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Indication & Dosage
 
 
Oral
CHLOROQUINE RESISTANT FALCIPARUM MALARIA ACUTE ATTACK
Child: Pyrimethamine 25mg + Sulfadoxine 500mg (Tablet): <2 yr (5-10 kg): ½ tab as a single dose; 2-5 yr (>10-20 kg): 1 tab as a single dose; 5-10 yr (< 20-30 kg): 1½ tab as a single dose; 10-14 yr (> 30-45 kg): 2 tab as a single dose. Do not repeat for at least 7 days.
 
Oral
CHLOROQUINE RESISTANT FALCIPARUM MALARIA ACUTE ATTACK
Adult: Pyrimethamine 25mg + Sulfadoxine 500mg (Tablet): 2-3 tabs as a single dose. Do not repeat for at least 7 days.
   
Precautions Impaired renal or hepatic function, folate deficiency, severe allergy or bronchial asthma, G6PD deficiency, pregnancy. Take with plenty of water to prevent crystalluria. Avoid excessive exposure to sun. Discontinue at the first sign of rash. Discontinue if signs of folic acid deficiency develops. Regular CBC monitoring, LFT, analysis of urine for crystalluria when admin for > 3 mth. Take with food to minimise Gi effects (e.g. anorexia and vomiting).
   
Potentially Life-threatening 
Adverse Drug Reactions
Urticaria, serum sickness, photosensitisation, arthralgia, nausea, vomiting, abdominal pain, diarrhoea, headache, peripheral neuritis, ataxia, tinnitus, vertigo, convulsions, toxic nephrosis and pulmonary infiltrates resembling eosinophilic or allergic alveolitis.
   
Adverse Drug Reactions Stevens-Johnson syndrome, toxic epidermal necrolysis, fulminant hepatic necrosis, blood dyscrasias, anaphylactoid reactions.
   
Interactions Increased halofantrine and chlorpromazine levels. Increased effects of warfarin.
   
   
 

 

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