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Influence of once-monthly rifampicin and daily clofazimine on the pharmacokinetics of dapsone in leprosy patients in Nigeria

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Summary

In leprosy patients in Nigeria the influence of daily clofazimine and of once-monthly rifampicin on the pharmacokinetics of dapsone has been investigated.

Three days after rifampicin the elimination half-life of dapsone was reduced from 40.4 to 25.3 h (n=23). Correspondingly, the plasma dapsone 24 h after the last dose had fallen significantly from 2.63 to 2.02 mg/l. Clofazimine did not cause change in the pharmacokinetics of dapsone.

It was concluded that, although rifamipicin had a considerable influence on the pharmacokinetics of dapsone, there is no reason to adjust the dose of dapsone during multidrug therapy of leprosy.

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References

  • Back DJ, Breckenridge AM, Crawford F, MacIver M, Orme ML'E, Park BK, Rowe PH, Smith E (1979) The effect of rifampicin on norethisterone pharmacokinetics. Eur J Clin Pharmacol 15: 193–197

    Google Scholar 

  • Bolt HM, Kappus H, Bolt M (1975) Effect of rifampicin treatment on the metabolism of oestradiol and 17α-ethinyloestradiol by human liver microsomes. Eur J Clin Pharmacol 8: 301–307

    Google Scholar 

  • Breimer DD, Zilly W, Richter E (1977) Influence of rifampicin on drug metabolism: Differences between hexobarbital and antipyrine. Clin Pharmacol Ther 21: 470–481

    Google Scholar 

  • Buffington GA, Dominguez JH, Piering WF, Hebert LA, Kauffman HM Jr, Lemann J Jr (1976) Interaction of rifampin and glucocorticoids. Adverse effect on renal allograft function. J Am Med Assoc 236: 1958–1960

    Google Scholar 

  • Gelber RH, Rees RJW (1975) Dapsone metabolism in patients with dapsone-resistant leprosy. Am J Trop Med Hyg 24: 963–967

    Google Scholar 

  • Huikeshoven H, Madarang MG (1986) Spot test for the detection of dapsone in urine: An assessment of its validity and interpretation in monitoring dapsone self-administration. Int J Lepr 54: 21–24

    Google Scholar 

  • Kaur S, Mehta SK, Kumar B, Chakravarty RN, Sidhu HK (1978) Involvement of the gastrointestinal tract in leprosy. Int J Lepr 46: 35–41

    Google Scholar 

  • Kreek MJ, Garfield JW, Gutjahr CL, Giusti LM (1976) Rifampin-induced methadone withdrawal. N Engl J Med 294: 1104–1106

    Google Scholar 

  • Miguet JP, Mavier P, Soussy CJ, Dhumeaux D (1977) Induction of hepatic microsomal enzymes after brief administration of rifampicin in man. Gastroenterology 72: 924–926

    Google Scholar 

  • Modderman ESM, Merkus FWHM, Zuidema J, Hilbers HW, Warndorff T (1983) Sex differences in the absorption of dapsone after intramuscular injection. Int J Lepr 51: 359–365

    Google Scholar 

  • O'Reilly RA (1974) Interaction of sodium warfarin and rifampin. Ann Intern Med 81: 337–340

    Google Scholar 

  • Ozawa T, Shepard CC, Karat ABA (1971) Application of spectrophotofluorometric procedures to some problems in Mycobacterium leprae infections in mice and man treated with dapsone (DDS), diacetyl-DDS (DADDS) and diformyl-DDS (DFD). Am J Trop Med Hyg 20: 274–281

    Google Scholar 

  • Peters JH, Murray JF Jr, Gordon GR, Gelber RH (1981) Dapsone in saliva and plasma of man. Pharmacology 22: 162–171

    Google Scholar 

  • Pieters FAJM, Woonink F, Zuidema J (1988) A field trial among leprosy patients in Nigeria with depot injections of dapsone and monoacetyldapsone. Int J Lepr (in press)

  • Pieters FAJM, Zuidema J (1986) The pharmacokinetics of dapsone after oral administration to healthy volunteers. Br J Clin Pharmacol 22: 491–494

    Google Scholar 

  • Pieters FAJM, Zuidema J (1987) The absolute oral bioavailability of dapsone in dogs and humans. Clin Pharmacol Ther Toxicol 25: 396–400

    Google Scholar 

  • Ridley DS, Jopling WH (1966) Classification of leprosy according to immunity. A five group system. Int J Lepr 34: 255–273

    Google Scholar 

  • Venkatesan K, Bharadwaj VP, Ramu G, Desikan KV (1980) Study on drug interactions. Lepr India 52: 229–235

    Google Scholar 

  • World Health Organisation Geneva (1982) Chemotherapy of leprosy for control programmes. Report of a WHO Study Group. Techn Rep Ser 675

  • Yamada S, Iwai K (1976) Induction of hepatic cortisol-6-hydroxylase by rifampicin. Lancet 2: 366–367

    Google Scholar 

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Pieters, F.A.J.M., Woonink, F. & Zuidema, J. Influence of once-monthly rifampicin and daily clofazimine on the pharmacokinetics of dapsone in leprosy patients in Nigeria. Eur J Clin Pharmacol 34, 73–76 (1988). https://doi.org/10.1007/BF01061421

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  • DOI: https://doi.org/10.1007/BF01061421

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