Antimalarial Drugs Flashcards
List the three groups of antimalarial drugs.
Group I: chloroquine, quinine, fansidar, artemisinin compounds, tetracyclines (work for erythrocytic stage asexual)
Group II: proguanil, atovaquone (work for primary hepatic stage and erythrocytic stage asexual)
Group III: primaquine (work for hepatic stage primary and latent)
Goals of treatment in malaria
Cure
Prophylaxis
Two types of cure in malaria?
- Clinical cure: eliminate blood stage parasites (falciparum)
- Radical cure: eliminate blood stage and dormant liver stage parasite (vivax and ovale)
Two types of prophylaxis treatment in malaria?
- Suppressive: blood (falciparum)
- Causal: blood & tissue (vivax & ovale)
Which species of parasites cause relapse and which cause symptoms?
Relapse: dormant liver stage parasite (vivax & ovale)
Symptoms: blood stage parasite (falciparum, vivax & ovale)
Antimalarial drugs
Chloroquine
Quinine
Artemisinin compound (ACT)
Fansidar (sulfadoxin+ pyrimethamine)
Tetracycline & doxycycline
Proguanil
Atovaquone
Primaquine
Which drugs are the first line therapy in malaria?
Quinine (cerebral malaria, severe & CQ resistant falciparum)
Artemisinin compounds (ACT) :falciparum
Which drug is only effective in primary and latent hepatic stages but no effects on asexual erthrocyctic form?
Primaquine
Contraindication in G6PD deficiency
Chloroquine is used for
Clinical cure: vivax & ovale
Clinical & radical cure for CQ sensitive falciparum
Prophylaxis: CQ sensitive
*primarily target blood stage
Quinine brings about what adverse effects
Black water fever
TRIAD: cinchonism, hypoglycaemia, hypotension
Artemisinin compound (ACT) is not use alone but with?
Lumefantrine or mefloquine or quinoline
Which antimalarial drugs have the contraindication of G6PD deficiency?
Chloroquine
Primaquine
Which antimalarial drugs have no effects on primary and latent phase (liver)?
Chloroquine
Quinine
Which antimalarial drugs are effective against falciparum?
Artemisinin compounds + quinoline/ lumefantrine/ mefloquine
Fansidar+ quinine/ ATC
Proguanil + atovaquone
Which antimalarial drug cannot act as prophylaxis? Which can?
Fansidar cannot
Primaquine can