Treatment FAQ

which of the following is the drug of choice for the treatment of malaria?

by Braulio Bauch Published 2 years ago Updated 2 years ago
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The preferred antimalarial for interim oral treatment is artemether-lumefantrine (Coartem™) because of its fast onset of action. Other oral options include atovaquone-proguanil (Malarone™), quinine, and mefloquine.

What is the best drug for malaria treatment?

Medications. The most common antimalarial drugs include: Chloroquine phosphate. Chloroquine is the preferred treatment for any parasite that is sensitive to the drug.Oct 12, 2021

What is the first drug to treat malaria?

The first pharmaceutical used to treat malaria, quinine, was derived from the tree bark of Cinchona calisaya [5]. Quinine synthesis was first attempted in 1856 by William Henry Perkins, but synthesis was not successful until 1944.

What is the name of malaria drugs?

Drugs used to treat MalariaDrug nameRatingRx/OTCView information about Malarone Malarone5.5RxGeneric name: atovaquone / proguanil systemic Drug class: antimalarial combinations For consumers: dosage, interactions, side effects For professionals: Prescribing InformationView information about Plaquenil PlaquenilRateRx72 more rows

What antibiotics treat malaria?

It is available in tablets, capsules, and an oral liquid formulation. Two equally effective types of doxycycline are available, doxycycline hyclate and doxycycline monohydrate. Doxycycline can be prescribed by itself for the prevention of malaria or in combination with another medicine for treatment of malaria.

Is ciprofloxacin used to treat malaria?

malaria can be cured with the doses of ciprofloxacin currently used in clinical practice.

Can azithromycin treat malaria?

In combination studies with quinine, azithromycin has demonstrated high efficacy in curing uncomplicated falciparum malaria, and recent prophylaxis trials suggest that azithromycin also has a high efficacy for preventing Plasmodium vivax malaria [6, 7].

Does metronidazole treat malaria?

Unfortunately, because of its toxicity, the anti-amoebic eme- tine was replaced by metronidazole, and studies indicate that metronidazole could treat P. vivax and P. falciparum infections [52]. However, metronidazole toxicity prevented its further investigation as an antimalarial.

Which drug is used for malaria chemoprophylaxis and treatment?

Doxycycline can be used by travelers to all malaria-endemic areas for malaria prophylaxis. When used in conjunction with other medications, doxycycline can also be used to treat malaria.

What is Act for malaria?

ACT is a combination of two or more drugs that work against the malaria parasite in different ways. This is usually the preferred treatment for chloroquine-resistant malaria. Examples include artemether-lumefantrine (Coartem) and artesunate-mefloquine. Other common antimalarial drugs include:

How to diagnose malaria?

To diagnose malaria, your doctor will likely review your medical history and recent travel, conduct a physical exam, and order blood tests. Blood tests can indicate: The presence of the parasite in the blood, to confirm that you have malaria. If your infection is caused by a parasite resistant to certain drugs.

Is chloroquine a good treatment for parasites?

But in many parts of the world, parasites are resistant to chloroquine, and the drug is no longer an effective treatment. Artemisinin-based combination therapies (ACTs).

What is the trophozoite form?

This micrograph illustrates the trophozoite form, or immature-ring form, of the malarial parasite within peripheral erythrocytes. Red blood cells infected with trophozoites do not produce sequestrins and, therefore, are able to pass through the spleen.

Is artemether-lumefantrine as effective as quinine?

In a recent study in African patients, artemether-lumefantrine was as efficacious and as well tolerated as oral quinine in treating uncomplicated falciparum malaria during the second and third trimesters of pregnancy. [ 1]

What is the name of the drug that is used to treat malaria?

Coartemether (Riamet® in Europe, Coartem® in Africa and the United States) is an oral combination of artemether and lumefantrine. Coartemether is licensed in some European countries and in the United States and is becoming widely distributed in Africa for the treatment of malaria.

What should a health care provider prescribe for malaria?

A health care provider should only prescribe drugs for the prevention of mal aria after an individual risk assessment (see Chapter 2) in an effort to ensure that only those travellers truly at risk of malaria infection receive chemoprophylaxis. Any drugs taken for malaria chemoprophylaxis should be used in conjunction with personal protective measures to prevent mosquito bites (see Chapter 3).

How does primaquine help with malaria?

Primaquine is used in three major ways to prevent malaria: 1) as a primary chemoprophylactic agent: 2) for prevention of relapse due to liver stages of P. vivax or P. ovale infection (primaquine anti-relapse therapy [PART]): 3) in the treatment regimen of confirmed bloodstream infections with P.vivax or P.ovale infection as radical cure to prevent relapse. See adverse effects section for information on the need to test for glucose-6-phosphate dehydrogenase (G6PD) levels prior to use of primaquine.

Can artemisinin be used for chemo?

See Chapter 7, treatment of severe malaria. On the basis of their short half-life, artemisinin compounds should not be used for chemoprophylaxis.

Is Artemether used in Africa?

Artemether in combination with lumefantrine (Riamet® in Europe, Coartem® in Africa and the U.S.) is widely distributed in Africa for the treatment of P. falciparum malaria. A 6-dose regimen of artemether–lumefantrine appears more effective than some antimalarial regimens not containing artemisinin derivatives.

Can antimalarials be used in pregnant women?

In pregnant women, pharmacokinetics of antimalarials are affected by the large volume of distribution and higher clearance rate, suggesting that higher dosages might be warranted, particularly for treatment of malaria in pregnant women.

Is atovaquone a prophylactic drug?

Atovaquone-proguanil is a fixed drug combination of atovaquone and proguanil in a single tablet. The two components are synergistic, inhibiting electron transport and collapsing mitochondrial membrane potential. Atovaquone-proguanil is effective as a causal ( acting at the liver stage) as well as a suppressive (acting at the blood stage) prophylactic agent. Atovaquone-proguanil must be taken daily, and it is essential that it be taken with a fatty meal - due to poor oral absorption otherwise, with associated diminished efficacy. Because of its causal effects, atovaquone-proguanil can be discontinued one week after departure from a malaria-endemic area. The elimination half-life of atovaquone-proguanil is 2 to 3 days in healthy adults, but only 1 to 2 days in children aged 6 to 12 years#N#Footnote#N#29. There are limited off-label data available that show that shorter prophylaxis courses with atovaquone-proguanil may be effective#N#Footnote#N#30#N#Footnote#N#31.

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