Antimalarials Flashcards
Both erythrocytic and exoerythrocytic
CYCLOGUANIL
For multi drug resistant forms of Plasmodium falciparum
Mefloquine
Giardiasis, tapeworm and malaria, leishmaniasis
Quinacrine
Highly supressive (P. vivax and P. falciparum)
Amiodaquine
DOC for erythrocytic falciparum
Chloroquine
Reserved for malarial strains resistant to other agents
Quinine
Only for exoerythrocytic stages of malaria
Primaquine
Anti inflammatory (RA and discoid lupus)
Chloroquine
Adverse effects of Quinine
Cinchonism, Abortifacient
Acute P. vivax attack
Chloroquine
Curative (P. falciparum)
Amiodaquine
Radical cure of the P. vivax & ovale, Gametocidal for all species
Primaquine
Common structural feature: quinoline ring, or a “quinoline with an additional benzene added” (an acridine ring)
=None except the cinchona alkaloids has a quinuclidine ring
ANTIMALARIALS
Classes of Cinchona alkaloids
Quinine
Classes of 7 CHLORO 4
AMINOQUINOLINES
Chloroquine, Amiodaquine