Doctor insights on:
Antimalarial Drugs Medication
More specific: There are a lot of different anti-malarial drugs. Clindamycin is a drug used to treat and it's very safe in pregnancy, whereas some of the other antiparasitics are known to be more toxic to a pregnancy. Because the cdc lists 9 drugs traditionally used to treat malaria, maybe you want to rephrase your question regarding a specific drug. ...Read more
Pamaquine use: May cause acute hemolysis.Get a more detailed answer ›
Yes: Azure is o k for G6PD patient. ...Read more
Travel medicine: "Malaria:Â Prophylaxis with Lariam (mefloquine), Malarone (atovaquone and proguanil) (atovaquone/proguanil), or doxycycline is recommended for all areas. " See: http://www. Mdtravelhealth. Com/destinations/africa/ghana. Php Recommend seeing a travel medicine specialist for particulars. ...Read more
A couple of options: The drug mefloquine, or the combination drug artovaquone/proguanil are both options. The first is weekly for 2 weeks before travel until 4 weeks after. The second is daily for 2 days before unti seven days after. Mefloquine is contraindicated in persons with seizures or heart problems. There are other steps to take and other health measures to know about. Visit the websites of the cdc and who. ...Read more
Complicated: This depends upon which area of the world and to which drugs the parasite has become resistant. Check the cdc website for the state of the region in which you are interested and the drugs currently being recommended. ...Read more
Yes: Most antimalarials are secreted in very small amounts in the breast milk. Too small to cause the baby any harm. ...Read more
My husband & I are traveling to Africa and I have been prescribed antimalarial-atovaquone proquanil. We are ready to have a baby. What are the risks?
Not if pregnant: The only preventative malaria medicine for this area--in possible case of pregnancy--is use of Mefloquine but not atovaquone/proguanil. You should let your doctor know about possibility of pregnancy and he can switch your prescription. Mefloquine has side effects you should learn about but is safer for a potential fetus. ...Read more
How does the antimalarial chloroquine work? Does it passively diffuse into red blood cells to thwart the malaria parasite or does it enter the red blood cells by an active transport process?
Chloroquine: Chloroquine concentrates up to several 1000-fold in the food vacuole of the parasite. Possible mechanisms for this selective accumulation of Chloroquine in the food vacuole are: 1) protonation and ion trapping of the Chloroquine due to the low ph of the food vacuole; 2) active uptake of Chloroquine by a parasite transporter (s); and/or 3) binding of Chloroquine to a specific receptor in the food va. ...Read more
I have a UTI and got Cipro (ciprofloxacin)floxacin to treat it. I'm also taking Doxycycline as antimalarial. Should I stop taking Doxycycline while taking Cipro (ciprofloxacin)?
Take both: Continue both drugs, unless your doctors have different advice. ...Read more
I have SLE Lupus and pulmonary fibrosis. Is there a way to get rid of the cough. I use oxygen, take prednisone, cellcept, (mycophenolate mofetil) antimalarial meds.
Could not help much: I am sorry to tell unfortunately, with the SLE and pulm. Fibrosis bec. Of the lung scarring you have this cough which couldn't be helped much. Supressing cough with medicines like codeine linctus help in heart failure patients, but in ur case, should not precipitate infections by suppressing cough. If you are on medicatio like lisinopril for HTN/kidney dz from lupus, it can also contribute ...Read more
Yes but: Contraceptives can be safely taken with antimalarial drugs, however it is advisable to use other forms of birth control as a precaution. There have been rare incidents of contraceptive failure during simultaneous use of anti-infectives (mostly anti-biotics) and oral contraceptives. So be safe. Use other forms of birth control. ...Read more
Generic ok: Pharmacist can dispense generic version of same drug prescribed automatically in most states, a full sub can be done on the permission of your doctor. ...Read more
Varies: Obviously depends upon the season, where you will be and how long you will be staying, but the best advice is available on cdc website, or consult with your local travel physician. ...Read more
Ferile pregnant patients who have been to an area where malaria is endemic can result in serious morbidity and mortality. Gravid patient are 10 times more likely to contract malaria than non gravid ones.
For 27 weeks gestation, the best option for anti malaria include:
chloroquine, quinine, atovaquone-proguanil, and mefloquine. Discuss with your doctor. ...Read more