Adult
Malaria - uncomplicated
Warning
ALWAYS consult Micro/ID about fever in the returning traveller or a diagnosis of malaria
Severe malaria - see guideline Malaria - severe
Prescribe using the 'Artesunate/Riamet Initiation for Malaria PowerPlan'
Preferred
Includes all human malaria infections
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)
- For patients who are unable to take oral medicines see guideline Malaria - severe
- AVOID doxycycline at all stages of pregnancy, see guideline Malaria in Pregnancy
Alternative
ONLY indicated if Riamet® is unavailable OR in the case of hypersensitivity/ adverse reaction to Riamet®
Quinine can be associated with prolonged QT interval. For more information, including MHRA drug safety update, see monograph quinine sulfate
quinine sulfate 600mg po tds + doxycycline 200mg po od for 7 days
OR
quinine sulfate 600mg po tds + clindamycin 600mg po bd for 7 days
- For patients who are unable to take oral medicines see guideline Malaria - severe
- AVOID doxycycline at all stages of pregnancy, see guideline Malaria in Pregnancy