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Chlorproguanil + dapsone is a fixed-dose combination antimalarial medication. It consists of chlorproguanil, a biguanide prodrug that is metabolized into the active dihydrofolate reductase (DHFR) inhibitor chlorcycloguanil, and dapsone, a sulfone that inhibits dihydropteroate synthase (DHPS). By targeting two distinct steps in the parasite's folic acid biosynthesis pathway, the combination exhibits synergistic activity against *Plasmodium falciparum*. Developed by GSK in collaboration with the Medicines for Malaria Venture (MMV) and academic partners, it was intended as an affordable successor to sulfadoxine-pyrimethamine. However, it was withdrawn from the market and further development was halted in 2008 after clinical trials revealed a significant risk of severe hemolytic anemia in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency.
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