364 Where There Is No Doctor 2011 Green Pages
Other, less serious types of malaria can be
treated with chloroquine, sometimes followed
by primaquine. In some places, even falciparum
malaria can still be treated with chloroquine
followed by primaquine.
To prevent malaria, use doxycycline, mefloquine,
proguanil, or chloroquine.
Artesunate
Name:__________________ price:________ for_ ______
Often comes in: 50 mg. tablets
Artesunate is a medicine of the artemisinin
family. Artesunate must be used in combination with
either amodiaquine, mefloquine, or pyrimethamine
with sulfadoxine to treat falciparum malaria.
CAUTION: Women in the first 3 months of pregnancy
should avoid using artesunate. Instead of the
Artemisinin Combination Therapy (ACT), if possible
give quinine and clindamycin.
Side effects: Artesunate can cause dizziness and
problems balancing.
Dosage of artesunate (4 mg./kg./day) by mouth—
using tablets of 50 mg.
Give artesunate once a day for 3 days. In each
dose give:
adults and children over 13 years: 4 tablets
(200 mg.)
children 7 to 13 years: 2 tablets (100 mg.)
children 1 to 6 years: 1 tablet (50 mg.)
children 5 months to 1 year: ½ tablet (25 mg.)
children under 5 months: it is best not to give
artesunate.
Also take a second anti-malaria medicine as
part of ACT.
To prepare artesunate injection in cases of
emergency, see a health worker or doctor.
Artemether with lumefantrine (Coatrem)
Name:__________________ price:________ for_ ______
Often comes in: tablets of 20 mg. of artemether with
120 mg. of lumefantrine
Artemether is a medicine of the artemisinin
family, available in a combined tablet with
lumefantrine to treat falciparum malaria.
Dosage of artemether with lumefantrine by mouth—
using tablets of 20 mg. artemether with 120 mg.
lumefantrine
Give 2 times a day for 3 days. In each dose,
give:
adults and children over 13 years: 4 tablets
children 8 to 13 years: 3 tablets
children 4 to 7 years: 2 tablets
children 6 months to 3 years: 1 tablet
children under 6 months: it is best not to give
artemether with lumefantrine.
CAUTION: Women in the first 3 months of pregnancy
should avoid using artemether. Instead of artemether
with lumefantrine, if possible give quinine and
clindamycin.
Pyrimethamine with sulfadoxine (Fansidar)
Name:__________________ price: _______ for_ ______
Often comes in: combination tablet with 25 mg.
pyrimethamine and 500 mg. sulfadoxine
Fansidar is used with artesunate to treat
falciparum malaria.
Fansidar is not recommended for pregnant or
breastfeeding women.
WARNING: Fansidar should not be taken by anyone
who has ever had a reaction to sulfa medicine. If
the medicine causes a rash or itching, drink lots of
water and do not take it again.
Dosage to treat falciparum malaria:
Give one time, on the first day of taking
artesunate:
adults: 3 tablets
children 7 to 13 years: 2 tablets
children 1 to 6 years: 1 tablet
babies 5 months to 1 year: ½ tablet
Also give artesunate.