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. Author manuscript; available in PMC: 2024 May 1.
Published in final edited form as: Clin Pharmacol Ther. 2022 Sep 24;113(5):973–985. doi: 10.1002/cpt.2735

Table 2.

Drug-specific risk level and associated strength of recommendation for patients with G6PD deficiency

Drug Risk Classification of Recommendation
Dapsone High Strong
Methylene blue High Moderate
Pegloticase High Strong
Primaquine – ≥ standard dose (0.25–0.5 mg/kg daily for 14 days) High Strong
Rasburicase High Strong
Tafenoquine High Strong
Toluidine blue High Moderatea
Nitrofurantoin Medium Optional
Primaquine – medium dose (0.75 mg/kg or 45 mg once weekly for 8 weeks) for Plasmodium vivax malaria Medium Strong
4-aminosalicylic acid Low-to-no Optional
Aspirin ≤ 1 g/day Low-to-no Moderate
Chloramphenicol Low-to-no Moderate
Chloroquine Low-to-no Moderate
Ciprofloxacin Low-to-no Optional
Dimercaprol Low-to-no Optional
Doxorubicin Low-to-no Optional
Furazolidone Low-to-no Optional
Glyburide Low-to-no Optional
Hydroxychloroquine Low-to-no Moderate
Mafenide Low-to-no Optional
Nalidixic acid Low-to-no Optional
Norfloxacin Low-to-no Optional
Ofloxacin Low-to-no Optional
Phenazopyridine Low-to-no Optional
Primaquine – single low dose (0.25 mg/kg) for Plasmodium falciparum malaria Low-to-no Strong
Quinine Low-to-no Optional
Sulfadiazine Low-to-no Optional
Sulfadimidine Low-to-no Optional
Sulfamethoxazole Low-to-no Optional
Sulfanilamide Low-to-no Optional
Sulfasalazine Low-to-no Optional
Sulfisoxazole Low-to-no Optional
Tolbutamide Low-to-no Optional
Vitamin C Low-to-no Moderate
Vitamin K Low-to-no Moderate
Aspirin > 1 g/day n/a No recommendation
Chlorpropamide n/a No recommendation
Dabrafenib n/a No recommendation
Gliclazide n/a No recommendation
Glimepiride n/a No recommendation
Glipizide n/a No recommendation
Mepacrine n/a No recommendation
Mesalazine n/a No recommendation
Moxifloxacin n/a No recommendation
Nicorandil n/a No recommendation
Nitrofural n/a No recommendation
Probenecid n/a No recommendation
Sodium nitrite n/a No recommendation
Sulfacetamide n/a No recommendation
Tolazamide n/a No recommendation
Trametinib n/a No recommendation

n/a = not applicable (not assigned a risk level)

a

Based on extrapolation from methylene blue data.