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The Drug-Induced Cardiotoxicity Website and App

Frequency - Incidence

Incidence of cardiac adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for cardiac adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

XXIII.a

Methemoglobinemia

Publications

Bai S, Kisule A, Singh B, Luthra K, Kumar D

Dapsone-Induced Methemoglobinemia in a Woman With Multiple Myeloma Without Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency.

Cureus. 2024;16(6):e63249

Chagani F, Bansari A, Dass B

Detection of methaemoglobinaemia in a COVID-19 patient on dapsone.

BMJ case reports. 2024;17(1)

Murray SJ, Wellby MP, Barrell GK, Russell KN, Deane AR, Wynyard JR, Gray SJ, Palmer DN, Mitchell NL

Efficacy of dual intracerebroventricular and intravitreal CLN5 gene therapy in sheep prompts the first clinical trial to treat CLN5 Batten disease.

Frontiers in pharmacology. 2023;14:1212235

Akopyan K, Golubykh K, Freitas J, Mehrad B

A Chest Pain Conundrum: Dapsone-Induced Methemoglobinemia in a Heart Transplant Patient.

Cureus. 2023;15(10):e46690

Rovira Gonzalez MJ, Pargament R

Methemoglobinemia With Dapsone Prophylaxis in a Patient With Minimal Change Disease.

Cureus. 2022;14(6):e26393

Alyahya B, Alalshaikh A, Sabbahi G, Alnowiser M, Al-Mohawes M

Methylene Blue Infusion to Treat Severe Dapsone-Induced Methemoglobinemia in a Pediatric Patient.

Cureus. 2021;13(10):e18853

Sepúlveda RA, Barnafi E, Rojas V, Jara A

[Methemoglobinemia caused by dapsone. Report of one case].

Revista medica de Chile. 2020;148(12):1838-1843

Hayama Y, Imanishi H, Yoshimoto N, Sugawara K, Tsuruta D

A Case of Dapsone-induced Mild Methemoglobinemia with Dyspnea and Cyanosis.

Acta dermatovenerologica Croatica : ADC. 2020;28(4):249-250

Mannemuddhu SS, Ali R, Kadhem S, Ruchi R

Unusual cause of persistent dyspnea in a patient with nephrotic syndrome: dapsone-induced methemoglobinemia.

CEN case reports. 2021;10(3):336-340

Tan YA, Ng KC, Cheo SW, Khoo TT, Low QJ

A case of dapsone-induced methaemoglobinaemia.

Clinical medicine (London, England). 2020;20(5):519-521

Mahmood N, Khan MU, Haq IUL, Jelani FA, Tariq A

A case of DAPSONE INDUCED METHEMOGLOBINEMIA.

Journal of pharmaceutical policy and practice. 2019;12:22

Das J, Katyal A, Naunwaar D

Dapsone-induced Methemoglobinemia in a Patient of Leprosy.

Indian journal of dermatology. 2015;60(1):108

Mitsides N, Green D, Middleton R, New D, Lamerton E, Allen J, Redshaw J, Chadwick PR, Subudhi CP, Wood G

Dapsone-induced methemoglobinemia in renal transplant recipients: more prevalent than previously thought.

Transplant infectious disease : an official journal of the Transplantation Society. 2014;16(1):37-43

Barclay JA, Ziemba SE, Ibrahim RB

Dapsone-induced methemoglobinemia: a primer for clinicians.

The Annals of pharmacotherapy. 2011;45(9):1103-15

Skold A, Klein R

Symptomatic-low grade methemoglobinemia because of dapsone: a multiple hit hypothesis.

American journal of therapeutics. 2013;20(6):e729-32

Canning J, Levine M

Case files of the medical toxicology fellowship at Banner Good Samaritan Medical Center in Phoenix, AZ: methemoglobinemia following dapsone exposure.

Journal of medical toxicology : official journal of the American College of Medical Toxicology. 2011;7(2):139-46

Pallais JC, Mackool BT, Pitman MB

Case records of the Massachusetts General Hospital: Case 7-2011: a 52-year-old man with upper respiratory symptoms and low oxygen saturation levels.

The New England journal of medicine. 2011;364(10):957-66

Esbenshade AJ, Ho RH, Shintani A, Zhao Z, Smith LA, Friedman DL

Dapsone-induced methemoglobinemia: a dose-related occurrence?

Cancer. 2011;117(15):3485-92

Hayes D Jr, Roessler-Henderson KM, Davenport SM, Collins PB, Ballard HO

Dyspnea in a lung transplant recipient.

Respiratory care. 2010;55(5):626-9

Ashurst JV, Wasson MN, Hauger W, Fritz WT

Pathophysiologic mechanisms, diagnosis, and management of dapsone-induced methemoglobinemia.

The Journal of the American Osteopathic Association. 2010;110(1):16-20

Naik PM, Lyon GM 3rd, Ramirez A, Lawrence EC, Neujahr DC, Force S, Pelaez A

Dapsone-induced hemolytic anemia in lung allograft recipients.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation. 2008;27(11):1198-202

Prasad R, Singh R, Mishra OP, Pandey M

Dapsone induced methemoglobinemia : Intermittent vs continuous intravenous methylene blue therapy.

Indian journal of pediatrics. 2008;75(3):245-7

Schiff DE, Roberts WD, Sue YJ

Methemoglobinemia associated with dapsone therapy in a child with pneumonia and chronic immune thrombocytopenic purpura.

Journal of pediatric hematology/oncology. 2006;28(6):395-8

Talarico JF, Metro DG

Presentation of dapsone-induced methemoglobinemia in a patient status post small bowel transplant.

Journal of clinical anesthesia. 2005;17(7):568-70

Ash-Bernal R, Wise R, Wright SM

Acquired methemoglobinemia: a retrospective series of 138 cases at 2 teaching hospitals.

Medicine. 2004;83(5):265-273

Mandrell BN, McCormick JN

Dapsone-induced methemoglobinemia in pediatric oncology patients: case examples.

Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses. 2001;18(5):224-8

Ipsen SE, Hansen VE

[Respiratory insufficiency caused by dapsone-induced methemoglobinemia].

Ugeskrift for laeger. 2001;163(1):39-40

Seaton RA, Nathwani D, Kirk J, France AJ

Blue and breathless.

Hospital medicine (London, England : 1998). 1999;60(7):530

MacDonald RD, McGuigan MA

Acute dapsone intoxication: a pediatric case report.

Pediatric emergency care. 1997;13(2):127-9

Coleman MD, Coleman NA

Drug-induced methaemoglobinaemia. Treatment issues.

Drug safety. 1996;14(6):394-405

Safrin S, Finkelstein DM, Feinberg J, Frame P, Simpson G, Wu A, Cheung T, Soeiro R, Hojczyk P, Black JR

Comparison of three regimens for treatment of mild to moderate Pneumocystis carinii pneumonia in patients with AIDS. A double-blind, randomized, trial of oral trimethoprim-sulfamethoxazole, dapsone-trimethoprim, and clindamycin-primaquine. ACTG 108 Study

Annals of internal medicine. 1996;124(9):792-802

Cohen RJ, Sachs JR, Wicker DJ, Conrad ME

Methemoglobinemia provoked by malarial chemoprophylaxis in Vietnam.

The New England journal of medicine. 1968;279(21):1127-31

Gallant JE, Hoehn-Saric E, Smith MD

Respiratory insufficiency from dapsone-induced methemoglobinemia.

AIDS (London, England). 1991;5(11):1392-3