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Clofazimine

An antimycobacterial medicine for lepromatous leprosy, always used in combination therapy.

Clinical information

Common uses

  • lepromatous leprosy, including dapsone-resistant cases
  • leprosy complicated by erythema nodosum leprosum

Common side effects

  • skin discolouration, pink to brownish-black (most patients)
  • dry, scaly skin
  • stomach pain, nausea, vomiting, diarrhoea
  • eye dryness, irritation and discolouration
  • discoloured urine, sweat and other body fluids

Cautions

  • can deposit in the gut — obstruction and bleeding can be fatal
  • heart rhythm changes (QT prolongation)
  • skin discolouration can cause depression — watch mental health
  • avoid with liver problems

Interactions

  • other QT-prolonging drugs, including bedaquiline
  • drugs metabolized by CYP3A4/5 (monitor for toxicity)

Pregnancy: only if benefit justifies risk — babies may be born pigmented

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, Lamprene (clofazimine) label, setid 2e07448f-f888-4747-80ab-570c1b621250 (accessed 2026-08-16)

Approved brands & formulations6

Brand nameDosage formStrengthImporterCategory
ClofazimineCapsule100mgrestricted
ClofazimineTablet50mgrestricted
ClofazimineCapsule100 mgrestricted
ClofazimineTablet50mgrestricted
ClofazimineCapsule50 mgrestricted
LampreneCapsule100mgrestricted
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