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Please be aware that this old REACH registration data factsheet is no longer maintained; it remains frozen as of 19th May 2023.

The new ECHA CHEM database has been released by ECHA, and it now contains all REACH registration data. There are more details on the transition of ECHA's published data to ECHA CHEM here.

Diss Factsheets

Toxicological information

Additional toxicological data

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Administrative data

Endpoint:
additional toxicological information
Type of information:
migrated information: read-across from supporting substance (structural analogue or surrogate)
Adequacy of study:
supporting study
Study period:
1975
Reliability:
1 (reliable without restriction)
Rationale for reliability incl. deficiencies:
other: review article published, no GLP, but peer-review

Data source

Reference
Reference Type:
secondary source
Title:
Unnamed
Year:
1975
Report date:
1975

Materials and methods

Type of study / information:
Toxicity of Dapsone : Summary
Test guideline
Guideline:
other: none
Principles of method if other than guideline:
Review Article, no methods described
GLP compliance:
no

Test material

Constituent 1
Chemical structure
Reference substance name:
Dapsone
EC Number:
201-248-4
EC Name:
Dapsone
Cas Number:
80-08-0
Molecular formula:
C12H12N2O2S
IUPAC Name:
4,4'-sulfonyldianiline
Details on test material:
Dapsone, pharmaceutical grade

Results and discussion

Any other information on results incl. tables

Effects observed:

Red Cell toxicity: Methemoglobinaemia, Heinz body haemolytic anemia formation

WBC toxicity: Leukopenia, Agranulocytosis, "Pseudoleukemia"

Sulfone syndrome, Infectious mononucleosis-like syndrome

Skin manifestations: Hyperpigmentation macula, morbiliform rash, Urticaria, phototoxicity, toxic epidermal necrolysis, lupus erythematosus syndrome

GI manifestations: Anorexia, colic, nausea, vomiting, hepatitis, cholestatic jaundice

Neurologic manifestations: Psychosis, peripheral neuropathy, headache, dizziness, blurred vision, timmitus

Lepra reaction, fever, nephrotic syndrome

Methemoglobinaemia is probably induced by the 4,4 -DDS metabolite N-hydroxyl derivative of 4,4 -DDS.

In general,, doses of dapsone less than 300 mg per day to normal adults are associated with minimal side effectes which are manageable.

Applicant's summary and conclusion

Conclusions:
Dapsone can induce a large variety of symptoms and sydromes in patients at a dose of 100 mg/person/day , which is the "normal" dose applied world-wide. However, these side-effects are reversible upon cessation of treatment or be using appropriate counter-pharmaceuticals.
Executive summary:

Dapsone can induce a large variety of symptoms and sydromes in patients at a dose of 100 mg/person/day , which is the"normal" dose applied world-wide. However, these side-effects are reversible upon cessation of treatment or be using appropriate counter-pharmaceuticals. The side-effects at the dose of 100 mg/person/day are generally not life-threatening ; only rare patients with an abnormal disposition may show severe effects.