Drug & supplement interaction

Para-aminobenzoic Acid (paba) + Dapsone

Dapsone brand names: Dapsone, Avlosulfon, Aczone.

Major Interaction
The bottom line Major

Para-aminobenzoic Acid (paba) has a major interaction with Dapsone. Theoretically, concomitant use of PABA and dapsone may decrease the effects of dapsone.

Read the full interaction report
SeverityMajor
LikelihoodLikely
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Para-aminobenzoic Acid (paba) and Dapsone

Here is the interaction we found between these two, with the evidence behind it.

Major

DAPSONE (Avlosulfon)

Theoretically, concomitant use of PABA and dapsone may decrease the effects of dapsone.
Preliminary clinical research shows that PABA inhibits the antibacterial effects of dapsone. Avoid concurrent use.
Severity Major Likelihood Likely Evidence D

Well-controlled human studies have demonstrated the likely existence of this interaction.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing about dapsone and PABA: dapsone fights bacteria by blocking the way they make folate, an essential building block they need to grow. PABA is actually one of the raw ingredients bacteria use in that same pathway. So when you add extra PABA, you can give those bacteria back the very thing dapsone is trying to take away, which may weaken how well dapsone works.

In real terms, that could mean your leprosy or skin infection treatment doesn't do its job as well. This concern comes mostly from older lab-based reasoning rather than big modern studies, but it's worth taking seriously. Please don't change anything on your own. Just check with your pharmacist or doctor before pairing these two.

References
  1. Facts and Comparisons staff. Drug Facts and Comparisons. St Louis: Wolters Kluwer Company (updated monthly).
  2. Wiesel LL, Barritt AS, Stumpe WM. The synergistic action of para-aminobenzoic acid and cortisone in the treatment of rheumatoid arthritis. Am J Med Sci 1951;243-8. DOI

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Para-aminobenzoic Acid (paba) Also Interacts With Other Medications

Para-aminobenzoic Acid (paba) has 16 major, known drug interactions in our database — the Dapsone one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Para-aminobenzoic Acid (paba)

Covers the 2,830 medications we’ve checked against Para-aminobenzoic Acid (paba). Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Dapsone

This page covers Para-aminobenzoic Acid (paba) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dapsone page lists 215 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 7 major · 167 moderate · 41 minor.

From our pharmacist’s overview on the Dapsone page

“Dapsone treats serious conditions, from dermatitis herpetiformis to leprosy, and its supplement list is one I'd want a patient to read closely rather than skim. Most entries touch how the body handles dapsone through the CYP3A4 enzyme, so grapefruit can raise its blood level while St.”

Reviewed by 2 · Jul 18, 2026

Open the Dapsone interaction page

How much people look this up

Where Para-aminobenzoic Acid (paba) and Dapsone Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Para-aminobenzoic Acid (paba)
Steady interest

#1,189 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Dapsone
Top 10%

#151 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Para-aminobenzoic Acid (paba)

What is Para-aminobenzoic Acid (paba)?

  • Skin conditions like vitiligo
  • Scleroderma and skin tightening conditions
  • Graying hair
  • Sunscreen ingredient (older topical products)
  • General supplement and 'B-complex' support

PABA (para-aminobenzoic acid) is a chemical sometimes taken as a supplement or used in older sunscreens. Evidence supporting its oral use for skin conditions, hair color, and other claims is limited and outdated, and high doses can cause side effects. Talk with your pharmacist or doctor before using it.

Read the full Para-aminobenzoic Acid (paba) monograph & all interactions
Medication

About Dapsone

What Is Dapsone Used For?

Brand names: Dapsone, Avlosulfon, Aczone

Dapsone tablets are used to treat dermatitis herpetiformis (a chronic, intensely itchy blistering skin condition) and leprosy (all forms, except where proven resistance to dapsone exists). For leprosy, dapsone tablets are typically used in combination with other anti-leprosy medicines.

Aczone Gel (dapsone gel, 7.5%) and dapsone gel are indicated for the topical treatment of acne vulgaris in patients 9 years of age and older. This topical form is applied to the skin and is not used for leprosy or dermatitis herpetiformis.

See full Dapsone drug information
Keep checking

Other Drugs & Para-aminobenzoic Acid (paba)

Browse every other medication we’ve checked against Para-aminobenzoic Acid (paba) — both the ones with a known interaction and the ones without. Select any drug for the full detail.

16Major
0Moderate
0Minor
2,813No known interaction
Major

16 interactions

No interaction 2,813 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Para-aminobenzoic Acid (paba) and Dapsone Together: Common Questions

Can you take Para-aminobenzoic Acid (paba) with Dapsone?
This is rated a major interaction, so the combination is best avoided unless your doctor or pharmacist has specifically told you otherwise. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Para-aminobenzoic Acid (paba) and Dapsone interaction?
We rate it Major. This is a clinically significant combination that is generally best avoided, or used only under the direct supervision of your physician or pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Dapsone and Para-aminobenzoic Acid (paba)?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.