A G6PD level of 18.6 is normal and not deficient, which is excellent news. The primary concern with dapsone is in individuals with G6PD deficiency (low levels), which can lead to red blood cell breakdown. Since her G6PD levels are healthy, dapsone is generally safe for her to take from this standpoint. However, because she is 75, please ensure her doctor reviews her complete health profile and current medications before she starts.

Dapsone can cause red blood cell breakdown in people with low G6PD levels (deficiency). Because her level is high, she is not deficient, making it much safer for her to take dapsone for her skin condition. However, because this medication can still affect red blood cells even with normal G6PD levels, her doctor will likely recommend regular blood tests to monitor her blood counts closely. Please share these positive results with her doctor to safely plan her treatment.

Since your current regimen includes multiple oral antibiotics and topical treatments like benzoyl peroxide, adapalene, clindamycin, and dapsone, your skin may be overwhelmed and irritated, which can worsen inflammation. Deep, cystic acne linked to hormonal conditions like PCODs often resists standard antibiotics. I highly recommend consulting your dermatologist to re-evaluate. They may suggest simplifying your routine to heal your skin barrier, confirming your PCOD diagnosis, or discussing stronger targeted options like oral isotretinoin or specific hormonal therapies.

While chronic ITP in adults is rarely 'cured' permanently with medication, it can be successfully managed long-term. It is quite common for ITP to not respond to steroids or dapsone, but show excellent progress with Revolade (eltrombopag). Revolade works differently by encouraging her body to produce more platelets. Responding well to Revolade is a very positive sign that her condition can be kept stable and safe. Please continue working closely with her hematologist to safely manage her treatment.

The white patches in your mouth could be oral thrush, which can sometimes occur with certain medications, or another manageable condition. Please have a healthcare provider examine your mouth to provide an accurate diagnosis and appropriate treatment, such as a mild antifungal rinse. For your diet, try to focus on soft, non-acidic, and non-spicy foods to prevent irritating your mouth. Staying well-hydrated and practicing gentle oral hygiene will also provide comfort.

Yes, a non-itchy rash on your arms could potentially be a reaction to your acne medications, dapsone or Acnesia, especially if applied directly to that area or taken orally. Sometimes, these treatments can cause mild skin irritation or a localized sensitivity reaction. Please be reassured that this is often manageable. I suggest temporarily stopping the application of these products on your arms and consulting your doctor or dermatologist. They can gently evaluate your skin, determine the exact cause, and safely adjust your treatment plan to keep your skin clear and comfortable.

Missing a small portion of a single clofazimine dose will not affect your father's leprosy treatment. Clofazimine builds up and stays in the body for a very long time, so a one-time partial dose is not a concern, especially since he successfully took his other daily medications (rifampicin, clofazimine, and dapsone). You do not need to give him an extra dose to make up for the spilled amount. Simply continue with his regular, prescribed daily dosing schedule tomorrow.

Please contact your doctor right away if you experience shortness of breath or blue-tinted skin. The reassuring news is that we have many safe alternatives for lichen planus pigmentosus. Your dermatologist might recommend topical options like tacrolimus ointment or topical corticosteroids, which treat the skin directly with very low risk of systemic side effects. Other options like oral retinoids can also be considered.

It is quite common to experience skin dryness and flaking?which can sometimes appear as white spots?when starting dapsone (Acnewar gel) for acne. While these are known side effects rather than how the medication actively fights pimples, they are usually manageable. I highly recommend applying a gentle, fragrance-free moisturizer a few minutes after the gel to help soothe your skin. If the dryness persists or the white spots concern you, please consult your dermatologist, who may suggest applying it less frequently.

Since your current treatment with dapsone, topical betamethasone, and topical tacrolimus has not brought improvement, please consult your specialist to discuss alternative options. Other medical treatments include systemic retinoids (such as acitretin) or alternative immunosuppressive medications (like azathioprine, cyclosporine, or mycophenolate mofetil). Non-drug therapies, such as laser therapy or photodynamic therapy, can also be highly effective. Additionally, ask your doctor to rule out secondary oral yeast infections, which commonly occur with prolonged topical steroid use and can delay healing. Rest assured, there are still many effective pathways to explore to help manage your condition.