Malaria chemoprophylaxis in the age of drug resistance. I. Currently recommended drug regimens

KC Kain, GD Shanks, JS Keystone - Clinical infectious diseases, 2001 - academic.oup.com
KC Kain, GD Shanks, JS Keystone
Clinical infectious diseases, 2001academic.oup.com
As international travel becomes increasingly common and resistance to antimalarial drugs
escalates, a growing number of travelers are at risk for contracting malaria. Parasite
resistance to chloroquine and proguanil and real or perceived intolerance among patients to
standard prophylactic agents such as mefloquine have highlighted the need for new
antimalarial drugs. Promising new regimens include atovaquone and proguanil, in
combination; primaquine; and a related 8-aminoquinoline, tafenoquine. These agents are …
Abstract
As international travel becomes increasingly common and resistance to antimalarial drugs escalates, a growing number of travelers are at risk for contracting malaria. Parasite resistance to chloroquine and proguanil and real or perceived intolerance among patients to standard prophylactic agents such as mefloquine have highlighted the need for new antimalarial drugs. Promising new regimens include atovaquone and proguanil, in combination; primaquine; and a related 8-aminoquinoline, tafenoquine. These agents are active against the liver stage of the malaria parasite and therefore can be discontinued shortly after the traveler leaves an area where malaria is endemic, which encourages adherence to the treatment regimen. Part 1 of this series reviews currently recommended chemoprophylactic drug regimens, and part 2 will focus on 8-aminoquinoline drugs.
Oxford University Press