In the management of Malaria the important and critical
aspect is the diagnosis and treatment of falciparum
malaria as soon as possible as deterioration of the
patient's condition can be rapid and sudden.
Besides drug treatment management of serious sign and
symptoms are also very important.
Drug
treatment of Malaria
Chloroquine: 600 mg immediately, 300 mg after 6 hrs., 300
mg on day 2, 300 mg on day 3 -- for all four types of
malaria.
Artemether: For Chloroquine resistant falciparum malaria.
day 1 - 80 mg IM twice.
Next 4 days 80 mg Once daily.
Quinine: For Chloroquine resistant falciparum malaria.
Slow infusion over 4 hrs. Initial loading dose 20 mg /kg
followed every 8 hrs. with 10mg / kg. for 10 days.
Mefloquine: For Chloroquine resistant falciparum malaria.
750 mg immediately. 500 mg 8 hrs. later.
Primaquine: given after a course of chloroquine for the
elimination of P. vivax and P. ovale from the body.
Other drugs:
Pyrimethamine/sulfadoxine combination. Doxycycline.
Caution
:
Quinine or Chloroquine not to be given as IV bolus.
Dexamethasone IV , Manitol, Heparine to be avoided in
Cerebral Malaria
Prophylactic
medication for Malaria.
In endemic areas regular
intake of chloroquine 2 tabs. for adults or
Pyrimethamine/sulfadoxine 1 tab. for adults weekly may be
use to prevent malaria.
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