosy.
Later WHO discovered dapsone is a medicine that commonly
used in combination with other drug as Multiple Drug Therapy.
5. MECHANISM OF ACTION
Dapsone
Para-Aminobenzoic Acid + Pteridine
Dihydropteroate Synthetase
Dihydrofolate Synthetase
Dihydrofolate Reductase
Dihydropteroic Acid
Dihydrofolic Acid
Tetrahydrofolic Acid
Thymidine
Purines
Other precursors
DNA
7. Mild hemolytic anemia
Headache, drug fever and mental symptom.
SIDE EFFECTS
Allergic rashes
Nausea
Anorexia
8. RECENT DEVELOPEMENT
The need for a more reliable route of administration lead to
investigation possibility of an I.M. dapsone depot injection.
In early 2000s QLT USA develop Aczone a 5% dapsone gel that
was shown effective against acne without causing decline in hb
level even in G6PD deficiency people.
In February 2016 FDA approved 7.5% dapsone gel.
10. USES
Mycobacterium leprae infections-100mg
orally once a day for 6 months.
Dermatitis herpetiformis -50mg once a day
continued on a life long basis
Pneumocystis pneumonia - 100mg once a day
14 to 21 days
Acne – Aczone used.
Prophylaxis -100mg orally twice a week
11. MAJOR LEADER IN DAPSON MARKET
Alfa Chemistry - USA
Ivy Fine Chemicals - USA
Acros Organics - USA
J&K Scientific – J&K
Hubei Yuancheng Saichuang Technology - CHINA
Anvia Chemicals - USA
12. REFERNCES
K D Tripathi, "Essential of Medical Pharmacology.”
Justin Barr,” A short history of dapsone, or an alternative
model of drug development”. Journal of the history of
Medicine and Allied Sciences, 2011.
CP Baweja ,”Textbook of Microbiology”.