Adult

Malaria in Pregnancy

  • AVOID doxycycline at all stages of pregnancy
  • ALWAYS consult Micro/ID about fever in the returning traveller or a diagnosis of malaria
  • Prescribe using the 'Artesunate/Riamet Initiation for Malaria PowerPlan'

Uncomplicated malaria in pregnancy

Uncomplicated malaria in pregnancy (all trimesters) should be treated with:

Riamet® 4 tablets per dose orally taken at 0h, 8h, 24h, 36h, 48h, 60h (with food or milk drink to improve absorption)

  • Riamet® is artemether-lumefantrine (1 tablet = 20mg artemether + 120mg lumefantrine)
  • If the patient is unable to take oral medication, treat as for severe malaria in pregnancy (below)

Severe malaria in pregnancy

Severe malaria in pregnancy (all trimesters) should be treated with iv artesunate 

artesunate 2.4mg/kg iv bd for 3 doses (i.e. at 0h, 12h, 24h) then once a day for 6 days 

Editorial Information

Last reviewed: 01 Aug 2023