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Acediasulfone is a long-acting antimicrobial and antimalarial agent that functions as a prodrug of dapsone. It is primarily investigated for the treatment of leprosy and has also demonstrated activity against malaria. Acediasulfone is designed to improve upon dapsone’s low water solubility by being more easily administered, often as a water-soluble salt. After administration, it is metabolized in the body to release dapsone, which inhibits bacterial folate synthesis by targeting dihydropteroate synthase—an enzyme essential for bacterial growth and replication. This mechanism aligns with that of sulfonamide antibiotics. The drug has been studied experimentally but does not have regulatory approval in major markets[1][2][3][4][6].
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