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G6PD Deficiency Risk Factors

emedicine.medscape.com/article/2172328-overview

Glucose-6-phosphatase dehydrogenase (G6PD) deficiency is the most common enzyme


deficiency in humans, affecting 400 million people worldwide. [1]

Most individuals with G6PD deficiency do not need treatment. However, they should be
taught to avoid drugs and chemical exposures that can cause oxidant stress. Patients
should also avoid broad beans (ie, fava beans). Favism occurs primarily in the
Mediterranean variety of G6PD deficiency.

Drugs and foods that present risk in individuals with G6PD deficiency risk factors are
listed below. They are based on guidelines from the G6PD Deficiency Association. [2]

The following are considered high risk:

Acetanilide (acetanilid)

Acetylphenylhydrazine (2-phynylacetohydrazide)

Aldesulfone sodium (sulfoxone)

Arsine

Beta-naphthol (2-naphthol)

Brinzolamide

Chloramphenicol

Chloroquine

Ciprofloxacin

Dapsone (diaphenylsulfone)

Dimercaprol

Dorzolamide

Doxorubicin

Furazolidone

Glibenclamide

Glucosulfone (glucosulfone sodium)

Isobutyl nitrite

Menadiol sodium sulfate (vitamin K4 sodium sulfate)

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Menadione (menaphthone)

Menadione sodium bisulfite (vitamin K3 sodium bisulfite)

Mepacrine (quinacrine)

Mesalazine - 5-aminosalicylic acid (paraaminosalicylic acid)

Metamizole

Methylthioninium chloride (methylene blue)

Nalidixic acid

Naphthalene, pure (naphthalin)

Niridazole

Nitrofural (nitrofurazone)

Nitrofurantoin

O-acetylsalicylic acid (acetylsalicylic acid)

Oxidase, urate (urate oxidase)

Pamaquine

Pentaquine

Phenacetin (acetophenetidin)

Phenazopyridine

Phenylhydrazine

Primaquine

Probenecid

Stibophen (2-(2-oxido-3,5-disulphonatophenoxy)-1,3,2,benzodioxastibole-4-6-
disulphonate)

Sulfacetamide

Sulfadimidine

Sulfafurazole (sulfisoxazole)

Sulfamethoxazole

Sulfanilamide (sulphanilamide)

Sulfapyridine
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Sulfasalazine, salazosulfapyridine (Salazopyrin)

Thiazolsulfone

Tolonium chloride, tolonium chloride (toluidine blue)

Trinitrotoluene (2,4,6-trinitrotoluene)

The following are considered low risk:

Aminophenazone (aminopyrine)

Antazoline (Antistine)

Arginine (acido 2(S)-ammino-5-guanidilpentanoico)

Ascorbic acid

Colchicine

Diphenhydramine

Dopamine (L-dopa)

Isoniazid

Norfloxacin

Para-aminobenzoic acid (4-aminobenzoic acid)

Paracetamol (acetaminophen)

Phenazone (antipyrine)

Phenylbutazone

Phenytoin

Phytomenadione (vitamin K1)

Procainamide

Proguanil (chlorguanidine)

Pyrimethamine

Quinidine

Quinine

Streptomycin

Sulfacytine

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Sulfadiazine

Sulfaguanidine

Sulfamerazine

Sulfamethoxypyridazine

Tiaprofenic acid

Trihexyphenidyl (benzhexol)

Trimethoprim

Tripelennamine

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