[HTML][HTML] Primaquine in vivax malaria: an update and review on management issues

D Fernando, C Rodrigo, S Rajapakse - Malaria journal, 2011 - Springer
D Fernando, C Rodrigo, S Rajapakse
Malaria journal, 2011Springer
Primaquine was officially licensed as an anti-malarial drug by the FDA in 1952. It has
remained the only FDA licensed drug capable of clearing the intra-hepatic schizonts and
hypnozoites of Plasmodium vivax. This update and review focuses on five major aspects of
primaquine use in treatment of vivax malaria, namely: a) evidence of efficacy of primaquine
for its current indications; b) potential hazards of its widespread use, c) critical analysis of
reported resistance against primaquine containing regimens; d) evidence for combining …
Abstract
Primaquine was officially licensed as an anti-malarial drug by the FDA in 1952. It has remained the only FDA licensed drug capable of clearing the intra-hepatic schizonts and hypnozoites of Plasmodium vivax. This update and review focuses on five major aspects of primaquine use in treatment of vivax malaria, namely: a) evidence of efficacy of primaquine for its current indications; b) potential hazards of its widespread use, c) critical analysis of reported resistance against primaquine containing regimens; d) evidence for combining primaquine with artemisinins in areas of chloroquine resistance; and e) the potential for replacement of primaquine with newer drugs.
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