Treatment of chloroquine resistant falciparum malaria

Discussion in 'Chloroquine Drug' started by wlad2, 03-Mar-2020.

  1. Dolly User

    Treatment of chloroquine resistant falciparum malaria


    Chloroquine has been extensively used in mass drug administrations, which may have contributed to the emergence and spread of resistance. It is recommended to check if chloroquine is still effective in the region prior to using it.

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    Malaria Information and Prophylaxis by Country; Country Areas with Malaria Drug Resistance 2 Malaria Species 3 Recommended Chemoprophylaxis 4 Key Information Needed and Helpful Links to Assess Need for Prophylaxis for Select Countries; Gabon All Chloroquine P. falciparum 90%, P. malariae, P. ovale, P. vivax 10% combined Although statistical analysis was not accomplished, the cure of all five drug-treated animals after the 7–14 day combinational treatment leads one to an obvious conclusion that the combination of chloroquine and tetrandrine with an intact host immune system is an effective treatment of Aotus-infected falciparum malaria if treated for the correct amount of time. Both tetrandrine and chloroquine have been used in man as single entities for years. Chloroquine is used extensively in malaria endemic areas in Africa to treat the uncomplicated form of Plasmodium falciparum malaria. However, the efficiency of chloroquine has been severely impacted by the recent development of chloroquine resistant plasmodium falciparum parasites. The development of chloroquine resistance by malaria parasites is increasing at an alarming rate especially in the tropical countries where it is used extensively as an antimalarial drug 2.

    The Centers for Disease Control and Prevention recommend against treatment of malaria with chloroquine alone due to more effective combinations. In areas where resistance is present, other antimalarials, such as mefloquine or atovaquone, may be used instead.

    Treatment of chloroquine resistant falciparum malaria

    WHO Responding to antimalarial drug resistance, Effective treatment with a tetrandrine/chloroquine.

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  7. In addition, any of the regimens listed for the treatment of chloroquine-resistant malaria may be used for the treatment of chloroquine-sensitive. P. falciparum. malaria. Prompt initiation of an effective regimen is vitally important, so using any one of the effective regimens that is readily available would be the preferred strategy.

    • Treatment of Malaria Guidelines for Clinicians United..
    • Chloroquine Resistance in Plasmodium falciparum - microbewiki.
    • Clinical trial of extended-dose chloroquine for treatment..

    May 17, 2019 Malaria is treated with antimalarial drugs and measures to control symptoms, including medications to control fever, antiseizure medications when needed, fluids and electrolytes. The type of medications that are used to treat malaria depends on the severity of the disease and the likelihood of chloroquine resistance. For P. falciparum infections acquired in areas with chloroquine resistance, four treatment options are available. The first two treatment options are atovaquone-proguanil Malarone or artemether-lumefantrine Coartem. The adult treatment doses of chloroquine can be given for non-falciparum malaria. In the case of P. vivax or P. ovale, however, the radical cure with primaquine should be postponed until the pregnancy is over; instead chloroquine should be continued, given weekly during the pregnancy.

     
  8. Dzen User

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  9. ILya_L Well-Known Member

    History of antimalarials Medicines for Malaria Venture Following the war, chloroquine and DDT emerged as the two principal weapons in WHO’s global eradication malaria campaign. Subsequently, chloroquine resistant P. falciparum probably arose in four separate locations starting with the Thai-Cambodian border around 1957; in Venezuela and parts of Colombia around 1960; in Papua New Guinea in the mid-1970s and in Africa starting in 1978 in Kenya and Tanzania and spreading by 1983 to Sudan, Uganda, Zambia and Malawi.

    Chloroquine Oral Route Proper Use - Mayo Clinic