malaria Flashcards

1
Q

doxycycline counselling

A

take 1-2 days before entering endemic area and continue for 4 weeks

protect skin from sunlight

do not take ingestion remedies or meds containing fe/zn - leave 2 hour gap

take whole with plenty of fluid during meals while sitting or standing upright

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2
Q

how long before travel should you start taking mefloquine

A

2 weeks

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3
Q

how long before travel should you start taking malarone

A

1-2 days

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4
Q

how long before travel should you start taking doxycycline

A

1-2 days

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5
Q

how long after travel should you take malarone for

A

1 week

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6
Q

long term prophylaxis of chlorophine and proguanil

A

> 5years

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7
Q

long term prophylaxis of doxycycline

A

2 years

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8
Q

long term prophylaxis of malarone and mefloquine

A

1 year

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9
Q

Which antimalarials should be avoided in epilepsy

A

chloroquine

mefloquine

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10
Q

Which antimalarials should be avoided in renal impairment

A

proguanil

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11
Q

Which antimalarials should be avoided in eGFR <30

A

malarone

chloroquine

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12
Q

Which antimalarials can be considered in renal impairment

A

doxycycline or mefloquine

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13
Q

Which antimalarials can be considered in pregnany

A

chloroquine & proguanil

+folic acid 5mg with proguanil

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14
Q

Which antimalarials are CI in pregnancy

A

doxycycline - dental hyperplasia and tooth discolouration

mefloquine

malarone - if no other choice, can give in 2/3 trimester

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15
Q

When to start taking antimalarials if you’re on warfarin

A

2-3 weeks before

INR should be stable

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16
Q

How often should INR be monitored

A

before, 7 days after starting and completing the course

17
Q

POM antimalarials

A

malarone
doxycycline
mefloquine (lariam)

18
Q

P antimalarials

A

Proguanil (paludrine)
Chloroquine (avloclor)
Chloroquine + Proguanil

19
Q

Doxycycline side effects

A

photosensitivity

oesophageal irritation

20
Q

mefloquine side effects

A

neuro psych reactions

21
Q

once daily antimalarials

A

malarone
doxycycline
proguanil

22
Q

once weekly antimalarials

A

mefloquine

chloroquine

23
Q

What’s used for F. malaria

A

quinine
malarone
riamet

24
Q

What’s used for non-falciparum malaria

A

chloroquine

25
Q

malarone ingredients

A

atovaquone + proguanil