Sri Lanka
A 21-year-old male asked:
Why is premaquine not good for haemolytic patients?
2 doctor answers • 4 doctors weighed in

Dr. Ed Friedlanderanswered
Pathology 46 years experience
G6PD: Primaqunie will cause red cells to hemolyze if the person has g6pd deficiency. Other patients with hemolysis from some other cause can take it.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago

Dr. Hashmat Rajputanswered
Internal Medicine 41 years experience
Beacause: It causes hemolysis or destruction of red blood cells specially people with g6pd deficiency. Hemolytic anemia due to any disease or cause is already destroying rbcs. If you give primaquine, you double or triple the destruction and can have life threatening anemia. It also causes methemoglobinemia. Thanks.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago

Dr. James Long commented
Internal Medicine 11 years experience
Agree with Dr Rajput. G6PD is actually pretty common and under diagnosed.
Oct 13, 2013
Last updated Dec 9, 2013
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