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The Medical letter on drugs and therapeutics (English ed.), 2009-09, Vol.51 (1321), p.75
2009
Details
Titel
Artemether-lumefantrine (Coartem) for treatment of malaria
Ist Teil von
The Medical letter on drugs and therapeutics (English ed.), 2009-09, Vol.51 (1321), p.75
Ort / Verlag
United States: Medical Letter, Inc
Erscheinungsjahr
2009
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The Food and Drug Administration has approved artemether-lumefantrine for oral treatment of uncomplicated Plasmodium falciparum malaria. It is not approved for prophylaxis. Artemether-lumefantrine is the first artemisinin-based drug approved for use in the US. Artemisinins are Chinese herbal products used worldwide to treat malaria. Both artemether and lumefantrine inhibit nucleic acid and protein biosynthesis. In the erythrocytic stages of P. falciparum, artemether acts rapidly to reduce the number of parasites. Lumefantrine, which is longer acting than artemether, reduces the number of residual parasites. Both are less effective against P. vivax. Reduced susceptibility to artesunate, characterized by slow parasite clearance in vivo, has been reported in western Cambodia.