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California Newborn Screening Program

Medications and Products to Avoid* in Thalassemia

*The medical literature suggests that these medications and products may cause problems for people with hemoglobin H disease; however, no studies have been conducted to prove that these substances are actually harmful for people with hemoglobin H disease.

Sulfa Drugs

Sulfacetamide (eye drops)

Sulfapyridine

Salfasalazine (Salicylazosulfapyridine) 

Sulfanilamide  

Dapsone

 

Analgesics

Aspirin (acetaminophen is safe as alternative)

Phenacetin

Acetanilide

 

 

Antimalarials

Primaquine

Chloroquine

Hydroxychloroquine sulfate

 

 

Tuberculosis Drugs

Isoniazid

Rifampin

 

Folic Acid Antagonists

Pyrimethamine

 

Other Antibacterials

Nalidixic acid (Negram)

Nitrofurantoins

Furazolidone

Chloramphenicol

Beta-amniosalicylic acid

Ciprofloxacin

Doxycycline

Other Items

Iron supplements ¹

Vitamin K analogues

Quinidine gluconate

Phenazopyridine (pyridium)

Toluidine Blue (a dye)

Methylene Blue (a dye)

Naphthalene (mothballs)

 

¹Unless laboratory-proven iron deficiency.

 

(from A Parents’ Guide to Hemoglobin H Disease, CA Dept of Health Services, Genetic Disease Branch, Newborn Screening Program)

 

 
 
Last modified on: 8/24/2010 2:14 PM