Tolerability and safety of primaquine in Papua New Guinean children 1 to 10 years of age

Antimicrob Agents Chemother. 2012 Apr;56(4):2146-9. doi: 10.1128/AAC.05566-11. Epub 2012 Jan 17.

Abstract

Primaquine is currently the only drug available for radical cure of Plasmodium vivax and P. ovale liver infection stages, but limited safety data exist for children <10 years of age. Detailed daily assessments of side effects in glucose-6-phosphate dehydrogenase (G6PD)-normal children treated with 14 days of primaquine plus chloroquine (3 days; n = 252) or artesunate (7 days; n = 141) (0.5 mg/kg of body weight) showed that both treatments are well tolerated, do not lead to reductions in hemoglobin levels, and can thus safely be used in children 1 to 10 years of age.

MeSH terms

  • Aging / physiology
  • Antimalarials / adverse effects*
  • Antimalarials / therapeutic use
  • Artemisinins / therapeutic use
  • Artesunate
  • Child
  • Child, Preschool
  • Chloroquine / therapeutic use
  • Cohort Studies
  • Female
  • Glucosephosphate Dehydrogenase Deficiency / complications
  • Hemoglobins / metabolism
  • Humans
  • Infant
  • Malaria / drug therapy*
  • Malaria / parasitology
  • Malaria, Falciparum / drug therapy
  • Malaria, Falciparum / parasitology
  • Malaria, Vivax / drug therapy
  • Malaria, Vivax / parasitology
  • Male
  • New Guinea
  • Primaquine / adverse effects*
  • Primaquine / therapeutic use

Substances

  • Antimalarials
  • Artemisinins
  • Hemoglobins
  • Artesunate
  • Chloroquine
  • Primaquine