Chloroquine resistant malaria prophylaxis

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  1. Curasier Moderator

    Chloroquine resistant malaria prophylaxis


    -Suppressive therapy should continue for 8 weeks after leaving the endemic area. Approved indication: For the suppressive treatment of malaria due to Plasmodium vivax, P malariae, P ovale, and susceptible strains of P falciparum CDC Recommendations: 300 mg base (500 mg salt) orally once a week Comments: -For prophylaxis only in areas with chloroquine-sensitive malaria -Prophylaxis should start 1 to 2 weeks before travel to malarious areas; should continue weekly (same day each week) while in malarious areas and for 4 weeks after leaving such areas.

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    Chloroquine is the drug of choice for people who travel to these areas; however, resistance to chloroquine is now widespread in all areas of the world where malaria is endemic, but it is still an effective choice for prophylaxis in travelers to Mexico, the Caribbean, Central America, Argentina. Chloroquine should not be taken for prophylaxis by patients with a history of epilepsy. Precautions If the condition of the patient deteriorates after administration of chloroquine, resistance must be suspected and quinine must be administered intravenously as an emergency measure. CDC has no limits on the use of chloroquine for the prevention of malaria.

    Approved indication: For acute attacks of malaria due to P vivax, P malariae, P ovale, and susceptible strains of P falciparum CDC Recommendations: Chloroquine-sensitive uncomplicated malaria (Plasmodium species or species not identified): 600 mg base (1 g salt) orally at once, followed by 300 mg base (500 mg salt) orally at 6, 24, and 48 hours Total dose: 1.5 g base (2.5 g salt) Comments: -For the treatment of uncomplicated malaria due to chloroquine-sensitive P vivax or P ovale, concomitant treatment with primaquine phosphate is recommended. 60 kg or more: 1 g chloroquine phosphate (600 mg base) orally as an initial dose, followed by 500 mg chloroquine phosphate (300 mg base) orally after 6 to 8 hours, then 500 mg chloroquine phosphate (300 mg base) orally once a day on the next 2 consecutive days Total dose: 2.5 g chloroquine phosphate (1.5 g base) in 3 days Less than 60 kg: First dose: 16.7 mg chloroquine phosphate/kg (10 mg base/kg) orally Second dose (6 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Third dose (24 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Fourth dose (36 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Total dose: 41.7 mg chloroquine phosphate/kg (25 mg base/kg) in 3 days Comments: -Concomitant therapy with an 8-aminoquinoline compound is necessary for radical cure of malaria due to P vivax and P malariae.

    Chloroquine resistant malaria prophylaxis

    Chloroquine - FDA prescribing information, side effects and uses, WHO Model Prescribing Information Drugs Used in Parasitic Diseases.

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  7. Treatment of Uncomplicated Chloroquine-susceptible Malaria Oral Initial dose of 10 mg/kg 13 mg/kg of hydroxychloroquine sulfate followed by 5 mg/kg 6.5 mg/kg of hydroxychloroquine sulfate given at 6, 24, and 48 hours after initial dose. 109 144. Adults Malaria Prevention of Malaria in Areas Without Chloroquine-resistant Plasmodium Oral

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    Chloroquine taken in the dose recommended for malaria prophylaxis can reduce the antibody response to primary immunization with intradermal human diploid-cell rabies vaccine. Chloroquine Phosphate. Chloroquine is used to prevent or treat malaria caused by mosquito bites in countries where malaria is common. Malaria parasites can enter the body through these mosquito bites, and then live in body tissues such as red blood cells or the liver. Chloroquine or hydroxychloroquine. No harmful effects on the fetus have been observed when chloroquine or hydroxychloroquine are used in the recommended doses for malaria prophylaxis. 2 Observational data 5, 6 amounting to more than 1000 exposures and 1 double-blind randomized-controlled trial 7 N = 951 have evaluated the use of chloroquine at various stages of pregnancy for the prevention.

     
  8. vurter New Member

    Selected from data included with permission and copyrighted by First Databank, Inc. Chloroquine Drug Interactions - Minor or Nonsignificant - RxList Plaquenil Oral Interactions with Other Medication Teva-Chloroquine - Uses, Side Effects, Interactions -
     
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