366 Where There Is No Doctor 2011 Green Pages
For treatment of falciparum malaria for women
in the first 3 months of pregnancy, give 2 tablets
(600 mg.), 3 times a day for 7 days. Also give
clindamycin, 300 mg., 4 times a day for 7 days.
When to inject quinine:
Injections of quinine should be given only
rarely, in cases of great emergency. If a person
who shows signs of malaria, or lives in an area
where there is a lot of malaria, is vomiting, having
seizures (convulsions), or showing other signs
of meningitis (see p. 185), he may have cerebral
malaria (malaria in the brain). Inject quinine at
once. Or, if you have no other medicine available,
try injecting chloroquine, 2.5 mg. per kg. of body
weight, 7 times spread over 2 days. Or, artesunate
can be injected in the muscle or vein to treat severe
malaria. Artesunate is very effective but it must be
prepared as a solution of artesunate powder, sodium
bicarbonate, and dextrose, just before injection.
Great care must be taken to be sure the dose is
right. Seek medical help.
Quinine dihydrochloride injections, 300 mg. in 2 ml.
Quinine injections should be given very
slowly, and never directly into the vein—this can
be dangerous to the heart. Take great care with
children. Inject half this dose slowly into each
buttock. Before injecting, draw back on the plunger;
if blood appears, inject in another site.
Inject one dose, then 8 hours later inject the
second, smaller dose:
adults: 1200 mg. (4 ampules), then 600 mg.
(2 ampules)
children: 20 mg./kg., then 10 mg. per kg. the
child weighs
Chloroquine
Chloroquine comes in two forms, chloroquine
phosphate and chloroquine sulfate. The doses
are different, so be sure you know which type of
chloroquine you have and the amount of medicine
(chloroquine base) in the tablet.
In most areas of the world malaria is now
resistant to chloroquine. Chloroquine should only
be used to treat or prevent types of malaria that
are not resistant to it. Talk to a health worker about
which medications work best in your area. If you do
not know which type of malaria a person has, it is
better to treat with Artemisinin Combination Therapy
(ACT).
Chloroquine is safe for women who are pregnant
or breastfeeding for both prevention and treatment
of malaria.
Chloroquine Phosphate (familiar brand names:
Aralen, Resochin, Avlochlor)
Name:__________________ price:________ for_ ______
Often comes in: 250 mg. tablets (which have
150 mg. of chloroquine) or 500 mg. (which have 300
mg. of chloroquine)
Dosage for chloroquine phosphate by mouth—using
250 mg. tablets
For treatment of non-resistant malaria:
For the first dose give:
adults: 4 tablets (1000 mg.)
children 10 to 15 years: 3 tablets (750 mg.)
children 6 to 9 years: 2 tablets (500 mg.)
children 3 to 5 years: 1 tablet (250 mg.)
children 1 to 2 years: ½ tablet (125 mg.)
babies under 1 year: ¼ tablet (63 mg.)
Then give the following dose 6 hours after the
first dose, 1 day after the first dose, and 2 days
after the first dose:
adults: 2 tablets (500 mg.)
children 10 to 15 years: 1 ½ tablets (375 mg.)
children 6 to 9 years: 1 tablet (250 mg.)
children 3 to 5 years: ½ tablet (125 mg.)
children 1 to 2 years: ¼ tablet (63 mg.)
babies under 1 year: 1⁄8 tablet (32 mg.)
For prevention of malaria (where it is not resistant
to chloroquine):
Give once a week beginning 1 week before and
continuing for 4 weeks after leaving malaria area.
adults: 2 tablets (500 mg.)
children 10 to 15 years: 1 ½ tablets (375 mg.)
children 6 to 9 years: 1 tablet (250 mg.)
children 3 to 5 years: ½ tablet (125 mg.)
children 1 to 2 years: ¼ tablet (63 mg.)
babies under 1 year: 1⁄8 tablet (32 mg.)